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FOR OFF/CE USE ONLY � c3 �c� ad5 <br />BUILDING <br />Bldg/TI/Addn/Rem Size <br />Garage Size <br />VALUATION `� 3� S <br />No. of Stories 2 <br />Occupancy Group �. G( <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 />Fire Alarm Reqd? Yes No <br />Reason <br />CO Required? Yes _ No _ <br />Enclosure (RCW64.55) Yes No _ <br />Approved by: Date: /2 /i�/3 <br />Comments: ZJ!'L l�PG � (tJSEC <br />FEES <br />Plan Check Fee <br />Buildinq Permit <br />Surcharge <br />Additional Plan Check <br />Water <br />Sewer <br />Systems Dev. Due? Yes <br />Public Works <br />Traffic Mitigation Due? Yes <br />School Mitiaation Paid? Yes <br />PLANNING <br />Zoning Classification �� <br />Overlay/Agreement -- <br />Nonresidential Use <br />Proposed No. of Dwelling Units: �� � �� <br />Total No. of Dwelling Units: � G'��1Z <br />Landscape or Planning Inspection <br />needed before final? Yes No V <br />Planning Inspector: <br />Phone #: ��' 2�•� <br />Approved by: Date: <br />Historic Approved by: .�-- Date: - <br />School Mitigation Reqd? Yes V <br />Comments: <br />�qV� <br />�( �l�i�� � <br />1V� <br />v��� <br />a��� <br />No <br />No Rcpt # <br />No Date Pd <br />