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916 PACIFIC AVE FAIRFAX HOSPITAL 2016-10-04
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916 PACIFIC AVE FAIRFAX HOSPITAL 2016-10-04
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Last modified
1/13/2017 1:56:47 AM
Creation date
10/4/2016 11:10:53 AM
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Template:
Address Document
Street Name
PACIFIC AVE
Street Number
916
Tenant Name
FAIRFAX HOSPITAL
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• <br />FOR OFFICE USE ONLY <br />I� �_3��,�c�� <br />- BUILDING <br />Bldg./T.I. Size Q � � � �` <br />Garage Size <br />VALUATION <br />No. of Stories /� % `" <br />Occupancy Group �. � <br />Occupant Load Z. g � <br />Basement Yes No <br />Type of Construction � ��S <br />Fire Sprink Reqd �� <br />Reason ';` .�(. `� L- <br />Fire Alarm Reqd �L <br />Reason f � � �° �!,y , <br />CO Required? `�F_ .s <br />Enclosure (RCW64.55) !J -� <br />Approved by , n„ , Date � > - � i'� , p � <br />Comments: L�� <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 />ZONING <br />Lot Area <br />Front Setback <br />Rear Setback <br />Side Setback <br />Vacant Site Yes No <br />Use Zone <br />Height Limitation <br />No. of Dwelling Units <br />Landscape / Planning Inspection <br />needed before final? Yes No <br />Approved by� �C' C Date ��'�- <br />Comments: `r 1 � �,1,� � �"�✓ <br />Z` z <br />
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