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Intake & Approval Sheet 0 (FOR PERMIT STAFF ONLY) 0 PERMIT #S2L62-0027 . <br />BUILDING <br />Intake OK by: Date: <br />Intake Comments: <br />11 Route to Commercial Building <br />El Route to Residential Building <br />El Make this a "W" Permit <br />Bldg/TI/Addn/Rem Size <br />Garage/Accessory Struct. Size <br />Number of Stories <br />Basement <br />0No ElYes, Fin/ Unfin <br />Type of Construction <br />Occupancy Group <br />OccupancyLoad <br />Fire Sprinklers: OUpdate Existing ONew System 0 Not Req'd <br />Reason Sprinklers Required: <br />Fire Alarm: OUpdate Existing ONew System ONot Req-d <br />Reason Fire Alarm Required: <br />RCW 64.55 MF worksheet req'd for permit? 0Yes 1:1 No <br />Add'] RCW 64.55 docs required prior tofinal? 0Yes 1:1 No <br />VALUATION CALCULATION: Total $ 4701.oO <br />Additional Notes: <br />!�4 <br />,Approved By: Date: a7_10 <br />FIRE DEPARTMENT <br />Separate / Deferred Submittals Required: <br />El Fire Sprinklers 11FireAlarm DOther: <br />Additional Notes: <br />Fire Dept. Fees: <br />11 Review of As -Built Plans - NO FIRE FEE <br />El Minimal or No Fire Scope - NO FIRE FEE <br />El Review / Inspection Scope - ADD FIRE FEE <br />Approved By: Date: <br />ELECTRICAL <br />Additional Notes: <br />Approved By: Date: <br />PI_ANN­ING----------,, <br />Intake OK by: Assign To:.W�g t date: <br />Intake Comments: <br />El Attach to Project No. <br />11 Route to Historic Reviewer <br />11 OK to Route to Other Departments <br />13❑Hold in Planning File Drawer <br />Zone W C, <br />Overlay/Agreement <br />Nonresidential Use <br />Residential Use <br />Proposed No. of Dwelling Units: <br />Total No. of Dwelling Units: <br />Planning/Landscape Inspection Required before Final? 0Yes Wo <br />"In Lieu" Fee: Type: Amount $ <br />School Impact Fee: Total $ QZA:7� <br />Calculated: Credit: <br />E]Everett School Dist EI Mukilteo School Dist <br />Additional Notes: fo�� Arverzovfr-_D _Z__1_Z_Qfi0Z1:3 <br />Approved By: Date: <br />PUBLIC WORKS <br />Intake OK by: Date: <br />.............. ......................... ............................... <br />Intake Comments: PIN Worksheet Needed it. <br />0Sys Dev Eval ElTraffic Mit Eval <br />El Site Work or Drainage Proposed <br />El Backflow Prevention for high hazard: <br />:(dental, medical, animals, mortuary, hospital, <br />.supportive housing) <br />............. .__ ............................ ................. ....................................... - ..................... <br />El Route this folder for PW Review at end --- PW Review Worksheet <br />OThis project also has a separate concurrent PW Review (Green Folder) <br />AND OCreate Green Folder OSubmitted Previously ODeferred <br />❑ 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 (Permit #: PW <br />AND El Is located in this folder <br />11 Is in a Separate Green Folder (join with this folderfor permit issuance) <br />El Will be issued separate eparate Green Pw issued ahead of Bldg) <br />4Public Works has no scop --- PW Not .R2euired• <br />Additional Notes: <br />V <br />Approved By: Date: <br />L%hls <br />