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B�Ol� 0��9Ct�' �S� O�!!�Y <br />BUILDIIVG <br />Size <br />Garage Size <br />VALUATfON <br />Number of Stories <br />Occupancy Group <br />Occupant Load <br />Basement Yes No Fin/Unf <br />Type of Construction <br />Existing SprinklerSysfem? Yes No Unk <br />Fire Sprinkler Required Yes No <br />Reason <br />Existing Fire Alarm Yes No Unk <br />Fire Alarm Required Yes No <br />Reason <br />Enclosure Law Applies Yes <br />Deferred Submittal Req'd Yes No <br />qpproved by: Date: <br />Camm�nts� <br />FEES <br />Plan Check Fee <br />Building Permit <br />Surcharge <br />Additional Plan Check <br />Plumbing Fee <br />Mechanical Fee <br />Ping Bldg Review Fee <br />Water Fee <br />5ewer Fee <br />Systems Dev. Fee <br />Traffic Mitigation Fee <br />Public Works Fee <br />School Mitigation Fee <br />�RMIT# �(�r� � !� <br />PUBLIC WORKS <br />Intake Checked By: Date: <br />Intake Comments: <br />PW Permif Application Submitted? Yes No <br />PW Worksheet Required? Yes No <br />PW REVIEW: PW Reviewer: Dafe: <br />SEE PW WORKSHEET-returned to file <br />PW Permit Approved, PW Permif Nof Required <br />FIRE DERARTMENT <br />Update/New Sprink�ers Yes _ No Existing Bldg._ <br />Update! New Detection Yes ! No Existing Bldg. <br />Update/ New Chemical Yes _ No /Existing Bldg. <br />Update/ New Fire ervice Yes _ No /Existing Bldg. _ <br />Approved by: \�./�/ Date: iu-1�-16 <br />Comments: <br />�L'��'"� � ``/ <br />�. <br />