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00 <br />Intake & Approval Sheep (FIOR (HERMIT STAFF ONL)q ` PERMIT � <br />BUILDING <br />Intake OK by: Date: <br />10 ake Comments: <br />® Route to Commercial Building <br />® Route to Residential Building <br />® Make this a "W" Permit <br />Bldg/TI/Addn/Rem Size <br />Garage/Accessory Struct. Size <br />Number of Stories <br />�- <br />Basement <br />1ANo ®Yes , Fin / Unfin <br />Type of Construction <br />Occupancy Group <br />Occupancy Load <br />Fire Sprinklers: ❑Update Existing ®New System ®Not Req'd <br />Reason Sprinklers Required: <br />Fire Alarm: ®Update Existing ®New System ®Not Req'd <br />Reason Fire Alarm Required: <br />RCW 64.55 MF worksheet req'd for permit? ®Yes ® No <br />Add'I RCW 64.55 docs required prior to final? ®Yes ❑No <br />VALUATION CALCULATION: Total $ Li rpi <br />a& I VU��C� <br />Additional Notes: <br />Approved By: Date: 9 <br />FIRE DEPARTMENT <br />Intake: (Needed for Townhomes, Alley load SFR, New Commercial) <br />® Route to Fire Drawer--- Fire Preliminary Review Notice <br />®Sending Fire Notes to Project Team <br />Date: (OK to Route to Other Departments) <br />Fire Sprinklers: ®Update Existing ®New System ® Not Req'd <br />Fire Alarm: ®Update Existing ®New System ® Not Req'd <br />Chemical Sup: ®Update Existing ®New System ® Not Req'd <br />rC <br />ditional Notes: <br />Additional <br />By: Date: <br />ELECTRICAL <br />Additional Notes: <br />Approved By: Date: <br />PLANNING <br />Intake OK by: Date: <br />Intake Comments: Assign To: <br />E Attach to Project No. WmLA - v� <br />® Route to Historic Reviewer <br />® OK to Route to Other Departments <br />® Hold in Planning File Drawer <br />Zone I <br />' <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? ®Yes FINo <br />"In Lieu" Fee: Type: Amount $ <br />School Impact Fee: Total $ <br />Calculated: Credit: <br />El Everett School Dist ®Mukilteo School Dist <br />Additional Notes: �.-- <br />Approved" By: Date: <br />PUBLIC WORKS <br />Intake OK by: Date: <br />------------------------------------ <br />Intake Comments: ;PWWorksheetNeededif- <br />❑Sys Dev Eval OTraffic Mit Eva[ <br />❑Site Work or Drainage Proposed <br />❑Backflow Prevention for high hazard: <br />(dental, medical, animals, mortuary, hospital, <br />supportive housing) <br />----------------------------------------- <br />®Route this folder for PW Review at end --- PW Review Worksheet <br />®This project also has a separate concurrent PW Review (Green Folder) <br />AND ®Create Green Folder ®Submitted Previously ®Deferred <br />This Permit is Approved by Public Works <br />IR See PW Review Worksheet and associated attached items <br />A Separate PW Permit is Required (Permit #: PW IO `"QSS ) <br />AND Imo(s located in this folder <br />® Is in a Separate Green Folder Qoin with this folder for permit 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 />Approved By: Date: car <br />