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Intake&Approval Sheet (FOR PERMIT STAFF ONLY) PERMIT# fil.1461:-.1)0 5 <br /> BUILDING PLANNING <br /> Intake OK by: Date: Intake OK by: Date: <br /> Intake Comments: Intake Comments: Assign To: <br /> O Route to Commercial Building .(l Attach to Project No. <br /> El Route to Residential Building - Q Route to Historic Reviewer <br /> El Make this a"W'Permit O OK to Route to Other Departments <br /> Bldg/TI/Addn/Rem Size 0 Hold in Planning File Drawer <br /> Garage/Accessory Struct. Size Zone <br /> Number of Stories Overlay/Agreement <br /> Basement ONo OYeS, 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: E3Update Existing ONew System [Not Req'd Planning/Landscape Inspection Required before Final? OYeS ONo <br /> Reason Sprinklers Required: "In Lieu"Fee:Type: Amount$ <br /> Fire Alarm: OUpdate Existing ONew System ONot Req'd School Impact Fee: Total $ <br /> Reason Fire Alarm Required: tom! Calculated: Credit: <br /> RCW 64.55 MF worksheet req'd for permit? QYes 0 No Everett School Dist OMukilteo School Dist <br /> Addl RCW 64.55 docs required prior to final? OYes QNo Additional Notes: <br /> VALUATION CALCULATION: Total$ <br /> Approved By: Date: <br /> PUBLIC WORKS <br /> Intake OK by: Date: <br /> Additional Notes: Intake Comments: PW Worksheet Needed IF <br /> I .Sys Dev Eval Chrathc Mit Eval <br /> O;Site Work or Drainage Proposed <br /> Approved By: Date: OBackflow Prevention for high hazard: <br /> (dental,medical,animals,mortuary,hospital, <br /> • supportive housing) <br /> FIRE DEPARTMENT ORoute this folder for PW Review at end --- PW Review Worksheet <br /> Intake: (Needed for Townhomes,Alley load SFR,New Commercial) This project also has a separate concurrent PW Review (Green Folder) <br /> Route to Fire Drawer---Fire Preliminary Review Notice AND EICreate Green Folder OSubmitted Previously ODeferred <br /> /Mending Fire Notes to Project Team O This Permit is Approved by Public Works <br /> Date: (OK to Route to Other Departments) O See PW Review Worksheet and associated attached items <br /> Fire Sprinklers: QUpdate Existing ONew System El Not Req'd 0 A Separate PW Permit is Required(Permit#: PW ) <br /> Fire Alarm: 11=1Update Existing ONew System O Not Req'd AND 0 Is located in this folder <br /> Chemical Sup: QUpdate Existing ONew System O Not Req'd O.Is in a Separate Green Folder(join with this folder for permit issuance) <br /> Additional Notes:p ( ,,w� 0 Will be issued separately (Separate Green Folder,PW issued ahead of Bldg) <br /> Approved By:4' , -7,7 Date: j-a3-19 O Public Works has no scope--- PW Not Required <br /> Additional Notes: <br /> ELECTRICAL;'... <br /> Additional Notes: <br /> Approved By: Date: Approved By: Date: <br /> Zl2 <br />