6300 MERRILL CREEK PKY WATERTECTONICS 2023-06-16

Intake & Approval Sheet • (FOR PERMIT STAFF ONO) , PERMIT #?-)22C9_�WPZ BUILDING Intake OK by: Date: Intake Comments: ❑ Route to Commercial Building ❑ Route to Residential Building ❑ Make this a "W" Permit Bldg/TI/Addn/Rem Size Garage/Accessory Struct. Size Number of Stories Basement KNo []Yes, Fin / Unfin Type of Construction Occupancy Group�— Occupancy Load Fire Sprinklers: Update Existing ❑New System ❑Not Req'd Reason Sprinklers Required: Fire Alarm: 0Update Existing ❑New System ❑Not Req'd Reason Fire Alarm Required: RCW 64.55 MF worksheet req'd for permit? ❑Yes 1, No Add'I RCW 64.55 docs required prior to final? []Yes�No .r; VALUATION CALCULATION: Total ,-y Additional Notes: Approved B Date: Z621— FIRE DEPARTMENT Separate / Deferred Submittals Required: Fire Sprinklers 1917ireAlarrn ❑Other: Additional Notes: Fire Dept. Fees: ❑ Review of As -Built Plans - NO FIRE FEE ❑ Minimal or No Fire Scope - NO FIRE FEE eview / Inspection Scope - ADD FIRE FEE Approved By:K. Date: _1 ELECTRICAL/PLUMBING Additional Notes: Approved By: Date: PLANNING Intake OK by: Assign To: Intake Comments: ❑ Attach to Project No. ❑ Route to Historic Reviewer ❑ OK to Route to Other Departments ❑ Hold in Planning File Drawer Date: Zone LS Z, Overlay/Agreement Nonresidential Use Residential Use Proposed No. of Dwelling Units: Total No. of Dwelling Units: Planning/Landscape Inspection Required before Final? []Yes UNO "In Lieu" Fee: Type: Amount $ School Impact Fee: Total $ Calculated: Credit: []Everett School Dist ❑Mukilteo School Dist Additional Notes: Approved By: „ Date: 16, PU IC WORKS Intake OK by: -T-rJ Date: 3 T 20 22- Intake Comments: DPW Worksheet Needed if. � rJ'f�a-iota. a ..� �►`� ; ❑Sys Dev Eval ❑Traffic Mit Eval []Site Work or Drainage Proposed ❑Backflow Prevention for high hazard: €(dental, medical, animals, mortuary, hospital, supportive housing) _....._......-. ... ...... .................................w....-...._.-......................... El 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 folder for permit issuance) ❑ Will be Issued separately (Separate Green Folder, PW issued ahead of Bldg) Public Works has no scope --- PW Not Required Additional Notes: 8 J t - vs - Approved By: Date: