Laserfiche WebLink
• • <br /> Intake &Approval Sheet (FOR PERMIT STAFF ONLY) PERMIT# K I ( I 119D6 <br /> BUILDING PLANNING <br /> Intake OK by: Date: Intake OK by: Assign To: Date: <br /> Intake Comments: Intake Comments: <br /> ❑ Route to Commercial Building 0 Attach to Project No. <br /> ❑ Route to Residential Building ❑ Route to Historic Reviewer <br /> ❑ 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 El 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: El Update Existing ❑New System ❑Not Req'd Planning/Landscape Inspection Required before Final? ❑Yes CI No <br /> Reason Sprinklers Required: "In Lieu"Fee:Type: Amount$ <br /> Fire Alarm: El 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? ❑Yes ❑ No El Everett School Dist ❑Mukilteo School Dist <br /> Add!RCW 64.55 dots required prior to final? ❑Yes El No Additional Notes: <br /> VALUATION CALCULATION: Total$ <br /> Approved By: Date: <br /> PUBLIC WORKS <br /> Intake OK by: Date: __ <br /> Additional Notes: Intake Comments: PWWorksheetNeededif. �~� _._._ <br /> =DSys Dev Eval ❑Traffic Mit Eval <br /> CISite Work or Drainage Proposed <br /> Approved By: Date:1,(I y) =❑B2CkflOW Prevention for high hazard: <br /> jj I Oi O ;(dental,medical,animals,mortuary,hospital, <br /> !supportive housing) <br /> FIRE DEPARTMENT DRoute this folder for PW Review at end ---PW Review Worksheet <br /> Separate/Deferred Submittals Required: ❑This project also has a separate concurrent PW Review(Green Folder) <br /> El Fire Sprinklers ❑Fire Alarm CI Other: AND El Create Green Folder OSubmitted Previously El Deferred <br /> Additional Notes: 'W This Permit is Approved by Public Works <br /> See PW Review Worksheet and associated attached items <br /> Fire Dept.Fees: 0 A rate PW Permit is Required(Permit#: PW ) <br /> ❑ Review of As-Built Plans-NO FIRE FEE AND 0 Is to ed in this folder <br /> ❑ Minimal or No Fire Scope-NO FIRE FEE ❑ Is in a Sep a Green Folder(join with this folder for permit issuance) <br /> ig Review/Inspection Scope-ADD FIRE FEE ❑ Will be issued se ately(Separate Green Folder,PW issued ahead of Bldg) <br /> Approved By: T3e--",/ r/Y) Date:‘2.-//— ❑ Public Works has no scope— Not Required <br /> Additional Notes: <br /> ELECTRICAL <br /> Additional Notes: <br /> Approved By: Date: Approved By: jit4c Date: 2.11017010 <br />