Laserfiche WebLink
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 /> ❑ Route to Commercial Building ❑ Attach to Project No. <br /> ❑ Route to Residential Building �, 'IU ❑ Route to Historic Reviewer <br /> ❑ Make this a"W"Permit �,?,�'� ❑ OK to Route to Other Departments <br /> Bldg/TI/Addn/Rem Size ❑ Hold in Planning File Drawer <br /> Garage/Accessory Struct.Size Zone <br /> Number of Stories Overlay/Agreement <br /> Basement KNo ❑Yes, Fin/Unfin Nonresidential Use <br /> Type of Construction 1XV4 Residential Use <br /> Occupancy Group Proposed No.of Dwelling Units: <br /> Occupancy Load Total No.of Dwelling Units: <br /> Fire Sprinklers: ❑Update Existing ❑New System ISNot Req'd Planning/Landscape Inspection Required before Final? ❑Yes ❑No <br /> Reason Sprinklers Required: "In Lieu"Fee:Type: Amount$ <br /> Fire Alarm: [:]Update Existing ❑New System ictNot Req'd School Impact Fee: Total $ <br /> Reason Fire Alarm Required: Calculated: Credit: <br /> ROW 64.55 MF worksheet req'd for permit? ❑Yes KNo ❑Everett School Dist ❑Mukilteo School Dist <br /> Add'I ROW 64.55 docs required prior to final? ❑Yes o Additional Notes: <br /> VALUATION CALCULATION: Total$ . / <br /> Approved By: Date: <br /> PUBLIC WORKS <br /> Intake OK by: . Date: <br /> Additional Notes: Intake Comments: IPW Worksheet Needed if., <br /> £0Sys Dev Eval ❑Traffic Mit Eva] <br /> ❑Site Work or Drainage Proposed <br /> Approved By: Date: ❑Backflow Prevention for high hazard: <br /> E(dental,medical,animals,mortuary,hospital, <br /> supportive housing) <br /> FIRE DEPARTMENT ❑Route this folder for PW Review at end ---PW Review Worksheet <br /> Separate/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: VU This Permit is Approved by Public Works <br /> to-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(loin vrith 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: Date: - ❑ Public Works has no scope---PW Not Required <br /> Additional Notes: pit S L1t-u.4.40 Y klL$w4L1c1, <br /> ELECTRICAL <br /> Additional Notes: <br /> Approved By: Date: Approved B - _ Date: 2 '7 Zo2.t <br />