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• ' 1 <br /> Thtake . Approval Sheet (FOR PEP/MI 60.0 - 07;1-T STAFF (ONLY) PERMIT# <br /> L :U1LDlNG 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 ® Route to Historic Reviewer <br /> El 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 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 /> Reason Fire Alarm Required: Calculated: Credit: <br /> RCW 64.55 MF worksheet req'd for permit? Dyes. ® No ®Everett School Dist ®Mukilteo School Dist <br /> IAdd'I RCW 64.55 docs required prior to final? ®Yes ®No Additional Notes: <br /> VALUATION CALCULATION: Total <br /> • <br /> • q, <br /> __ <br /> 'Approved By: D te:Q I C„' <br /> PUBLIC WORKS <br /> Intake OK by: Date: <br /> Additional Notes: - - Intake Comments: i PW Worksheet Needed if: <br /> • I❑Sys Dev Eval ❑Traffic Mit Eval <br /> =EISite Work or Drainage P osed <br /> Approved By: IV.vg_ODate: r =C1Backflow Preventi 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:. OThis project also has a separate co urrent PW Review(Green Folder) <br /> ®Fire Sprinklers ®Fire Alarm ®Other: AND ®Create Green Folder ubmitted Previously ElDeferred <br /> Additional Notes: DI This Permit is Approved Public Works . - <br /> El See PW Review W sheet and associated attached items <br /> Fire Dept.Fees: 0 A Separate PW ermit is Required(Permit#: PW ) <br /> ® Review of As-Built Plans-NO FIRE FEE AND 0 Is to ted in this folder <br /> ® Minimal or No Fire Scope-NO FIRE FEE 0 Is' a Separate Green Folder coin with this folder for permit issuance) <br /> ® Review/Inspection Scope-ADD FIRE FEE ill be issued separately(Separate Green Folder,PW issued ahead of Bldg) <br /> Approved By: Date: 1!1 Public Works has no scope---PW Not Required <br /> .&ditional Notes: <br /> ELECTRICAL <br /> Additional Notes: <br /> Approved By: Date: Approved By: Date: . <br />