Laserfiche WebLink
Intake & Approval Sheet (FOR PERMIT STAFF ONLY) <br />PERMIT # <br />BUILDING <br />Intake OK by: Date: <br />Intake Comments: <br />❑ Route to Commercial Building <br />❑ Route to Residential Building <br />❑ Make this a "W" Permit <br />Bldg/TI/Addn/Rem Size <br />Garage/Accessory Struct. Size <br />Number of Stories <br />Basement <br />❑No ❑Yes , Fin / Unfin <br />Type of Construction <br />t2G <br />Occupancy Group <br />(eZL <br />Occupancy Load <br />(�G <br />Fire Sprinklers: ❑Update Existing ❑New System ®Not Req'd <br />Reason Sprinklers Required: <br />Fire Alarm: ❑Update Existing ❑New System UNot Req'd <br />Reason Fire Alarm Required: <br />RCW 64.55 MF worksheet req'd for permit? Dyes ® No <br />Add'I RCW 64.55 docs required prior to final? ❑Yes Wo <br />VALUATION CALCULATION: Total $ 1 Cbo <br />Additional Notes: Le�.�y Rg�mitq <br />%N'HV.. FR.DNI IF(OM • <br />-W-CW Q£PLA C.F- Ml1- +- <br />Approved By: '� Date: <br />FIRE DEPARTMENT <br />Separate / Deferred Submittals Required: <br />❑Fire Sprinklers ❑Fire Alarm ❑Other: <br />Additional Notes: <br />Fire Dept. Fees: <br />❑ Review of As -Built Plans - NO FIRE FEE <br />❑ Minimal or No Fire Scope - NO FIRE FEE <br />❑ Review / Inspection Scope - ADD FIRE FEE <br />1 <br />Approved By: Date: <br />ELECTRICAL <br />Additional Notes: <br />Approved By: Date: <br />PLANNING" <br />Intake OK by: Assign To: Date: <br />Intake Comments: <br />❑ Attach to Project No. <br />❑ Route to Historic Reviewer <br />❑ OK to Route to Other Departments <br />❑ Hold in Planning File Drawer <br />Zone <br />Overlay/Agreement <br />Nonresidential Use <br />Residential Use <br />Proposed No. of Dwelling Units: <br />Total No. of Dwelling Units: <br />Planning/Landscape Inspection Required before Final? ❑Yes []No <br />"In Lieu" Fee: Type: Amount $ <br />School Impact Fee: Total $ <br />Calculated: Credit: <br />❑Ever Dist ❑Mukilteo School Dist <br />al Not,� I <br />r <br />pproved By: Date: <br />PUBLIC WORKS <br />Intake OK by: Date: <br />....,,.....,,.,,,.,.,......,,,.,.......,...,,,.,..,................ ..................... ..... ..... ,,,..,.....,,,....,.......,.... <br />Intake Comments: PW Worksheet Needed if., <br />❑Sys Dev Eva] ❑Traffic Mit Eval <br />❑Site Work or Drainage Proposed <br />❑Backflow Prevention for high hazard: <br />:(dental, medical, animals, mortuary, hospital, <br />:supportive housing) <br />...................................................................... ... <br />❑ Route this folder for PW Review at end --- PW Review Worksheet <br />❑This project also has a separate concurrent PW Review (Green Folder) <br />AND ❑Create Green Folder []Submitted Previously ❑Deferred <br />❑ This Permit is Approved by Public Works <br />❑ See PW Review Worksheet and associated attached items <br />❑ A Separate PW Permit is Required (Permit #: PW ) <br />AND ❑ Is located in this folder <br />❑ Is in a Separate Green Folder (join with this folder for permit issuance) <br />❑ Will be Issued separately (Separate Green Folder, PW issued ahead of Bldg) <br />❑ Public Wor has scope --- PW Not Required <br />Addition otes: <br />L) <br />Appro B : Date: <br />z� <br />