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92-100447 CITY OF FEDERAL WAY ).- /00`iy 7 ,33530 First Way South BUILDING PERMIT 661-4140 NG INSPECTION Federal Way, WA 98003 661-4140 REVISION TO 92-425 NR PERMIT NO. 92-425 OT OWNER'S NAME L B CONST SITE ADDRESS 33610 4 AVE SW CONTRACTOR SAME ADDRESS CONT.PHONE CONT.REG.NO. EXP. 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 REVISIONS TO EXISTING PERMIT TAX ACCOUNT NO. 729805-0290 LEGAL DESCRIPTION - - 7/6711/ ISSUED BY E SNYDER DATE OF ISSUE DATE OF APPLICATION 4/29/92 IliBUILDING INFORMATION ZONE_ SET BACKS:FRONT SIDE REAR HEIGHT LIMIT OCCUPANCY TYPE OF CONSTRUCTION CENSUS NO. _TYPE OF HEAT BLDG.SQ.FT. - STORIES PLUMBING NO. NO. MECHANICAL APPLIANCES AMT. AMT. BOND WATER CLOSETS ELEC.HOT WATER HEATER GAS PIPING FT. GAS LOGS RECEIVED BATHTUBS LAUNDRY DRAINS FORCED AIR FURNACE DUCT WORK SHOWERS URINALS GAS HOT WATER HTR. AIR HANDLING UNIT NUMBER LAVATORIES DRINKING FOUNTAINS CONVERSION BURNER _ MISC. RETURNED SINKS MISC. BBQ BASIC FEE DISHWASHERS TOTAL FIXTURES DRYER TOTAL MECHANICAL AMOUNT VALUATION BLDG APPROVAL = KEVIN ELLIS PERMIT FEE PLAN CHECK FEE $60.00 PLUMBING FEE 2 HRS PLAN REVIEW OF REVISIONS •=CHANICAL FEE PART P/C FEE SEPA REVIEW - — PUBLIC WORKS S.B.C.C.FEE FIRE FEE - DATE: OTHER FEES AMOUNT: $60.00 AMOUNT DUE $60.00 - RECEIPT: C 4j- --'- I ci 'r3 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. e'- _ OWNER OR AGENT A` _' •' / ✓L_ DATE �_>/ / �/ _ 1 `CITY OF FEDERAL WAY 33530 First Way South BUILDING PERMIT BUILDING INSPECTION Federal Way, WA 98003 661-4140 PERMIT NO. OWNER'S NAME SITE ADDRESS CONTRACTOR ADDRESS CONT.PHONE___ CONT.REG.NO. _- EXP. _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 _ - - _ y BUILDING INFORMATION ZONE -SET BACKS:FRONT SIDE REAR HEIGHT LIMIT OCCUPANCY TYPE OF CONSTRUCTION CENSUS NO. _ TYPE OF HEAT BLDG.SQ.FT. STORIES___ PLUMBING NO. NO. MECHANICAL APPLIANCES AMT. AMT. BOND WATER CLOSETS ELEC.HOT WATER HEATER GAS PIPING FT. - GAS LOGS RECEIVED BATHTUBS __ LAUNDRY DRAINS FORCED AIR FURNACE DUCT WORK SHOWERS URINALS GAS HOT WATER HTR. AIR HANDLING UNIT NUMBER LAVATORIES DRINKING FOUNTAINS CONVERSION BURNER MISC. RETURNED SINKS MISC. _ BBQ BASIC FEE DISHWASHERS TOTAL FIXTURES DRYER TOTAL MECHANICAL AMOUNT VALUATION BLD; APPROVAL z KEVIN `A PERMIT FEE PLAN CHECK FEE PLUMBING FEE f 2 flit: PLAN REVIEW OF PEVT:,.T"' MECHANICAL FEE 0 P A R T P/C FEE SEPA REVIEW PUBLIC WORKS S.B.C.C.FEE - FIRE FEE DATE: OTHER FEES - - AMOUNT: AMOUNT DUE - - RECEIPT: 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 O.K TO POUR FOUNDATION WALLS PLUMBING GROUNDWORK DATE -....... BY _ -....._.__ DATE ......._-... BY -..... _.-_ DATE -...._ - __BY PLUMBING ROUGH IN WATER LINE O.K. -...... MECHANICAL INSPECTION DATE .._ .