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FOR OFFICE USE ONLY <br /> BUILDING • PLANNING <br /> Bldg/TI/Addn/Rem Size /y(3 S Zoning Classification ?— <br /> Garage Size 2 $ Overlay/Agreement <br /> VALUATION 7S- S7 Nonresidential Use <br /> No.of Stories J Proposed No.of Dwelling Units: <br /> Occupancy Group � � Total No.of Dwelling Units: <br /> Occupant Load Landscape or Planning Inspection <br /> Basement Yes,_, No Fin/Unf needed before final? Yes D( No_ <br /> Type of Construction ,8 Planning Inspector: 7?'7:)i <br /> Exstg Sprinkler System? Yes No Unf Phone#: -ZS? - 7 /SS <br /> Fire Sprink Reqd? Yes_ No_ Approved by: - Date: ,.//.57 <br /> Reason Historic Approved by: Date / <br /> Exstg Fire Alarm? Yes No Unk School Mitigation Reqd? Yes No V <br /> Fire Alarm Reqd? Yes_ No— Comments; <br /> Reason <br /> CO Required? Yes_ No l/ f� ) r• <br /> Enclosure(RCW6 , 5) Yes_ No t'a`( )fj hi /n <br /> Approved by: C% Date: /thz../r Sf�`� <br /> Comments: ZOiZ /2 Atice,EC <br /> • FEES <br /> Plan Check Fee <br /> Building Permit <br /> Surcharge <br /> Additional Plan Check <br /> Wafer <br /> Sewer <br /> Systems Dev. Due? Yes No . • <br /> Public Works <br /> Traffic Mitigation Due? Yes No_ Rcpt## <br /> School Mitigation Paid? YesNo Date Pd <br /> • (Zi:;2) <br />