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Intake&Approval Sheet (FOR PERMIT STAFF ONLY) PERMIT# <br /> Intake OK by: ' Date: ' Intake OK by: Date: <br /> Intake Comments: . Intake Comments: ` �' Assign To: <br /> Route to Commercial Building 0 Attach to Project No. <br /> Route to Residential Building 0 Route to Historic Reviewer <br /> 0Make this o"W'Permit 0 OK to Route to Other Departments <br /> B|dg/T|/Addn/Rnm Size 0 Hold in Planning File Drawer <br /> Garage/Accessory Struct. Size Zone <br /> Number of Stories Overlay/Agreement <br /> Basement 0No 0Yeo. Fin/Unfin Nonresidential Use ^wJOS <br /> Type of Construction Residential Use <br /> Occupancy Group Proposed No. of Dwelling Units: <br /> Occupancy Load Total No.of Dwelling Units: . <br /> FieGprn�ere: ��/puumEx�nng��^ avomm ��^mRoq� ��°-^ ��Nu <br /> Reason Sprinklers Required: "In Lieu" Fee: Type: ount$ <br /> Fire Alarm: °upuate Existing DNew System 0- ^noq'd School Impact Fee: Total $ <br /> Reason Fire Alarm Required: Calculated: Credit: <br /> RCW 64.55 MF worksheet reqd for permit? 0~ ~ 0 No 0Everett School Dist Mukilteo School Dist <br /> Add'IRoWo4.5mdocs required prior to final? 0Yes �_�_�� Additional <br /> z, — �,_~ <br /> VALUATION CALCULATION: Total$ <br /> Approved Date: ���yKk /z` k�� <br /> '� <br /> Intake OK by: ,./w~ Date: 2 ~/.^ <br /> Additional NotesIntake Comments: 1 PW Worksheet Needed If: <br /> 113Site Work or Drainage Proposed <br /> Approved By. \� Date: 21i- 11 <br /> �� /�� &�oaommwp�vonnvn�vmo»hozam <br /> 1(dental,medical,animals,mortuary,hospital, <br /> 'supportive housing) <br /> 41!::: 0Route this folder for PW Review at end --- PW Review Worksheet <br /> Intake: (Needed for Townhomes,Alley load SFR,New Commercial) 0This project also has a separate concurrent PW Review (Green Folder) <br /> DRoute to Fire Drawer---Fire Preliminary Review Notice AND OCreate Green Folder OSubmitted Previously 0Doferred <br /> 0SendingFimNoteotoPu4mct7eam This PermitioAppmvodbyPub|iuVVodm <br /> Date: (OK to Route to Other Departments) 0 See PW Review Worksheeand associated attached items <br /> Fire Sprinklers: 0-Update Existing ONew System 0 Not Req'd 0 A Separate PW Permit is Required(Permit#: PW <br /> Fire Alarm: lapuamExisting 0wm*System 0Not noqu AND 0 Is located in this folder <br /> Chemical Sup: 0 /nuomExisting OwowSystem 0Not Roq'u 0 Is in a Separate Green Folder oin with this folder for permit issuance) <br /> Additional Notes: El Will be issued separately (Separate Green Folder,PWissued ahead of Bldg) <br /> Approved By: Dote: |�VVodmhas noscope-- PVVNot Required <br /> Addidona|Notao: <br /> Additional Notes: <br /> � <br /> Approved By: Date: Approved By: Date: 4,/ <br /> E/171-\ <br />