91-100525CITY OF
FEDERAL WAY
REVISION
BUILDING
PERMIT
5),/00sz.5�
BUILDING INSPECTION
941-1555
PERMIT NO. 91-495 CA OWNER'S NAME PACIFIC FIRST BANK (FRED MEYEW ADDRESS 33702 -B
21ST AVENUE SW
LEASE CRUTCHER LEWIS
1201 THIRD AVENUE #320 SEATTLE, WA
622-1666
CONTRACTOR ADDRESS
CONT. PHONE
LEASECL118NB
CONT. REG. NO. OWNER'S
PHONE OWNER'S ADDRESS
TYPE JOB: NEW RESIDENCE ADDITION NEW INDUSTRIAL
NEW COMMERCIAL COMMERCIAL ADD. INDUSTRIAL ADD.
NEW PUBLIC PUBLIC ADD.
NEW MULTI -FAMILY (UNITS ) MULTI. ADD. SIGN
GRADING OTHER
TAX ACCOUNT NO. 242103-9099
LEGAL DESCRIPTION
ISSUED BY JOANNE JOHNSON
11,101
DATE OF ISSUE DATE OF APPLICATION
6-5-91
BUILDING INFORMATION
NE OCCUPANCY
TYPE OF CONSTRUCTION
BLDG.SQ.FT.
SET BACKS: FRONT-- SIDE
REAR _ STORIES
HEIGHT LIMIT
PLUMBING NO. NO.
MECHANICAL APPLIANCES AMT. AMT.
BOND
WA F� CLOSE'S ELEC. HOT WATER HEATER
GAS PIPING FT. BOILER
RECEIVED _
BAT S LAUNDRY DRAINS
COMPRESSOR _ TANK(S)
SHO ERS URINALS
FORCED AIR FURNACE AIR HANDLING UNIT _
NUMBER _
t
LAVATORIES DRINKING FOUNTAINS
GAS HOT WATER HTR. MISC,
RETURNED
SINKS MISC.
CONVERSION BURNER BASIC FEE
DISHWASHERS TOTAL FIXTURES
UNIT HEATER TOTAL MECHANICAL
AMOUNT
VALUATION
PERMIT FEE
PLAN CHECK FEE $30-00
PLAN REVIEW FEE FOR REVISION = $30.00
PLUMBING FEE
FEE
WECHANICAL
AL BLDG. FEES
I /i
PART P/C FEE
DATE:
SEPA REVIEW
WATER SERVICE
AMOUNT:
$30.00
WATER MAIN CHG.
S.B.C.C. FEE
RECEIPT:
OTHER FEES
AWOUNT DUE
ALL PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS
STARTED. RESIDENTIAL AND GRADING PERMITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE.
I CERTIFY THAT THE INFORMATION FURNISHED BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY
OF FEDERAL WAY
REQUIREMENTS WILL BE MET-
t
- �
(r��
OWNER OR AGENT��
OWNER
DATE
•
CITY OF FEDERAL WAY
BUILDING PERMIT APPLICATION
— Please Print — ---I -%-n —— /1 n
BOX 1 TENANT NAME:
LC_
OWNER' 1C I SITE LOCATION
OWNER'S ADD ESS CITY PHONE
DESCRIBE JOB
THE PROPERTY IS OWNED BY: SINGLE/MARRIED PARTNERSHIP CORPORATI N
BOX 2 CONTRACTOR'S NAME CONTRACTOR'S REG. #
Card MUST be presented
CONTRACTOR'S ADDRESSU 07 &�,t � CITY �� �,{/�r PHONE 02--r%6
EXPIRATION DATE
—
OR
—
I HAVE READ CHAPTER 18.27.010 RELATINgX DEFINITIONS OF GENERAL CONTRACTORS AND SPECIALTY CONTRACTORS AND
CHAPTER 18.27.110 WHICH PROHIBITS ISSUING PERMITS WITHOUT PROOF OF REGISTRATION.
BOX 3 CONTACT PERSON t Y - 77 Vt
PHONEL42; `NY!
