9001 AIRPORT RD BLDG 1 2025-10-21

Intake & Approval Sheet (FOR PERMIT STAFF ONLY) PERMIT # 36P8 Q.? Dgcq BUILDING Intake OK by: Date: Intake Comments: ❑ Route to Commercial Building ❑ Route to Residential Building ❑ Make this a "W" Permit BldgMJAddn/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 ❑Not'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 Add'I RCW 64.55 docs required priorto final? ❑Yes []No VALUATION CALCULATION: Total $ T000,,,Da Additional Notes: Approved B Date:&LI T/ 2 Z J FIRE DEPARTMENT Separate / Deferred Submittals Required: K-ire Sprinklers RFireAlarm ❑Other: Additional Notes: Fire Dept. Fees: ❑ Review of As -Built Plans - NO FIRE FEE ❑ Minimal or No Fire Scope - NO FIRE FEE PReview/ Inspection Scope -ADD FIRE FEE proved By: Date: e-'1-6-21 J EL1ECTRICAL/I?LUMSING Additional Notes: Approved By: Date: ►NNING Intake OK by: Assign To: Date: Intake Comments: Zone Overlay/Agreement Nonresidential Use e J C Residential Use Proposed No, of Dwelling Units: Total No, of Dwelling Units: Planning/Landscape Inspection Required before Final? ❑Yes []No "In Lieu" Fee: Type: Amount $ School Impact Fee: Total $ Calculated: Credit: ❑Everett School Dist ❑Mukilteo School Dist Park Impact Fees for permits applied for after 11112022: Park Impact Fee Total $ (net due after credit for existing uses) Fee Schedule Used For Calculation (Year): ................................................................................ Permit Technician Use Only: Apply Phase -In Credit Per EMG19.53.200 ❑ 100% Credit- Issued 1/1/2022 - 9/2/2022 ❑ 60% Credit - Issued 9/3/2022 - 6/2/2023 ❑ 0% Credit - Issued 613/2023. or later Additional Notes: , / Approved By: Date: PUBLIC WORKS Intake OK by: Date: ---------------- -- -------- ------------- Intake Comments: ;PW Worksheet Needed rf ClSys Dev Eval (Util/swq ❑Traffic Mit Eval USite Work/Drainage l_lAddress Letter ;1_113ackflow Prevention for high hazard: ,(dental, medical, animals, mortuary, hospital, ;supportive housing) . ......................................... ❑Route this folder for PW Review at end --- PWReview 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 #k: PW ) AND ❑ Is located in this folder El Is in a Separate Green Folder Qoin with this folderfor permit issuance) El Will be issued separately (Separate Green Folder, PW issued ahead of Bldg) Public Works has no scope -- PW Not Required Additional Notes: 6b 1 24 Completed 13y: Date: