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Intake &Approval Sheet • (FOR PERMIT STAFF ONLY) 0 PERMIT# bl,t) l tr On . <br /> BUILDING PLANNING <br /> Intake OK by: Date: Intake OK b Assign To: <br /> Y g ODate:f0�,VV 7 .!( <br /> Intake Comments: Intake Comments: <br /> ti lut fkklik OLv-d <br /> ❑ Route to Commercial Building ❑Attach to Project No. <br /> ❑ Route to Residential Building ❑ oute to Historic Reviewer <br /> ❑ Make this a"W"Permit OK to Route to Other Departments <br /> Bldg/TI/Addn/Rem Size "' 0 Hold in Planning File Drawer <br /> Garage/Accessory Struct.Size Zone r— <br /> Number of Stories Overlay/Agreement <br /> Basement ONo DYes, Fin/Unfin Nonresidential Use <br /> Type of Construction (a2.G Residential Use <br /> Occupancy Group 1RG Proposed No. of Dwelling Units: <br /> Occupancy Load *. —L Total No.of Dwelling Units: I <br /> Fire Sprinklers: ❑Update Existing ❑New System IZINot Req'd Planning/Landscape Inspection Required before Final? ❑Yes L No <br /> Reason Sprinklers Required: "In ieu"Fee:Type: Amount$ <br /> Fire Alarm: DUpdate Existing Mew System LFlNot Req'd Sc ool Imp ct F : Total <br /> Reason Fire Alarm Required: Cal late . Credit: <br /> RCW 64.55 MF worksheet req'd for permit? Yes KI No El r School Dist ❑Mukilte ool Dist <br /> Add'I RCW 64.55 docs required prior to final? ❑Yes IA No Additional Notes: <br /> VALUATION CALCULATION: Total$ I ljceo <br /> Approved By: (4 Date:S7/�.67I <br /> PUBLIC WORKS ` C <br /> Intake OK by: Date: <br /> Additional Notes: Intake Comments: =PW Worksheet Needed if: <br /> ❑Sys Dev Eval ©Traffic Mit Eval <br /> Site Work or Drainage Proposed <br /> Approved By it Date: t1 (3 j2.024 OBackflow Prevention for high hazard: <br /> al "' '` i(dental,medical,animals,mortuary,hospital, <br /> ((( !supportive housing) <br /> FIRE DEPARTMENT ❑Route this folder for PW Review at end ---PW Review Worksheet <br /> Separate I Deferred Submittals Required: ❑This project also has a separate concurrent PW Review(Green Folder) <br /> ❑Fire Sprinklers ❑Fire Alarm ❑Other: AND ❑Create Green Folder ❑Submitted Previously ❑Deferred <br /> Additional Notes: 0 This Permit is Approved by Public Works ., <br /> • <br /> 14, 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 /> ill Minimal or No Fire Scope-NO FIRE FEE ❑ Is in a Separate Green Folder(join with this folder for permit issuance) <br /> ❑ Review/Inspection Scope-ADD FIRE FEE ❑ Will be issued separately(Separate Green Folder,PW issued ahead of Bldg) <br /> Approved By: 1 , , ut,s Date: lo-22"e249,20 ❑ Public Works has no scope---PW Not Required <br /> Additional Notes: <br /> ELECTRICAL ���� <br /> Additional Notes: ?,1' <br /> Approved By: Date: Approved By: Mk Date: (dl2'tl UZ <br /> z_ <br />