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FOR OFFICE USE ONLY <br />BUILDING <br />Bldg/TI/Addn/Rem Size S ZZ S, � <br />Garage Size �%4 / 3 S S� <br />VALUATION „5Z �/ 3 <br />No. of Stories � <br />Occupancy Group {� <br />Occupant Load <br />Basement Yes No � FinlUnf <br />Type of Construction Q <br />Exstg Sprinkler System? Yes No Unk_ <br />Fire Sprink Reqd? Yes N�; _ <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) <br />Approved by: Date: $ 2g i3 <br />Comments: Z�� //zL `� lNS�L�- <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 />CI��S-���7 <br />PLANNING <br />Zoninq Classification � � <br />Overlay/Agreement N � <br />Nonresidential Use N'� <br />Total No. of Dwellinq Units: (���+�'J� <br />Landscape or Planning Inspection <br />needed before final? Yes � No _ <br />Planning InspectorS7�-3��-��N���' �S'�- <br />Phone #: �ZS Z-� 7 �8�f i ) <br />Approved by: ,. � Date: � S' �� 3 <br />� <br />Historic Approved by: Date: <br />C mme ts: <br />�� .�J � �� i i � .�- L �ZFJ'l <br />� �S �� <br />� <br />� , �tv: � —� � �¢"'��/ �", <br />���,�, J r <br />LoniS�';�'Zx.�C'�` <br />��f'j�jc'�_ P2t a t2 T—� -�'i�+�l �A L.. <br />p2 G O • <br />�/� <br />