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FOR OFF/CE USE ONLY ���� �( � DGZ� <br />BUILDING <br />Bldg/TI/Addn/Rem Size �%-,,�,� � �� <br />Garage Size <br />VALUATION c?00 <br />No. of Stories z <br />Occupancy Group <br />Occupant Load <br />Basement Yes No Fin/Unf <br />Type of Construction <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: / �3 � <br />Comments: ���2 `�G � �,5.�.� <br />FEES <br />Plan Check Fee <br />Building Permit <br />Surcharge <br />Additional Plan Check <br />Water <br />Sewer <br />Systems Dev. Due? Yes <br />Public Works <br />Traffic Mitigation Due? Yes <br />School Mitiqation Paid? Yes <br />PLANNING <br />Zoning Classification �� 2 I <br />Overlay/Agreement <br />Nonresidential Use Q �� <br />Proposed No. of Dwelling Units: �� IvE <br />Total No. of Dwelling Units: 1 <br />Landscape or Planning Inspection <br />needed before final? Yes No �r <br />Planning Inspector: <br />Phone #: <br />Approved b: Date: �i ZL ��r <br />Historic Approved by: �-- Date: <br />School Mitigation Reqd? Yes No �� <br />Comments: •— <br />'� <br />No Rcpt # <br />No Date Pd <br />