1817 BROADWAY STATE FARM INSURANCE 2022-01-18

FOR OFFICE USE ONLY PERMIT# `(eb I -6 0 5 BUILDING PLANNING Bldg/TI/Addn/Rem Size Zoning Classification Garage Size Overlay/Agreement VALUATION Nonresidential Use Number of Stories Residential Use Occupancy Group Proposed No.of Dwelling Units: Occupant Load Total No.of Dwelling Units: Basement No_ Yes_ Fin / Unfin Landscape or Planning Inspection Type of Construction needed before final? Yes No Existing Sprinkler System? Yes_ No_Unk_ Planning Inspector: Fire Sprinkler Required Yes No Phone#: Reason Approved by: Date: Existing Fire Alarm Yes_ No Unk_ Historic Approved by: Date: Fire Alarm Required Yes No_ School Mitigation Reqd? Yes_ No_ Reason Everett School Dist Mukilteo School Dist RCW 64.55 MF worksheet req'd for permit? Yes_ No_ #of Net New Units: Add'I RCW 64.55 docs required prior to final?Yes_ o Calculated School Impact Fee: Architectural Approved By/Date: /1 'b School Impact Fee Credit: Structural Approved By/Date: irir Total School Impact Fee Owed: Comments: Comments: AO- NtiktitAtaQ Intake OK by: Intake OK by: Ok to route Hold _ Make this a"W"Permit? Yes No INTAKE Checked ,�k ' ': P BL1G 1NORKS FEESBy. Date: Plan Check Fee Comments: No pa) ozie1 Building Permit Surcharge High Hazard Sites(Dental/Medical,Animals,Mortuary,etc-Review for RPBA) Additional Plan Check RrPublic Works/Sys Dev/Traffic Mit./RPBA-NOT REQUIRED Plumbing Fee 0 Route for Public Works Review(bldg folder, PW Worksheet) Mechanical Fee % Public Works Permit-Concurren Review(separate gr n Ider) Ping Bldg Review Fee PW REVIEW: PW Reviewer: Date: Water Fee 0 PW Permit Approved-PW Sewer Fee 0 See PW Review Worksheet Systems Dev. Fee PW Permit Not Required Traffic Mitigation Fee Public Works Fee NT 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: a �