BOX 4 SEWER DISTRICT G(1
WATER DISTRICT
BOX 5 ESTIMATED PROJECT COST
EXISTING BUILDING VALUATION
BOX 6 PROPERTY TAX ACCOUNT NUMBER Z4 Z
LEGAL DESCRIPTION
(If necessary, please submit a separate page with the legal description.)
K.C. Plat Recording #
BOX 7 BUILDING SQUARE FOOTAGE: (xistiri / roposed)
1ST FLOOR 2ND
FLOOR /
3RD FLOOR / MENT / DECK /
GARAGE /
BOX 8 ( ) SINGLE FAMILY
( NEW CONSTRUCTION rZ%$qfF
/tyft6W__qJ
( ) MULTIFAMILY (NO. OF UNITS = )
V) EXISTING STRUCTURE
( COMMERCIAL/INDUSTRIAL
TOTAL AREA OF PROPERTY
SO FT
BOX 9 PLUMBING FIXTURES (including rough -ins)
MECHANICAL APPLIANCES — BASIC FEE $
N0. WATERCLOSETS
GAS PIPING, FEET
$
BATHTUBS
N0. FURNACE, ELEC. GAS $
SHOWERS
GAS HOT WATER HEATER
$
LAVATORIES
CONVERSION BURNER
$
SINKS
BOILER, SIZE BTU
$
DISHWASHERS
AIR HANDLING UNITS
$
ELECTRIC HOT WATER HEATER
HEAT PUMPS, SIZE
$
LAUNDRY WASHER OUTLET
UNIT HEATERS
$
URINALS
AIR COOLING UNITS, SIZE
$
DRINKING FOUNTAINS
COMMERCIAL HOOD
$
SUMPS, SPRINKLER VACUUM BREAKERS
—OTHER-
$
AINS
$
OTHER
$
TOTAL FIXTURES
$
_
TOTAL MECHANICAL FEE
$
I CERTIFY UNDER PENALTY OF PERJURY THAT THE INFORMATION FURNISHED BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWdDGE
AND FURTHER THAT I AM AUTHORIZED BY THE OWNER OFTHE ABOVE PREMISES TO PERFORM THE WORK FOR WHICH PERMIT APPLICATION IS
MADE. I FURTHER AGREE TO SAVE HARMLESS THE CITY OF FEDERAL WAY AS TO ANY CLAIM (INCLUDING COSTS, EXPENSES, AND ATTORNEYS'
FEES INCURRED IN INVESTIGATION AND DEFENSE OF SUCH CLAIM), WHICH MAY BE MADE BY ANY PERSON, INCLUDING THE UNDERSIGNED,
AND FILED AGAINST THE CITY OF FEDERAL WAY, BUT ONLY WHERE SUCH CLAIM ARISES OUT OF THE RELIANCE OF THE CITY, INCLUDING ITS
OFFICERS AND EMPLOYEES, UPON THE ACCURACY OF THE INFORMATION SUPPLIED TO THE CITY AS A PART OF THIS APPLICATION.
OWNER/AGENT: �V 6'v��„. DATE:�,L_G
ANP -008 3/90
ZONE SETBACKS: FRONT_
PLANNING DEPARTMENT APPROVAL
REMARKS:
•.
