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0 1 <br /> ��� & Approval Sheet (FOR PERMIT STAFF PERMIT ��/��� �. ^oK � <br /> BLV |N- ' ' ` PLANNING <br /> _�4�� �� � /.� <br /> |ntakeO��x ^u " Dote� k{�/ �� -T/ ��: Intake OK by: Date: <br /> Intake Comments: Intake Comments: Assign To: <br /> 0 Route to Commercial Building 0 Attach to Project No. <br /> Building �lRo�n0oH��hoRovawor <br /> EtRoute <br /> xxaxomma'vv' �onno 0 OK to Route to Other Departments <br /> Bldg/TI/Addn/Rem Size 0 Hold in Planning File Drawer <br /> � <br /> Garage/Accessory Struct. Size ' Zone ll —�~ <br /> Number of Stories 1 Overlay/Agreement -------^ <br /> Basement r'No 0Yea . Fin/Unfin Nonresidential Use --------- <br /> Type ofConstruction gff <br /> Residential Use f~l2~ <br /> Oooupanuy8mup II Proposed No.of Dwelling Units: ----- <br /> Occupancy Load Total No. of Dwelling Units: ~ <br /> Fire Sprinklers: Flupuom Existing ONew System Flwot neq'u Planning/Landscape Inspection Required before Final? 0Yoo No <br /> Reason Sprinklers Required: "In Lieu" Fee:Type: Amount$ <br /> Fire Alarm: 0updateExisting ONewSystem 0wntRoou School Impact Fee: Total $ <br /> Reason Fire Alarm Required: Calculated: Credit: _ <br /> RCW 64.55 MF worksheet reqd for permit? 0v qNo 0Everett School Dist 0Mukilteo SchoDist <br /> � <br /> EI <br /> No��.v~=" ==..o Additiona| Notem' <br /> VALUATION CALCULATION: Total- v� 8 o .�^~�o <br /> . i <br /> Approved <br /> .Di& 1P Date: J 2.d / gr <br /> �x�� �� �»�n��� ' <br /> ow' ��'~^��-- PUBLIC WORKS <br /> ~��*� �,�/ *, <br /> Intake OK by: p�'^' .Dohn: /~y2.-T' <br /> Additional Notes: 00/6- 026. Intake Comments: PW Worksheet Needed if: <br /> []uyvoevEvu| []TmffivMit svo| <br /> DSite Work or Drainage Proposed <br /> ^��— _ � []ea��mwPrevention for high hazard: <br /> Approved By: �� ~Date: Y�� ������� (donta/.medical,animals,mortuary,hospital, <br /> supportive housing) <br /> FIRE DEPARTMEN <br /> ' gRoutothiofo|dorforPVVRoviowatnnd ---pN/Review Worksheet <br /> Intake: (Needed for Townhomes,Alley load SFR,New Commercial) DThis project also has a separate concurrent PW Review(Green Folder) <br /> 0RoutotoFire Drawer---Fire Preliminary Review Notice AND DCreate Green Folder FlSubmittodProvinuo|y FlDofarmd <br /> DSending Fire Notes to Project Team AThisPermitioAppmvodbyPub|iuVVorko <br /> Date: (OK to Route to Other Departments) 0 See PW Review Worksheet and associated attached items <br /> Fire Sprinklers: ���l UpdatoExisting ��Fl NowGymom 0 NutReq'd ��l <br /> �ASeparatoPVVPennitioRequinad (Ponnit#: PVV ) <br /> Fire Alarm: 0updateExisting ONewSystem 0Not nuq'u AND 0 Is located in this folder <br /> Chemical Sup: 0UpdotvExiaUog ONm*Gymom 0 Not Req'd 0 Is in a Separate Green Folder(join with this folderfor permit issuance) <br /> Additional Notes: U Will be issued separately(Separate Green Folder,PW issued ahead of Bldg) <br /> Approved By: Date: 0 Public Works has no scope--- PW Not Required <br /> Additi.nal Notes: <br /> ELECTRICAL ^ <br /> ` � ���, <br /> Additional Notes: w--�-�~� �� �« �� ��j�� <br /> N�'~- - � � ~~�� <br /> Approved By: Date: ^ "proved By: Dat� <br />