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Intake &Approval Sheet (FOR PERMIT STAFF ONLY) • PERMIT# 32203-bO6 <br /> BUILDING PLANNING <br /> Intake OK by: —�— Date: ?j d t ' �rJv Intake OK by: Assign To: Date: <br /> Intake Commer si/ 19 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/Accessory Struct.Size Zone <br /> Number of Stories Overlay/Agreement <br /> Basement ❑No ❑Yes, Fin/Unfin Nonresidential Use <br /> Type of Construction Residential Use <br /> Occupancy Group Proposed No.of Dwellin• nits: <br /> Occupancy Load Total No.of Dwelling .nits: <br /> Fire Sprinklers: El Update Existing ❑New System ❑Not Req'd Planning/Landsc.•e Inspection Required before Final? ❑Yes ❑No <br /> Reason Sprinklers Required: "In Lieu"Fee:T •e: Amount$ <br /> Fire Alarm: El Update Existing ❑New System ❑Not Req'd School Imps. Fee: Total $ <br /> Reason Fire Alarm Required: Calculate.. Credit: <br /> RCW 64.55 MF worksheet req'd for permit? ❑Yes ❑ No El Eve -tt S o is ❑Mukilteo School Dist <br /> Add'I RCW 64.55 does required prior to final? ❑Yes No Add' onal Nos. <br /> ��T <br /> VALUATION CALCULATION: Total$ \]v 000.6> <br /> Approved By: Date: <br /> PUBLIC WORKS <br /> Intake OK by: . Date: <br /> Additional Notes: Intake Comments: IPW Worksheet Needed if: <br /> DSys Dev Eval ❑Traffic Mit Eval <br /> 1��� ;(]Site Work or Drainage Proposed <br /> Approved By: I IW/ Date: ,` 'DBackflow' evention for high hazard: <br /> ;(dental, r dical,animals,mortuary,hospital, <br /> supp.-we housing) <br /> FIRE DEPARTMENT ❑Route this folder for PW Review a -nd ---PW Review Worksheet <br /> Separate/Deferred Submittals Required: ❑This project also has a separat- concurrent PW Review(Green Folder) <br /> ❑Fire Sprinklers ❑Fire Alarm ❑Other: AND ❑Create Green Folder ri Submitted Previously ❑Deferred <br /> Additional Notes: ❑This Permit is Approved •y Public Works <br /> ❑ See PW Review Wor sheet and associated attached items <br /> Fire Dept. Fees: ❑A Separate PW P mit is 'red Permit#: PW <br /> ❑ Review of As-Built P:ns NO FIRE FEE AND ❑ Is locat-• in this old <br /> ❑ Minimal or No F' 9 0 FIRE FEE ❑ Is in . Separate reen Folder(join with this folder for permit issuance) <br /> ❑ Review/In section Scope-ADD FIRE FEE ❑Wi be issued separately(separate Green Folder,PW issued ahead of Bldg) <br /> Approved = : Date: ❑ Public I orks has no scope---PW Not Required <br /> Additio .1 Notes: <br /> ELECTRICAL <br /> Additional Notes: <br /> Approved By: Date: Approved By: Date: <br />