9600 SHARON DR EXPLORER MIDDLE SCHOOL 2022-03-11

0 0 Intake & Approval Sheet (FOR PERMIT STAFF ONLY) PERMIT # BUILDING Intake OK by: Date: Intake Comments: ❑ Route to Commercial Building ❑ Route to Residential Building ❑ Make this a "W" Permit Bldg/TI/Addn/Rem Size Garage/Accessory Struct. Size Number of Stories Basement []No ❑Yes , Fin / Unfin Type of Construction Occupancy Group Occupancy Load Fire Sprinklers: ❑Update Existing El New System ❑Not Req'd Reason Sprinklers Required: Fire Alarm: ❑ Update Existing ❑ New System ❑ Not Req'd Reason Fire Alarm Required: RCW 64.55 MF worksheet req'd for permit? ❑Yes ❑ No Add'I RCW 64.55 docs required prior to final? []Yes ❑ No 4.0&Z 00 VALUATION CALCULATION: Total $ y Additional Notes: Approved By: Date: d y FIRE DEPARTMENT Separate / Deferred Submittals Required: ❑Fire Sprinklers ,ire Alarm El Other: Additional Notes: ..�`' Fire Dept. Fees: ❑ Review of As -Built Plans - NO FIRE FEE ❑ Minimal or No Fire Scope - NO FIRE FEE RReview / Inspection Scope - ADD FIRE FEE Approved By: rp Date: ELECTRICAL' Additional Notes: Approved By: Date: PLANNING Intake OK by:a�b Assign To: Date: Intake Comments: ❑ Attach to Project No. ❑ oute to Historic Reviewer K to Route to Other Departments Hold in Planning File Drawer Zone Overlay/Agreement Nonresidential Use Residential Use Proposed No. of Dwelling Units: Total No. of Dwelling Units: Planning/Landscape Inspection Required before Final? ❑Yes ❑No ''In Lieu" Fee: Type: Amount $ School Impact Fee: Total $ Calculated: Credit: El Everett School Dist ❑Mukilteo School Dist Additional Notes: Puavurap loss- rt4 VVJ Approved By: PUBLIC WORKS Intake OK by: Date: ..........................................................................................,,,,.........,,.,,.......................,., Intake Comments:=PWWorksheetNeeded if. • ❑Sys Dev Eva ❑Traffic Mit Eval ❑Site Work or Drainage Proposed ❑Backflow Prevention for high hazard: :(dental, medical, animals, mortuary, hospital, 'supportive housing) :..............................................................,,,,.,,,,.,,,,,.,,,,.......................... El Route this folder for PW Review at end --- PW Review Worksheet []This project also has a separate concurrent PW Review (Green Folder) AND ❑Create Green Folder ❑Submitted Previously ❑Deferred This Permit is Approved by Public Works &See PW Review Worksheet and associated attached items ❑ A Separate PW Permit is Required (Permit #: PW ) AND ❑ Is located in this folder ❑ Is in a Separate Green Folder (join with this folder for permit issuance) ❑ Will be Issued separately (Separate Green Folder, PW issued ahead of Bldg) ❑ Public Works has no scope --- PW Not Required Additional Notes: Approved By: Date:_ z'c1 yf2