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Intake &Approval Sheet • (FOR PERMIT STAFF ONLY) • PERMIT#F/4 2 20 ?- <br /> BUILDING PLANNING <br /> Intake OK by: Date: Intake OK by: Assign To: Date: <br /> Intake Comments: 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 _ El OK to Route to Other Departments <br /> Bldg/Tl/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 Dwelling Units: <br /> Occupancy Load <br /> ��...,,�� Total No.of Dwelling Units: <br /> Fire Sprinklers: Update Existing ❑New System ❑Not Req'd Planning/Landscape Inspection Required before Final? ❑Yes ❑No <br /> Reason Sprinklers Required: "In Lieu"Fee:Type: Amount$ <br /> Fire Alarm: Wpdate Existing ❑New System ❑Not Req'd School Impact Fee: Total $ <br /> Reason Fire Alarm Required: Calculated: Credit: <br /> RCW 64.55 MF worksheet req'd for permit? ❑Yes ❑ No ❑Everett School Dist ❑Mukilteo School Dist <br /> Add'I RCW 64.55 docs required prior to final? ❑Yes ❑No Additional Notes: <br /> VALUATION CALCULATION: Total$ <br /> Approved By: Date: • <br /> PUBLIC WORKS <br /> Intake OK by: Date: <br /> Additional Notes: Intake Comments: 3PW Worksheet Needed if: <br /> iDSys Dev Eval OTraffic Mit Eval <br /> 'OSite Work or Drainage Proposed <br /> Approved By: Date: OBackflow Prevention for high hazard: <br /> (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 S bmittals Required: ❑This project also has a separate concurrent PW Review(Green Folder) <br /> ❑Fire Sprinklers Eire Alarm ❑Other: AND ❑Create Green Folder ❑Submitted Previously ❑Deferred <br /> Additional Notes: ', <br /> 71 ❑ This Permit is Approved by Public Works + <br /> ❑ 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 /> ❑ Minimal or No Fire Scope-NO FIRE FEE ❑ is in a Separate Green Folder(join with this folder for permit issuance) <br /> II&Review/Inspection Scope-ADD FIRE FEE 0 Will be issued separately(Separate Green Folder,PW issued ahead of Bldg) <br /> A ... _. ___.__ Additional Notes: <br /> ELECTRICAL <br /> Additional Notes: <br /> •Approved By: Date: Approved By: • <br /> Date: <br /> .21Z. <br />