Laserfiche WebLink
0 • t <br /> Intake & Approval Sheet (FOR PERMIT STAFF ONLY) PERMIT#� �`�� o`� <br /> F ?tt ;_ i i9'"ii 3 per' ems" 7,4 7;; f' �l <br /> �\ W 1 <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 /> CI 7 <br /> Make this a"W"Permit ❑ OK to Route to Other Departments <br /> Bldg/TI/Addn/Rem Size /41i"3df ❑ Hold in Planning File Drawer <br /> Garage/Accessory Struct.Size Zone <br /> Number of Stories Overlay/Agreement <br /> Basement riNo ❑Yes, Fin/Unfin Nonresidential Use OC LP <br /> • <br /> Type of Construction (/--j Residential Use <br /> Occupancy Group ,a Proposed No.of Dwelling Units: <br /> Occupancy Load 31 Total No.of Dwelling Units: <br /> Fire Sprinklers: ❑Update Existing ❑New System t Not Req'd Planning/Landscape Inspection Required before Final? ❑Yes o <br /> Reason Sprinklers Required: "In Lieu"Fee:Type: Amount$ / <br /> Fire Alarm: ❑Update Existing ❑New System SNot Req'd School Impact Fee: Total $ <br /> Reason Fire Alarm Required: Calculated: Credit: <br /> RCW 64.55 MF worksheet req'd for permit? ■ - . • • ❑Everett School Dist ❑Mukilteo Sch of Dist <br /> Add'I RCW 64,55 docs required prior to fi . r <br /> Yes �No Additional Notes: �� / n_^ <br /> $ <br /> \''') <br /> VALUATION CALCULATION: Ti al \21....5y �( V� <br /> L.... <br /> Approved By: AL, i Date: 1.-).5 ,'L( <br /> Y s 4 A.. it <br /> • Intake OK by: Date: <br /> Additional Notes: Intake Comments: PWWorksheet Needed if: <br /> ❑Sys Dev Eval ❑Traffic Mit Eval <br /> !Mite Work or Drainage Proposed <br /> Approved By:�p26-- Date:j/j9L/ I❑Backfow Prevention for high hazard: <br /> £(dental,medical,animals,mortuary,hospital, <br /> :supportive housing) <br /> '. ../...,alitiffflAWSPIAMTAWOM''''-'1"lik ❑Route this folder for PW Review at end ---PW Review Worksheet <br /> Separate/Deferred Submittals Required: OThis project also has a separate concurrent PW Review(Green Folder) <br /> ❑Fire Sprinklers ❑Fire Alarm ❑Other: AND ❑Create Green Folder ❑Submitted Previously ❑Deferred <br /> Additional Notes: 0 This Permit is Approved by Public Works <br /> 0 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 /> 0 Minimal or No Fire Scope-NO FIRE FEE 0 Is in a Separate Green Folder(join with this folder for permit issuance) <br /> 125 Review/Inspection Scope-ADD FIRE FEE 0 Will be issued separately(Separate Green Folder,PW issued ahead of Bldg) <br /> Approved By:K, C c1 n Date:3-9;2i ❑ Public Works has no scope---PW Not Required <br /> Additional Notes: <br /> .. . lW A <br /> Additional Notes: <br /> Approved By: Date: Approved By: Date: <br />