1401 MERRILL CREEK PKY #2 2024-06-12

• Intake &Approval Sheet (FOR PERMIT STAFF ONLY) • PERMIT# 13,7). 0 .^O .f/ BUILDING PLANNING Intake OK by: Date: _ Intake OK by: Assign To: Date: Intake Comments: Intake Comments: Zone ❑ Make this a"W"Permit ❑ SRC Required(Pre-Insp) Overlay/Agreement Bldg/TI/Addn/Rem Size 0 Nail Nonresidential Use Garage/Accessory Struct.Size D IVdG✓ Residential Use Number of Stories "5 Proposed No.of Dwelling Units: Basement Er to ❑Yes, Fin/Unfin Total No.of Dwelling Units: Type of Construction V-6 Planning/Landscape inspection Required before Final? ❑Yes ❑No Occupancy Group feZ. "In Lieu"Fee:Type: Amount$ Occupancy Load 11' School Impact Fee: Total $ Cert. of Occpuancy Required? o ❑Yes ❑Shell Only Calculated: Credit: Code Year 02021 C2018 02015 ❑Everett School Dist ❑Mukilteo School Dist Fire Sprinklers: ❑Update Existing El New System INot Req'd Park Impact Fees for permits applied for after 1/1/2022: Reason Sprinklers Required: Park Impact Fee Total$ (net due after credit for existing uses) Fire Alarm: ❑Update Existing El New System JNot Req'd Fee Schedule Used For Calculation(Year): Reason Fire Alarm Required: RCW 64.55 MF worksheet req'd for permit? ❑Yes No Add'I RCW 64.55 docs required prior to final? ❑Yes No Additional Notes: VALUATION CALCULATION: Total$ 37,36.2-®1 Approved By: Date: PUBLIC WORKS Intake OK by: Date: Intake Comments: IPW Review&Worksheet Needed if: ❑Sys Dev Eval: Additional Notes: �� ryV�"'T r 7 rivol ❑Water ❑Sewer ❑Storm 4 O Traffic Mitigation Eval Approved By: � Date: ((767,..)/ Mite Work/Drainage(shown/triggered) ❑Address Letter RE DEPARTMENT ❑Backflow Prevention for high hazard: (dental,medical, Separate/Deferred Submittals Required: animals,mortuary, hospital,supportive housing)s CI Fire Sprinklers El Fire Alarm ❑Other: Additional Notes: 0 This Permit is Approved by Public Works ❑See PW Review Worksheet and associated attached items Fire Dept.Fees: 0 A Separate PW Permit is Required(Permit#: PW ) ❑ Review of As-Built Plans-NO FIRE FEE AND 0 Is fully digital ❑ Minimal or No Fire Scope-NO FIRE FEE ❑ Is located in this folder ❑ Review/Inspection Scope-ADD FIRE FEE ❑ Is in a Separate Green Folder(join with this folder for permit issuance) Approved By: Date: 0 Will be issued separately(Separate Green Folder,PW issued ahead of Bldg) ❑ Public Works has no scope on this permit---PW Not Required ELECTRICAL/PLUMBING Additional Notes: Additional Notes: Approved By: Date: Completed By: Date: