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e • <br /> intake t Approval Sheet (FAR PEF/MIT STAFF ONLY) PERMIT 2.W 1 & 6(1 • - <br /> :UILDING PLANNING <br /> Intake OK by: Date: Intake OK by: - Assign To: . Date: <br /> Intake Comments: Intake Comments: <br /> ® Route to Commercial Building ® Attach to Project No. <br /> ® Route to Residential Building El Route to Historic Reviewer <br /> ILI Make this a"W"Permit 0 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 EINo ®Yes, Fin/Unfin Nonresidential Use <br /> Type of Construction Residential Use <br /> --_-;Occupancy Group-- - — Proposed No.of Dwelling Units:_-._.___ _ <br /> - <br /> ; <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? Eyes. ® No ®Everett School Dist ElMukilteo School Dist <br /> Add'I RCW 64.55 docs required prior to final? ®Yes ®No Additional Notes: <br /> VALUATION CALCULATION: Total <br /> 'At ciAainta-10- (t/13`61 i <br /> • Approved By: D te:ot <br /> te) <br /> PUBLIC WORKS <br /> 'Intake OK by: Date: <br /> 'Additional Notes: - 'Intake Comments: IPW Worksheet Needed if: <br /> . DSys Dev Eval ❑Traffic Mit Eval <br /> ®Site Work or Drainage P ..osed <br /> "Approved By: ' ,;-• Date: .O DBackflow Preventia for high hazard: <br /> (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 /> DFire Sprinklers ®Fire Alarm ®Other: AND ®Create Green Folder '_a' ubmitted Previously Deferred <br /> Additional Notes: , El This Permit is Approved e Public Works . , <br /> 0 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 ® Is located in this folder <br /> ® Minimal or No Fire Scope-NO FIRE FEE 0 Is. a Separate Green Folder(join with this folder for permit issuance) <br /> ® Review/Inspection Scope-ADD FIRE FEE m ill be issued separately(Separate Green Folder,PW issued ahead of Bldg) <br /> Approved By: Date: 7 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 />