---...._-_....BY GAS PIPING O.K._ DATE BY O.K. TO ENCLOSE FRAMING INSULATION WALL BOARD AND FIRE WALL DATE .... _____--..BY -... DATE .....BY - .....--._._ DATE _ BY FINAL O.K. TO OCCUPY DCD PSD FD DATE BY CITY OF FEDERAL WAY 33530 First Way South BUILDING PERMIT BUILDING INSPECTION r Federal Way, WA 98003 661 4140 PERMIT NO. OWNER'S NAME _ SITE ADDRESS CONTRACTOR ADDRESS CONT.PHONE CONT.REG.NO. EXP. 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 SET BACKS:FRONT _ _SIDE - REAR _ - HEIGHT LIMIT OCCUPANCY TYPE OF CONSTRUCTION CENSUS NO. TYPE OF HEATBLDG.SQ.FT. STORIES PLUMBING NO. NO. MECHANICAL APPLIANCES AMT. AMT. BOND WATER CLOSETS ELEC.HOT WATER HEATER _ GAS PIPING FT. _ GAS LOGS RECEIVED BATHTUBS _ LAUNDRY DRAINS FORCED AIR FURNACE DUCT WORK SHOWERS _ URINALS _ GAS HOT WATER HTR. AIR HANDLING UNIT NUMBER LAVATORIES DRINKING FOUNTAINS CONVERSION BURNER MISC. RETURNED SINKS MISC. BBQ _ BASIC FEE DISHWASHERS _-_ TOTAL FIXTURES DRYER _ TOTAL MECHANICAL AMOUNT VALUATION - planning DEPT A?PROVAL, = DEB BARKER' PERMIT FEE "RETAIN TREES PER 4/9/92 REVISION: STATEMENT. INTRUSIONS INTO FRONT PLAN CHECK FEE '0 0 v` '00 YARD SETBACKS PROHIBITED PER FWXC. 115.115" PLUMBING FEE MECHANICAL FEE : L.. ,JO "NO BLDG SHALL ENCROACH ONTO ANY BUILDING SETBACir LINE OR EASEMENT, /92 (381.00) SHOWN OR NOT SHOWN' n PART P/C FEES -18625 EPA REVIEW 35.00 FIRE DEPT APPROVAL = KEVIN ELLIS PUBLIC WORKS 4.50 PBULIC WKS DEPT APPROVAL = JEFF S i 1, S.B.C.C.FEE FIRE FEE DATE: 'DOWNSPOUT;, FOOTING DRAINS & PUN—OFF FROM IMPER. OTHER FEES111116. 00 AMOUNT: f_ y T:4'0MOUS SURFACES SHALL BE TI(WTLINED TO THE AMOUNT DUE RECEIPT: j N_r APPROx,`ET STORES DRAIN CONNECTION PER PLAT CONDITION:71 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_ + \ 1 6 e `. 0 1 O O 0 m D m ,�\ � V�o m D m ? m K m r � 1N iO.nO I VC‘ r �., O D , tiO O o Ai 1 \� m ItC . I 71 m OZ 03 t,, \ '' 'NI t 1\ C) s ' I sik° j • e , n D co C) D 0 O m = 13 m m l} � D � � O I O Z Z 13 Z O m O \ m ln. Cor., 0 O 1 / m0 ci Z , o D Vv N r h \\ 0 i `[<,' > > 0 m > 'O m r m = m K �(� 07 D Co `n Z i Z `, O � n G7 I 1 0o L) W Z i. O , ! 1 0 \I'', (PO l Z m `P - ;14 0 0 m �r1 W O i� 0 1 i L•' 1 i Pere # C ,' ' '> CITY OF FEDERAL WAY eiJ I s / 0), APR ? 9 r n) BUILDING PERMIT APPLICATION —Please Print— _ ?JSt Gjl BOX 1 g1E1(1i4111AME: OWNER s c---4 C-- / SITE LOCATION •r r6. OWNER'S ADDRESS 2-57 - Z/5 T CITY . iL. —//4LL PHONE 93I9 DESCRIBE JOB .4/ / THE PROPERTY IS OWNED BY: SINGLE/MARRIED PARTNERSHIP CORPORATION BOX 2 CONTRACTOR'S NAME 0 t. r /a CONTRACTOR'S REG. #k3C G/✓.,k tf 1-12c6 ,, Card MUST be presented CONTRACTOR'S ADDRESS —7-$‘,e' Lf S e' CITY f- ' "LL: "c -• ONE /9J?