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�2 � // 3f�i �L S� <br />� <br />�'o� ������ �s� ��� � <br />BUILDING <br />Bldg�l/Addn/Rem Size � / S <br />Garage Size 3�s f <br />VALUATION ��p.3 <br />` No, of Stories 3 <br />Occupancy Group (� <br />Occupanf Load <br />Basement Yes No �Fin/Un <br />Type of Consfruction � 8 <br />Exstg Sprink(er 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 (RCW64.55) Yes No _ <br />Approved by: Dafe: / fj / <br />Comments: 2 p� z, l2 G�/NS�G <br />FEES <br />Plan Check Fee <br />Building Permit <br />Surcharge <br />Additional Plan Check <br />Water <br />�Systems Dev. Due? <br />Public Works <br />Tra�c Mitigation Due? <br />School Miti4ation Paid'. <br />es <br />PLANIVING <br />Classification <br />Over(ay/Agreement <br />Nonresidential Use <br />Proposed No. of Dwelling Units: <br />Tofal No. of Dwelling Unifs: <br />Landscape or Pfanning Inspection <br />needed before fina(? Yes �- No <br />Planning Inspecfor. _ , �✓ <br />Phone #: L�� 5 � `? "zj J% <br />Approved e: j 2 I' <br />�Historic Appr ed b . Dafe: <br />School Mitigation Reqd? Yes _ No� <br />Commenfs; <br />No • <br />No _ Rcpt # <br />No Date Pd <br />Z�z <br />