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c <br />FOR OFF/CE USE ONLY G �`-i, rj 7- �-G� <br />BUILDING <br />Bld /TI/ dd Rem Size �� Z S S h� <br />Garage Size <br />VALUATION ` �'j 3 8 <br />No. of Stories � <br />Occupancy Group R <br />Occupant Load <br />Basement Yes No Fin/Unf <br />Type of Construction <br />Exstg Sprinkler System? Yes NO Unk <br />Fire Sprink Reqd? Yes No <br />Reason <br />Exstg Fire Alarm? Yes No Unk <br />�ire Alarm Reqd? Yes No <br />Reason <br />CO Required? Yes No <br />Enclosure (RCW64. 5) <br />Approved by: ' Date: � 30 � <br />Comments: ���Z �� � � f� <br />FEES <br />Plan Check Fee <br />Buildin Permit <br />Surcharge <br />Additional Plan Check <br />Water <br />Sewer <br />Systems Development <br />Public Works <br />Traffic Miti ation <br />Other <br />PLANNING <br />Zoning Classification /�'� <br />Overlay/Agreement j f U j�{ C <br />Nonresidential Use <br />Total No. of Dwelling Units: �—'--- <br />Landscape or Planning Inspection <br />needed before finai? Yes No V <br />Planninq Inspector: <br />Phone #: <br />Historic Ap� <br />Comments: <br />----_ <br />Date: � <br />bv: Date: <br />Z�� <br />