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A5 <br /> FOR OFFICE USE ONLY <br /> BUILDING PLANNING <br /> Bldg/TI/Addn/Rem Size 14/63 SF Zoning Classification fa - Z <br /> Garage Size zq Sj Overlay/Agreement <br /> VALUATION Yq, 2(20 Nonresidential Use <br /> No.of Stories 3 Proposed No.of Dwelling Units: <br /> Occupancy Group I./22 Total No.of Dwelling Units: <br /> Occupant Load Landscape or Planning Inspection <br /> Basement Yes— No J( Fin/Unf needed before final? Yes No <br /> Type of Construction 1 Planning Inspector: ..:2it,- <br /> Exstg <br /> / <br /> Exstg Sprinkler System? Yes No_Unk_ Phone#: 25? ^ 2/55-- <br /> Fire <br /> SFire Sprink Reqd? Yes No Approved by: `T.. - Date: /Z/S//te <br /> Reason Historic Approved by: Date: I <br /> Exstg Fire Alarm? Yes— No_Unk_ 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: /2.///if <br /> Comments: 20 tZ (14C fIfs!Cc <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 /> School Mitigation Paid? Yes_ No_ Date Pd <br />