OFFICE USE ONLY (PLEASE DO NOT WRITE BELOW TH111RE)
SIDE REAR HEIGHT LIMIT
SEPA: EXEMPT NOT EXEMPT
FIRE DEPARTMENT APPROVAL DATE
REMARKS:
PUBLIC WORKS DEPARTMENT APPROVAL DATE
REMARKS:
TYPE OF JOB: NEW RESIDEN RES. ADD/ALT NEW INDUSTRIAL IND. ADD/ALT
NEW COMMERCIAL COMM. ADD/ALT NEW MULTIFAMILY (UNITS )
MULTIFAMILY ADD/A, TENANT IMP. OTHER
OCCUPANCY TYPE OF CONSTRUCTION STORES
BUILDING SQ. FT. @ _
BUILDING SQ. FT. @ _
BUILDING SQ. FT. @ _
BUILDING SQ. FT. @ _
BUILDING SQ. FT. @ _
BUILDING SQ. FT. @ _
TOTAL SQ. FT. TOTAL VALUATION
BUILDING DEPARTMENT REMARKS:
JUN - 5 1"
p tAT
RECEIVED
ASSIGNED ADDRESS: 5(f
PARTIAL PLAN CHECK FEE RECEIVED
Amount Date Receipt #
BUILDING DEPARTMENT APPROVAL
BY 4' DATE
PERMIT FEE
PLAN CHECK FEE
PLUMBING FEE
MECHANICAL FEE
TOTAL BLDG. FEES
PART P/C FEE
SEPA REVIEW
S.B.C.C. FEE
OTHER FEES
AMOUNT DUE
ACCEPTED FOR FILING
CITY OF
FEDERAL WAY
(4371
BUILDING PERMIT BUILDING
941- 1 SSECTION
PERMIT NO. 91-495 CA OWNER'S NAME PACIFIC FIRST BANK JOB ADDRESS 33702 B 21 AVE SW
CONTRACTOR LEASE CRUTCHER LEWIS
ADDRESS 1201 3 AVE #320 SEATTLE CONT. PHONE 622-1666
CONT. REG. NO. LEASECWI8NB 6/91
OWNER'S PHONE 503-721-3500 OWNER'S ADDRESS 3000 SE 22 AVE PORTLAND, OREGON
TYPE JOB: NEW RESIDENCE ADDITION NEW
INDUSTRIAL NEW COMMERCIAL COMMERCIAL ADD. INDUSTRIAL ADD. _ NEW PUBLIC PUBLIC ADD.
NEW MULTI -FAMILY (UNITS ) MULTI. ADD.
SIGN GRADING OTHER TENANT IMPROVEMENT INSIDE "FRED MEYER"
TAX ACCOUNT NO. 242103-9099
LEGAL DESCRIPTION OTRL BE SECTL 24 TWBL 21 RNG 03 FOLIO: C21732
SUBAREA: 440-000
JED BY ELIZABETH SNYDER
DATE OF ISSUE DATE OF APPLICATION 4/23/91
BUILDING INFORMATION
ZONE BC OCCUPANCY —2 TYPE OF CONSTRUCTION 5—N BLDG. SO. FT. 820
SET BACKS: FRONT NA SIDE
NA REAR_NA _ STORIES NA HEIGHT LIMIT NA
PLUMBING NO.
NO.
MECHANICAL APPLIANCES AMT. AMT.
BOND
WATER CLOSETS ELEC. HOT WATER HEATER
GAS PIPING FT. BOILER
RECEIVED _
BATHTUBS LAUNDRY DRAINS
COMPRESSOR TANK(S)
SHONIRS URINALS
FORCED AIR FURNACE AIR HANDLING UNIT
NUMBER _
LAVATORIES DRINKING FOUNTAINS
_
GAS HOT WATER HTR. MISC
RETURNED
SINKS , _1_ MISC.
CONVERSION BURNER BASIC FEE
DISHWASHERS TOTAL FIXTURES
1 X 5_._0_0
UNIT HEATER TOTAL MECHANICAL NONE.
AMOUNT NONE
VALUATION $13,951 0 n
PLANNING DEPT APPROVAL = BILL KINGMAN ON 4/26/91
PERMIT FEE $153-00
PLAN CHECK FEE 9190 c
UMBING FEE inn----
FIRE DEPT APPROVAL = KEVIN ELLIS ON 5/3/91
� CHANICAL FEE
PUBLIC WORKS APPROVAL = RON GARRON ON 5/8/91
TOTAL BLDG. FEES n�n�
PART P/C FEE _
BLDG DEPT APPROVAL = KEVIN ELLI S ON 5/3/91
npwmv�gwP.WORKS $30.00
WATER SERVICE
WATER MAIN CHG.
/
S.B.C.C. FEE 4.50
DATE PD AMT REC'T
OTHER FEES FIRE D 7.65
AMOUNT DUE $299.15
ALL PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF
NO WORK IS STARTED. RESIDENTIAL AND GRADING PERMITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE.
I CERTIFY THAT THE INFOR ATION URNISHED BY
ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY
REQUIREMENTS WILL B .
