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Intake&Approval Sheet (FOR PERMIT STAFF ONLY) PERMIT#.P17.\.Z(2--0�I 4 <br /> ry MM.4Fb BY.0:041 3 i f .. f .... 'TS .. 64. '., <br /> Intake OK by: Date: Intake OK by: Date: <br /> Intake Comments: Intake Comments: Assign To: <br /> O Route to Commercial Building 0 Attach to Project No. <br /> O Route to Residential Building 0 Route to Historic Reviewer <br /> 0 Make this a"W'Permit 0 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 DYes, 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: DUpdate Existing ONew System ONot Req'd Planning/Landscape Inspection Required before Final? DYes DNo <br /> Reason Sprinklers Required: "In Lieu"Fee: Type: Amount$ <br /> Fire Alarm: OUpdate Existing DNew System DNot Req'd School Impact Fee: Total $ <br /> Reason Fire Alarm Required: Calculated: Credit: <br /> RCW 64.55 MF worksheet req'd for permit? DYes r0 No Everett School Dist Mukilteo School Dist <br /> Add'I RCW 64.55 docs required prior to final? DYes DNo Additional Notes: <br /> VALUATION CALCULATION: Total$ , , <br /> Approved By: Date: <br /> Intake OK by: Date: <br /> Additional Notes: Intake Comments: PW Worksheet Needed If <br /> OSys Dev Eval OTraffic Mit Eval <br /> ;Site Work or Drainage Proposed <br /> Approved By: Date: i Backflow Prevention for high hazard: <br /> I(dental,medical,animals,mortuary,hospital, <br /> 'supportive housing) <br /> I C}� „OA Route this folder for PW Review at end --- PW Review Worksheet <br /> Intake: (Needed for Townhomes,Alley load SFR,New Commercial) EIThis project also has a separate concurrent PW Review (Green Folder) <br /> DRoute to Fire Drawer---Fine Preliminary Review Notice AND OCreate Green Folder ❑Submitted Previously ❑Deferred <br /> OSending Fire Notes to Project Team 0 This Permit is Approved by Public Works <br /> Date: (OK to Route to Other Departments) 0 See PW Review Worksheet and associated attached items <br /> Fire Sprinklers: OUpdate Existing ONew System 0 Not Req'd 0 A Separate PW Permit is Required(Permit#: PW <br /> Fire Alarm: DUpdate Existing ONew System El <br /> Not Req'd AND 0 Is located in this folder <br /> Chemical Sup: DUpdate Existing ONew System u Not Req'd 0 Is in a Separate Gr y” er coin with this folder for permit issuance) <br /> Additional Notes: ❑Will be issue• .- ately (Separate Green Folder,PW issued ahead of Bldg) <br /> Approved By: Date: 0 Public Works h.. •• scope--- PW -d <br /> �y�^ Additional No -� <br /> ��gj � - <br /> Additional Notes: <br /> Approved By: Date: Approved By: Date: <br /> ZJ.L <br />