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Intake &Approval Sheet 0 (FOR PERMIT STAFF ONLY) • PERMIT# O\'Up <br /> BUILDING PLANNING <br /> Intake OK by: Date: Intake OK by: Assign To: Date: <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/Tl/Addn/Rem Size ❑ Hold in Planning File Drawer <br /> Garage/Accessory Struct.Size Zone <br /> Number of Stories Overlay/Agreement <br /> Basement ❑No Oyes, Fin/Unfin Nonresidential Use <br /> Type of Construction Residential Use <br /> Occupancy Group Proposed No.of Dwelling Uni .: <br /> — Occupancy Load -- Total No:of Dwelling Units - — <br /> Fire Sprinklers: CI Update Existing ❑New System ID Not Req'd Planning/Landscape I pection Required before Final? ❑Yes ❑No <br /> Reason Sprinklers Required: "In Lieu"Fee:Type: Amount$ <br /> Fire Alarm: ❑Update Existing ❑New System CI Not Req'd School Impact Fee' Total $ <br /> Reason Fire Alarm Required: Calculated: Credit: <br /> RCW 64.55 MF worksheet req'd for permit? ❑Yes ❑ No_ El Everett S ool Dist ❑Mukilteo School Dist <br /> Add'I RCW 64.55 docs required prior to final? ❑Yes El No Additional H otes: <br /> VALUATION CALCULATION: Total$ <br /> Approved By: yktk I,�pr 1 A Vt`e.� Date: <br /> 1 v�UPUBLIC WORKS <br /> Intake OK by: Date: <br /> Additional Notes: Intake Comments: iPW Worksheet Needed if: <br /> I❑Sys Dev Eval OTraffic Mit Eval <br /> ❑Site Work or Drainage Proposed <br /> Approved By: Date: 022 1�� =OBackflow 'revention for high hazard: <br /> i(dental,me ical,animals,mortuary,hospital, <br /> =supporti'e housing) <br /> FIRE DEPARTMENT ❑Route this folder for PW Review and ---PW Review Worksheet <br /> Separate 1 Deferred Submittals Required: ❑This project also has a separ concurrent PW Review(Green Folder) <br /> El Fire Sprinklers ❑Fire Alarm ❑Other: AND ❑Create Green Folde Submitted Previously ❑Deferred <br /> Additional Notes: ❑ This Permit is Appro -d by Public Works <br /> 0 See PW Review 'lorksheet and associated attached items <br /> Fire Dept.Fees: ❑ A Separate P 'I Permit is Required(Permit#: PW ) <br /> ❑ Review of As-Built Plans-NO FIRE FEE AND ❑ Is Ikcated in this folder <br /> ❑ Minimal or No Fire Scope-NO FIRE FEE ❑ . in a Separate Green Folder coin with this folder for permit issuance) <br /> ❑ Review/Inspection Scope-ADD FIRE FEE I/ Will be issued separately(Separate Green Folder,PW issued ahead of Bldg) <br /> Approved By: Date: 0 P a blic Works has no scope PW Not Required <br /> Additional Notes: <br /> ELECTRICAL <br /> Additional Notes: 4 <br /> Approved By: Date: Approved By: Date: <br /> -24- <br />