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Ql �D3 -�l� <br /> FOR OFFICE USE ONLY D3�j3�,� <br /> T�✓ ;5-�r� r.f vi-rc��2. <br /> BUILDING PLANNING <br /> BIdg1Tl/AddnlRem Size Zoning Classification <br /> Size ��O .S� OverlaylAgreement <br /> VALUATION 7 O O Nonresidential Use �--�- <br /> No. of Staries Total No.of Dwelling Units: <br /> Occupanc Group Lendscape or Planning InspecUon <br /> Occu ant Load needed before flnai7 Yes No� <br /> Basement Yes No_FinNni Plannin Inspector: <br /> T e of Construction Phonc#: <br /> Ecslg Spnnk�cr System? Yes_ No_Unk_ Approved� Date: b3 'L 10 I <br /> Fire Sprink Reqd? Yes No Historic Approved by: ^ Dalo: ^ <br /> Reason Comments: �C'}�IC,4—'S GLPt�VDvP t�CIQ-(Z. <br /> Ezsl Fire Alartn? Yes No Unk V��1� -bo� , <br /> Fire Alartn Reqd7 Yes No <br /> Roason <br /> CO Re uired7 Yes Na K <br /> [nclosure RCW61.55 <br /> Approved b : Date: ,3 �S <br /> Commenis: Z,pCy �/QG <br /> FEES <br /> Plan Check Fee <br /> Ouilding Permit <br /> Suroharqc <br /> Additional Plin Chock <br /> Waler <br /> Sewer <br /> S slems Develo menl <br /> Public Works <br /> TraRc Mitic alion <br /> Other <br /> 2I� <br />