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� <br />FOR OFFICE USE ONLY �j (�. G c� 'GZ3 <br />BUILDING <br />Bldg�fl/Addn/Rem Size <br />Garage Size �Z( 5��� <br />VALUATION �jE� � � <br />No. of Stories , <br />Occupancy Group (-'� <br />Occupant Load <br />Basement Yes No J� Fin/Unf <br />Type of Construction �'13 <br />Exstg Sprinkler System? Yes No Unk <br />Fire Sprink Reqd? Yes No <br />Reason <br />Exstg Fire Alarm? Yes No _ Unk <br />Fire Alarm Reqd? Yes No <br />Reason <br />CO Required? Yes No <br />Enclosure (RCW64.55) Yes No _ <br />Approved by: Date: Q t o � <br />Comments: ��� Z � � �; <br />FEES <br />Plan Check Fee <br />Buildin4 Permit <br />Surcharge <br />Additional Plan Check <br />Water <br />Sewer <br />Systems Dev. Due? Yes <br />Public Works <br />Traffic Mitiqation Due? Yes <br />PLANNING <br />Zoning Classification � � � <br />Overlay/Agreement <br />Nonresidential Use <br />Proposed No. of Dwelling Units: <br />Total No. of Dwelling Units: <br />Landscape or Planning Inspection <br />needed before final? Yes No� <br />Planning Inspector: <br />Phone #: <br />Approved by: ' Date: ! 1 <br />Historic Approved by: Date: <br />School Mitigation Reqd? Yes _ No <br />Comments: <br />No <br />No Rcpt # <br />Mitiaation Paid? IYes No Date Pd <br />��� <br />