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• • <br /> • - . . <br /> III) • • <br /> Intake L Approval Sheiq (F01*,) PERMIT STAFF ONLY) PERMIT# <br /> • .MIMING PLANNING <br /> Intake OK by; Date: • Intake OK by: Assign To: . •. Date: <br /> Intake Comments:- ' . Intake Comments: . <br /> . . <br /> • . <br /> il Route to Commercial Building • 0 Attach to Project No. <br /> II Route to Residential Building ' 0 Route to Historic Reviewer • • <br /> El Make this a.110115eirnii . - 0 OK to Route to Other Departments - - <br /> Bldg/TI/AcIdn/Rem Size . 0 Hold in Punning File Drawer <br /> Garage/Acc-egeory-Mkt-Size - -- - Zone • - -----------=--- - -- ----=-------: - --T----— - <br /> Number of Stories . . Overlay/Agreement • <br /> Basement DNo 0Yes, Fin/Unfin Nonresidential Use. <br /> Type of Construction Residential Use <br /> ---- Occupancy-Grokip:---- :- -,------_--,_:_-_2._,-,z. .- ,, . Proposed NO.of_Dwelling Units:__.._ ....____. ..:___ ______ <br /> . <br /> Occupancy Load . Total No.of Dwelling Units: <br /> Fire Sprinklers: OUpdate Existing ONew System ONot Req'd Planning/Landscape Inspection Required before Final? OYes ONo <br /> Reason Sprinklers Required: . "In Lieu"Fee:Type: Amount$ <br /> Fire Alarm: ['Update Existing ONew System ONot Req'd School Impact Fee: Total $ <br /> Reason Fire Alarm Required: Calculated: • Credit: • • <br /> RCW 64.55 MF worksheet req'd for permit? DYes. 0 No DEvereft School Dist 0Mukilteo SchOol Dist . <br /> • Add'I RCW 64.55 docs required prior to final? 0Yes ONo Additional Notes: <br /> • VALUATION CALCULATION: Total$ <br /> IA CiACV1616 111f)k (\e-46 0 Ot Ai 1g <br /> T . Approved By: D <br /> irte:0 t(Dr)Dae... . <br /> • <br /> . • PUZILIC WORKS <br /> .• <br /> . . <br /> lintake OK by: Date: <br /> Additional Notes: • .. • Intake Comments: j PW Worksheet Needed if: <br /> _ <br /> . • jUSys Dev Eval OTraffic Mit Eval <br /> • IDSite Work or Drainage P osed <br /> . . <br /> . • 1,_, <br /> . . . <br /> Approved By: aw Date: 1 I -a4-Z,V7..0 •ILiBackflow Prevent for high hazard: <br /> 2(dental,medical,a • als,mortuary,hospital, <br /> i I i <br /> !supportive hou g) <br /> --- • • . FIRE.DEPARTMENT - • • EIRoute 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 /> "illt Fire Sprinklers OFire Alarm 00ther: AND OCreate Green Folder 11 ubmitted Previously ElDeferred <br /> 7 • q - <br /> Additional Notes: 0 This Permit is Approved Public Works • " <br /> • :,- <br /> . <br /> 0 See PW Review WyrIheet 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 lot ted in this folder <br /> El Minimal or No Fire Scope-NO FIRE FEE • El is. a Separate Green Folder(join with this folder for permit issuance) <br /> El Review I Inspection Scope-ADD FIRE FEE ill be issued separately(Separate Green Folder,PW issued ahead of Bldg) <br /> Approved Sy: Date: TN Public Works has no scope---PW Not Required <br /> a ditional Notes: <br /> ELECTRICAL . . <br /> • <br /> Additional Notes: . . <br /> Approved By: - Date: Approved By: , Date: • . _ <br /> , . . <br />