OWNER OR AGENT '
DATE~
0 •,. �
CITY OIF FEDERAL WAY
• BUILDING PERMIT APPLICATION
Please Print —
C` Pr
BOX 1 TENANT NAME: FK�51-r L3?kN Kr, rf __4 &"L -e, � /
OWNER CI SITE LOCATION
OWNER'S ADIJRESS CITY efJ5% 102- PHONE1571
DESCRIBE JOB
THE PROPERTY IS OWNED BY: SINGLE/MARRIED PARTNERSHIP CORPORATION
BOX 2 CONTRACTOR'S NAME L�E�FG I�__ �'4,��� CONTRACTOR'S REG. # — GFS 1i5Ri3
Card UST be p esente
CONTRACTOR'S ADDRESS ZO CITY '. W&PHONE &/fl 4?_0
EXPIRATION DATE
—OR—
I HAVE READ CHAPTER 18.27.010 RELATING TO FINITIONS OF GENERAL CONTRACTORS AND SPECIALTY CONTRACTORS AND
CHAPTER 18.27.110 WHICH PROHIBITS ISSUING PERMITS WITHOUT PROOF OF REGISTRATION.
BOX 3 CONTACT PERSON r PHONE
BOX 4 SEWER DISTRICT WATER DISTRICT
BOX 5 ESTIMATED PROJECT COST EXISTING BUILDING VALUATION
BOX 6 PROPERTY TAX ACCOUNT NUMBER 2
LEGAL DESCRIPTION
hErr-r �T .
(If necessary, please submit a separate page with the legal description.)
. K.C. Plat Recording #
M7 BUILDING SQUARE FOOTAGE:Existin roposed) 1ST FLOOR_/�,._ 2ND FLOOR /
3RD FLOOR / (ENT_ J DECK / GARAGE /
BOX 8 ( ) SINGLE FAMILY
(K) NEW CONSTRUCTION —rt �
[Mff4l�K �
( ) MULTIFAMILY (NO. OF UNITS = )
EXISTING STRUCTURE
(�) COMMERCIAL/INDUSTRIAL
TOTAL AREA OF PROPERTY B00
SQ FT
BOX 9 PLUMBING FIXTURES (including rough -ins)
MECHANICAL APPLIANCES —
BASIC FEE $ (I��
N0. WATERCLOSETS
GAS PIPING, FEET
$
BATHTUBS
N0. FURNACE, ELEC. GAS
$
SHOWERS
GAS HOT WATER HEATER
$
LAVATORIES
CONVERSION BURNER
$
SINKS
BOILER, SIZE BTU
$
DISHWASHERS
AIR HANDLING UNITS
$
ELECTRIC HOT WATER HEATER
HEAT PUMPS, SIZE
$
LAUNDRY WASHER OUTLET
UNIT HEATERS
$
URINALS
AIR COOLING UNITS, SIZE
$
DRINKING FOUNTAINS
COMMERCIAL HOOD
$
SUMPS, SPRINKLER VACUUM BREAKERS
OTHER
$
DRAINS
$
OTHER
$
=TOTAL FIXTURES
$
AC - = S-. Q
TOTAL MECHANICAL FEE
$
I CERTIFY UNDER PENALTY OF PERJURY THAT THE INFORMATION FURNISHED BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWYEDGE
AND FURTHER THAT I AM AUTHORIZED BY THE OWNER OF THE ABOVE PREMISES TO PERFORM THE WORK FOR WHICH PERMIT APPLICATION IS
E. I FURTHER AGREE TO SAVE HARMLESS THE CITY OF FEDERAL WAY AS TO ANY CLAIM (INCLUDING COSTS, EXPENSES, AND ATTORNEYS'
'IRS INCURRED IN INVESTIGATION AND DEFENSE OF SUCH CLAIM), WHICH MAY BE MADE BY ANY PERSON, INCLUDING THE UNDERSIGNED,
AND FILED AGAINST THE CITY OF FEDERAL WAY, BUT ONLY WHERE SUCH CLAIM ARISES OUT OF THE RELIANCE OF THE CITY, INCLUDING ITS
OFFICERS AND EMPLOYEES, UPON THE ACCURACY OF THE INFORMATION SUPPLIED TO THE CITY AS A PART OF THIS APPLICATION.
