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• 0 <br /> Intake ,z., Approval Shei-t (FOR PEMMIT STAFF ONLY) PERMIT# V-051'02%.3 . <br /> BUILDING PLANNING <br /> Intake OK by: Date: Intake OK by: Assign To: Date: <br /> Intake Comments: S Intake Comments: <br /> ' . <br /> 11 Route to Commercial Building El Attach to Project No. <br /> 0 Route to Residential Building 0 Route to Historic Reviewer <br /> 0 Make this a"VV"Permit El OK to Route to Other Departments <br /> Bldg/TI/Addn/Rem Size 0 Hold in Planning File Drawer ... <br /> Garage/Accesory Struct. Size Zone -- <br /> Number of Stories Overlay/Agreement <br /> Basement 0No ElYes, Fin/Unfin 'Nonresidential Use. <br /> Type of Construction Residential Use <br /> -- Occupancy_Group - - Proposed No.of Dwelling Units: . ___ - - —1-- <br /> Occupancy Load Total No.of Dwelling Units: <br /> Fire Sprinklers: ElUpdate Existing ONew System EINot Req'd Planning/Landscape Inspection Required before Final? ElYes EINo <br /> Reason Sprinklers Required: "In Lieu"Fee:Type: Amount$ <br /> Fire Alarm: El Update Existing EINew System 0Not Req'd School Impact Fee: Total $ <br /> Reason Fire Alarm Required: Calculated: Credit: • <br /> RCW 64.55 MF worksheet req'd for permit? DYes. El No DEverett School Dist El Mukilteo SchOol Dist <br /> Add!RCW 64.55 does required prior to final? ElYes EINo Additional Notes: <br /> • VALUATION CALCULATION: Total$ <br /> i L n 0 C)ACIA(16-AO' reAtj . <br /> • Approved By: D te:01,) ,De ,e) <br /> • PUBLIC WORKS <br /> , • <br /> Intake OK by: Date: <br /> Additional Notes: Intake Comments: i PW Worksheet Needed if: <br /> . I DSys <br /> LI Dev Eval CITraffic Mit Eval <br /> ,_., <br /> i USite Work or Drainage Peased <br /> . • I <br /> ; . <br /> ocr. 10Backflow Preventi for high hazard: <br /> Approved By: re Date: <br /> 1(dental,medical,a ' als,mortuary,hospital, <br /> isupportive hou • g) <br /> FIRE.DEPARTMENT •• ElRoute this folder for PW Review at end -PW Review Worksheet <br /> Separate/Deferred Submittals Required:. EIThis project also has a separate co urrent PW Review(Green Folder) <br /> E1Fire Sprinklers El Fire Alarm 00ther: AND EICreate Green Folder ubmitted Previously • Deferred <br /> 1 Additional Notes: .) 0 This Permit is Approved a Public Works . cl - <br /> o 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 El Is located in this folder <br /> 0 Minimal or No Fire Scope-NO FIRE FEE El Is. a Separate Green Folder(join with this folder for permit issuance) <br /> 0 Review/Inspection Scope-ADD FIRE FEE IN ill be issued separately(Separate Green Folder,PW issued ahead of Bldg) <br /> Approved By: . Date: TI, Public Works has no scope---PW Not Required <br /> If•ditional Notes: <br /> ELECTRICAL <br /> Additional Notes: <br /> Approved By: Date: Approved By: Date: • <br /> ' 2-4•2 <br />