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Intake & Approval Sheet (FOR PERMIT STAFF ONLI) PERMIT# MZ — 0 <br /> BUILDING PLANNING <br /> intake OK by: Date: Intake OK by: Assign To: Date: <br /> Intake Comments: Intake Comments: <br /> Zone <br /> Overlay/Agreement <br /> ❑ Route to Commercial Building Nonresidential Use <br /> ❑ Route to Residential Building Residential Use <br /> ❑ Make this a"W" Permit Proposed No. of Dwelling Units: <br /> Bldg/TI/Addn/Rem Size Total No. of Dwelling Units: <br /> Garage/Accessory Struct. Size Planning/Landscape Inspection Required before Final? ❑Yes ❑No <br /> Number of Stories "In Lieu"Fee: Type: Amount$ <br /> Basement ❑No ❑Yes , Fin/Unfin School Impact Fee: Total $ <br /> Type of Construction Calculated: Credit: <br /> Occupancy Group El Everett School Dist ❑Mukilteo School Dist <br /> Occupancy Load Park Impact Fees for permits applied for after 1/1/2022: <br /> Fire Sprinklers: ❑Update Existing ❑New System ❑Not Req'd Park Impact Fee Total 1 / (net due after credit for existing uses) <br /> Reason Sprinklers Required: Fee Schedule Used For Calculation(Year): <br /> -------------------------------------------------------------------- <br /> Fire Alarm: ❑Update Existing El New System El Not Req'd Permit Technician Use Only:Apply Phase-In Credit Per EMC19.53.200----------- <br /> Reason <br /> -Reason Fire Alarm Required: ❑ 100%Credit-Issued 1/1/2022-9/2/2022 <br /> RCW 64.55 MF worksheet req'd for permit? ❑Yes ❑ No ❑ 50%Credit-Issued 9/3/2022-6/2/2023 <br /> Add'I RCW 64.55 docs required prior to final? ❑Yes ❑No ❑ 0%Credit-Issued 6/3/2023 or later <br /> VALUATION CALCULATION: Total$Z3 Additional Notes• <br /> Approved By: Date: <br /> PUBLIC WORKS <br /> Additional Notes: Intake OK by: Date: <br /> ------------------------------------------ <br /> Intake Comments: IPW Worksheet Needed if.• <br /> Eva I <br /> Approved R Date:O•z rd _ etter <br /> FIRE DEPARTMENT <br /> Separate/Deferred Submittals Required: El Route this folde <br /> ❑Fire Sprinklers El Fire Alarm ❑Other: ❑This project also a (/I 1 110-Y)U I G` v Gw^�%O S .) <br /> Additional Notes: AND ❑Create Gr, r� p n/ <br /> 11 This Permit is/ �� V' v \ Re " <br /> Fire Dept. Fees: ❑ See PW Revie, <br /> ❑ Review of As-Built Plans-NO FIRE FEE ❑A Separate PVA <br /> ❑ Minimal or No Fire Scope-NO FIRE FEE AND ❑ Is locate <br /> ❑ Review/Inspection Scope-ADD FIRE FEE ❑ Is in a S <br /> Approved By: Date: ❑Will be i 31dg) <br /> ❑ Public Works h <br /> ELECTRICAL/PLUMBING Additional Notes: <br /> Additional Notes: <br /> Approved By: Date: lCornpleted By: Date: <br />