Laserfiche WebLink
Intake & Approval Sheet 0 (FOR PERMIT STAFF Olar 10 PERMIT,��� <br />BUILDING <br />Intake OK Date: <br />Intake Comments: <br />El Route to Commercial Building <br />11 Route to Residential Building <br />13 Make this a "W" Permit <br />Bldg/Tl/Addn/Rem Size <br />Garage/Accessory Struct. Size <br />Number of Stories <br />Basement <br />ONO ElYes, Fin Unfin <br />Type of Construction <br />Occupancy Group <br />Occupancy Load <br />Fire Sprinklers: El Update Existing ONew System ONot Req'd <br />Reason Sprinklers Required: <br />Fire Alarm: 11 Upd,te Existing E]New System ONot Req'd <br />Reason Fire Alarm Required: <br />RCW 64.55 MF worksheet req'd for permit? 0Yes 11 No <br />Add'] RCW 64.55 does required prior to final? Elyes EINo <br />VALUATION CALCULATION: Total $ <br />-7 <br />f <br />Additional Notes: <br />JApproved �V Date <br />FIRE DEPARTMENT <br />Separate I Deferred Submittals Required: <br />El Fire Sprinklers E]FireAlarm DOther: <br />x <br />Additional Notes: <br />Fire Dept. Fees". <br />Review of As -Built Plans - NO FIRE FEE <br />Minimal or No Fire Scope - NO FIRE FEE <br />Review/ Inspection Scope - ADD FIRE FEE <br />-Approved By: Date: <br />ELECTRICAL <br />Additional Notes: <br />Approved By: Date: <br />PLANNING <br />Intake OK by(�:� Assign To: Date: Zt JQ <br />Intake Comments: <br />11 Attach to Project No. <br />11 Route to Historic Reviewer <br />0 OK to Route to Other Departments <br />11 Hold in Planning File Drawer <br />Zone <br />Overlay/Agreement <br />Nonresidential Use <br />Residential Use <br />Proposed No. of Dwelling Units: <br />Total No. of Dwelling Units: <br />P . lanning/Landscape Inspection Required before Final? 0Yes 0No <br />"in Lieu" Fee: Type: Amount $ <br />School Impact Fee: Total $ <br />Calculated: Credit: <br />ElEvereft School Dist 11Mukilteo School Dist <br />Additional Notes: <br />IlApproved B Date: <br />PUBLIC WORKS <br />Intake OK by: Date: <br />Intake Comments: PW Worksheet Needed if. <br />1 ElSys Dev Eval OTraffic Mit Eval <br />ElSite Work or Drainage Proposed <br />11 Backflow Prevention for high hazard: <br />Rdental, medical, animals, mortuary, hospital, <br />,supportive housing) <br />DRoute this folder for PW Review at end --- PW Review Worksheet <br />ElThis project also has a separate concurrent PW Review (Green Folder) <br />AND []Create Green Folder OSubmitted Previously ODeferred <br />El This Permit is Approved by Public Works <br />El See PW Review Worksheet and associated attached items <br />El A Separate PW Permit is Required (Per mit #: PW <br />AND Is located in this folder <br />Is in a Separate Green Folder aoin with this folderforpermit issuance) <br />Will be issued separately (separate Green Folder, PW issued ahead of Bldg) <br />Public Works has no scope --- PW Not Required <br />Additional Notes: <br />ved By: Date: <br />