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,� .. ; <br /><. , ,_ , <br />FOR OFF/CE USE ONLY <br />BUILDING <br />L'Id9/il/Ad.1NRem Size <br />Gal�e 8ize <br />V�ILUATION <br />Nu. of Stories <br />Occupancy Group <br />OccupanlLoad <br />Basement Yes No Fin/Unf__ <br />Type of Construclion <br />Ezs!gSprinklerSystem7 Ye5 No U�k_ <br />Fire Spnnk Reqd? Yes Ivo <br />Reason <br />Exstg Fire Alarm? Yes _ No ____ Unk,___ <br />Fire Alarm Reqd? Yes No <br />Reason <br />Enctosure (R 6..55) Yes _ No <br />Approved b : Date: � - �/ � <br />Commenls: <br />J <br />S ►SU�- �Yj� <br />z� Z <br />