2916 STATE ST MEDICINE WOMAN 2019-04-17

FOR OFFICE USE ONLY PERMIT# V (An 05 BUILDING PLANNING Bldglfl/Addn/Rem Size i ', 3 �j Zoning Classification C-2 Garage Size Overlay/Agreement _____ VALUATION Nonresidential Use 1102- 1 pY0 demon ?vo cos \ Number of Stories Residential Use N 0 G Occupancy Group 'F — I Proposed No.of Dwelling Units: —' Occupant Load /I —1 Total No.of Dwelling Units: Basement Yes V No_Fin/Unf Landscape or Planning Inspection / Type of Construction V f needed before final? Yes No V Existing Sprinkler System? Yes_ No 1 Unk_ Planning Inspector:. Fire Sprinkler Required Yes No Phone#: Reason Approved IlifAIV Date: g I c 1 Ito Existing Fire Alarm Yes_V No_Unk_ Historic Approved by: Date: ----- Fire Alarm Required Yes L/ No_ School Mitigation Reqd? Yes_ No Reason Everett School Dist Mukilteo School Dist Enclosure Law Ap ies Yes #of Net New Units: Deferred Submitt Req'd Yes J No_ Calculated School Impact Fee: Approved by: i; Date: ff.- J/-/(, School Impact Fee Credit: Comments: Total School Impact Fee Owed: Comments: VE Cand44-11 126\il5-015 . (ern aka ►i - 4v%/1 ) t PUBLIC.WORKS FEES Intake Checked By: .I Date: 8-.251/8 Plan Check Fee Intake Comments: 11 peryyiT r Wno(e.. Building Permit ® .burC�� fS.ckecl Surcharge 011 VM MA) pinavio uSt y, Additional Plan Check PW Permit Application Submitted? Yes No Plumbing Fee PW Worksheet Required? Yes No Mechanical Fee PW REVIEW: PW Reviewer: Date: Ping Bldg Review Fee SEE PW WORKSHEET-returned to file • Water Fee PW Permit Approved, X PW Permit Not Required Sewer Fee Systems Dev.Fee FIRE DEPARTMENT Traffic Mitigation Fee Update/New Sprinklers Yes_ No_ Existing Bldg.__, Public Works Fee Update/New Detection Yes— No_ Existing Bldg. School Mitigation Fee Update/New Chemical Yes_ No_ Existing Bldg. Update/New Fire Service Yes_ No_ Existing Bldg._ Approved by: Date: Comments: r, ..----.„ v �;