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. • • <br /> 0 <br /> Intake L Approval Sheet (R PERMIT STAFF®r'LY PERMIT# 2 DO\ Of? . <br /> zUILDING PLANNING . , <br /> Intake OK by: Date: • Intake OK by: Assign.To: Date: <br /> • <br /> Intake Comments: Intake Comments: <br /> • <br /> El Route to Commercial Building 0 Attach to Project No. <br /> ® Route to Residential Building ® Route to Historic Reviewer <br /> El Make this a"W"Permit - El OK to Route to Other Departments <br /> Bldg/TI/Addn/Rem Size 0 Hold in Planning File Drawer <br /> • .. <br /> Garage/Accessory Struck 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 /> Occupancy Load Total No.of Dwelling Units: <br /> Fire Sprinklers: ®Update Existing ®New System ®Not Req'd Planning/Landscape Inspection Required before Final? ®Yes ONo <br /> Reason Sprinklers Required: "In Lieu"Fee:Type: Amount$ <br /> Fire Alarm: ®Update Existing ®New System ®Not Req'd :School Impact Fee: Total $ <br /> i <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 /> Add'!RCW 64.55 docs required prior to final? ®Yes ®No Additional Notes: <br /> VALUATION CALCULATION: Total$ fi o 6(� 'A <br /> ok (\eitkd <br /> • Approved By: J Dite:Aft,e) <br /> . PUBLIC WORKS <br /> Intake OK by: Date: <br /> Additional Notes: Intake Comments: 'PW Worksheet Needed if: <br /> DSys Dev Eval ❑Traffic Mit Eval <br /> ❑Site Work or Drainage P :.osed <br /> Approved By: ,d% Dater :❑Backflow Prevent!• for high hazard: <br /> -(dental,medical,a ais,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 /> _ <br /> Additional Notes: El This Permit is Approved s Public Works . <br /> ® See PW Review W. sheet and associated attached items <br /> Fire Dept.Fees: 0 A Separate PW "ermit is Required(Permit#: PW ) <br /> El Review of As-Built Plans-NO FIRE FEE AND 0 Is to .ted in this folder <br /> 1® Minimal or No Fire Scope-NO FIRE FEE El Is' a Separate Green Folder(join with this folder for permit issuance) <br /> ® Review/Inspection Scope-ADD FIRE FEE is ill be issued separately(Separate Green Folder,PW issued ahead of Bldg) <br /> 'Approved By: • Date: Public Works has no scope---PW Not Required <br /> ditional Notes: <br /> ELECTRICAL <br /> Additional Notes: . <br /> Approved By: Date: Approved By: . Date: • <br /> • 1 -- <br />