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• <br /> 1.4 <br /> Intake &Approval Sheet 0 (FOR PERMIT STAFF ONLY) PERMIT# f l°1 10--0() <br /> BUILDING �// PLANNING <br /> �/ / <br /> Intake OK by: IA' Date: 10 /2j /19 Intake OK by:01/4 Assign To:f 7 (,,,/" Date: f0/Zl/l at <br /> Intake Comments: Intake Comments: {{ <br /> El Route to Commercial Buildingcei <br /> ttach to Project No. P " I CO3 <br /> 121 Route to Residential Building ❑ Route to Historic Reviewer <br /> ❑ Make this a"W"Permit Ig OK to Route to Other Departments <br /> •g I/Addn/Rem Size 747,5 0 Hold in Planning File Drawer <br /> at,,e/PEeis9Struct.Size 797, S / 2 I Zone IZ----Z <br /> Number of Stories 2 Overlay/Agreement <br /> Basement Om ❑Yes, Fin/Unfin Nonresidential Use <br /> Type of Construction 'Q Residential Use DFI--r f U <br /> Occupancy Group 12/(a 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 9/No <br /> Reason Sprinklers Required: "In Lieu"Fee:Type: Amount$ <br /> Fire Alarm: ❑Update Existing ❑New System El Not Req'd Sc act Fee: To <br /> Reason Fire Alarm Required: Calculated: ��Credit: <br /> RCW 64.55 MF worksheet req'd for permit? ❑Yes /2 No ❑ ett School Dist L_lMukiTteto-Sebool Dist <br /> Add'I RCW 64.55 docs required prior to final? ❑Yes EiNo Additional Notes: <br /> VALUATION CALCULATION: Total$ j'-E21 oS 1.. <br /> ?9Zs e I'tl a6li .so <br /> 7 9 7.5 e 48 38. 2 fro •o� Approved By: a <br /> e <br /> Date // i U 120 <br /> gm e 2-5 ?21 S .o.0,, PUBLIC WORKS <br /> Intake OK by: --f-$1.4 Date: 10 J2.1 i 1 9 <br /> Additional Notes: 20 f 5 /2L Intake Comments: <br /> W SEA PW Worksheet Needed if: <br /> 6`40" S �►. o <br /> 1"1 �'A'`�>' `"'/ c`�+'�6ys Dev:�Eval ❑Traffict Mit Eval <br /> j 6��$ L =Q2Site Work or Drainage Proposed <br /> a" ICJ '►1(.ra VrA.¢.; <br /> Approved By: Date: 3//272,0 / A•a t �Backflow •Prevention •for high •hazard: <br /> =(dental,medical,animals,mortuary,hospital, <br /> !supportive housing) <br /> FIRE DEPARTMENT I Route this folder for PW Review at end ---PW Review Worksheet <br /> Separate/Deferred Submittals Required: OThis project also has a separate concurrent PW Review(Green Folder) <br /> ❑Fire Sprinklers ❑Fire Alarm ❑Other: AND ❑Create Green Folder ❑Submitted Previously ❑Deferred <br /> Additional Notes: This Permit is Approved by Public Works <br /> y ,(ee PW Review Worksheet and associated attached items <br /> L�.Fire Dept. Fees: A Separate PW Permit is Required(Permit#: PW/9f 2-Of ) <br /> ❑ Review of As-Built Plans-NO FIRE FEE AND )E.Is located in this folder <br /> Minimal or No Fire Scope-NO FIRE FEE ❑ Is in a Separate Green Folder(join 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: , J(A),N Date: I ( -0 ( 1 0 Public Works has no scope---PW Not Required <br /> Additional Notes: <br /> ELECTRICAL 'EMT COAl. AArcAral. 7 lr 66 -,s41 <br /> Additional Notes: +-91,54 reitt MM. <br /> Approved By: Date: Approved By: j5E-A- Date: l2/I3 249 <br /> SIg.ti . , • <br /> n ' <br />