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Intake & Approval Sheet • (FOR PERMIT STAFF ONO'. PERMIT#0.W 2502^m2_ <br /> BUILDING PLANNING . <br /> Intake OK by: d Date: Z!/Z( /Z° Intake OK by:( Assign To. Date:Z 1�/Z(') <br /> Intake Comments: Intake Comments: / <br /> 13 <br /> ve-ril bcrwitut F r'oovti5 ofwi `- Calvet <br /> -oward s access ,{dare •; =0 ' . <br /> 0_Route to Commercial Building CI Attach to Project No. <br /> pr Route to Residential Building ❑ oute to Historic Reviewer <br /> Make this a"W"Permit K to Route to Other Departments <br /> Bldg/TI/Addn/Rem Size ❑ Hold in Planning File Drawer <br /> Garage/Accessory Struct.Size 12`t'v. s,5 Zone V—l <br /> Number of Stories ( Overlay/Agreement <br /> Basement ❑No ®Yes, Fin I Unfin Nonresidential Use __ <br /> Type of Construction 7 Residential Use S j2— <br /> Occupancy Group 'Z,AA Proposed No.of Dwelling Units: —� <br /> Occupancy Load Total No.of Dwelling Units: <br /> Fire Sprinklers: CI Update Existing CI New System :Not Req'd Panning/Landscape Inspection Required before inal? ❑Yes Rlo <br /> Reason Sprinklers Required: "In Lieu • pe: ount$ <br /> Fire Alarm: ❑Update Existing ONew System ❑Not Req'd School Impact Fee: <br /> Reason Fire Alarm Required: Calculated: edit: <br /> RCW 64.55 MF worksheet req'd for permit? ■Yes 0 No ❑Evere ,£n;l"ool Dist 0 Mukilteo School • <br /> Add'I RCW 64.55 docs required prior to fin. ? ❑Yes ❑No Additional Notes: <br /> VALUATION CALCULATION: Tota $ 1244$• <br /> Approved By: Date:4/IV /2a <br /> PUBLIC WORKS <br /> Intake OK by: (/9 Date: O Z Ai <br /> Additional Notes: 20/s //LC, it tt)f.gC Intake Comments: I IiPWWorksheet Needed if: <br /> OSys Dev Eval ❑Traffic Mit Eval <br /> OSite Work or Drainage Proposed <br /> Approved By: C ik Date: 4.1920 =OBackflow 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 /> ❑Fire Sprinklers CI Fire Alarm DOther: AND ❑Create Green Folder ❑Submitted Previously ODeferred <br /> Additional Notes: CI This Permit is Approved by Public Works <br /> ❑ See PW Review Worksheet and associated attached items <br /> Fire Dept. Fees: 0 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 aoin 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: Public Works has no scope---PW Not Required <br /> dditional Notes: <br /> ELECTRICAL <br /> Additional Notes: <br /> Approved By: Date: Approved By: 7 ` Date: d 2 2/120 <br /> /v <br />