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• <br /> ill 0 n <br /> Intake k Approval Sheet (FOR PERMIT STAFF ONLY) PERMIT# V.) --DO('01 • . <br /> 1 UJILh ING PLANNING . <br /> Intake OK by: Date: Intake OK by: Assign To: Date: <br /> Intake Comments: Intake Comments: <br /> • <br /> ® Route to Commercial Building ® Attach to Project No. <br /> ® Route to Residential Building ® Route to Historic Reviewer <br /> CI Make this a"W"Permit - ® OK to Route to Other Departments - <br /> Bldg/TI/Addn/Rem Size El Hold in Planning File Drawer <br /> Garage/Acces'sory Struot Size Zone <br /> Number of Stories Overlay/Agreement <br /> Basement ®No ®Yes , Fin/Unfin Nonresidential Use <br /> Type of Construction Residential Use <br />- ,.'Occupancy_Group. __ _..— - Proposed No.of Dwelling_Units:--- ----- - -—"---- -- ----- -___ <br /> j Occupancy Load Total No.of Dwelling Units: <br /> j Fire Sprinklers: ®Update Existing ®New System ®Not Req'd Planning/Landscape Inspection Required before Final? ®Yes ®No <br /> j Reason Sprinklers Required: "In Lieu"Fee:Type: Amount$ <br /> Fire Alarm: ®Update Existing ®New System ®Not Req'd School Impact Fee: Total $ <br /> j Reason Fire Alarm Required: Calculated: • Credit: <br /> RCW 64.55 MF worksheet req'd for permit? DYes. ® No ®Everett School Dist 0Mukilteo School Dist <br /> Add'I RCW 64.55 docs required prior to final? ®Yes ®No Additional Notes: <br /> VALUATION CALCULATION: Total$ /� <br /> I ' �Q� <br /> • ,Approved By: D to:O' \ h <br /> I <br /> PUBLIC WORKS <br /> Intake OK by: Date: <br /> Additional Notes: - Intake Comments: =PW Worksheet Needed if <br /> . S I❑Sys Dev Eval CDTraf is Mit Eval <br /> • ❑Site Work or Drainage P osed <br /> Approved By: ,''+ % Date: ) y_O ❑Backfiow Preventi for high hazard: <br /> i(dental,medical,a ' als,mortuary,hospital: <br /> :supportive hou ' g) <br /> ••• • FIRE.DEPARTMENT .- ®Route this folder for PW Review at end -PW Review Worksheet . <br /> Separate/Deferred Submittals Required:" ®This project also has a separate co urrent PW Review(Green Folder) <br /> ®Fire Sprinklers ®Fire Alarm ®Other: ;AND ®Create Green Folder ubmitted Previously ®Deferred <br /> Additional Notes: 0 This Permit is Approved . Public Works . <br /> ® See PW Review W. sheet and associated attached items <br /> A Separate '�ermit is Required(Permit#: PW <br /> Fire Dept.Fees: 0 p q ) <br /> ® Review of As-Built Plans-NO FIRE FEE AND 0 Is located in this folder <br /> ® Minimal or No Fire Scope-NO FIRE FEE El Is' a Separate Green Folder(join with this folder for permit issuance) <br /> ® Review l Inspection Scope-ADD FIRE FEE I ill be issued separately(Separate Green Folder,PW issued ahead of Bldg) <br /> Approved By: Date: 1 Public Works has no scope---PW Not Required <br /> IT.ditional Notes: <br /> ELECTRICAL <br /> Additional Notes: . <br /> Approved By: Date: Approved By: Date: . <br /> V <br />