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Intake&Approval Sheet (FOR PERMIT STAFF ONLY) PERMIT#t-AI fs fa- -c-4 <br /> : ��! u'' �z' � ": -` ` \kms\vim � QYr \ mti•.` ;�., � `a��y <br /> Intake OK by: Date: Intake OK by: Date: <br /> Intake Comments: Intake Comments: Assign To: <br /> 0 Route to Commercial Building 0 Attach to Project No. <br /> 0 Route to Residential Building 0 Route to Historic Reviewer <br /> D Make this a'W'Permit 0 OK to Route to Other Departments <br /> Bldg/TI/Addn/Rem Size 0 Hold in Planning File Drawer <br /> Garage/Accessory Struct. Size Zone <br /> Number of Stories Overlay/Agreement <br /> Basement QNo DYes, Fin/Unfin Nonresidential Use <br /> Type of Construction Residential Use <br /> Occupancy Group Proposed No.of Dwelling Units: <br /> Occupancy Load Total No.of Dwelling Units: <br /> Fire Sprinklers: DUpdate Existing['New System QNot Req'd Planning/Landscape Inspection Required before Final? DYes ONo <br /> Reason Sprinklers Required: "In Lieu" Fee:Type: Amount$ <br /> Fire Alarm: DUpdate Existing ONew System ONot Req'd School Impact Fee: Total $ <br /> Reason Fire Alarm Required: Calculated: t Credit: <br /> DYesD <br /> RCW 64.55 MF worksheet req'd for permit? <br /> 0 No DEverett School Dist Mukilteo School Dist <br /> Add'I RCW 64.55 docs required prior to final? DYes OW) Additional Notes: <br /> VALUATION CALCULATION: Total$ <br /> Approved By: Date: <br /> 00000 Wa C <br /> Intake OK by: Date: <br /> Additional Notes: Intake Comments: =PWWorksheet NeededIF <br /> OSys Dev Eval OTraffic Mit Eval <br /> Site Work or Drainage Proposed <br /> Approved By: Date: :Backflow Prevention for high hazard: <br /> ;(dental,medical,animals,mortuary,hospital, <br /> 'supportive housing) <br /> ���,•,�, ,�IF ��� t�1'�1 � � „<,"" ORoute this folder for PW Review at end --- PWRevlewWorksheet <br /> Intake: (Needed for Townhomes,Alley load SFR,New Commercial) OThis project also has a separate concurrent PW Review (Green Folder) <br /> ORoute to Fire Drawer---Fire Preliminary Review Notice AND OCreate Green Folder OSubmitted Previously ODeferred <br /> OSending Fire Notes to Project Team 0 This Permit is Approved by Public Works <br /> Date: (OK to Route to Other Departments) D See PW Review Worksheet and associated attached items <br /> Fire Sprinklers: DUpdate Existing ONew System 0 Not Req'd 0 A Separate PW Permit is Required(Permit#: PW <br /> Fire Alarm: Update Existing ONew System 0 Not Req'd AND 0 Is located in this folder <br /> Chemical Sup: DUpdate Existing ONew System 0 Not Req'd D Is in a Separate Green Folder coin with this folder for permit issuance) <br /> Additional Notes: ` Q Will be issued separately (Separate Green Folder,PW issued ahead of Bldg) <br /> Approved By: j3 3►; Date: 1?l3/ /6 0 Public Works has no scope--- PW Not Required <br /> Additional Notes: <br /> • ELECTRICAL <br /> Additional Notes: <br /> Approved By: Date: Approved By: Date: <br />