1100 MERRILL CREEK PKY 2022-03-23

Intake & Approval Sheet 0 (FOR PERMIT STAFF ONLY} 0 PERMIT # FA Z (0?-- 003 BUILDING Intake OK by: Date: Intake Comments: a ❑ Route to Commercial Building ❑ Route to Residential Building ❑ Make this a "W" Permit Bldg/TI/Addn/Rem Size GaragelAccessory Struct. Size Number of Stories Basement ❑No ❑Yes , Fin / Unfin Type of Construction Occupancy Group Occupancy Load Fire Sprinklers: ❑Update Existing ❑New System ❑Not Req'd Reason Sprinklers Required: Fire Alarm: [I Update Existing ❑New System ❑Not Req'd Reason Fire Alarm Required: RCW 64.55 MF worksheet req'd for permit? ❑Yes ❑ No Add'I RCW 64.55 docs required prior to final? ❑Yes ❑No VALUATION CALCULATION: Total Additional Notes: Approved By: Date: FIRE DEPARTMENT Separate I Deferred Submittals Required: ❑ Fire Sprinklers []FireAlarm ❑Other: Additional Notes: Fire Dept. Fees: ❑ Review of As -Built Plans - NO FIRE FEE ❑ Minimal or No Fire Scope - NO FIRE FEE 9,Review / Inspection Scope - ADD FIRE FEE Approved By: i r Date: ELECTRICAL Additional Notes: Approved By: Date: PLANNING' Intake OK by: Assign To: Date: Intake Comments: ❑ Attach to Project No. ❑ Route to Historic Reviewer ❑ OK to Route to Other Departments ❑ Hold in Planning File Drawer Zone Overlay/Agreement Nonresidential Use . Residential Use Proposed No. of Dwelling Units: Total No. of Dwelling Units: Planning/Landscape Inspection Required before Final? ❑Yes []No "In Lieu" Fee: Type: Amount $ School Impact Fee: Total $ Calculated: Credit: ❑Everett School Dist ❑Mukilteo School Dist Additional Notes: Approved By: Date: PUBLIC W6R1C8 " Intake OK by: Date: _....... ._................................ ....... ..... ................. ............... ........................................ Intake Comments: PW Worksheet Needed if., USys Dev Eval ❑Traffic'Mit Eva] =OSite Work or Drainage Proposed 013ackflow Prevention for high hazard: :(dental, medical, animals, mortuary, hospital, ,supportive housing) M....._..._............. ......... .....-........ ... ......... ......,_..,,,............,........... ..I..... .......... .. ❑ Route this folder for PW Review at end --- PW Review Worksheet ❑This project also has a separate concurrent PW Review (Green Folder) AND ❑Create Green Folder []Submitted Previously [Deferred ❑ This Permit is Approved by Public Works ❑ See PW Review Worksheet and associated attached items ❑ A Separate PW Permit is Required (Permit #: PW ) AND ❑ Is located in this folder ❑ Is in a Separate Green Folder (join with this folderfor permit issuance) ❑ Will be Issued separately (Separate Green Folder, PW issued ahead of Bldg) ❑ Public Works has no scope --- PW Not Required Additional Notes: Approved By: Date: