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mmtre 6 Atpprovai meet (FOR PERMIT STAFF ONLY) - RERMIT#_k?J fib L.—A 'J <br />BUILDING <br />- PLANNING' <br />Intake OKby: Date: <br />Intake Comments: <br />❑ Route to Commercial Building <br />❑ Route to Residential Building <br />❑ Make this a "W- Permit <br />Intake OKbY Assign To: Dab: <br />Intake Comments: <br />❑ Attach to Pmlect No. <br />❑ Route to Historic Reviewer <br />❑ OK to Route to Other Departments <br />❑ Hold In Planning FPS Dnamr <br />BldWTI/AddNRsm Size <br />Gam ¢/Accessory SWct Size <br />Numberof Stories <br />y/Agreement <br />Basement <br />ONo OYsa Fin/Unfln <br />idential Use <br />. Type of Combustion <br />asUse <br />Occupancy Group <br />ed No. of Dwalli Units:o. <br />of Dwellin nits:ngUn <br />Wo <br />a Inspection Required before Final? Oyes ONoReason <br />S dnklem Re aired: <br />" Fee: T e: Amount $FlreAlarm: <br />OUpdate rrIng ONeu Sytem ONaRegtl <br />Imps ee: Total $Reason <br />te]: CretinRCW <br />re chool Dist OMukiltep School Dist <br />Flre AlannR uired, <br />M-m MF worl®heet req'd far permit? OYes ❑No <br />Add'I RLW a4.55 tlou required pdorbfinal? OYes ONo <br />Additional Notes: <br />AQ Hwy j �W_,a'tA� <br />ce;N.oved. fern s:�e. <br />ALUAMN CALCULUION: Total}' <br />— <br />Approved By. Date: <br />PUBLIC WORKS <br />Intake OK btsData: <br />Intake Comments: IPWW rksheet MeedediF. <br />IDSys Dav EYaI OTMMG Mh Eval <br />1117ISbe Worker Dreinage Proposed! <br />IDBacMlsv Prevention far high tmmrd <br />l(dciltl, meaim6 anchor. mower. n Rimi. <br />,aacpard.+ lemons) <br />ORoute this folder for PW Review aland — PWRevieW Warksheet <br />Orhis project also has a separate concurrent PW Review (Green Folder) <br />AND OCreate Green Folder OSubmilted PrevlDusly ODefened <br />AdtlNonal Notes: <br />Approved Bis Dafe: <br />FIRE DEPARTMENT <br />Separate I Deferred Submittals Required: <br />❑Fire Sprinklers ORMAlarn OOter <br />Additional Notes: 1 <br />❑ This Permit is Appr dby Public Works 3 <br />❑ See PW Reviser Worksheat and associated attached Items <br />❑ A Separate PW Pernik is Required (Permit <br />AND O is located In this folder <br />❑ Is In a Sepande Green Folder Gain with we maerrar parmu menca) <br />❑ Will be issued separatelyguimmte Gmn Felder, M bared ahead Gfeids) <br />❑ Public Woft has no scope—PW Not Required <br />Fire Dept Fees: <br />El Review of As -Built Plans - NO FIRE FEE <br />❑ Minimal or No Fire Scene -NO FIRE FEE <br />❑Review/ Inspection Scope -ADD FIRE FEE <br />Approved By. Date: <br />Additional Notes: <br />_ <br />ELECTRICAL <br />Additional Notes: <br />Approved Dr.. Date: <br />Approved By: Date: <br />7� <br />