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FOR OFFICE USE ONLY <br /> bt3t? -0-o7 <br /> BUILDING ZONING <br /> BIdg.IT.I.Size Lot Area <br /> Size /Z8 $F Front Setback 41/4 oma <br /> VALUATION j 000 Rear Setback SIA/� <br /> No.of Stories Side Setback <br /> Occupancy Group u Vacant Site Yes_ No Z <br /> Occupant Load Use Zone V- <br /> Basement Yes No J( Height Limitation <br /> Type of Construction Q No.of Dwelling Units <br /> Fire Sprink Reqd Landscape I Planning Inspection / <br /> Reason needed before f al? Yes_ No V <br /> Fire Alarm Reqd Approved by( f Date 0 JS/f� <br /> Reason Comments: tt <br /> CO Required? 1 Q63 <br /> 2— <br /> L <br /> Enclosure(RCW64.55) Iv ✓j�-1'� <br /> Approved by cgir Date <br /> Comments: Zo/L /44' <br /> FEES <br /> Plan Check Fee <br /> Building Permit <br /> Surcharge <br /> Additional Plan Check <br /> Water <br /> Sewer <br /> Systems Development <br /> Public Works <br /> Traffic Mitigation <br /> Other <br />