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Intake & Approval Sheet 0 (FOR PERMIT STAFF ONLr 0 PERMIT # K6 ( 0 - 03b. <br />BUILDING <br />Intake OK by: Date: <br />Intake Comments: <br />❑ Route to Commercial Building <br />❑ Route to Residential Building <br />❑ Make this a "W" Permit. <br />ddn/Rem Size <br />Garage/ cessory Struct. Size <br />4t <br />Number of Stories <br />Basement <br />ONo ❑Yes , Fin / Unfin <br />Type of Construction <br />Occupancy Group <br />t� <br />Occupancy Load <br />!/I <br />Fire Sprinklers: ❑Update Existing ❑New System ffNot Req'd <br />Reason Sprinklers Required: <br />Fire Alarm: ❑Update Existing ❑New System J5P Not Req'd <br />Reason Fire Alarm Required: <br />RCW 64.55 MF worksheet req'd for permit? ❑Yes No <br />Add'] RCW 64.55 docs required prior to final? ❑Yes ONo <br />r <br />VALUATION CALCULATION: Total $ / 6 900 <br />Additional Notes: <br />Approved By Date: `d 0;2/ <br />FIRE DEPARTMENT <br />Separate / Deferred Submittals Required: <br />El Fire Sprinklers ❑Fire Alarm ❑Other: <br />Additional Notes: <br />Fire Dept. Fees: <br />❑ Review of As -Built Plans - NO FIRE FEE <br />❑ Minimal or No Fire Scope - NO FIRE FEE <br />❑ Review / Inspection Scope - ADD FIRE FEE <br />Approved By: Date: <br />ELECTRICAL <br />Additional Notes: <br />Approved By: Date: <br />PLANNING <br />,,✓ g <br />Intake OK by: Assign To: Date: lU <br />Intake Comments: <br />N(,9 ram, v c Ire�l? <br />-to `mfgh ki's . <br />U <br />ElAttach to Project No. U <br />El <br />❑oute to Historic Reviewer <br />to Route to Other Departments <br />❑ Hold in Planning File Drawer <br />Zone <br />�-- <br />Overlay/Agreement <br />Nonresidential Use <br />Residential Use <br />Proposed No. of Dwelling Units: <br />Total No. of Dwelling Units: <br />I <br />Planning/Landscape Inspection Required before Final? ❑Yes Mo <br />"In L' eu" Fee: e: Amount $ <br />Sch of Imp ct <br />$Calc <br />V::ota <br />late edi . <br />Ev r SchoMukilteo chool ist <br />Additional Notes: <br />Approved By: Date: 0 202-1 <br />PUBLIC WORKS <br />Intake OK by: Date: <br />,,,,,,,,,,,,,,,,,,,,,,,,,,. ................ ........ ....... .... ..... ................. _.., .,............... <br />Intake Comments: PW Worksheet Needed if. <br />❑Sys Dev Eval ❑Traffic Mit Eva]. <br />❑Site Work or Drainage Proposed <br />❑Backflow Prevention for high hazard: <br />(dental, medical, animals, mortuary, hospital, <br />,supportive housing) <br />..-..............-..................................,.................................................... <br />..........,..,,............... <br />❑ Route this folder for PW Review at end --- PW Review Worksheet <br />❑This project also has a separate concurrent PW Review (Green Folder) <br />ANP ❑Create Green Folder []Submitted Previously ❑Deferred <br />L&This Permit is Approved by Public Works <br />AY <br />See PW Review Worksheet and associated attached items <br />❑ A Separate PW Permit is Required (Permit #: PW ) <br />AND ❑ Is located in this folder <br />❑ Is in a Separate Green Folder Qoin with this folder for permit issuance) <br />❑ Will be Issued separately (Separate Green Folder, PW issued ahead of Bldg) <br />❑ Public Works has no scope --- PW Not Required <br />Additional Notes: <br />Approved By: A�A Date: Z yg <br />M <br />2�_ <br />