6300 MERRILL CREEK PKY SAFRAN 2023-12-08

Intake &Approval Sheet (FOR PERMIT STAFF ONLY) PERMIT# c9-,3-0 LE - o BUILDING F FANNING Intake OK by: Date: Intake OK by: Assign To: Date: Intake Comments: Intake Comments: Zone Overlay/Agreement ❑ Route to Commercial Building Nonresidential Use ❑ Route to Residential Building Residential Use ❑ Make this a"W"Permit Proposed No.of Dwelling Units: Bldg/TI/Addn/Rem Size _ Total No.of Dwelling Units: Garage/Accessory Struct.Size Planning/Landscape Inspection Required before Final? QYes ❑No Number of Stories '9n Lieu"Fee:Type: Amount$ Basement ❑No CIYes, Fin!Unfin School Impact Fee: Total $ Type of Construction Calculated: Credit: Occupancy Group , ❑Everett School Dist ❑Mukilteo School Dist Occupancy Load Park Impact Fees for permits applied for after 111/2022: Fire Sprinklers: DUpdate Existing ONew System CINot Req`d Park Impact Fee Total$ (net due after credit for existing uses) Reason Sprinklers Required: Fee Schedule Used For Calculation(Year): Fire Alarm: ❑Update Existing ONew System ONot Req'd Permit Technician Use Only:Apply Phase-In Credit Per FMC19.53.200 Reason Fire Alarm Required: El yes El 100%Credit-Issued 1/1/2022-9/2/2022 RCW 64.55 MF vworksheet req'd for permit? QYes El No El 50%Credit-Issued 9/3/2022-6/2/2023 Add'I RCW 64.55 does required prior to final? QYes ❑No El 0%Credit-Issued 6/3/2023 or later VALUATION CALCULATION: Total$ /cT'b//0200 Additional Notes: Approved By: Date: I PUBLIC WORKS Additional Notes: Intake OK by: Date: Intake Comments: PW Worksheet Needed if: ❑Sys Dev Eval(titillsw)❑Traffic Mit Eval Approved 13 Date: O/Z/ ,�� ❑Site Work/Drainage L7Address Letter ❑Backflow Prevention for high hazard: (dental,medical,animals,mortuary,hospital, FIRE DEPARTMENT ' supportive housing) Separate!Deferred Submittals Required: DRoute this folder for PW Review at end --PW Review Worksheet ❑Fire Sprinklers ElFire Alarm DOther: ®This project also has a separate concurrent PW Review(Green Folder) Additional Notes: AND ElCreate Green Folder ❑Submitted Previously ❑Deferred • El This Permit is Approved by Public Works Fire Dept.Fees: El See PW Review Worksheet and associated attached items ❑ Review of As-Built Plans-NO FIRE FEE ❑A Separate PW Permit is Required(Permit#:PW ) El Minimal or No Fire Scope-NO FIRE FEE AND 0 Is located in this folder El Review/Inspection Scope-ADD FIRE FEE ❑ Is in a Separate Green Folder 9oin with this folder for permit issuance) Approved By: Date: ❑Will be issued separately(Separate Green Folder,PW issued ahead of Bldg) ❑ Public Works has no scope--PW Not Required EL.ECTRICALJI?LUMBING • Additional Notes: Additional Notes: Approved By: Date: Completed By: - Date: