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FOR OFFICE USE ONLY <br /> I� 172 )C� <br /> BUIL�ING PLANNING <br /> B�dg/TVAddn/Rem Size Ze.vn Classification <br /> Garagc Si�c Ovcrlay/Agreemenl <br /> VALUATION Nonresidenhal Use <br /> No. of Stones Propos?d No. oi Dwel6n Units: <br /> Occupanc Group Total No ol Dwelhn Unds: <br /> Occupant Load Landscapc or Planning Inspeclion <br /> Basement Yes No Fm/Unf needed before final9 Yes _ No <br /> T pe o(Conslruction Plann�eg Inspector: <br /> Erstg Spnnk�er System'+ Yes No Unk Ph�one tl: <br /> Fre Sp�ink Reqd? Yes No A proved b �. Date: <br /> Reason Histo:ic Approved b Date: <br /> Exst Fire Alarm� Yes No Unk School fd4i ation Reqd? Yes No <br /> Fre Alarm Re d� Yes No Comments: <br /> Reason <br /> CO Re uired? Yes No /�b CQ/��l'IZC •/� ' <br /> Enclosure (RCW64.55) Yes No_ �-�7- <br /> Approved by� Date' <br /> C�-�/� <br /> Comments: <br /> FEES <br /> Plan CM1eck Fee <br /> Huddm Pcrmit <br /> Surchar9e <br /> l+ddiUonal Plan Check <br /> Water <br /> Sewer <br /> Systems �ev. Due? Ycs No <br /> PubGG\Norks <br /> Traffic Mdigalion Due� Ves No Rcpt f! <br /> S[hool IdAi ztion Paid� Yes �do Date Pd <br /> �/ <br /> � <br />