-5PO4.7 24 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. B04,,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 (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 $ DRINKING 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 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 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: . /. / ("A i — DATE: ANP-008 3/90 OFFICE USE ONLY (PLEASE DO NOT WRITE BELOITHIS LINE) - 1 • ZONE SETBACKS: FRONT SIDE REAR HEIGHT LIMIT 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 f NEW MULTIFAMILY (UNITS MULTIFAMILY ADD/ALT TENANT IMP. ' OTHER OCCUPANCY TY,E OF CONSTRUCTION STORES BUILDING SQ. FF7. @ _ BUILDING SQ,#FT. @ _ BUILDING SQ. FT. @ _ BUILDING SQ. FT. @ _ BUILD G SQ. FT. @ _ BUI ING SQ. FT. @ _ OTAL SQ. FT. TOTAL VALUATION BUILDING DEPARTMENT REMARKS: //�� PERMIT FEE 7-hr (/ 4 V 1 e L,,/ U r re U ( S ( °� CEJ 3Oc2,: PLAN CHECK FEE 60 PLUMBING FEE r 6r , MECHANICAL FEE TOTAL BLDG. FEES PART P/C FEE SEPA REVIEW S.B.C.C. FEE OTHER FEES AMOUNT DUE ASSIGNED ADDRESS: Ste— C ( S r{ PARTIAL PLAN CHECK FEE RECEIVED Amount Date Receipt# BUILDING DEPARTMENT APPROVAL RECEIVED BY DATE —C( ACCEPTED FOR FILING • • • emit # qD- -4�5 RE(EIVED MAk 1 9 1992 CITY OF FEDERAL WAY /0'� OMOf&v� WAY BUILDING PERMIT APPLICATION B ILDMIG DEM — Please Print- BOX 1 TENANT NAME: OWNER Lc u • — SITE LOCATION ? t.> c_ • •h - _ ' . OWNER'S ADDRESS5.17 f ' - , h CITY/�7;4,' 4)/4-1-1L= PHONE DESCRIBE JOB O N ES'f/Fe. c it. 2 (<4.--v5 - THE PROPERTY IS OWNED BY: SINGLE/MARRIED ✓ PARTNERSHIP CORPORATION BOX 2 CONTRACTOR'S NAME /._O 1r 447 E In/c j CONTRACTOR'S REG. # Card MUST be presented CONTRACTOR'S ADDRESS S O✓c= 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 '7`�c,ht5;' /API,- PHONE g.�7/i) 2.7 BOX 4 SEWER DISTRICT WATER DISTRICT Fe P. 4 A I BOX 5 ESTIMATED PROJECT COST I2_1- 0 C' EXISTING BUILDING VALUATION BOX 6 PROPERTY TAX ACCOUNT NUMBER 'L? ? - f 05 _ Y2 .27/C/� O l LEGAL DESCRIPTION S" E-,C"- ,q-j ril- em -rj Loci �-'ci .< -\\I . f (If necessary, please submit a separate page with the legal description.) K.C. Plat Recording# BOX 7 BUILDING SQUARE FOOTAGE: (Existing/Proposed) 1ST FLOOR &ec / 2ND FLOOR 751, / 3RD FLOOR g/.3,5 / BASEMENT / DEC / GARAGE(t,Fk ' / BOX 8 (Al SINGLE FAMILY NEW CONSTR CTION ( ) MULTIFAMILY (NO. OF UNITS = ) ) EXISTING STRUCTURE / / ( ) COMMERCIAUINDUSTRIAL TOTAL AREA OF PROPERTY /. // 5 , U, SQ FT BOX 9 PLUMBING FIXTURES (including rough-ins) MECHANICAL APPLIANCES- BASIC FEE$ NO. 3 WATERCLOSETS GAS PIPING, FEET $ 3 5-0- d Z._ BATHTUBS NO._/FURNACE, ELEC. GAS L— $ ICI OO / SHOWERS / GAS HOT WATER HEATER $ 6•S 0 -4- LAVATORIES CONVERSION BURNER $ SINKS BOILER, SIZE BTU $ DISHWASHERS AIR HANDLING UNITS $ ELECTRIC HOT WATER HEATER HEAT PUMPS, SIZE $ I_LAUNDRY WASHER OUTLET UNIT HEATERS $ URINALS AIR COOLING UNITS, SIZE $ DRINKING FOUNTAINS COMMERCIAL HOOD $ SUMPS, SPRINKLER VACUUM BREAKERS OTHER $ DRAINS $ OTHER $ 13 $ TOTAL FIXTURES $ 10--.. (25---00 TOTAL MECHANICAL FEE $ 2O C)Q 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 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: Allibb_.ir- DATE: // / ANP-008 3/90 • • .