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Intake & Approval Sheet (FOR PERMIT STAFF ON09 PERMIT# <br /> BUILDING .�' � .�� ��[' � PLANNING <br /> Intake OKby: Date: Intake OKby: AsoignTm Date: <br /> Intake Comments: Intake Comments: <br /> LJ Route 0n Commercial Building [l Attach tn Project No. <br /> �lRoute 0a Residential Building El Route 0o Historic Reviewer <br /> Make this a^ itEJ OK to Route 10 Other Departments <br /> '� <br /> B|dg/T|A\ Un��om «��° �� �l Hold in Planning File Drawer <br /> GonageA\ooeos6rySt,uot. Gizo , Zone U^—| <br /> Number ofStories Overlay/Agreement <br /> Basement fnNo []Yon . Fin/Unfin Nonresidential Use <br /> Type ofConstruction Residential Use .�}��/ — <br /> . <br /> Occupancy Group Proposed No. uf Dwelling Units: <br /> Occupancy Load Total No.of Dwelling Units: <br /> Fire Sprinklers: Clupuato Existing F7wewSystem Owot Rrq'u Planning/Landscape inspection Required before Final? []Yes 0Nn <br /> Reason Sprinklers Required: "In Liou^ Fee:Type: Amounto <br /> Fire Alarm: []Update Existing F7wmwSystem q"mnoq'u School Impact Fee: Tota| $ <br /> Reason Fire Alarm Required: Calculated: Credit: <br /> nCW 64.55MFwnmo»oot requ for permit? OYeo Ea No DEvemtt School Dist ElMuki|&eo School Dist <br /> Auu'|nCm/suao does required prior tofinal? []Yoo 13^o Additional Notes: <br /> �� �� <br /> VALUATION CALCULATION: Tota| � _''— �� <br /> � / ~ <br /> Approved By' K��^ vld^` J Date: mc� 'I� n~7 /' r}�m y]^�y l4 ' �, / /r ' �«�~1 <br /> ~�L�� ~= <br /> ~^�w� <br /> Intake OK by: DaV-11.1111te: <br /> Additional Notes: |ntuho Comments: <br /> ,PW Worksheet Needed if. <br /> USn^D°,Evu/ El Traffic muEva/ <br /> "F—]Site Work or Drainage Proposed <br /> Approved By: Date: ' Backflow Prevention for high hazard: <br /> 1(dental,medical,animals,mortuary,hospital, <br /> Isupportive housing) <br /> FIRE DE ENT� * '�� � []Route this folder for PVV Review atend ---PVK Review Workshoet <br /> Separate/Deferred Submittals Required: ElThio project also has a separate concurrent PVY Review(Green Folder) <br /> El Fire Sprinklers E]FineA|ann E]Othoc --'—` [lm AND CaoaGroen Folder �lSubminad PreviouslyFlDohonnd <br /> Additional Notes: '.~'~~ ��This Permit io Approved by Public Works <br /> See PVV Review YVorhahoot and associated attached items <br /> Fire Dept. Fees: ^ '' aA Separate PVY Permit io Required (Pormit#: PVV <br /> �� <br /> ~~ Review of As-Built r/ AND 4» |o located in this folder <br /> rl Minima opo'NO FIRE FEE 17 Is in a Separate Green Folder 0om with this folder for permit issuance) <br /> [l <br /> Roviow/ n Scope'ADD FIRE FEE El Will be issued separately(Separate Green Folder,pw issued ahead mBldg) <br /> Approved 8 Date: El Public Works has noscope—'PVV Not Required <br /> / Additional Notes: <br /> ELECTRICAL <br /> Additional Notes: <br /> Approved By: Date: Approved By: Dote: <br /> �— / <br />