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• <br />FOR OFF/ CE USE ONL Y � j r�,�- C� �?. -G' l( <br />BUILDING <br />Bldg/TI/Addn/Rem Size � � <br />Garage Size <br />VALUATION -�j � <br />No. of Stories <br />Occupancy Group <br />Occupant Load ,�� <br />Basement Yes No �Fin/Unf <br />Type of Construction _ f�_j� � <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 (RCV�164.55) <br />Approved by: ; Date: �Z - / � <br />Comment� � <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 />PLANNING <br />Zoninq Classification <br />Overlay/Agreement <br />Nonresidential Use <br />Total No. of Dwellina Units: <br />Landscape or Planning Inspection <br />needed before fi ?- No <br />Planning Inspector• <br />Phone #: <br />Approved by:,.- ate: <br />Historic ppr ved by: Date: <br />Comments: � <br />�Z <br />