- ��]'' OFFICE USE ONLY (PLEASE DO NOT WRITE BELOW THIS LINE) :',...17.„. 'w •4" ; A'ZONE61 SETBACKS: FRONT SIDEREAR f HEIGHT LIMIT PLANNING DEPARTMENT APPROVAL 11 Ytk,:. � encrcacn ont a. t'f"Y.7 rrq e�nii%e'- rrnn or e- mnnt,en rr u, f y REMA�iK�S�: �. , . r.� rr►.., w �e�I � y.-Geo . i.., s�q/9y S d�n � ,v 4 tAx- 1� _" po 2-c #_5://5-• SEPA: EXEMPT v NOT EXEMPT FIRE DEPARTMENT APPROVAL r ..- DATE y—U- REMARKS: PUBLIC WORKS DEPARTMENT APPROVAL 1 DATE (( -. --‘I2 REMARKS: Downspout,footing drains,and run-off from impervious surfaces shall be tightlined to the approved storm drain connection as required per condition of approved plat TYPE OF JOB: NEW RESIDENCE c RES. ADD/ALT NEW INDUSTRIAL IND. ADD/ALT NEW COMMERCIAL COMM. ADD/ALT NEW MULTIFAMILY (UNITS ) MULTIFAMILY ADD/ALT TENANT IMP. OTHER OCCUPANCY t1.', TYPE OF CONSTRUCTION V,k STORES )5CtS<- i"-Q,(&t BUILDING SQ. FT. (a60 @ 71 •70 = L.(31610 A-S T 1 e v (t v-9 BUILDING SQ. FT. 77 7 @ to _ ”.(rb_c,3O Zwd UU BUILDING SQ. FT. O (o @ 1( = 6Ze(Q,5-e . r- ____ rxei BUILDING SQ. FT. 6 0� @ It•3Q = 7 17, Z UI BUILDING SQ. FT. @ ,4kOdi. (c-v-- = 0 c % TOTAL SQ. FT. JiliC TOTAL VALUATION (5 '4 77%6 * 73 BUILDING DEPARTMENT REMARKS: , net Z p / PERMIT FEE j /f" — O - le& d�l$"C.�(, Gf`r a� znIviiiHNEGCIF<EFEEE I y� S! pe 579 je-v s 1 ( t- ( ( /3 ` 7 z C MECHANICAL FEE L U 1)e--5 Y:714.-Q--1/ r, LR' —C a ��vf( TOTAL BLDG. FEESPART P/C FEE (.3rI/ a)) �/ ( f C_ 1 IA-S f / SEPA REVIEW 'rzaue_ s 35- S.B.C.C. FEE ASO OTHER FEES Ll�� `�� AMOUNT DUE ASSIGNED ADDRESS: 33(01 0 l >* 4V e, S. I1, a v PARTIAL PLAN CHECK FEE RECEIVED 0 '-1g0�S Amount ` Date 3.-2.1)`41,--.)-4Receipt# BUILDING DEPARTMENT APPROVAL RECEIVED BY r DATE - 1 ' - 1 ACCEPTED FOR FILING • • ,, ,,,, ,, y) ' 6 ‘,k 4 , . , \x" k/o . .5< el\ e- , il . rqi , . \ .,› , , ,.., , t (1),,, .„ . A - • k y : , ,o, 4, ` .d .1241)/: . 1-qej t‘c k‘ (17 ' A, NO t‘ , -442. /---- \CI)\: ,... \I% ti \::- NA 'l' 1` 5 \- Q J 1 x` i , / . . Xy 0" ----7�` -a .,,. ,,,, ki, '''' / / o 2-' _ / tip`0 .., 17 .7/ • , "=Ro" 0C,o7" R9 .o 0 SITE PLAN APPAOVAI.,(,� _ �o T P�-.4 N, Permit Number - 2' Approved By: ��i siV .4, 0, C0/457-12(1C-77o, 1 Date: P/M G R1CR°1_VED i‘,07- 9; R/06•,- Dit/i S/D- Comments: /0 - ./- • APR 9 9-47A-5 Pxa2 'SLAT Reg tat.) r? PERMIT#. 1 L-'(-h NCL 1 N ✓o�v,v). i•m oF p.L X75, PA-6-E R 5 1 R4zao 2v s 0F i/4 &- CoUN7'/