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D -4- <br /> FOR OFFICE USE ONLY <br /> BUILDING J PLANNING <br /> Bldg/TI/Addn/Rem Size 1463 5.( Zoning Classification 63'Z <br /> Garage Size $ $, Overlay/Agreement <br /> VALUATION ��� �$ Nonresidential Use <br /> No.of Stories Z Proposed No.of Dwelling Units: <br /> Occupancy Group l2/(i Total No.of Dwelling Units: <br /> Occupant Load Landscape or Planning Inspection <br /> Basement Yes_ No• .Fin/Unf needed before final? Yes No_ <br /> Type of Construction g Planning Inspector: '1),Ttakr <br /> Exstg Sprinkler System? Yes_ No Unk_ Phone#: LI a s -2-S? ^ ?/S <br /> FireSprinkReqd? Yes_ NoApproved by: `Di— Date: i2if//jf <br /> Reason Historic Approved by: Date: I <br /> Exstg Fire Alarm? Yes_ No—Unf School Mitigation Reqd? Yes_ No_ <br /> Fire Alarm Reqd? Yes No— Comments: <br /> Reason <br /> CO Required? Yes_ No <br /> Enclosure(RCW64.55) Yes— No_ <br /> Approved by: Date: /2161 /1 <br /> Comments: 2®`2 /QL `i' uls-gC <br /> • <br /> FEES <br /> Plan Check Fee <br /> Building Permit <br /> Surcharge <br /> Additional Plan Check <br /> Water <br /> Sewer <br /> Systems Dev. Due? Yes No • <br /> Public Works <br /> Traffic Mitigation Due? Yes_ No_ Rcpt# <br /> • <br /> School Mitigation Paid? Yes_ No_ Date Pd <br /> • <br /> Z <br /> 12 <br />