Laserfiche WebLink
• <br /> Intake & Approval Sheet (FOR PERMIT STAFF ONLY) PERMIT#S 2 W <br /> BUILDING PLANNING <br /> Intake OK by: Date: Intake OK by: Assign To: Date:V 1/e) <br /> Intake Comments: Intake Comments: A <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 X K to Route to Other Departments <br /> Bldg/TI/Addn/Rem Size 0 Hold in Planning File Drawer <br /> Garage/Accessory Struct. Size Zone C— <br /> Number of Stories Overlay/Agreement CGMO&-t fteo(Al2_ <br /> Basement ❑No ❑Yes, Fin/Unfin Nonresidential Use i fr(S—r}MQ?i& <br /> Type of Construction Residential Use <br /> Occupancy Group Proposed No. of Dwelling Units: <br /> Occupancy Load Total No. of Dwelling Units: <br /> Fire Sprinklers: ❑Update Existing ❑New System ❑Not Req'd Planning/Landscape Inspection Required before Final? ❑Yes <br /> Reason Sprinklers Required: "In ee: Type: Amount$ 4Io <br /> Fire Alarm: El Update Existing El New System El Not Req'd School Impact Fee: <br /> Reason Fire Alarm Required: Calculated: Credit <br /> RCW 64.55 MF worksheet req'd for permit? ❑Yes ❑ No ❑EveretfSchool Dist ❑Mukilteo School Dist � <br /> Add'I RCW 64.55 docs required prior to final? El Yes ❑No Addi It oval Notes: <br /> VALUATION CALCULATION: Total $ 7SS O( <br /> Approved By: Oh✓ Date: ill <br /> PUBLIC WORKS <br /> Intake OK by: Date: <br /> Additional Notes: Intake Comments: 1PWWorksheetNeededif:: <br /> ❑Sys Dev Eval OTraffic Mit Eval <br /> ❑Site Work or Drainage Proposed <br /> Approved B ,, Date ' /L//Zdr_A ❑Backflow Prevention for high hazard: <br /> 1(dental,medical,animals,mortuary,hospital, <br /> isupportive housing) <br /> FIRE DEPARTMENT ❑Route this folder for PW Review at end ---PW Review Worksheet <br /> Separate/Deferred Submittals Required: ❑This project also has a separate concurrent PW Review(Green Folder) <br /> ❑Fire Sprinklers ❑Fire Alarm El Other: AND ❑Create Green Folder ❑Submitted Previously ❑Deferred <br /> Additional Notes: ❑ This Permit is Approved by Public Works <br /> 0 See PW Review Worksheet and associated attached items <br /> Fire Dept. Fees: ❑ A Separate PW Permit is Required (Permit#: PW <br /> ❑ Review of As-Built Plans-NO FIRE FEE AND ❑ Is located in this folder <br /> 0 Minimal or No Fire Scope-NO FIRE FEE 0 Is in a Separate Green Folder(join with this folder for permit issuance) <br /> ❑ Review/Inspection Scope-ADD FIRE FEE ❑ 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: Approved By: Date: <br />