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Intake & Approval Sheet (FOR PERMIT STAFF ON09 PERMIT # <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 />Bldg/TI/Addn/Rem Size <br />Garage/Accessory Struct. Size <br />Number of Stories <br />Basement <br />[]No ❑Yes , Fin / Unfin <br />Type of Construction <br />Occupancy Group <br />Occupancy Load <br />Fire Sprinklers: ❑Update Existing ❑New System ❑Not Req'd <br />Reason Sprinklers Required: <br />Fire Alarm: []Update Existing ❑New System ❑Not Req'd <br />Reason Fire Alarm Required: <br />RCW 64.55 MF worksheet req'd for permit? ❑Yes ❑ No <br />Add'I RCW 64.55 docs required prior to final? ❑Yes ❑No <br />VALUATION CALCULATION: Total $ <br />Additional Notes: <br />Approved Date: 07 -17 <br />FIRE DEPARTMENT <br />Separate / Deferred Submittals Required: <br />El Fire Sprinklers ❑Fire Alarm ❑Other: <br />Additional Notes: <br />Fire Dept. Fees: <br />❑ Review fX3-Built Plans - NO FIRE FEE <br />❑ Minir Oor No Fire Scope - NO FIRE FEE <br />❑ iew / I ction Scope - ADD FIRE FEE <br />Approved B : Date:07d2 ZA <br />ELECTRICAL <br />Additional Notes: <br />Approved By: Date: <br />PLANNING <br />Intake OK by: Date: <br />Intake Comments: Assign To: <br />❑ Attach to Project No. <br />❑ Route to Historic Reviewer <br />❑ OK to Route to Other Departments <br />❑ Hold in Planning File Drawer <br />Zone <br />c <br />�ov� �ec�e5�t�b. �nv`ee�e <br />Nonresidential Use <br />C d 1 C-Q-' <br />Residential Use <br />Proposed No. of Dwelling Units: <br />Total No. of Dwelling Units: <br />Planning/Landscape Inspection Required before Final? ❑Yes INNo <br />"In Lieu" Fee: Type: Amount $ <br />School Impact Fee: Total $ <br />Calculated: Credit: <br />El Everett School Dist ❑Mukilteo School Dist <br />Additional Notes: 00 QfPo,4\ QA oS 6mWV ok u5k <br />Approved By: Date: <br />PUBLIC WORKS <br />Intake OK by: Date: <br />•-----------------•----------------------- <br />Intake Comments: ;PW Worksheet Needed if.• <br />❑Sys Dev Eval ❑Traffic Mit Eval <br />❑Site Work or Drainage Proposed <br />l]Backflow Prevention for high hazard: <br />(dental, medical, animals, mortuary, hospital, <br />:supportive housing) <br />------------------------------------------ <br />El Route this folder for PW Review at end --- PW Review Worksheet <br />❑This project also has a separate concurrent PW Review (Green Folder) <br />AND []Create Green Folder,. ❑Submitted Previously ❑Deferred <br />❑ This Permit is Approved" by Public Works <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 (join with this folder for permit issuance) <br />WIII be issued separately (Separate Green Folder, PW issued ahead of Bldg) <br />❑ j? blic Works has no scope --- PW Not Required <br />Additional Notes: <br />Approved By: Date: <br />L,� <br />