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A3 <br /> FOR OFFICE USE ONLY <br /> BUILDING PLANNING <br /> Bldg/TI/Addn/Rem Size ii-f63 s.e Zoning Classification Z <br /> Garage Size 2Lrq�'j 5. Overlay/Agreement <br /> VALUATION (Gj� we. Nonresidential Use <br /> No.of Stories 3 Proposed No.of Dwelling Units: / <br /> Occupancy Group R/U Total No.of Dwelling Units: <br /> Occupant Load Landscape or Planning Inspection <br /> Basement Yes_ No X Fin/Unf needed before final? Yes )< No <br /> Type of Construction 709 Planning Inspector: ,`T�/r <br /> Exstg Sprinkler System? Yes_ No—Unk Phone#: 2.5-7-•- 7/.5 5 / J <br /> Fire Sprink Reqd? Yes No Approved by: `3JDate: /2(s//� <br /> Reason Historic Approved by: Date: ttt /// <br /> Exstg Fire Alarm? Yes No_Unk_ School Mitigation Reqd? Yes <br /> Fire Alarm Reqd? Yes— No_ Comments: <br /> Reason <br /> CO Required? Yes_ No_• <br /> Enclosure(RCW6 .55) Yes No_ <br /> Approved by: Date: 12////q <br /> Comments: 2 c2/? //1,G W...CeG <br /> • <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? YesNo Rcpt# <br /> School Mitigation Paid? Yes No Date Pd <br />