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hitake lk Approval Sheet (FOI PE4/1IT STAFF ONLY) PERMIT#/320 . <br /> UILOING PLANNING <br /> intake OK by: Date: Intake OK by: Assign To: Date: <br /> Intake Comments: Intake Comments: <br /> El Route to Commercial Building ® Attach to Project No. <br /> ® Route to Residential Building 0 Route to Historic Reviewer <br /> ® Make this a"W"Permit OK to Route to Other Departments <br /> Bldg/TI/Addn/Rem Size ® Hold in Planning File Drawer <br /> Garage/Accessory Struct -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 _- . _ :::_ --- _ I Proposed No.of Dwelling_Units: —_______________ .________ ___..-- - _. <br /> Occupancy Load .Total No.of Dwelling Units: <br /> Fire Sprinklers: ®Update Existing ONew System ®Not Req'd Planning/Landscape Inspection Required before Final? ®Yes ®No <br /> Reason Sprinklers Required: "'In Lieu"Fee:Type: Amount$ <br /> Fire Alarm: ®Update Existing ®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? Dyes. ® No ®Everett School Dist ElMukilteo School Dist <br /> i <br /> Add'I RCW 64.55 docs required prior to final? ®Yes ®No Additional Notes: <br /> VALUATION CALCULATION: Total$ <br /> 1 flt CIA614(1/6-}10k rei A . <br /> g, <br /> • I Approved By: D t� e:O l C(, <br /> PUBLIC WORKS <br /> Intake OK by: Date: <br /> Additional Notes: - Intake Comments: IPW Worksheet Needed it <br /> j - lEISys Dev Eval ❑Traffic Mit Eval <br /> ❑Site Work or Drainage P osed <br /> Approved By: pate: ❑Backflow Preventi for high hazard: <br /> 6v =(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 Subinittals 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: ., . El This Permit is Approved . Public Works <br /> ® See PW Review W. sheet and associated attached items <br /> Fire Dept.Fees: El A Separate PW 'ermit is Required(Permit#: PW ) <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 I Inspection Scope-ADD FIRE FEE Rill be issued separately(Separate Green Folder,PW issued ahead of Bldg) <br /> Approved By: Date: I. Public Works has no scope---PW Not Required <br /> N..'tonal Notes: <br /> ELECTRICAL <br /> Additional Notes: _ <br /> Approved By: Date: Approved By: Date: <br />