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I �-7—/3 <br />FOR OFFICE USE ONLY B 12LZ <br />BUILDING <br />Bldg/fl/Addn/Rem Size <br />Garage Size <br />VALUATION <br />No. of Stories <br />Occupancy Group <br />Occupant Load <br />`5 <br />Basement <br />Yes _ _ <br />FinlUnf_ <br />Type of Construction <br />�Nio <br />L1 <br />Exslg Sprinkler System? <br />Yes _)4 No <br />Unk <br />Fire Sprink Reqd? <br />Yes No <br />Reason <br />Exstg Fire Alarm? <br />Yes _� No <br />_ Unk___ <br />Fire Alarm Reqd? <br />Yes _ No <br />Reason <br />CO Required? <br />Yes _ No <br />Enclosure (RCW64.55) <br />NA <br />Approved by: r/\14' <br />Date: J <br />3 <br />Comments: <br />FEES <br />Plan Check Fee <br />Building Permit <br />Surcharge <br />Additional Plan Check <br />Water <br />Sewer <br />Systems Development <br />Public Works <br />PLANNING <br />Zoning Classification <br />Overlay/Agreement <br />Nonresidential Use <br />Total No. of Dwelling Units: <br />Landscape or Planning Inspection <br />needed before final? Yes No <br />Planning Inspector: <br />Phone #: <br />Approved by: Date: <br />Historic Approved by: Date: <br />Comments: <br />not >Td—r T 41g13 <br />24i <br />