6500 MERRILL CREEK PKY AVTECH TYEE 2023-05-19

Intake &Approval Sheet (FOR PERMIT STAFF ONL� PERMIT# M Z 01 v v BUILDING ��j��f�� PLANNING qqs� Intake OK by: Date: Intake OK by;�b Assign To:R( Date:] $ Intake Comments: Intake Comments: • ❑ Route to Commercial Building ❑Att oh to Project No. ❑ Route to Residential Building oute to Historic Reviewer ❑ Make this a"W"Permit OK to Route to Other Departments Bldg/Tl/Addn/Rem Size ❑ Hold in Planning File Drawer Garage/Accessory Struct.Size Zone Number of Stories Overlay/Agreement Basement ❑No ❑Yes , Fin/Unfin Nonresidential Use Type of Construction Residential Use Occupancy Group Proposed No.of Dwelling Units: Occupancy Load Total No.of Dwelling Units: Fire Sprinklers: El Update Existing ❑New System ❑Not Req'd Planning/Landscape Inspection Required before Final? ❑Yes ❑No Reason Sprinklers Required: "In Lieu"Fee:Type: Amount$ Fire Alarm: ❑Update Existing ❑New System ❑Not 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 ❑Mukilteo School Dist Add'I RCW 64.55 docs required prior to final? ❑Yes ❑No Additional Notes: Li Y-e ii 1=e-f'e(�IaCervent -eXI/, VALUATION CALCULATION: Total$ � .-647 redly On + �-« _1 Approved By: A Date://8/ -1 PUBLIC WORKS Intake OK by: . Date: Additional Notes: Intake Comments: I PW Worksheet Needed if: =OSys Dev Eval ❑Traffic Mit Eval `OSite Work or Drainage Proposed Approved t42. ,,r,t.„ / Date //f/ Z, OBackflow Prevention for high hazard: _ • :(dental,medical,animals,mortuary,hospital, !supportive housing) FIRE DEPARTMENT ❑Route this folder for PW Review at end ---PW Review Worksheet Separate I Deferred Submittals Required: ❑This project also has a separate concurrent PW Review(Green Folder) El Fire Sprinklers ❑Fire Alarm ❑Other: AND ❑Create Green Folder ❑Submitted 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 ❑ Is located in this folder ❑ Minimal or No Fire Scope-NO FIRE FEE 0 Is in a Separate Green Folder(loin 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: 0 Public Works has no scope---PW Not Required Additional Notes: ELECTRICAL Additional Notes: Approved By: Date: Approved By: Date: