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� <br />� <br />FOR OFFICE USE ONLY ����j �-_ U C� <br />BUILDING <br />Bidg/TI/Addn/RemSize 'y,�iS74 <br />Garage Size <br />VALUATION I � <br />No. of Stories � <br />Occupancy Group /� <br />Occupant Load <br />Basement Yes No Fin/Unf <br />Type of Construction /3 <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 />Enclosure (RCW64.55) Yes No _ <br />Approved by: 4// Date: � Z� <br />Comments: �j�Z �/�G <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 Mitiqation Due? Yes <br />PLANNING <br />Zoning Classification <br />Overlay/Agreement <br />Nonresidential Use <br />Residential 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: <br />Historic Approved by: Date: <br />School Mitigation Reqd? Yes No <br />Comments: <br />�rl� ��� � <br />� <br />r��fi �re� . <br />V _-- <br />� � <br />No <br />No Rcpt # <br />zf� <br />