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Intake & Approval Sheet 0 (FOR PERMIT STAFF ONLY) 10 PERMIT #M� <br />BUILDING <br />IQ <br />Intake OK by Date: 0� <br />Intake Comments: <br />AMW �L Qk i 1 �a�✓ vi�rl'i� <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 />Basement <br />❑No ®Yes, Fin / Unfin <br />Type of Construction <br />V 18 <br />Occupancy Group <br />Occupancy Load <br />Fire Sprinklers: El 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 does required prior to final? ❑Yes ❑No <br />VALUATION CALCULATION: Total $ 324 J-00, Op <br />Additional Notes: <br />Approved ,L�- Date: fZ /ji <br />FIRE DEPARTMENT <br />Separate / Deferred Submittals Required: <br />❑Fire Sprinklers ❑Fire Alarm Other: <br />Additional Notes: r I IV 41A P-00 <br />�- e�rnit e t? <br />Fire Dept. Fees: <br />❑ Review of As -Built Plans - NO FIRE FEE <br />❑ Minimal or No Fire Scope - NO FIRE FEE <br />E <br />Review/ Inspection Scope - ADD FIRE FEE <br />roved By: \1 Date: LO- — <br />ELECTRICAL <br />Additional Notes: <br />Approved By: Date: <br />PLANNING <br />Intake OK by: Date: u �' <br />Intake Comments: Assign To: _I d. <br />.(f` �'0(\ ?®\t� <br />❑ Attach to Project No. <br />❑ Route to Historic Reviewer <br />❑ OK to Route to Other Departments <br />❑ Hold in Planning File Drawer <br />Zone <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 ❑No. <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 />Stfte,n I OA <br />Approved By Date: uQ , toy <br />PUBLIC WORKS <br />Intake OK by: Date: <br />----------------------------------------- <br />Intake Comments: ; PW Worksheet Needed if.• <br />❑Sys Dev Eva] ❑Traffic Mit Eva[ <br />❑Site Work or Drainage Proposed <br />❑Backf]ow 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 />❑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 />❑ See PW Review Worksheet and associated attached items <br />❑ A Separate PW Permit is Required (Permit #: PW ) <br />AND ❑ Is located in this folder <br />❑ Is in a Separate Green Folder (join 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: <br />Z <br />