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h teke &Approval Sheet 0 (FOR PERMIT STAFF ONLY) I PE1-MIT 1RjM` ' 0:?-10 <br /> BUILDING PLANNING <br /> Intake OK by: ,, p..4 <br /> /& Date:/;/ /er Intake OK by: ( `) Assign To:TC r£c CI Date: i I /1 /I 1 <br /> Intake Comments: Intake Comments: <br /> ❑ Route to Commercial Building L"! Attach to Project No. 4t" t I I le—"D*1 <br /> ❑ Route to Residential Building ❑ Route to Historic Reviewer <br /> ❑ Make this a"W"Permit ®OK to Route to Other Departments <br /> .Bldg I/Addn/Rem Size /L( SF 0 Hold in Planning File Drawer <br /> _Garage/Accessory Struct.Size 4//4 Zane WI —V <br /> Number of Stories / Overlay/Agreement <br /> Basement ENo ❑Yes , Fin/Unfin Nonresidential Use Ila ri ss+6'k Hal <br /> Type of Construction VA? Residential Use <br /> Occupancy Group .4 Proposed No.of Dwelling Units: <br /> Occupancy Load Z/ - - Total No.of Dwelling Units: <br /> Fire Sprinklers: ❑Update Existing ONew System ra Not Req'd Planning/Landscape Inspection Required before Final? ❑Yes No <br /> Reason Sprinklers Required: "In Lieu"Fee:Type: Amount$ <br /> Fire Alarm: ❑Update Existing ❑New System ENot Req'd School Impact Fee: Total $ <br /> Reason Fire Alarm Required: Calculated: Credit: <br /> RCW 64.55 MF worksheet req'd for permit? ❑Yes rae No El Everett School Dist ❑Mukilteo School Dist <br /> Add'I RCW 64.55 docs required prior to final? ❑Yes 1_.7,No Additional Notes: <br /> VALUATION CALCULATION: Total$/OD SZ9 6/ <br /> Approved By: Date: ifil i tjJ,ic1 <br /> PUBLIC WORKS <br /> Intake OK by: � 1�Date: 2-,................. .............,,.................. <br /> Additional Notes: Intake Comments: PW Worksheet Needed if: <br /> I2Sys Dev Eval ?OTraffic Mit Eval <br /> ®Site Work or Drainage Proposed q <br /> OBackflow Prevention for high hazard: <br /> Approved By' .4L Date: //Z7 ZD/7 <br /> / i(dental,medical,animals,mortuary,hospital, <br /> isupportive housing) <br /> FIRE DEPARTMENT ®Route 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 /> ❑Fire Sprinklers OFire Alarm ❑Other: AND EICreate Green Folder ❑Submitted Previously ❑Deferred <br /> Additional Notes: JThis Permit is Approved by Public Works <br /> ❑ See PW Review Worksheet and associated attached items <br /> Fire Dept.Fees: ❑ A Separate PW Permit is Required (Permit#: PW ) <br /> ❑ Review of As-Built Plans-NO FIRE FEE AND ❑ Is located in this folder <br /> ❑ Minimal or No Fire Scope-NO FIRE FEE ❑ Is in a Separate Green Folder Qoin with this folder for permit issuance) <br /> ❑ Review/Inspection Scope-ADD FIRE FEE ❑ Will be issued separately(Separate Green Folder,PW issued ahead of Bldg) <br /> Approved By: Date: ❑ Public Works has no scope---PW Not Required <br /> Additional Notes: <br /> ELECTRICAL <br /> Additional Notes: <br /> Approved By: Date: Approved By:›7" Y— "7L =.te: // Z0/9 <br />