1330 ROCKEFELLER AVE MEDICAL OFFICE BLDG 2ND FLOOR 2020-03-16

� M FOR OFFICE USE ONLY �� U � _G `� BUILDING PLANNING Bld /TI/Addn/Rem Size Zonin Classification Garage Size Overlay/Agreement VALUATION Nonresidential Use No. of Stories Residential Use Occu anc Grou Pro osed No.of Dwellin Units: Occu ant Load Total No.of Dwellin Units: Basement Yes No Fin/Unf Landscape or Planning Inspection Type of Construction needed before final? Yes No Exstg Sprinkler System? Yes No Unk Plannin Ins ector: Fire Sprink Reqd? Yes No Phone#: Reason Approved b : Date: Exst Fire Alarm? Yes No Unk Historic A roved b : Date: Fire Alarm Reqd? Yes No School Miti ation Re d? Yes No Reason Everett School Dist Mukilteo School Dist Enclosure RCW64.55 Yes No #of Net New Units: A roved b :(}1�� Date: ? o�- Calculated School Impact Fee: Comments: School Im act Fee Credit: Total School Im act Fee Owed: Comments: FEES PUBLIC WORKS Plan Check Fee Review Re uired? Yes No Buildin Permit Reviewer: Date: Surchar e Comments: Additional Plan Check Water Sewer S stems Dev. Due? Yes No S stems Dev. Fees Public Works Traffic Miti ation Due? Yes No School Miti ation Fee . ; �� s� �