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Intake &Approval Sheet (FIN PERMIT STAFF ONLY) PERMIT# 3 (2.3° ""*.0 LfL <br /> BUILDING PLAIOW VAT c. <br /> Intake OK by: Date: Intake OK by: Assign To: Date: <br /> Intake Comments: Intake Comments: <br /> Zone <br /> Overlay/Agreement <br /> 0 Route to Commercial Building Nonresidential Use <br /> ❑ Route to Residential Building Residential Use <br /> El Make this a"W"Permit Proposed No.of Dwelling Units: <br /> Bldg/TI/Addn/Rem Size /72 7 Total No.of Dwelling Units: <br /> Garage/Accessory Struct.Size 4f I Planning/Landscape Inspection Required before Final? ❑Yes ❑No <br /> Number of Stories 3 "In Lieu"Fee:Type: Amount$ <br /> Basement FIN() ❑Yes, Fin/Unfin School Impact Fee: Total $ `/ 90 <br /> Type of Construction 1/2C Calculated: /(/ "t/C- Credit: .0-- <br /> Occupancy Group .i ❑Everett School Dist frigiiukilteo School Dist <br /> Occupancy Load ,,.�.��// �' Park Impact Fees for permits applied for after 1/1/2022:Fire Sprinklers:❑Update Existing lILINew System [Not'Req`d Park Impact Fee Total$ 3/6O (net due after credit for existing uses) <br /> Reason Sprinklers Required: 7 r-f Fee Schedule Used For Calculation(Year): ?a3 <br /> Fire Alarm: ❑Update Existing ❑New System ErNot Req'd Permit Technician Use Only:Apply Phase-In Credit Per EMCI9.53.200 <br /> Reason Fire Alarm Required: CI 100%Credit-issued 1/1/2022-9/2/2022 <br /> RCW 64.55 MF Worksheet req'd for permit? ❑Yes 1, INo 0 50%Credit-Issued d/3/2022-6/2/2023 <br /> Add'1 RCW 64.55 dots required prior to final? ❑Yes i2No 0 0%Credit-Issued 6/3/2023 or later <br /> VALUATION CALCULATION: Total$ 3 /c c3 2.0 Additional Notes: <br /> • <br /> Approved By: Z 7, L���.Da3s;�-- �` — i. <br /> PURL lC WORKS . <br /> • <br /> Additional Notes: Intake OK by: Date: <br /> Intake Comments: PW Worksheet Needed If': <br /> DSys Dev Eval(Utii/sW)[(Traffic Mit Eval <br /> Approved By: Date•• 7//�{ j�� [(Site Work/Drainage [(Address Letter <br /> • ❑Backflow Prevention for high hazard: <br /> (dental,medical,animals,mortuary,hospital, <br /> FIRE DEPARTMENT - supportive housing) <br /> Separate 1 Deferred Submittals Required: ❑Route this folder for PW Review at end --PW Review Worksheet <br /> ,Fire Sprinklers ❑Fire Alarm ❑Other: ❑This project also has a separate concurrent PW Review(Green Folder) <br /> Additional Notes: AND ❑Create Green Folder ❑Submitted Previously ❑Deferred <br /> 44 This Permit is Approved by Public Works <br /> Fire Dept.Fees: iiSee PW Review Worksheet and associated attached items <br /> ❑ Review of As-Built Plans-NO FIRE FEE 01.A Separate PW Permit is Required(Permit it:PW2a OS-Oga ) <br /> ❑ Minimal or No Fire Scope-.NO FiRE FEE AND ❑ is located in this folder <br /> 21.Review/Inspection Scope-ADD FIRE FEE ❑ Is in a Separate Green Folder(loin with this folderfor permit issuance) <br /> Approved By:\,,V6czyjun Date: q-)I,2 3 1g Wiii be issued separately(Separate Green Folder,PW issued ahead of Bldg) <br /> ❑Public Works has no scope--PW Not Required <br /> ELECTRICAURLUMBING Additional Notes: <br /> Additional Notes: <br /> Approved By: Date: Completed By: J Date: 5 li'vZ3 <br />