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� <br /> Intake Approval Sheet ��� ������ PE�����r��TAFF O��L�� ��� PER]�UT#��� <br /> BUILDING <br /> ,'_ .°~``..�~�~���°- <br /> Intake OK by: Dote: Intake OK Assign To: Date: <br /> Intake Comments: Intake Comments: <br /> El Route to Commercial Building Attach bz Project No. <br /> Route to RouidonUn| Building Route to Historic Reviewer <br /> Make this o^VV"Permit OK to Route tm Other Departments <br /> B|dg/T|/Addn/Rom Size Hold in Planning File Drawer <br /> Garage/Accessory Struot. Size Zone <br /> J~' <br /> Number ofStories Overlay/Agreement <br /> Basement 0No ElYea, Fin/Unfin Nonresidential Use [\,,Y-K at— <br /> Type ofConstruction Residential Use <br /> Occupancy Group Proposed No.of Dwelling Units: <br /> Occupancy Load Total No. of Dwelling Units: <br /> Fire Sprinklers: Oupuato Existing F7wowSystem Owutnoq'u Planning/Landscape Inspection Required before Final? 0You FlNo <br /> Reason Sprinklers Required: "In Lieu" Fee:Type: Amount$ <br /> Fire Alarm: OUpuam Existing OmewSystem OwmReq'u School Impact Fee: Total $ <br /> Raounn Fire Alarm Required: Calculated: Credit: <br /> Rovve4.o*wFwmruohemmq'u for permit? El Yes El No DEvonett School Dist ElMuki|0eu School Dist <br /> Add]nuvvs4.ss does required prior tofinal? 0Yoo 0Nu Additional Notes: <br /> VALUATION CALCULATION: Total $ <br /> Approved By: Date: <br /> ^°PUBLIC m ="�"�~S.m�u"���Q��0��r � <br /> Intake OKby: Data: <br /> Additional Notes: Intake Comments: PW Ifforksheet Needed if. <br /> Backfiow Prevention for high hazard: <br /> 0 Site Work or Drainage Proposed <br /> Approved By: �o�a� <br /> {J^~- <br /> (dental,medical,animals,mortuary,hospital, <br /> `. � <br /> FIREpupportive housing) <br /> DEPARTMENT ���� []Route this folder for PW Review at end — PW Review Worksheet <br /> Separate/Deferred Submittals Required: OThia project also has aseparate concurrent FWReview (Green Folder) <br /> 0FireSphnh|em 13FireAlurm 0Othoc AND E]Create Green Folder [ Submitted Previously ODeferred <br /> Additional Notes: This Permit ia Approved by Public Works <br /> F� See PVV Review VVorkohoot and associated attached items <br /> Fire Dept. Fees: A Separate PVV Permit io Required (Permit#: PVV ) <br /> [] Review nf As-Built Plans- ND FIRE FEE AND E] |o located in this folder <br /> LJ Minimal or No Fire Scope' NO FIRE FEE Is in a 8apuneto Qmon Folder 0om with this folder for permit issuance) <br /> 0 Review/Inspection Scope'ADD FIRE FEE Will bo issued separately (Separate Green Folder,pw issued ahead mBldg) <br /> Approved By: Date: Pub|ioVVorkuhuunosuupo'— PVVNotRequired <br /> Additional Notes: <br /> ' = ^ <br /> ELECTRICAUPLUMBING <br /> Additional Notes: <br />