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Make 64 Approval Sheet (1-1/1<Pettit/II t S IAll- ONLY) PERMIT# &ad,0,3 <br /> BUILDING 0 I I NING . " sf �Jz _Setee <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 /> El Route to Residential Building Residential Use <br /> El Make this a"Wu Permit Proposed No.of Dwelling Units: <br /> Bldg!Tl/AddnlRem Size _ Total No.of Dwelling Units: _ <br /> Garage/Accessory Struct.Size PlanninglLandscape Inspection Required before Final? QYes ONo <br /> Number of Stories "In Lieu"Fee:Type: Amount$ <br /> Basement DNo CIYes, Fin I Unfin School impact Fee: Total $ <br /> Type of Construction Calculated: • Credit: <br /> Occupancy Group ❑Everett School Dist DMukilteo School Dist <br /> Occupancy Load Park Impact Fees for permits applied for after'1/1/2022: <br /> Fire Sprinklers: OUpdate Existing ONew System DNot Req`d Park impact Fee Total$ (net due after credit for existing 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 EMCI9.53.200 <br /> Reason Fire Alarm Required: r-t El 100%Credit.Issued 1/1/2022-9/2/2022 <br /> RCW 64.55 MF Worksheet req`d for permit? ❑Yes 0 No ❑ 50%Credit-Issued d/3/2022-6/2/2023 <br /> Add'I RCW 64.55 does required prior to final? OYes E1No El 0%Credit-issued 6/3/2023 or later <br /> VALUATION CALCULATION: Total$ Additional Notes: gsikj\--2_2•4„..9, k <br /> Approved By: V- - ; Date: 5-•)',2,3 <br /> I <br /> 4-118i_IC WORKS • • • • <br /> Additional Notes: Intake OK by: Date; <br /> Intake Comments: PW Worksheet Needed If:. <br /> L7Sys Dev Eval(UtilfsW)1:Traffic Mit Eval <br /> Approved _ Date: p,KA.46��I�h?J, Mite Work/Drainage DAddress Letter <br /> ❑Backflow Prevention for high hazard: <br /> (dental,medical,animals,mortuary,hospital, <br /> •FIRE DEPARTIVIENT • supportive housing) <br /> Separate!Deferred Submittals Required: ❑Route this folder for PW Review at end --PW Review Worksheet <br /> OFire Sprinklers ❑Fire Alarm Other: DDThis project also has a separate concurrent PW Review(Green Folder) <br /> Additional Notes: AND EICreate Green Folder DSubmitted Previously }Deferred <br /> £ his Permit is Approved by Public Works <br /> Fire Dept.Fees: El See PW Review Worksheet and associated attached items <br /> O Review of As-Built Plans-NO FIRE FEE 0 A Separate PW Permit is Required(Permit it:PW ) <br /> 0 Minimal or No Fire Scope- NO FIRE FEE AND 0 Is located in this folder <br /> 0 Review/Inspection Scope-ADD FIRE FEE El Is in a Separate Green Folder(join with this foldertor permit issuance) <br /> Approved By: <'3 cec.J'p Date:'5 : ,2 3 ❑Will be issued separately(Separate Green Folder,PW issued ahead of Bldg) <br /> 0 Public Works has no scope--.PW Not Required <br /> ELECTRICAL/1 LUNMING . Additional Notes: <br /> Additional Notes: <br /> Approved By: Date: Completed By.--`/fir it. - <br />