OWNER/AGENT:
DATE:
ANP -008 3/90
OFFICE USE ONLY (PLEASE DO NOT A L U!"i-W TI LINE)
ZONE SETBACKS: FRONT SIDE REAl3_HEIGHT LIMIT N
PLANNING DEPARTMENT APPROVAL
REMARKS:
SEPA: EXEMPT NOT EXEMPT
FIRE DEPARTMENT APPROVAL
DATE
REMARKS:
PUBLIC WORKS DEPARTMENT APPROVAL
DATE
REMARKS:
TYPE OF JOB: NEW RESIDENCE RES.
ADD/ALT NEW INDUSTRIAL IND. ADD/ALT
NEW COMMERCIAL COMM. ADD/ALT
NEW MULTIFAMILY
(UNITS )
MULTIFAMILY ADD/ALT TENANT IMP.
OTHER
OCCUPANCY 2 TYPE OF CONSTRUCTION U
STORES
BUILDING SQ. FT.
@
66 —5 G
BUILDING SQ. FT.
@
_
BUILDING SQ. FT.
@
_
BUILDING SQ. FT.
@
_
BUILDING SQ. FT.
BUILDING SQ. FT.
@
@�-
_
TOTAL SQ. FT.
TOTAL VALUATION
BUILDING DEPARTMENT REMARKS:
PERMIT FEE
rs 3
PLAN CHECK FEE
`r
PLUMBING FEE
S`c
MECHANICAL FEE
-0
TOTAL BLDG. FEES
LS
PART P/C FEE
SEPA REVIEW
yo iJ ,Qo view
30. oo
S.B.C.C. FEE
`3 d
OTHER FEES FD Fe*
? 1 6 51 -
AMOUNT DUE
S fit
ASSIGNED ADDRESS: 3 370 1' Z( sr Ave S, Lt)
Amount
PARTIAL PLAN CHECK FEE RECEIVED
Date
Receipt #
BUILDING DEPARTMENT APPROVAL C�
BY ' DATE .)-3-
(�
v�O
� Py�3tiPP�
O �
G Q,
ACCEPTED FOR FILING
CITY OF
FEDERAL WAY
BUILDING PERMIT BUILDING
941!N SSECTION
PERMIT NO.
OWNER'S NAME JOB ADDRESS
CONTRACTOR
ADDRESS
CONT. PHONE
CONT. REG. NO.
OWNER'S PHONE OWNER'S ADDRESS
TYPE JOB: NEW RESIDENCE
ADDITION NEW INDUSTRIAL NEW COMMERCIAL COMMERCIAL ADD. INDUSTRIAL ADD.
NEW PUBLIC PUBLIC ADD.
NEW MULTI -FAMILY (UNITS
) MULTI. ADD. SIGN GRADING OTHER
TAX ACCOUNT NO.
LEGAL DESCRIPTION
ISSUED BY
DATE OF ISSUE DATE OF APPLICATION
BUILDING INFORMATION
ZONE
OCCUPANCY TYPE OF CONSTRUCTION
BLDG. SO. FT.
SET BACKS: FRONT
SIDE - REAR_ _ __ STORIES
HEIGHT LIMIT
PLUMBING NO.
NO.
MECHANICAL APPLIANCES AMT. AMT.
BOND
WATER CLOSETS
ELEC. HOT WATER HEATER
GAS PIPING FT. BOILER
RECEIVED _
BATHTUBS
LAUNDRY DRAINS
COMPRESSOR TANK(S)
SHOWERS
URINALS __
FORCED AIR FURNACE _ AIR HANDLING UNIT _
NUMBER _
LAVATORIES
DRINKING FOUNTAINS _
GAS HOT WATER HTR. _ MISC
RETURNED
SINKS
MISC.
CONVERSION BURNER BASIC FEE
DISHWASHERS
TOTAL FIXTURES
UNIT HEATER TOTAL MECHANICAL
AMOUNT
VALUATION
PERMIT FEE
AN PL II FR efjP REVISION $30.00
PLAN CHECK FEE
-
PLUMBING FEE
MECHANICAL FEE
J
TOTAL BLDG. FEES
PART P/C FEE-.-
SEPA REVIEW
' S30. 00
WATER SERVICE
-----
WATER MAIN CHG.
