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Cr9Intake & Approval Sheet • (FOR PERMIT STAFF ONLY) • PERMIT# '-\Oq <br /> BUILDING PLANNING'' rr �y <br /> Intake OK by: Date: Intake OK b Date: L4. <br /> Intake Comments: Intake Comments: Assign To - ►d`1 <br /> ❑ Route to Commercial Building ❑Attach to Project No. <br /> ❑ Route to Residential Building er <br /> ❑ Make this a"W" Permit ® K to Route to Other De artments <br /> Bidg/TI/Addn/Rem Size Hold in Planning File Drawer <br /> Garage/Accessory Struct. Size Zone WI\ <br /> Number of Stories Overlay/Agreement/S\cee\ V\'IPe Q90 C &OO.) <br /> Basement ❑No ❑Yes , 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: ❑Update Existing ❑New System ❑Not Req'd Planning/Landscape Inspection Required before Final? ❑Yes WINo <br /> Reason Sprinklers Required: "In Lieu" Fee:Type: Amount$ <br /> Fire Alarm: El Update Existing El New System Not Req'd School Impact Fee: Total <br /> Reason Fire Alarm Required: Calculated: Credit: <br /> RCW 64.55 MF worksheet req'd for permit? ❑Yes ❑ No DEverett Sc I Dist ❑Mukilteo School Dist <br /> Add'I RCW 64.55 docs required prior to final? ❑Yes ❑No Addition otes: <br /> VALUATION CALCULATION: Total$ <br /> Approved By: - —� Date: t--c 29 ZoAq <br /> PUBLIC WORKS <br /> Intake OK by: Date: <br /> Additional Notes: Intake Comments: PW Worksheet Needed if: <br /> ▪Sys Dev Eval ❑Traffic Mit Eval <br /> ❑Site Work or Drainage Proposed <br /> Approved By: 6 ,_ — Date: r3 et j ❑Backflow Prevention for high hazard: <br /> (dental,medical,animals,mortuary,hospital, <br /> FIRE DEPARTMENT DRoute this folder for PW Review at end ---PW Review Worksheet <br /> Intake: (Needed for Townhomes,Alley load SFR,New Commercial) ❑This project also has a separate concurrent PW Review(Green Folder) <br /> ❑Route to Fire Drawer---Fire Preliminary Review Notice AND ❑Create Green Folder ❑Submitted Previously ❑Deferred <br /> ❑Sending Fire Notes to Project Team ❑ This Permit is Approved by Public Works <br /> Date: (OK to Route to Other Departments) ❑ See PW Review Worksheet and associated attached items <br /> Fire Sprinklers: ❑Update Existing ❑New System ❑ Not Req'd ❑ A Separate PW Permit is Required (Permit#: PW _ <br /> Fire Alarm: ❑Update Existing ❑New System ❑ Not Req'd AND ❑ Is located in this folder <br /> Chemical Sup: ❑Update Existing ONew System ❑ Not Req'd ❑ Is in a Separate Green Folder(join with this folder for permit issuance) <br /> Additional Notes: <br /> ❑ Will be issued separately(Separate Green Folder,PW issued ahead of Bldg) <br /> ❑ ADD FIRE FEE 0 NO FIRE FEE ❑ Public Works has no scope---PW Not Required <br /> Approved By: Date: Additional Notes: <br /> ELECTRICAL <br /> Additional Notes: <br /> Approved By: /_L$ Date:QZ7A i1_1 / Approved By: � �a� Date: 6<(7' A <br />