Laserfiche WebLink
L�1 0 <br /> Intake &Approval Sheet • (FOR PERMIT STAFF ONLY) 40 PERMIT# 3 1 I b O <br /> BUILDING PLANNING <br /> Intake OK by: Date: Intake OK by: Assign To: k4/ Date: 1 1 /24 <br /> Intake Comments: Intake Comments: <br /> ▪ Route to Commercial Building ❑ Attach to Project No. <br /> ❑ Route to Residential Building ❑ Route to Historic Reviewer <br /> ❑ Make this a"W"Permit ;OK to Route to Other Departments <br /> Bldg/TI/Addn/Rem Size L() ❑ Hold in Planning File Drawer <br /> Garage/Accessory Struct.Size Zone <br /> Number of Stories i Overlay/Agreement <br /> Basement ❑No ❑Yes, Fin/Unfin Nonresidential Use <br /> . Type of Construction I/'.13 Residential Use ' <br /> Occupancy Group ,t2 .3 Proposed No.of Dwelling Units: <br /> Occupancy Load / Total No.of Dwelling Units: <br /> Fire Sprinklers: ❑Update Existing ❑New System ❑Not Req'd Planning/Landscape Inspection Required before Final? ❑Yes ❑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: Credit: <br /> RCW 64.55 MF worksheet req'd for permit? es ❑Everett School Dist ❑Mukilteo School Dist <br /> Add.'RCW 64.55 docs required prior to f' al? Yes ❑No Additional Notes: <br /> VALUATION CALCULATION: Tot $ /?I, CO3 <br /> L/{` lliv\ G(-- C'` h iski3D Approved By: A> V V Date: z ..('Z..-[ i <br /> c PUBLIC WORKS <br /> 5F4c ct� C' Intake OK by: Date: <br /> Additional Notes: Intake Comments: I PW Worksheet Needed if: <br /> ❑Sys Dev Eval DTraffic Mit Eval <br /> i <br /> =OSite Work or Drainage Proposed <br /> I <br /> Approved Bye Date / IDBackflow Prevention for high hazard: <br /> I(dental,medical,animals,mortuary,hospital, <br /> isupportive housing) <br /> FIRE DEPARTMENT ❑Route this folder for PW Review at end ---PW Review Worksheet <br /> Separate I Deferred Submittals Required: ❑This project also has a separate concurrent PW Review(Green Folder) <br /> El Fire Sprinklers ❑Fire Alarm ❑Other: AND ['Create Green Folder ❑Submitted Previously ❑Deferred <br /> Additional Notes: ❑This Permit is Approved by Public Works "; <br /> ❑ 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 /> ❑ Minimal or No Fire Scope-NO FIRE FEE ❑ Is in a Separate Green Folder(loin with this folder for permit issuance) <br /> ❑ Review/Inspection Scope-ADD FIRE FEE ❑ Will be issued separately(Separate Green Folder,PW issued ahead of Bldg) <br /> Approved By: Date: R''ublic Works has no scope---PW Not Required <br /> Additional Note /(2-7 if o Z.t <br /> ELECTRICAL <br /> Additional Notes: <br /> Approved By: Date: Approved By: Date: <br />