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Intake & Approval Sheet • (FOR PERMIT STAFF ONLY) 0 PERMIT# 132006--O 4 <br /> BUILDING PLANNING <br /> Intake OK by: Date: Intake OK by: Assign To: fili4Date: <br /> Intake Comments: Intake Comments: >� l� <br /> ❑ Route to Commercial Building ❑ Attach to Project No. <br /> ❑ Route to Residential Building ❑ Route to Historic Reviewer <br /> ❑ Make this a"W"Permit JOK to Route to Other Departments <br /> Bldg/TI/Addryem S ze 5r3Cc gS"{ ❑ Hold in Planning File Drawer <br /> Garage/Accessory Struct. Size if 6 0"ST Zone I <br /> Number of Stories I Overlay/Agreement <br /> Basement VINo ❑Yes, Fin/Unfin Nonresidential Use _ <br /> Type of Construction Residential Use <br /> Occupancy Group Proposed No.of Dwelling Units: <br /> Occupancy Load 6' Total No.of Dwelling Units: .--- <br /> Fire Sprinklers: El Update Existing ❑New System ❑Not Req'd Planning/Landscape Inspection Required before Final? ❑Yes No <br /> Reason Sprinklers Required: "In Lie •T pe: Am t$ <br /> Fire Alarm: ❑Update Existing ❑New System ❑Not Req'd School Impact Fee <br /> Reason Fire Alarm Required: Calculated: Cre ' . -_ <br /> RCW 64.55 MF worksheet req'd for permit? ❑Yes No El Everett Sch ist ❑Mukilteo School Dist <br /> Add'I RCW 64.55 docs required prior to final? ❑Yes Eyy No Addition otes: <br /> VALUATION CALCULATION: Total$ <br /> Approved By: A Date: /2,4/2-6 <br /> 4/0/9 m qsr Sk,BAt 7 A /If ,ro/mrs tere L <br /> 1 To Z.SSuznk AYLAtrr a8 efrz,, PUBLIC WORKS <br /> Intake OK by: Date: <br /> dditional Notes l�Cm Intake Comments: i <br /> I PW Worksheet Needed if <br /> /i I❑Sys Dev Eval OTraffic Mit Eval <br /> IDSite Work or Drainage Proposed <br /> Approved By: Date: /q/za j❑Backflow Prevention for high hazard: <br /> I(dental,medical,animals,mortuary,hospital, <br /> 'supportive housing) <br /> FIRE DEPARTMENT ❑Route this folder for PW Review at end ---PW Review Worksheet <br /> Se OThis project also has a separate concurrent PW Review(Green Folder) <br /> C AND ❑Create Green Folder ❑Submitted Previously ❑Deferred <br /> Ad �('"' ""' �"�2 EL This Permit is Approved by Public Works `' <br /> � `� 5 � /`y ®"See PW Review Worksheet and associated attached items <br /> Fir 0 A Separate PW Permit is Required (Permit#: PW ) <br /> ❑ if--C3CV147147 /5 /JO-T AND ❑ Is located in this folder <br /> ❑ CIIs in a Separate Green Folder(join with this folder for permit issuance) <br /> ❑ 4C6.6.5WLE ,iDi ❑ Will be issued separately(Separate Green Folder,PW issued ahead of Bldg) <br /> Ap OG' iA),(7 CO/a 6oii, ❑ Public Works has no scope---PW Not Required <br /> Additional Notes: <br /> Ad( <br /> Apt 6400i Approved B . Date: er-764,ft.." ....--, <br />