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2 <br /> Intake & Approval Sheet (FOR PERMIT STAFF ONLY) PERMIT# -'0 0 (.51 <br /> BUILDING PLANNING <br /> Intake OK by:N\t Date: Intake OK 46_ Assign To: Id IA Date: 2-M 2G <br /> Intake Comments: 1./1 Intake Comments: <br /> altkkAwt rk <br /> O Route to Commercial Building 0 Attach to Project No. <br /> O Route to Residential Building glfi-oute to Historic Reviewer <br /> O Make this a"W"Permit 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 El No 0Yes, 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: El Update Existing 0 New System ElNot Req'd Planning/Landscape Inspection Required before Final? 0Yes No <br /> Reason Sprinklers Required: "In titTte-LEgeLType: Amount$ <br /> Fire Alarm: OUpdate Existing Chew System Chot Req'd School Impact Fee: eta! <br /> Reason Fire Alarm Required: Calculated: -.it: <br /> RCW 64.55 MF worksheet req'd for permit? 0Yes 0 No El Ev- chool Dist 0 Mukilteo School •I <br /> Add'I RCW 64.55 docs required prior to final? 0Yes CI No Additional Notes: wotecryi un;--fskta rio-I-- e CALCULATION: Total$ m4,-1 -VOW -Hitart exr&-kl . <br /> Approved By: Date: /10/ ..0 <br /> PUBLIC WORKS <br /> Intake OK by: Date: <br /> Additional Notes: Intake Comments: !PW Worksheet Needed if: <br /> IDSys Dev Eval EiTraffic Mit Eval <br /> 10Site Work or Drainage Proposed , <br /> OBackflow Prevention for high hazard: <br /> Approved By: (1:5W Date: g 41/01-2, <br /> i(dental,medical,animals,mortuary,hospital, <br /> supportive housing) <br /> FIRE DEPARTMENT El Route this folder for PW Review at end ---PW Review Worksheet <br /> Separate/Deferred Submittals Required: OThis project also has a separate concurrent PW Review(Green Folder) <br /> El Fire Sprinklers OFire Alarm ElOther: AND 0Create Green Folder 0Submitted Previously 0Deferred <br /> Additional Notes: 0 This Permit is Approved by Public Works <br /> 0 See PW Review Worksheet and associated attached items <br /> Fire Dept. Fees: 0 A Separate PW Permit is Required(Permit#: PW <br /> O Review of As-Built Plans-NO FIRE FEE AND 0 Is located in this folder <br /> O Minimal or No Fire Scope-NO FIRE FEE 0 Is in a Separate Green Folder(join with this folder for permit issuance) <br /> O Review/Inspection Scope-ADD FIRE FEE 0 Will be issued separately(Separate Green Folder,PW issued ahead of Bldg) <br /> Approved By: Date: 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 />