Laserfiche WebLink
cna <br /> Intake &Approval Sheet (FOR PERMIT STAFF ONLY) PERMIT# I r OD v <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 ❑ 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 []No ❑Yes, Fin/Unfin Nonresidential Use <br /> Type of Construction 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 []Not 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 ❑Not Req'd School Impact Fee: Total $ <br /> Reason Fire Alarm Required: Calculated: Credit: <br /> RCW 64.55 MF worksheet req'd for permit? ❑Yes ❑ No ❑Everett School Dist ❑Mukilteo School Dist <br /> Add'I RCW 64.55 does required prior to final? ❑Yes []No Additional Notes: <br /> VALUATION CALCULATION: Total <br /> E <br /> proved By: Date, <br /> PUBLIC WORKS <br /> Intake OK by: . Date: <br /> Intake Comments: ,..._._.,,.,,,,,....__.,........_....,...,_,..........._,.........__._-.,.. <br /> Additional Notes: WIN Worksheei Needed if., <br /> ;[]Sys Dev Eval ❑Traffic Mit Eval <br /> El Site Work or Drainage Proposed <br /> Approved 8y Date: ❑BackPlow Prevention for high hazard: <br /> `(dental,medical,animals,mortuary,hospital, <br /> esupport ve housing) <br /> ....... <br /> ..... ........... ..,_.............,._ .,.., <br /> FIRE DEPARTMENT ❑Route this folderfor PW Review at end ---PW Review Worksheei <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: ❑ 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-Bui[t 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 Gofn 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: C.J 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 /> 7i <br />