2215 MERRILL CREEK PKY VERIZON WIRELESS ANTENNA 2022-11-18

Intake &Approval Sheet (FOR PERMIT STAFF ONL PERMIT# Q 210(0 — n 3 2- pp � BUILDING PLANNING • Intake OK by: Date: Intake OK by: Assign To: Date: Intake Comments: Intake Comments: ❑ Route to Commercial Building ❑Attach to Project No. ❑ Route to Residential Building ❑ Route to Historic Reviewer ❑ Make this a"W"Permit ❑ OK to Route to Other Departments Bldg/TI/Addn/Rem Size ❑ Hold in Planning File Drawer Garage/Accessory Struct.Size Zone L 1 Z Number of Stories Overlay/Agreement \ Basement ❑No ❑ .Q Yes, Fin/Unfin Nonresidential Use t )Qi , ,tth Type of Construction Residential Use Occupancy Group Proposed No.of Dwelling Units: Occupancy Load Total No.of Dwelling Units: Fire Sprinklers: ❑Update Existing ❑New System ❑Not Req'd Planning/Landscape Inspection Required before Final? ❑Yeslo Reason Sprinklers Required: "In Lieu"Fee:Type: Amount$ Fire Alarm: ❑Update Existing ❑New System Mot Req'd School Impact Fee: Total $ • Reason Fire Alarm Required: Calculated: Credit: RCW 64.55 MF worksheet req'd for permit? ❑Yes ❑ No ❑Everett School Dist ❑Mukilltteo'School Dist Add'I RCW 64.55 docs required prior to final? ❑ ❑ ''' Yes No Additional Notes: c �(}.icii A riX IS VALUATION CALCULATION: Total Z j d�c ) Approved By: M� . Date: In.0 i 7 UBLIC WORKS �I Intake OK by: . Date: Additional Notes: Intake Comments: 1PW Worksheet Needed if: Sys Dev Eval OTraffic Mit Eval =DSite Work or Drainage Proposed Approved Blicy Date:6P07% '�Backflow Prevention for high hazard: i(dental,medical,animals,mortuary,hospital, ;supportive housing) FIRE DEPARTMENT ❑Route-tliis folder forPW-Review-at-end ---PW-Review Worksheet - Separate/Deferred Submittals Required: ❑This project also has a separate concurrent PW Review(Green Folder) ❑Fire Sprinklers ❑Fire Alarm ❑Other: AND ❑Create Green Folder OSubmitted Previously ❑Deferred Additional Notes: ❑This Permit is Approved by Public Works ❑See PW Review Worksheet and associated attached items Fire Dept. Fees: ❑A Separate PW Permit is Required(Permit#: PW ) ❑ Review of As-Built Plans-NO FIRE FEE AND 0 Is located in this folder ❑ Minimal or No Fire Scope-NO FIRE FEE ❑ Is in a Separate Green Folder(join with this folder for permit issuance) ❑ Review/Inspection Scope-ADD FIRE FEE ❑Will be issued separately(Separate Green Folder,PW issued ahead of Bldg) Approved By: Date: 11%"ublic Works has no scope--PW Not Required Additional Notes: _ , ELECTRICAL if7 o1II,_l�, Additional Notes: Approved By: Date: Approved By: Date: