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�L" REVIEW R2 QLAKeb — OIQL(wr Afl? cO RO.W Intake&Approval Sheet (FOR PERMITSTAFF ONLY) 1 PERMITS EP,aL _C?v.l�p <br />BUILDING <br />PLANNING' ' <br />Intake OK by: Deter: <br />Intake Comments: <br />❑ Route to Commercial Building <br />❑ Route to Residential Building <br />❑ Make this a'W" Permft <br />Intake OK by: Assign To: Data: <br />Intake Comments: <br />❑ Attach to Project No. <br />❑ Route to HisMdc Revlevrer <br />❑ OK to Route to Met Departments <br />❑ Hold in Planning File Drawer <br />BIEOrR/AddNRem Size <br />Garage/Accessaw Room. Size <br />Zone <br />Numberaf Smdas <br />Oaeda /Agreement <br />Basement <br />LIND <br />Dyes, Hn/Untin <br />NonraslderMel Use <br />Type of Construction <br />Residential Use <br />Occupancy Group <br />Proposed No. of Dwallin Units: <br />Occupancy Load <br />Total No, of Dwallhg Units: <br />Fire Sprinklem: 11Updam ENNhg 13NwSplem ❑Not Reg'tl <br />PlanningAandeca Inspection Re ched before Final? Elyse ONc <br />Reason S dnklere Required; <br />'In Lleu" Fee: Type: Amount $ <br />Fire Man: DUpdem Ede91gUNwsystem ONWReq'd <br />Schoollmpaci Fee: Total $ <br />Calculated; Credit: <br />DEvereHSchool Dist [IMgMten School Dist <br />Reason Fire Atom aired: <br />RGSN &.5fi MFwotlmheetreq'd fapertnMLlyea ❑No <br />RCyl90.65 tlow required pdmmgnd4 Yea E]No <br />AddNonal Notes: <br />ALUATION CALCULATION: Total$ <br />Approved By: pate: <br />PUBLIC WORKS, <br />Intake OK by: Date; _ <br />Intake Comments: MW rxeneet Neededih <br />OSya Dev Evai ❑Tradlown Eval <br />�9ae Wodcmrgalnege Pmpoeed. <br />01tarklow Prevention tortigh hamM: <br />(rental, mWcsl, cnimdc mmwy, <br />eoppmsverousine) <br />❑Rculathisfoiderfor PWRevlewetend.—PWRevlew Worksheef <br />Mule pro(ectaiso has a separate concumsm PW ReAw(Graw Folder) <br />ANDE[Create Green Folder OSubmitted Prevlouely ElDefered <br />Additional Notes: <br />Approved By: Date: <br />FIRE DEPARTMENT <br />Separate/ Deferred SubmTHels Required: <br />OFIreSprinklers LIFIm Almm []Other. <br />Additional Notes: : <br />I <br />❑ This Permit la Approved by Public Works <br />[]See PW fawlw Workshee( and associated attached Items <br />❑ ASep mW PW Permit W Required (Permit#: PW ) <br />AND ❑ is located In this foklor <br />❑ Is In a Separate Green Folder gain Mh iw roienrror wwit issuemuu) <br />❑ Will be Issued aeparaWly(spew wean FaNm, Pw lwmd ohmd aeiss) <br />❑ Pubic Works ban an scope--PW Nat Required <br />Fire Dept. Fees: <br />❑RevIowofAs-BuIRPlans -NO FIRE FEE <br />❑ Minimal or No Fire Scope -NO FIRE FEE <br />❑ReWew/Inspection Scope -ADD FIRE FEE <br />Approved By: Date: <br />Additional Notes: <br />ELECTRICAL <br />Andlllcumd Notes: <br />Approved By: Date: <br />Approved By: Date: <br />