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Intake &Approval Sheet • (FOR PERMIT STAFF ONLY) PERMIT# 1:at 4 I �d <br /> BUILDING PLANNING <br /> Intake OK by: Date: Intake OK by:aJe Assign To:M.PA/ Date:t()/1s/i I <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 Hold in Planning File Drawer <br /> Garage/Acee sory Struct.Size Zone j—7 <br /> Number of Stories Overlay/Agreement <br /> Basement ❑No ❑Yes, Fin/Unfin Nonresidential Use S a,1 <br /> Type of Construction Residential Use <br /> Occupancy Group Proposed No.of Dwelling Units: <br /> Occupancy Load Total No.of Dwelling Units: <br /> Fire Sprinklers: DI Update Existing ❑New System ❑Not Req'd Planning/Landscape Inspection Required before Final? ❑Yeso <br /> Reason Sprinklers Required: "In Li "Fee:Type: Amount$ <br /> Fire Alarm: ❑Update Existing El New System El Not Req'd School Impac • Total $ <br /> Reason Fire Alarm Required: Calculated: Credit: <br /> RCW 64.55 MF worksheet req'd for permit? ❑Yes ❑ No ❑Everett Dist ❑Muki chool Dist <br /> Add'I RCW 64.55 does required prior to final? ❑lYe/ss El No Additional Notes: <br /> VALUATION CALCULATION: Total$ 3 / Dn 7.,a D <br /> Approved By: �j� Date: <br /> `�, PUBLIC WORKS 6 6 <br /> Intake OK by: Date: <br /> Additional Notes: Intake Comments: PW Worksheet Needed if: <br /> OSys Dev Eval OTraffic Mit Eval <br /> ❑Site Work or Drainage Proposed <br /> Approved By G /, Date: /O//,17 0/9 =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 Sprin s ❑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 E AND ❑ Is located in this folder <br /> ❑ Minimal or No Fire Scope-NO FIRE FE ❑ Is in a Separate Green Folder Gain 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: iblic Works has no sc P of R wired <br /> Additional Note . <br /> ELECTRICAL <br /> Additional Notes: <br /> Approved By: Date: Approved By: Date: <br /> i6 <br />