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Intake &Approval Sheet . • (FOR PERMIT STAFF ONLY) • PERMIT# '2-C'< ( — 045 <br /> BUILDING PLANNING <br /> Intake OK by: Date: Intake OK by: Date: <br /> Intake Comments. Intake Comments: Assign To: <br /> 0 Route to Commercial\ uilding 0 Attach to Project No. <br /> 0 Route to Residential Burling 0 Route to Historic Reviewer <br /> 0 Make this a"W" Permit ( 0 OK to Route to Other Departments <br /> Bldg/TI/Addn/Rem Size ..4.42, 0 Hold in Planning File Drawer <br /> Garage/Accessory Struct.Size Zone W(k <br /> Number of Stories �\-(eeWesia-4`ov. �,�� <br /> Basement ,ONo aYes , Fin/Unfin Nonresidential Use �< �p <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: OUpdate Existing ONew System ONot Req'd Planning/Landscape Inspection Required •• •re Final? DYes ONo <br /> Reason Sprinklers Required: "In Lieu"Fee:Type: Amount$ <br /> Fire Alarm: OUpdate Existing:ONew System ONot Req'd School Impact Fee: Total $ <br /> Reason Fire Alarm Required: Calculated: Credit: <br /> RCW 64.55 MF worksheet req'd for permit? DYes 0 NI'd 0Everett School Dist OMukilteo School Dist <br /> Add'I RCW 64.55 docs required prior to final? OYes ONo Additional Notes: <br /> VALUATION CALCULATION: Total$ <br /> Approved Date: NI___CA_ 2O"Z4 <br /> PUBLIC WORKS <br /> Intake OK ey: Date: <br /> Additional Notes: Intake Commehs: IPW Worksheet Needed if: <br /> ,\ I OSys Dev Eval (Traffic Mit Eval <br /> j OSite Work or Drainage Proposed <br /> Approved By: Date: "OBackflow Prevention for high hazard: <br /> (dental,medical,animals,mortuary,hospital, <br /> isupportive housing) <br /> ........... <br /> FIRE DEPARTMENT ORoute this folder for PW'-eview at end --- PW Review Worksheet <br /> Intake: (Needed for Townhomes,Alley load SFR,New Commercial) DThis project also has a sep.'rate concurrent PW Review (Green Folder) <br /> DRoute to Fire Drawer--- Fire Preliminary Review Notice AND OCreate Green Folder ti Submitted Previously ODeferred <br /> OSending Fire Notes to Project Team 0 This Permit is Approved by Pu.lic Works <br /> Date: (OK to Route to Other Departments) 0 See PW Review Worksheet and :ssociated attached items <br /> Fire Sprinklers: OUpdate Existing ONew System .0 Not Req'd 0 A Separate PW Permit is Required -ermit#: PW ) <br /> Fire Alarm: •DUpdate Existing ONew System .0 Not Req'd AND 0 Is located in this folder <br /> Chemical Sup: °Update Existing ONew System 0 Not Req'd 0 Is in a Separate Green Folder poi with this folder for permit issuance) <br /> Additional Notes: 0 Will be issued separately (Separate G en Folder,PW issued ahead of Bldg) <br /> Approved By: Date: 0 Public Works has no scope--- PW Not Requi -d <br /> Additional Notes: <br /> ELECTRICAL: <br /> Additional Notes: <br /> Approved By: Date: Approved By: Date: <br />