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FOR OFFICE <br />USE ONLY <br />/31`t02-GO5 <br />BUILDING <br />PLANNING <br />BldgITI/AddnlRem Size <br />Zoning Classification <br />Garage Size <br />Overlay/Agreement <br />VALUATION <br />Nonresidential Use <br />No of Stories <br />Total No. of Dwelling Units <br />Occupancy Group <br />Landscape or Planning Inspection <br />Occupant Load <br />needed before final? Yes _ No _ <br />Basement <br />Yes _ No Fin/Unf <br />Planning Inspector: <br />Type of Construction <br />Q C Y, <br />Phone #. <br />Exstg SpneklerSystem? <br />Yes No Unk_ <br />Approved by. Date: <br />Fire Sprink Reqd? <br />Yes No _ <br />Historic Approved by. Date: <br />Reason <br />Comments: <br />Exstg Fire Alarm? <br />Yes No Unk <br />Fire Alarm Reqd? <br />Yes No <br />Reason <br />CO Required <br />Yes No _ <br />Enclosure (R 6455) <br />Approved by <br />Dat <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 />Traffic Mitigation <br />Other <br />� /Z <br />