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\ 0 <br /> Intake&Approval Sheet (FOR PERMIT STAFF ONLY) PERMIT# l �' (P <br /> BUILDING PLANNING <br /> Intake OK by: Date: Intake OK by: Date: <br /> Intake Comments: Intake Comments: Assign To: <br /> 0 Route to Commercial Building El Attach to Project No. <br /> El Route to Residential Building El Route to Historic Reviewer <br /> El 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: E3Update Existing Mew System E3Not Req'd Planning/Landscape Inspection Required before Final? DYes ElNo <br /> Reason Sprinklers Required: "In Lieu"Fee:Type: Amount$ <br /> Fire Alarm: E3Update Existing ONew 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 0 No DEverett School Dist DMukilteo 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 /> PUBLIC WORKS <br /> Intake OK by: Date: <br /> Additional Notes: Intake Comments: IPW Worksheet Needed It <br /> =IJ.Sys Dev Eval ! Traffic Mit Eval <br /> °IlSite Work or Drainage Proposed <br /> Approved By: Date: (Backflow Prevention for high hazard: <br /> ;(dental,medical,animals,mortuary,hospital, <br /> !supportive housing) <br /> FIRE DEPARTMENT C]Route 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 E3Submitted Previously E3Deferred <br /> Sending Fire Notes to Project Team El 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: 12Update Existing ONew System 0 Not Req'd 0 A Separate PW Permit is Required(Permit#: PW <br /> Fire Alarm: (I Update Existing°New System El Not Req'd AND 0 Is located in this folder <br /> D <br /> Chemical Sup: Update Existing DNew System El Not Req'd E.Is in a Separate Green Folder(join with this folder for permit issuance) <br /> Additional Notes: / Q Will be issued separately (Separate Green Folder,PW issued ahead of Bldg) <br /> Approved By: S V' (L_371.)' Date: /2/?tf i�/ El Public Works has no scope--- PW Not Required <br /> / Additional Notes: <br /> ELECTRICAL <br /> Additional Notes: <br /> Approved By: Date: Approved By: Date: <br />