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���Zy Za�r p� S� <br />�o� o��r�� r�s� �n��, � <br />BUILDING <br />Bldg/TIlAddn/Rem Size ,�/6 <br />Garage Size /,S <br />VALUATION ' fp � <br />� <br />No. of Stories 3 <br />Occupant Load <br />Basemenf Yes No �,(F <br />Type of Consfruction � 8 <br />Exsfg Sprink(er System? Yes No <br />Fire Sprink Reqd? Yes No _ <br />Reason <br />Exstg Fire Alarm? Yes _ No <br />Fire Alarm Reqd? Yes No <br />Reason I <br />CO Required? Yes No <br />Enclosure (RCW64.55) Yes No _ <br />Approved by: Dafe: /Z �' /�j <br />Comments: 2��2 //LG � G✓S� <br />Plan Check Fee <br />Building Permit <br />Surcharge <br />Additional Plan Check <br />� Sewer <br />�Systems Dev. Due? <br />Public Works <br />Traffic Mitigafion Due? <br />School Mitigation Paid? <br />PLANNING <br />Zoning Classification <br />Overfay/Agreement <br />Nonresidential Use <br />Proposed No. of Dwelling Units; <br />Total No. of Dwelling Unifs: <br />Landscape or Pfanning Inspection <br />needed before finaf? Yes � No <br />Planning Inspector. �v(��� `�� <br />Phone ##: �t( � y; 2 S% � <br />Nistoric ApqFo�ed f� Dafe; <br />School Mitigation Reqd? Yes _ No <br />Comments; <br />FEES <br />Yes No • <br />Yes No_ Rcpt# <br />Yes No Date Pd <br />Z�� <br />