2300 MERRILL CREEK PKY ZAP ENERGY 2025-11-04

Intake &Approval Sheet (FOR PERMIT STAFF ONLY) PERMIT# o S —0?� BUILDING .ANNING Intake OK by: Date: Intake OK by: Assign To: Date; Intake Comments: Intake Comments: Zone (_ Overlay/Agreement ❑ Route to Commercial Building Nonresidential Use L r c ❑ Route to Residential Building Residential Use ❑ Make this a"W"Permit Proposed No.of Dwelling Units: Bldg/TI/Addn/Rem Size r Total No,of Dwelling Units: Garage/Accessory Struct.Size — PlanninglLandscape inspection Required before Final? ❑Yes ❑No Number of Stories "In Lieu"Fee:Type: Amount$ Basement ❑No ❑Yes, Fin/Unfin School Impact Fee: Total $ Type of Construction 1TL Calculated: Credit: Occupancy Group ❑Everett School Dist ❑Mukilteo School Dist Occupancy Load Park Impact Fees for permits applied for after 1/112022: Fire Sprinklers: OUpdate Existing ❑New System ❑Not Req'd Park Impact Fee Total$ I" (net due after credit for existing uses) Reason Sprinklers Required: Fee Schedule Used For Calculation(Year): ------------------ --------- ----------------- ------------- - Fire Alarm: Update Existing New System []Not Req'd Permit Technician Use Only:Apply Phase-In Credit Per EMC19-- -.53.200----- ---------- Reason Fire Alarm Required: ❑ 100%Credit-Issued 1/1/2022-902022 RCW 64.55 MF Worksheet req'd for permit? ❑Yes IM No ❑ 50%Credit-Issued 9/3/2022-6/2/2023 Add'I RCW 64.55 docs required priorto final? ❑Yes ❑No ❑ 0%Credit-Issued 6/3/2023 or later VALUATION CALCULATION: Total$ � Additional Notes: Approved By: Date: n8uc WORKS Additional Notes: Intake OK by: Date: ---------------- ------------------------- Intake Comments: :PW Worksheet Needed if- �l]Sys Dev Eval(Util/SW) ElTraffic Mit Eval Approved By: Date: 10 USite Work/Drainage ❑Address Letter ;ClBackflow Prevention for high hazard: (dental,medical,animals,mortuary,hospital, FIRE DEPARTMENT ;supportive housing) Separate I Deferred Submittals Required: ❑Route this folder for PW Review at end —PWReview Worksheet -Fire Sprinklers gFire 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 El Is located in this folder I&eview/Inspection Scope-ADD FIRE FEE ❑ Is in a Separate Green Folder Goin with this folderfor permit issuance) Approved By: Date: —' 3 ❑Will be issued separately(Separate Green Folder,PW issued ahead of Bldg) Public Works has no scope—PW Not Required ELECTRICAL/I?LUMBING Additional Notes: Additional Notes: QL�k 1 n�wl hQ 6 Approved By: Date: Completed By; Date: