2300 MERRILL CREEK PKY ZAP ENERGY 2025-09-12

Intake & Approval Sheet (FOR PERMIT STAFF ONLY) PERMIT# M 230�1 - 02� BUILDING PLANNING Intake OK by: Date: Intake OK by: Assign To: c�P.�S Date: Intake Comments: Intake Comments:- Zone L L Z Overlay/Agreement A I A,+A r-A ❑ Route to Commercial Building Nonresidential Use LIC3 ►+ ir%dVsf-rta-k ice5 ❑ Route to Residential Building Residential Use N/A ❑ Make this a"W" Permit Proposed No. of Dwelling Units: N/A Bldg/TI/Addn/Rem Size Total No. of Dwelling Units: K�/A Garage/Accessory Struct.Size Planning/Landscape Inspection Required before Final? ❑Yes ONo Number of Stories "In Lieu"Fee:Type: Amount$0 Basement ❑No ❑Yes , Fin/Unfin School Impact Fee: Total $O Type of Construction Calculated: Credit: Occupancy Group ❑Everett School Dist ❑Mukilteo School Dist Occupancy Load Park Impact Fees for permits applied for after 111/2022: Fire Sprinklers: ❑Update Existing ❑New System ❑Not Req'd Park Impact Fee Total$ n Reason Sprinklers Required: Fee Schedule Used For Calculation(Year): Fire Alarm: ❑Update Existing ❑New System ❑Not Req'd Permit Technicians:Apply Credit Per EMC19.53.200 Reason Fire Alarm Required: ❑ 100%Credit-Issued 1/l/2022-9/2/2022 RCW 64.55 MF worksheet req'd for permit? ❑Yes ❑ No ❑ 50%Credit-Issued 9/3/2022-6/2/2023 Add'I RCW 64.55 dots required prior to final? ❑Yes ❑No ❑ 0%Credit-Issued 6/3/2023 or later VALUATION CALCULATION: Tot Additional Notes: Approved By: -Date: -7 Z&/23 PUBLIC WORKS Additional Notes: Intake OK by: Date: Intake Comments: M Worksheet Needed if., - -�-- i t❑Sys Dev Eva] (]Traffic Mit Eva[ Approved B Dated$ OSite Work or Drainage Proposed ❑Backflow Prevention for high hazard: (dental,medical,animals,mortuary,hospital, FIRE DEPARTMENT :supportive housing) Separate/Deferred Submittals Required: ❑Route this folder for PW Review at end --PW Review Worksheet El Fire Sprinklers ❑Fire Alarm ❑Other: ❑This project also has a separate concurrent PW Review(Green Folder) Additional Notes: AND ❑Create Green Folder ❑Submitted Previously ❑Deferred ❑ This Permit is Approved by Public Works Fire Dept. Fees: ❑ See PW Review Worksheet and associated attached items ❑ Review of As-Built Plans-NO FIRE FEE ❑ A Separate PW Permit is Required (Permit#: PW ) ❑ Minimal or No Fire Scope-NO FIRE FEE AND ❑ Is located in this folder ❑ Review/Inspection Scope-ADD FIRE FEE ❑ Is in a Separate Green Folder Coin 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 ELECTRICAL/PLUMBING Additional Notes: Additional Notes: Approved By: Date: lApproved By: Date: