Laserfiche WebLink
Intake &Approval Sheet (FOR PERMIT STAFF ONLY) • PERMIT# P Z1.0 t - 014 <br /> BUILDING PLANNING <br /> I ake OK by: Date: Intake OK by: Assign To: Date: <br /> Int. e Comments: Intake Comments: <br /> ❑ Rout- to Commercial Building ❑Attach to Project No. <br /> ❑ Route t, Residential Building ❑ Route to Historic Reviewer <br /> ❑ Make thi- a"W"Permit ❑ OK to Route to Other Departments <br /> Bldg/TI/Addn/--m Size ❑ Hold in Planning File Drawer <br /> Garage!Accesso Struct.Size one <br /> Number of Stories Ove .y/Agreement <br /> Basement ❑No ❑Yes , Fin/Unfin Nonres ential Use <br /> Type of Construction Residentia se <br /> Occupancy Group Proposed No. • Dwelling Units: <br /> Occupancy Load Total No.of Dwellin• Units: <br /> Fire Sprinklers: ['Update Exi-ing El New System ❑Not Req'd Planning/Landscape I -•ection Required before Final? Ekes ❑No <br /> Reason Sprinklers Required: "In Lieu"Fee:Type: Amount$ <br /> Fire Alarm: ['Update Existing •New System ['Not Req'd School Impact Fee: Total $ <br /> Reason Fire Alarm Required: . Calculated: . edit: <br /> RCW 64.55 MF worksheet req'd for permi • ❑Yes ❑ No ❑Everett School Dist ❑Mukilteo bol Dist <br /> Add'I RCW 64.55 docs required prior to final. ['Yes El No Additional Notes: <br /> VALUATION CALCULATION: Total$ <br /> Approved By: a p, I f Al Date: 5 / <br /> PUBLIC WORKS` (7iz1j <br /> Intake OK by: Date: <br /> Additional Notes: Intake Comments: 1PW Worksheet Needed if: <br /> 6❑Sys Dev Eval ❑Traffic Mit Eval <br /> 3❑Site Work or Drainage Proposed <br /> Approved By: Date: I❑Backflow Prevention for high hazard: <br /> (dental,medical,animals,mortuary,hospital, <br /> =supportive housing) <br /> FIRE DEPARTMENT ❑Route this folder for PW Review at end ---PW Review Worksheet <br /> Separate/Deferred Submittals Required: ❑This project also has a separate concurrent PW Review(Green Folder) <br /> El Fire Sprinklers El Fire Alarm DOther: AND ❑Create Green Folder ❑Submitted Previously ❑Deferred <br /> Additional Notes: ► This Permit is Approved by Public Works <br /> ❑Se- 'W Review Worksheet and associated attached items <br /> Fire Dept. Fees: ❑ A Separ. - PW Permit is Required (Permit#: PW <br /> ❑ Review of As-Built Plans-NO FIRE FEE AND ❑ Is locat-. ' this folder <br /> ❑ Minimal or No Fire Scope-NO FIRE FEE ❑ Is in a Separate een Folder(join with this folder for permit issuance) <br /> ❑ Review!Inspection Scopegik., <br /> -ADD FIRE FEE El Will be issued separa : (Separate Green Folder,PW issued ahead of Bldg) <br /> Approved By: � ao Date: 6//t 1'/ ElPublic Works has no scope---PW N. 'equired <br /> Additional Notes: <br /> ELECTRICAL <br /> Additional Notes: <br /> Approved By: Date: Approved By: Date: , <br />