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Intake & Approval Sheet • (FOR PERMIT STAFF ONLY) PERMIT# ?P1 gj -002- <br /> BUILDING PLANNING <br /> Intake OK by ��_ Date: /2/7a,08 Intake OK by: Date: <br /> Intake Comments: Intake Comments: Assign To: <br /> AA°G WT To Sul ( 5rf- CA"-CS. <br /> ❑ Route to Commercial Building 0 Attach to Project No. <br /> ❑ Route to Residential Building 0 Route to Historic Reviewer <br /> ❑ Make this a"W" Permit ❑ OK to Route to Other Departments <br /> Bldg/TI/Addn/Rem Size 0 Hold in Planning File Drawer <br /> Garage/Accessory Struct.Size Zone UU M <br /> Number of Stories Overlay/Agreement <br /> Basement ❑No ❑Yes , Fin/Unfin Nonresidential Use ,lpt•Nif1J Q0.lele <br /> Type of Construction Residential Use J i1 <br /> Occupancy Group Proposed No. of Dwelling Units: <br /> Occupancy Load Total No. of Dwelling Units: <br /> Fire Sprinklers: DUpdate Existing ❑New System ❑Not Req'd Planning/Landscape Inspection Required ore Final? Ekes ❑No <br /> Reason Sprinklers Required: "In Lieu"Fee:Type: Amount$ <br /> Fire Alarm: DUpdate Existing ❑New System [Not Req'd School Impact Fee: Total $ <br /> Reason Fire Alarm Required: Calculated: Credit: <br /> RCW 64.55 MF worksheet req'd for permit? ❑Yes ❑ No El Everett School Dist DMukilteo School Dist <br /> Add'I RCW 64.55 docs required prior to final? ❑Yes ❑No Additional Notes: <br /> VALUATION CALCULATION: Total$ AO c 00/12-S <br /> Approved By< - -' Date: \�. .'L\. Z c\( <br /> PUBLIC WORKS <br /> Intake OK by: Date: 1474/00a <br /> Additional Notes: Intake Comments: PW Worksheet Needed if: <br /> /J,,, t j �*J J4 ❑Sys Dev Eval ❑Traffic Mit Eval <br /> �� � �T�� �t�^ ❑Site Work or Drainage Proposed <br /> Approved B:.A,�,_�p`i Date: �?S py"r,ov (►, ❑Backflow Prevention for high hazard: <br /> / (dental,medical,animals,mortuary,hospital, <br /> A.(Q�`��]� l 1 supportive housing) <br /> 1 ut. I►1SIRc Fi <br /> FIRE DEPARTMENT r oute this folder for PW R=vie "at end ---PW Review Worksheet <br /> Intake: (Needed for Townhomes,Alley load SFR,New Commercial) ❑This project also has a separate concurrent PW Review(Green Folder) <br /> DRoute to Fire Drawer---FirePreliminary Review Notice AND ❑Create Green Folder ❑Submitted Previously ❑Deferred <br /> ❑Sending Fire Notes to Project Team 4.1- his Permit is Approved by Public Works <br /> Date: (OK to Route to Other Departments) 0 See PW Review Worksheet and associated attached items <br /> Fire Sprinklers: DUpdate Existing ❑New System ❑ Not Req'd ❑ A Separate PW Permit is Required (Permit#: PW ) <br /> Fire Alarm: DUpdate Existing ❑New System ❑ Not Req'd AND ❑ Is located in this folder <br /> Chemical Sup: DUpdate Existing ❑New System 0 Not Req'd ❑ Is in a Separate Green Folder(join with this folder for permit issuance) <br /> Additional Notes: 0 Will be issued separately(Separate Green Folder,PW issued ahead of Bldg) <br /> Approved By: Date: ❑ Public Works has no scope---PW Not Required <br /> Additional Notes: <br /> ELECTRICAL <br /> Additional Notes: <br /> Approved By: Date: Approve ''�'77 Date:Lil 1120 19 <br />