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intake & Approval Sheet (FOR PERMIT STAFF ONLY) PERMIT# <br /> BUILDING PLANNING <br /> Intake OK by: Date: Intake OK by: Assign To: Date: <br /> intake Comments: Intake Comments: <br /> e <br /> ❑ Route to Commercial Building ❑Attach to Project No. <br /> ❑ Route to Residential Building ❑ oute to Historic Reviewer <br /> ElMake this a"W"Permit K to Route to Other Departments <br /> Bidg/TI/Addn/Rem Size Hold in Planning File Drawer <br /> GaragelAccessory Struct.Size Zone U <br /> Number of Stories Overlay/Agreement <br /> Basement ErNo ❑Yes , Fin/Unfin Nonresidential Use . <br /> Type of Construction Residential Use <br /> Occupancy Group 7 Proposed No,of Dwelling Units: <br /> Occupancy load Total No.of Dwelling Units: <br /> Fire Sprinklers Update Existing ❑New System ❑Not Req'd Planning/Landscape Inspection Required before Final? Oyes ONO <br /> Reason Sp nklers Required: "In Lieu"Fee:Type: Amount$ <br /> Fire AI ❑Update Existing ❑New System ❑Not Req'd School Impact Fee: Total $ <br /> IA <br /> ea n Fire Alarm Required: Calculated: Credit: <br /> 64.5fi MFworksheetreq'd for permit? ❑Yes ❑ No ❑Everott School Dist ❑Muk[lteo Schaal Dist <br /> dd'I RCW 64.b6 does requlred prior to fin a]? Oyes ❑No Additional Notes: <br /> VALUATION CALCULATION: Total$ <br /> Approved By: Date: 2Z <br /> PtlBLIG 1N®RK5. <br /> Intake OK by: _Date: <br /> Additional Notes: Intake Comments: 1PW Worksheet Needed if.C)Pit ._ �•.,. <br /> i <br /> !OSys Dev Eval ❑Traffio'Mit Eval <br /> [[Site Work or Drainage Proposed <br /> Approved By: Date: v 2N IOBackflow Prevention for high hazard: <br /> t(dental,medical,animals,mortuary,hospital, <br /> supportive housing) <br /> FIRE DEPARTMENT ❑Route this folder for PW Review at and~--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 El Create Green Folder ❑Submitted Previously ❑Deferred <br /> Additional Notes: ; ❑ This Permit is Approved by Public Works <br /> ® 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 /> ❑ Minimal or No Fire Scope-NO FIRE FEE ❑ Is in a Separate Green Folder Qoin with this foldarforpermit Issuance) <br /> ❑ Review/Inspection Scope-ADD FIRE FEE ❑ Will be issued separately(separate Green Folder,PW issued ahead of Bldg) <br /> Approved By: Date: ❑ Public Works has no scope--- PW Not Required <br /> Additional Notes: <br /> ELECTRICAL <br /> Additional Notes: <br /> Approved By: Date: Approved By: Date: <br />