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C I LoZ -DOS <br /> FOR OFFICE USE ONLY <br /> BUILDING PLANNING <br /> Bldg/TI/Addn/Rem Size Z/2 6. S.F. Zoning Classification r< <br /> Garage Size x $¢. Overlay/Agreement <br /> VALUATION 26 , 53 7 Nonresidential Use <br /> No.of Stories Z. Proposed No.of Dwelling Units: / <br /> Occupancy Group gAt Total No.of Dwelling Units: / <br /> Occupant Load Landscape or Planning in ection <br /> Basement Yes_ No A Fin/Unf needed before final? No— <br /> Type of Construction <br /> Planning Inspector: �J <br /> Exstg Sprinkler System? Yes_ No_Unf Phone#: 47-5 -- 5�7—5: 5" t/ <br /> Fire Sprink Reqd? Yes_ No_ Approved by �J GDate:4/D'13.- <br /> Reason Historic Approved by: Date: <br /> Exstg Fire Alarm? Yes_ No_Unk_ School Mitigation Reqd? Yes_ No <br /> Fire Alarm Reqd? Yes No <br /> — Comments: <br /> Reason <br /> CO Required? Yes_ No <br /> Enclosure(RCW64.55) Yes— No_ <br /> Approved by: Date: 2n. / <br /> Comments: ZOiz /ic f �wc <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 /> School Mitigation Paid? Yes— No_ Date Pd <br /> Z12 <br />