;CFF
S.B.C.C. FEE
o _ .
M
OTHER FEES
AMOUNT DUE
ALL PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS STARTED. RESIDENTIAL AND GRADING PERMITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE.
I CERTIFY THAT THE INFORMATION FURNISHED BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY
OF FEDERAL WAY
REQUIREMENTS WILL BE MET:
OWNER OR AGENT
DATE
CITY OF
FEDERAL WAY
BUILDING IN 55ECTION
BUILDING PERMIT
PERMIT NO.
OWNER'S NAME
JOB ADDRESS
CONTRACTOR
ADDRESS
CONT PHONE
CONT. REG. NO.
OWNER'S PHONE
OWNER'S ADDRESS
TYPE JOB: NEW RESIDENCE
ADDITION NEW INDUSTRIAL NEW COMMERCIAL COMMERCIAL ADD. INDUSTRIAL ADD
NEW PUBLIC PUBLIC ADD.
NEW MULTI -FAMILY (UNITS
) MULTI. ADD. SIGN GRADING OTHER
TAX ACCOUNT NO.
LEGAL DESCRIPTION
ISSUED BY
_ DATE OF ISSUE
DATE OF APPLICATION
BUILDING INFORMATION
ZONE
OCCUPANCY TYPE OF CONSTRUCTION
_
BLDG. SO. FT
SET BACKS: FRONT
SIDE REAR
STORIES _
HEIGHT LIMIT
PLUMBING NO.
NO.
MECHANICAL APPLIANCES
AMT. AMT.
BOND
WATER CLOSETS
ELEC. HOT WATER HEATER
GAS PIPING _ FT _
BOILER _
RECEIVED
BATHTUBS
LAUNDRY DRAINS
COMPRESSOR
TANK(S)
SHOWERS
URINALS
FORCED AIR FURNACE
AIR HANDLING UNIT
NUMBER _
LAVATORIES
DRINKING FOUNTAINS
GAS HOT WATER HTR.
MISC
RETURNED
SINKS
MISC.
CONVERSION BURNER
BASIC FEE _
DISHWASHERS
TOTAL FIXTURES
UNIT HEATER
_ TOTAL MECHANICAL
AMOUNT
VALUATION *-1
nr
3,251
PUMNING, DEPT' APPitt7�"JAL -
j
BILL KINCN- l.. ON 4/ 26/91
PERMIT FEE .of
PLAN CHECK FEE
J,
PLUMBING FEE
—_
FIRE DEPT APPROVAL. -
/
KEVIN F.LLIS OF 5/3/ 91
MECHANICAL FEE _
PUBLIC WORKS APPROVAL =
RON GARRON ON 5/8191
TOTAL BLDG. FEES
BLDG DEF` ' APP"ZAL -
X VIN ELLI S Or, 5/3/91
PART P/C FEE
WATER SERVICE
WATER MAIN CHG.
f 2
S B.C.0 FEE
DATE P
I�' j ;� '
-•
OTHER FEES IRS • `
-
-- _ . ,�
---__�_
-99•
AMOUNT DUE
ALL PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS STARTED. RESIDENTIAL AND GRADING PERMITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE.
I CERTIFY THAT THE INFORMATION
FURNISHED BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY
OF FEDERAL WAY
REQUIREMENTS WILL BE MET:
OWNER OR AGENT
DATE
-SET BACKS AND FOOTINGS
DATE _ _ -_ --__-.BY
O.K TO POUR FOUNDATION WALLS
DATE - ___BY .....
_
PLUMBING GROUNDWORK
DATE _ BY _
PLUMBING ROUGH IN
DATE ........-_......_......BY
__.._
WATER LINE O.K.
GAS PIPING O.K.____.__..-.__._.__
MECHANICAL INSPECTION
DATE -_....... -- - _ - Y ---- ..... ........ - --. .............
O.K. TO ENCLOS FRAMING
DATE '7 BY
�/ . // - . ,�
INSULATION
DATE .. - _. BY -.-
._---_ .._
WALL BOARD AND IRE WALL
DATE � _ / _.._. ...BY J
FINAL O.K. T OC UPY
DATE _ BY
/'
_-
DCD
PSD
FD
r
i