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Irliunu ui4ppruval Kneex (rLJKr'=n1V11I aIArr lJ1YLY) NERMFI # <br /> BUILDING PLANNING <br /> intake OK te• Intake OK by:-�y Assign To; 2 S Date; 5 23 <br /> Intake Com t 1 Intake Comment SK <br /> Zone <br /> MAY 0 3 2023 overlay/Agreement (� <br /> Q Route to Commerrciia�l Buiidin Nonresidential Use /A <br /> ❑ Route to R9 tltihidih �ETT Residential Use <br /> ami i e Ices S F <br /> ❑ Make this a"W' ermtt No,of Proposed Pro Dwelling Units: <br /> p g <br /> Bldg/TI/Addn/Rem Size Total No.of Dwelling Units: <br /> Garage/Accessory Struct.Size PIanning/Landscape Inspection Required before Final? ElYes I%o <br /> Number of Stories "In Lieu"Fee:Type: Amount$ <br /> Basement []No ElYes, Fin/Unfin School Impact Fee: Total $ <br /> Type of Construction Calculated: Credit: <br /> Occupancy Group ❑Everett School Dist ❑Mukilteo School Dist <br /> Occupancy Load Park Impact:Fees for permits applied for after 1/112022: <br /> Fire Sprinklers: oUpdate Existing E]Nevr System ❑NotReq'd Park Impact Fee Total$ � (net due after credlt for exlsting uses) <br /> Reason Sprinklers Required: Fee Schedule Used For Calculation(Year): <br /> Fire Alarm: Update Existing ONew System []Not Req'd Permit Technician Use Only:Apply Phase-in.credit Per EMC19.63.200-----ry�~� <br /> Reason Fire Alarm Required: ❑ 100%Credit-issued 1/1!2022-9/2/2022 <br /> RCW 64.55 MF tgorksheet req'd for permit? CIYes 0 No ❑ 50%Credit-Issued 9/3/2022-6/2/2023 <br /> Add'I RCW 64.56 docs required prior to final? ❑Yes Q No ❑ 0%Credit-Issued 6/3/2023 or later <br /> VALUATION CALCULATION: Total$ Additional Notes: <br /> Approved By: - Date: -2s <br /> P 8m, WORKS <br /> Additional Notes: Intake OK by; Date; <br /> Intake Comments: ;PW Worksheet Afeededif <br /> Usys Dev Eval(Uel/slap E]Traffic Mit Eval <br /> Approved By: Date: 'pSite Work/Drainage LJAddress Letter <br /> EaBackflow Prevention for high hazard: <br /> FIRE DPPART11J1NT ;(dental,medical,animals,mortuary,hospital, <br /> ;supportive housing) <br /> ^+... <br /> Separate/Deferred Submittals Required: EIRoute this folder for PW Review at end —•-PW Review Worksheet <br /> ❑Fire Sprinklers ❑Fire Alarm Other: OThis project also has a separate concurrent PW Review(Green Folder) <br /> Additional Notes: AND dCreate Green Folder E]Submitfed Previously ❑Deferred <br /> This Permit is Approved by Public Works <br /> Fire Dept,Fees: See PW Review Worksheet and associated attached items <br /> ❑ Review of As-Built Plans-NO FIRE FEE Q A Separate PW Permit is Required(Permit M PW ) <br /> 11 Minimal or No Fire Scope-NO FiRE FEE AND ❑ Is located In this folder <br /> lD Review/Inspection Scope..ADD FIRE FEE 1-1 Is In a Separate Green Folder ffoinvliththis folderforpermitissuance) <br /> Approved By: Date: El Will be issued separately(separate Green Folder,PW issued ahead of Bldg) <br /> Q Public Works has no scope--PW Not Required <br /> BI„J�CTRICALI!'LUi11iB(NG Additional Notes: <br /> Additional Notes: <br /> Approved By: Date: Completed 13y; Date: 0:5- <br />