120 SE EVERETT MALL WAY 2020-02-04

FOR OFFICE USE ONLY PERMIT# I?I pro-0, 11 BUILDING PLANNING Bldg/TI/Addn/Rem Size L/1 7 Zoning Classification Garage Size Overlay/Agreement VALUATION 2- S) Gi t1.- Nonresidential Use Number of Stories 1 Residential Use Occupancy Group S - Proposed No.of Dwelling Units: Occupant Load 1 Total No.of Dwelling Units: Basement No 1/` Yes_ Fin / Unfin Landscape or Planning Inspection / Type of Construction \/— e-, needed before final? Yes_ No %. Existing Sprinkler System? Yes_ Nor/ Unk Planning Inspector: +------- Fire Sprinkler Required Yes_ No Vi/ Phone#: / Reason Approve Date: /b/ /3 1 , Existing Fire Alarm Yes No nk Historic Approved by: Date: Fire Alarm Required Yes_ No /_ School Mitigation Reqd? Yes No'N,r Reason Everett School Dist Mukilteo School Dist Enclosure Law A lies Yes #of Net New Units: Deferred Submit/ R q'd Yes j,0 No Calculated School Impact Fee: Approved by: Date:),0-,21-](9 School Impact Fee Credit: Comments Total School Impact Fee Owed: Comments: Intake OK by: Intake OK by: PUBLIC WORKS FEES INTAKE: Checked By: /? Date: /h-//-/6 Plan Check Fee Intake Comments: Building Permit Surcharge Additional Plan Check Eg.Public Works/Sys Dev/Traffic Mitigation-NOT REQUIRED Plumbing Fee 0 Route for Public Works Review(g older, PW Worksheet) Mechanical Fee 0 Public Works Permit-Concurrent Review(separate green folder) Ping Bldg Review Fee PW REVIEW: PW Reviewer: k'S Date: /O ^II—16 Water Fee 0 PW Permit Approved-PW Sewer Fee 0 See PW Review Worksheet Systems Dev. Fee PI PW Permit Not Required Traffic Mitigation Fee Public Works Fee FIRE DEPARTMENT School Mitigation Fee Update/New Sprinklers Yes_ No_ Existing Bldg. Update/New Detection Yes_ No_ Existing Bldg. Update/New Chemical Yes_ No_ Existing Bldg._ Update/New Fire Service Yes_ No Existing Bldg._ Approved by: Date: Comments: