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Intake & Approval Sheet 0 (FOR PERMIT STAFF ONL • PERMIT# —0q-4--- <br /> Intake OK by: Date: Intake OK by: VVN Assign To Date: 4/2-6 <br /> Intake Comments: Intake Comments: <br /> ❑ Route to Commercial Building 0 Attach to Project No. <br /> ❑ Route to Residential Building ❑ oute to Historic Reviewer <br /> El 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 Vt <br /> Number of Stories Overlay/Agreement W 'Uri L te--r <br /> Basement ❑No ❑Yes, Fin/Unfin Nonresidential Use Of tile <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: ❑Update Existing ❑New System ONot Req'd Planning/Landscape Inspection Required before Final? ❑Yeslo <br /> Reason Sprinklers Required: "In " ee:Type: unt$ <br /> Fire Alarm: ❑Update Existing ❑New System El Not Req'd School Impact Fee: al $ <br /> Reason Fire Alarm Required: Calculated: dit: <br /> RCW 64.55 MF worksheet req'd for permit? ❑Yes 0 No ❑Ever c ool Dist ❑Mukilteo Schoo 'sty <br /> Add'I RCW 64.55 docs required prior to final? ❑Yes ❑No �ddltional Notes: \ <br /> VALUATION CALCULATION: Total$ /.,dit.00 <br /> Approved By: M Date: 7/2 '/2O <br /> Intake OK by: Date: <br /> Additional Notes: Intake Comments: 1PW Worksheet Needed if: <br /> i❑Sys Dev Eval OTraffic Mit Eval <br /> OSite Work or Drainage Proposed <br /> Approved - Date ,leetp s❑Backflow Prevention for high hazard: <br /> (dental,medical,animals,mortuary,hospital, <br /> :supportive housing) <br /> OI DEE:AtTIVa O: . . <br /> . �,� � .�.., T .�,,,,,.,,, �4��. l'T, .W El Route this folder for PW Review at end ---PW Review Worksheet <br /> Separate/Deferred Submittals Required: ❑This project also has a separate concurrent PW Review(Green Folder) <br /> OFire Sprinklers OFire Alarm ❑Other: AND ❑Create Green Folder ❑Submitted Previously ❑Deferred <br /> Additional Notes: ❑ This Permit is Approved by Public Works <br /> 0 See PW Review Worksheet and associated attached items <br /> Fire Dept. Fees: ❑ A Separate PW Permit is Required (Permit#: PW ) <br /> ❑ Review of As-Built Plans-NO FIRE FEE AND ❑ Is located in this folder <br /> 0 Minimal or No Fire Scope-NO FIRE FEE ❑ Is in a Separate Green Folder(join with this folder for permit issuance) <br /> ❑ Review/Inspection Scope-ADD FIRE FEE ❑ Will be issued separately(Separate Green Folder,PW issued ahead of Bldg) <br /> Approved By: Date: ❑ Public Works has no scope---PW Not Required <br /> Additional Notes: <br /> Additional Notes: <br /> Approved By: Date: Approved By: Date: <br />