2300 MERRILL CREEK PKY ZAP ENERGY 2023-09-26

Intake & Approval Sheet {FOR PERMIT STAFF ONLY} PERMIT #✓ BUILDING Intake OK by: Date: Intake Comments: ❑ Route to Commercial Building ❑ Route to Residential Building ❑ Make this a "W" Permit Bidg/TI/Adds/Rem Size Garage/Accessory Struct. Size Number of Stories Basement ❑No ❑Yes , Fin / Unfin Type of Construction Occupancy Group Occupancy Load Fire Sprinklers: ❑Update Existing ❑New System ❑Nat Req'd Reason Sprinklers Required: Fire Alarm: ❑Update Existing ❑ New System ❑ Not Req'd Reason Fire Alarm Required: RCW 64.55 MF worksheet req'd for permit? ❑Yes ❑ No Add1 RCW 64.55 docs required prior to final? ❑Yes ❑ No VALUATION CALCULATION: Total $ Additional Notes: Approved By: Date: FIRE DEPARTMENT Separate l Deferred Submittals Required: ❑Fire Sprinklers ❑Fire Alarm ❑Other: Additional Notes: Fire Dept. Fees: ❑ Review of As -Built Plans - NO FIRE FEE ❑ Minimal or No Fire Scope - NO FIRE FEE ❑ Review / Inspection Scope - ADD FIRE FEE Approved By: Date: ELECTRICAL PLUMBING Additional Notes: Approved By: Date: PLANNING Intake OK by: A4_ Assign To: S Date: Intake Comments: Zone Over]ay/Agreement A I A, +ACA Nonresidential Use t_ty+�� tr,d�s�rr;a1 �Manuk. Residential Use N/A Proposed No. of Dwelling Units: WA Total No. of Dwelling Units: N/A PlanninglLandscape Inspection Required before Final? ❑Yes ❑No "In Lieu" Fee: Type: Amount $ Q School Impact Fee: Total $ Calculated: Credit: ❑Everett School Dist ❑Mukilteo School Dist Park Impact Fees for permits applied for after 1/1/2022: Park Impact Fee Total $ () Fee Schedule Used For Calculation (Year): Permit Technicians: Apply Credit Per EMIC19.53.200 D 100% Credit- Issued 1/1/2022 - 9/2/2022 D 50% Credit - Issued 9/3/2022 - 6/2/2023 D 0% Credit - Issued 6/3/2023 or later Additional Notes: Approved By: Date: 7 ? fo/Z 3 PUBLIC WORKS Intake OK by: Date: Intake Comments: PW Worksheet Needed if, I ❑Sys Dev Eval ❑Traffic Mit Eval I ❑Site Work or Drainage Proposed 3 ❑i3ackfiow Prevention for high hazard: (dental, medical, animals, mortuary, hospital, supportive housing) ❑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 Qoin with this folderforpermlt 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: