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91-100829 9)_ /c OSS, CITY OF BUILDING INSPECTION FEDERAL WAY BUILDING PERMIT 941-1555 PERMIT NO. 91 -785 RA OWNER'S NAME HAROLD T.ADTTKE _ JOB ADDRESS _925 SW 31 7TH STREET CONTRACTOR SF.T.F ADDRESS -- CONT. PHONE -- CONT. REG. NO. -- OWNER'S PHONE 838-7228 OWNER'S ADDRESS 7576 SW 123RD FEDERAL WAY 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. 873198-1750-02 LEGAL DESCRIPTION LOT 175 TWLIN LAKES #5 7/0)ISSUED BY JOANNE JOHNSON DATE OF ISSUE qi DATE OF APPLICATION 6-12-91 BUILDING INFORMATION ZONE RS 7.2 OCCUPANCY R3 TYPE OF CONSTRUCTIONVN _ BLDG. SQ. FT 792 SET BACKS: FRONT 20 SIDE 5_ REAR__ 5 STORIES HEIGHT LIMIT 30' ^ PLUMBING NO. NO. MECHANICAL APPLIANCES AMT. AMT. BOND WATER CLOSETS 1 ELEC. HOT WATER HEATER GAS PIPING FT. BOILER lb RECEIVED _ BATHTUBS 1 LAUNDRY DRAINS _ COMPRESSOR _ TANK(S) SHOWERS 1 URINALS FORCED AIR FURNACE AIR HANDLING UNIT NUMBER RETURNED _ LAVATORIES 1 DRINKING FOUNTAINS GAS HOT WATER HTR. MISC SINKS MISC. CONVERSION BURNER BASIC FEE DISHWASHERS TOTAL FIXTURES 4X5 _20,_00 UNIT HEATER _ TOTAL MECHANICAL AMOUNT VALUATION 46,003.5$__ PLANNING DEPT APPROVAL: LS 6-21-91 PERMIT FEE 395_00 PUBLIC WORKS DEPT APPROVAL: TC 6-28-91 PLAN CHECK FEE 257-0_0_ BUILDING DEPT APPROVAL: KC 7-3-91 PLUMBING FEE 20-010_ MECHANICAL 0_010_ MECHANICAL FEE TOTAL BLDG. FEES PART P/C FEE .1 .2:a.-- SEPA REVIEW DATE: WATER SERVICE WATER MAIN CHG. AMOUNT: 721.50 S.B.C.C. FEE 4. 50 OOTHER FEES WORKS 45.00 RECEIPT: C AMOUNT DUE 771. 50 ALL PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS STARTED. RESIDENTIAL AND GRADING PERMIT-S EXPIRE ONE YEAR AFTER DATE OF ISSUANCE. I CERTIFY THAT THE INFORMATION FURNISHED BY M IS Tr 0 E • ,D Co:"RECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY REQUIREMENTS WILL B M ` / .- OWNER OR AGENT. i , DATE 7 % CITY OF BUILDING INSPECTION FEDERAL WAY BUILDING PERMIT 941-1555 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 SUED BY DATE OF ISSUE_ DATE OF APPLICATION BUILDING INFORMATION ZONE OCCUPANCY TYPE OF CONSTRUCTION BLDG. SQ. FT SET BACKS: FRONT SIDEREAR 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 SINKS RETURNED MISC. CONVERSION BURNER BASIC FEE DISHWASHERS TOTAL FIXTURES UNIT HEATER TOTAL MECHANICAL AMOUNT VALUATION PERMIT FEE PLAN CHECK FEE UMBING FEE CHANICAL FEE TOTAL BLDG. FEES PART P/C FEE SEPA REVIEW WATER SERVICE WATER MAIN CHG. S.B.C.C. FEE 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 _ o m 0 0 0 v 0 Cl) z n > -1 —1 r m H m co 0 0 co ! D 0 O O D Z 0 m 0 "4, 0 0m c T = 0 CO _< Co > co Z co• O_ Z 1 N) coO 1 0 C) 0 Z 0 > >0 O 110 0 ,I , co D � m r- -n H m H A xi 0 —I 13 r COQ O O Z Z o m c OD O O ,� m O ('�`^'\ C I ^,i o CO CO -Di -< -< 5 • Z v jV > O i 9\ r I o g 0 K 0 _I-- -I - imm m D CO 00 I Z 1 Z D 137 1 5 ' C�G) O r 0 z33 ZO o CD Z m ' 0-n c) 0 m O O r 1 I 1 CITY OF BUILDING INSPECTION FEDERAL WAY BUILDING PERMIT 941-1555 434 PERMIT NO. 91-785 REV OWNER'S NAME HAROLD LADUKE JOB ADDRESS 3925 SW 317 ST CONTRACTOR OWNER ADDRESS 2526 SW 323 ST FEDERAL WAY CONT. PHONE ni- 73-<)-g CONT. REG. NO. NA 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 REVISION TO EXISTING # 91-785 TAX ACCOUNT NO. 873198-1750 LEGAL DESCRIPTION LOT 175 TWIN LAKES #5 ISSUED BY ELIZABETH SNYDER DATE OF ISSUE - 3 l w 1 DATE OF APPLICATION 7/26/91 BUILDING INFORMATION SE OCCUPANCY TYPE OF CONSTRUCTION BLDG. SQ. FT. 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 NONE UNIT HEATER TOTAL MECHANICAL NONE AMOUNT NONE VALUATION NONE 2 HR PLAN REVIEW ON REVISION @ $30.00 PER HR PERMIT FEE PLAN CHECK FEE $60.00 PLUMBING FEE MECHANICAL FEE OTAL BLDG. FEES ART P/C FEE SEPA REVIEW WATER SERVICE WATER MAIN CHG. S.B.C.C. FEE DATE PD 3 ('17 AMNT $60.00 RE'CT 3 6, ,. OTHER FEES AMOUNT DUE $60.00 ALL PERMITS EXPIRE 180 D'YS AFTER ISSUANCE IF NO WORK STARTED. RESIDENTIAL AND GRADING PERMITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE. I CERTIFY THAT THE INFO'.. ATION FURNISHE' :Y E CI ' R AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY REQUIREMENTS WILL '.:E M: • - r OWNER OR AG- ' #111DATE CITY OF BUILDING INSPECTION FEDERAL WAY BUILDING PERMIT 941-1555 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. SQ. 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 HR PLAN REVIEW ON REVISION @ $30.00 PER PR PERMIT FEE PLAN CHECK dIKUMBING FEE AIIIPIECHANICAL FEE TOTAL BLDG. FEES PART P/C FEE SEPA REVIEW WATER SERVICE WATER MAIN CHG. S.B.C.C. FEE DATE PT, AMhT $60.00 r `'CT 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 3 \ .+. 1'_ 0 W I. D n Q vt f -4 G S c) ^1 DJ ► IC/ 0 ' p •Z 0 z ',� m a \ 4) nk� � 'i \ = o p o2-1 Px d7. , r r r : c°7 r; \, r 0 0 Z 0 0 O 0 0 M m m —i �, ` D 33 0 kA A � z � o I �, I ZZ 0 m C �_N t kb,( . m 0 Z N _< 0 N t Z 1 r- D O r-• n f a g a Km a -o r • tSa h m � H = H � \ N, CO D W W c i i + 0 A m 0 3 0 \ m 0 8 V .1 330 n ( -n W D co Z W T -< r -G h r 1 r v I I 1 . n • IF Permit # q(— 715 � A- AND CITY OF FEDERAL WAY JUN i 2 1991 BUILDING PERMIT APPLICATION .FEDEFIAL WAY — Please Print— BUILDINGGirl C° pr. BOX 1 TENANT NAM : OWNER j F-o>.- D L LA---71)J,1,_ L, SITE LOCATION -�'I' �.% a ; 1 _57- OWNER'S i OWNER'S ADDRESS c_ -&-3 --4 CITY LOCATION, Lit (,,,.'., PHONE 63b 7i7-�' DESCRIBE JOB - 1`2Ix Ai "( ICt's, I+ Cc THE PROPERTY IS OWNED BY: SINGLE/MARRIED JP-A.'1"- --& PARTNERSHIP CORPORATION BOX 2 CONTRACTOR'S NAME j,c-L 1.^ CONTRACTOR'S REG. # Card MUST be presented CONTRACTOR'S ADDRESS CITY PHONE EXPIRATION DATE o.r/ sE wee_ — OR — I HAVE READ CHAPTER 18.27.010 RELATING TO DEFINITIONS OF GENERAL CONTRACTORS AND SPECIALTY CONTRACTORS AND CHAPTER 18.27.110 WF ICH PROHIBITS ISSUING PERMITS WITHOUT PROOF OF REGISTRATION. BOX 3 CONTACT PERSON (—x�..`- ,_< ,,� _Ii t ii,_,. PHONES 74- c1eF) dBOX 4 SEWER DISTRICT WATER DISTRICT BOX 5 ESTIMATED PROJECT COS-142G, a" EXISTING BUILDING VALUATION /.36, e BOX 6 PROPERTY TAX ACCOUNT NUMBEJR b 7,-31/ 1 --- / 76-0 - O2. LEGAL DESCRIPTION 1-FT I75 , c.) L -s h ,s-- (If j(If necessary, please submit a separate page with the legal description.) K.C. Plat Recording # BOX 7 BUILDING SQUARE FOOTAGE: (Existing/Proposed) 1ST FLOOf x`S'� ,Y10p iidB--ft@OR/"kox / g`" li 3RD FLOOR / BASEMENT / DECK / GARAGE / BOX 8 ( ) SINGLE FAMILY ( ) NEW CONSTRUCTION ( ) MULTIFAMILY (NO. OF UNITS = ) ( ) EXISTING STRUCTURE ( ) COMMERCIAL/INDUSTRIAL TOTAL AREA OF PROPERTY SQ FT BOX 9 PLUMBING FIXTURES (including rough-ins) MECHANICAL APPLIANCES— BASIC FEE$ NO. I WATERCLOSETS GAS PIPING, FEET $ i BATHTUBS NO._ 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 $ X Z.p- j TOTAL MECHANICAL FEE $ I CERTIFY UNDER PENALTY OF PERJURY THAT THE INFORMATION FURNISHED BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND FURTHER THAT I AM AUTHORIZED BY THE OWNER OF THE 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 NDERSIGNED,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 EMPLO EES, UPON THE ACCU; • ' QF NFORMATION SUPPLIED TO THE CITY AS A PART OF THIS APPLICATION. OWNER/AGENT: r ( ! `"� v DATE: l 2- ANP-008 3/90 W si OFFICE USE ONLY (PLEASE DO NOT WRITE BELOW THIS LINE) (1,y:t i 4;; , t , ZONE 'S 72-SETBACKS: FRONT 2e?' a SID C-1 REAR S1 HEIGHT LIMIT 06 I PLANNING DEPARTMENT APPROVAL c �. 6-24 7( REMARKS: SEPA: EXEMPT '--! NOT EXEMPT FIRE DEPARTMENT APPROVAL ^//, DATE REMARKS: v PUBLIC WORKS DEPARTMENT APPROVAL Tom_ DATE (/2—SY*7 REMARKS: TYPE OF JOB: NEW RESIDENCE RES. ADD/ALT X NEW INDUSTRIAL IND. ADD/ALT NEW COMMERCIAL COMM. ADD/ALT NEW MULTIFAMILY (UNITS ) MULTIFAMILY ADD/ALT TENANT IMP. OTHER OCCUPANCY( K3 TYPE OF CONSTRUCTION V4) STORES t,c '' IBUILDING SQ. FT. 6q Z @ 72-- 7 o = So y 4-6 6cev BUILDING SQ. FT. ( v C @ ( S ' 30 = (003 O BUILDING SQ. FT. @ = BUILDING SQ. FT. @ _ BUILDING SQ. FT. @ _ BUILDING SQ. FT. @ MOA ( F(e-tr % ° `.. :??d //. $ TOTAL SQ. FT. TOTAL VALUATION t-(6° 3- BUILDING DEPARTMENT REMARKS: AA p,,,, ,Gvcoe PERMIT FEE 3a S lAkt--€ Uc. Gi a U ( PLAN CHECK FEE i-c7 PLUMBING FEE 2.0- ° C MECHANICAL FEE TOTAL BLDG. FEES PART P/C FEE SEPA REVIEW S.B.C.C. FEE ys-0 OTHER FEES AMOUNT DUE ASSIGNED ADDRESS: ` ( S� S e-'e- ( RECEIVED - PARTIAL PLAN CHECK FEE RECEIVED JUN t 2 1991 Amount Date Receipt# orr c w i.WAY BUILDING DEPARTMENT APPROVAL �j RECEIVED BY /-' DATE 7- 3 - ( / ACCEPTED FOR FILING l'i cEi'/60 0 rmit # i. JUL dry oF2 6 199 CITY OF FEDERAL WAY --C t izlN FED W4Y bE BUILDING PERMIT APPLICATION 1-V-tii i C --((--)---) Please Print— BOX 1 TENANT NAME. OWNER ..iat. L— L _ ' J SITE LOCATION 31 SeJ 3t7%-�— OWNER'S AIDRESS - 3 CITYPHONE DESCRIBE JOB 0' + i 1 ' r— c,� -+ c� THE PROPERTY IS I NED BY: • ' / ARRIED / PARTNERSHIP CORPORATION BOX 2 CONTRACTOR'S NAME CONTRACTOR'S REG. # Card MUST be presented CONTRACTOR'S ADDRESS CITY PHONE EXPIRATION DATE — OR — I HAVE READ CHAPTER 18.27.010 RELATING TO DEFINITIONS OF GENERAL CONTRACTORS AND SPECIALTY CONTRACTORS AND CHAPTER 18.27.110 WHICH PROHIBITS ISSUING PERMITS WITHOUT PROOF OF REGISTRATION. BOX 3 CONTACT PERSON PHONE BOX 4 SEWER DISTRICT WATER DISTRICT BOX 5 ESTIMATED PROJECT COST EXISTING BUILDING VALUATION BOX 6 PROPERTY TAX ACCOUNT NUMBER LEGAL DESCRIPTION E- L,-,-- 'i 5 -(u`� i---A-P2 ' �r- 73 1 ct — 115 '' (If necessary, please submit a separate page with the legal description.) K.C. Plat Recording # BOX 7 BUILDING SQUARE FOOTAGE: (Existing/Proposed) 1ST FLOOR / 2ND FLOOR / 3RD FLOOR / BASEMENT / DECK / GARAGE / BOX 8 ( ) SINGLE FAMILY ( ) NEW CONSTRUCTION ( ) MULTIFAMILY (NO. OF UNITS = ) ( ) EXISTING STRUCTURE ( ) COMMERCIAL/INDUSTRIAL TOTAL AREA OF PROPERTY SQ FT BOX 9 PLUMBING FIXTURES (including rough-ins) MECHANICAL APPLIANCES — BASIC FEE$ NO. WATERCLOSETS GAS PIPING, FEET $ BATHTUBS NO. 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 $ I'INK ING FOUNTAINS COMMERCIAL HOOD $ SUMPS, SPRINKLER VACUUM BREAKERS OTHER $ DRAINS $ _ 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 OWLEDGE AND FURTHER THAT I AM AUTHORIZED BY THE OWNER OF THE 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 EMPL'YEES, UPON THE ACC . •ACY IF THE INFORMATION SUPPLIED TO THE CITY AS A PART OF THIS APPLICATION. / OWNER/AGENT. a `. _.11t ---- (-A-- DATE: 7— 7reV ANP-008 3/90 • OFFICE IISE ONLY (PLEASE DO NOT WRITE BELOW THIS LINE) r '�ti� IC' MO ZONE SETBACKS: FRONT SIDE REAR HEIGHT LIMIT �® PLANNING DEPARTMENT APPROVAL 7 ' REMARKS: SEPA: EXEMPT NOT EXEMPT /- FIRE DEPARTMENT APPROVAL DATE REMARKS: PUBLIC WORKS DEPARTMENT APPROVAL DATE REMARKS: TYPE OF JOB: NEW RESIDENCE RE . .DD/ALT NEW INDUSTRIAL IND. ADD/ALT NEW COMMERCIAL COMM. ADD .LT NEW MULTIFAMILY (UNITS ) MULTIFAMILY ADD/ALT TEN NT IMP. OTHER OCCUPANCY TYPE OF CONSTRUCTION STORES B LDING 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: PERMIT FEE v kv r (u V 1A l<--\N Cl(1-- CIS U .) ( v UV PLAN CHECK FEE C c.., / PLUMBING FEE 6 -6' MECHANICAL FEE TOTAL BLDG. FEES PART P/C FEE SEPA REVIEW S.B.C.C. FEE OTHER FEES AMOUNT DUE t(,C., ASSIGNED ADDRESS: 5 c- C--?(( S 1-1:(A-q Q Qgi J � r �� PARTIAL PLAN CHECK FEE RECEIVED LLl co O G Amount Date Receipt# N �� Lu ti. BUILDING DEPARTMENT APPROVAL ECE EC W BY ti�- DATE 7 2-6- 1 ACCEPTED FOR FILING