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91-100894 90 ./ IDUSNLi CITY OF BUILDING INSPECTION FEDERAL WAY BUILDING PERMIT 941-1555 91-848 RAFELIX & BETTY BLUBAUGH 3755 SW 319 ST PERMIT NO. OWNER'S NAME JOB ADDRESS FOUR SEASONS/ALL CUSTOnD N�KS 4150 B PL NW #105 AUBURN CONT. PHONE 852-4503 CONTRACTOR FOURSAC099CO 1/92 838-3159 SAME AS ABOVE CONT. REG. NO. OWNER'S PHONE OWNER'S ADDRESS - TYPE JOB: NEW RESIDENCE ADDITIONXX NEW INDUSTRIAL NEW COMMERCIAL COMMERCIAL ADD. INDUSTRIAL ADD. NEW PUBLIC PUBLIC ADD. NEW MULTI-FAMILYUNITS ) MULTI.ADD. SIGN GRADING OTHER CONSTRUCT DECK 87 TAX ACCOUNT NO. 3198-3140 LEGAL DESCRIPTION LOT 134 OF PLAT TWIN LAKES #5 ISSUED BY ELIZABETH SNYDER DATE OF ISSUE 7/i 7/9/ DATE OF APPLICATION 6/25/91 BUILDING INFORMATION tE RS 7.2 OCCUPANCY m-2 TYPE OF CONSTRUCTION 5-N BLDG. SO. FT. 336 SET BACKS: FRONT 20' SIDE 5' EACH REAR_ 5 I 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) _ 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 $2956.00 PERMIT FEE $54.00 PLANNING DEPT APPROVAL = DEB BARKER PLAN CHECK FEE 35.00 PUBLIC WKS DEPT APPROVAL = TOM COLLINS PLUMBING FEE •HANICAL FEE AL BLDG. FEES $89.00 BLDG DEPT APPROVAL = KEVIN ELLIS PART P/C FEE SEPA REVIEW WATER SERVICE WATER MAIN CHG. DATE PD AMT $128.50 RE'CT [aTh`71 r3 S.B.C.C. FEE 4.50 OTHER FEES P' WKS. 35.00 AMOUNT DUE $128.50 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: , / may' OWNER OR AGENT / ��-ss:-- n-.c..„ DATE 7/V /7/ CITY OF FEDERAL WAY 33530 First Way South BUILCIING PERMIT BUILDING INSPECTION Federal Way, WA 98003 661-4140 PERMIT NO. 91-848 RA OWNER'S NAME FELIX/BETTY BLUBAUGH SITE ADDRESS 3755 SW 319 ST CONTRACTOR FOUR SEASONS DECKS ADDRESS 4150 "B" PL NW #105 AUBURN CONT.PHONE 852-4503 CONT.REG.NO. FOURSACO99CO EXP. 1/92 OWNER'S PHONE 838-3159 OWNER'S ADDRESS SAME AS SITE 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 PERMIT # 91-848 TAX ACCOUNT NO. 873198-3140 LEGAL DESCRIPTION LOT 134 OF PLAT TWIN LAKES #5 ISSUED BY ELIZABETH SNYDER DATE OF ISSUE DATE OF APPLICATION 9/6/91 BUILDING INFORMATION *ONE SET BACKS:FRONT SIDE REAR HEIGHT LIMIT OCCUPANCY TYPE OF CONSTRUCTION _CENSUS NO. 434 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 NONE DRYER TOTAL MECHANICAL NONE AMOUNT NONE VALUATION PERMIT FEE _ BLDG DEPT APPROVAL = MIKE MONEN PLAN CHECK FEE $30.00 PLUMBING FEE "REVISION ONLY" MECHANICAL FEE • PART P/C FEE SEPA REVIEW PUBLIC WORKS '---12 ._--.4/ I S.B.C.C.FEE FIRE FEE DATE: OTHER FEES AMOUNT: 30.00 AMOUNT DUE $30_00 RECEIPT: 3610 g 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 FUR ED BY ME IS T E AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY REQUIREMENTS WILL BE MET. LOWNER OR AGEN� ��? ��t DATE I j CIS`; OF FEDERAL WAY 33530 First Federal Way661 4 `, ay South WA 98003 BUILDING PERMIT BUILDING INSPECTION 40 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 IIIDNE 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 PERMIT FEE BLDG DEPT APPROVAL = MIKE . 'cONEN PLAN CHECK FEE PLUMBING FEE OWLS* MECHANICAL FEE •RT P/C FEE SEPA REVIEW PUBLIC WORKS - I ! 2 /� ' S.B.C.C.FEE r 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 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 iBUILDING 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 55.00 VALUATION PLANNING DEPT APPROVAL = DEB RARKEsi. PERMIT FEE PLAN CHECK FEE PUBLIC WKS DEPT .APPROVAL == TOM COLLINS UMBING FEE CHANICAL FEE _ BLDG DEPT APPROVAL a KEVIN .ELLIS TOTAL BLDG. FEES PART P/C FEE SEPA REVIEW WATER SERVICE WATER MAIN CHG. -- DATE O AMT $118,50 FSE♦L"T 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 o O 0 'r0 0 m 1 Z C 1 '.) ---1 r m -i m K m co 0 CO D $ ... f A.. " z 0 1 ^`' `^ r N, C 1 .�1 O ~ O� CO o \ 1 3:1 J/( W -< W > co z -< O V k- Z 14 0 \' b o Z Lg 0 0 1110 \I U ' O N, W pZZ O Z m c r OO • ? (' ml.. r • 0 Z D ti) CO 1 -< o z a o \C. jIV V `g 0 0 m 0 -p n \ m r m i m K r = h� \4 . � CO z z W 1 JO0 D I O i r o - z � n N. m Cm) 0 N.r I t . N 0 m -10 IN- N - 33 N. co co z W \ J 1J1 1 r ti N 1 REVISION 0 Pipit #7/--gya ) .sitc)p-L RECEIVED , / CFP 6 CITY OF FEDERAL WAY rid ��mer• o(� ' BUILDING PERMIT APPLICATION — Please Print- BOX 1 TENANT NAME: OWNER a ` . r_ / . : . ✓.;, i SITE LOCATION J55 5 h, J� y' 5r- OWNER'S ADDRESS 3 255- s 3 •. ST CITY F h J PHONE '3� 3/59' DESCRIBE JOB p X Cv,)f K . - r $.'1 jA, ON / THE PROPERTY IS OWNED BY: SINGLEA RIS ED ) PARTNERSHIP CORPORATION BOX 2 CONTRACTOR'S NAME l(,-S z�so. s C�us4.� � i CONTRACTOR'S REG. # F,-4.s+` ,19 CO / Card MUST be presented CON DATE CONTRACTOR'S ADDRESS /5 D /' �L. N W () 1 CITY.APter.-+ PHONE E32-9:___S-C" � — OR — I HAVE READ CHAPTER 18.27.01URELATING TO DEFINITIONS OF GENERAL CONTRACTORS AND SPECIALTY CONTRACTORS AND CHAPTER 18.27.110 WHICH PROHIBITS ISSUING PERMITS WITHOUT PROOF OF REGISTRATION. BOX 3 CONTACT PERSON . PHONE BOX 4 SEWER DISTRICT - WATER DISTRICT BOX 5 ESTIMATED PROJECT COST ---- EXISTING BUILDING VALUATION BOX 6 PROPERTY TAX ACCOUNT NUMBER 57-7/ 7g_ :3 y S(IfLEGAL DESCRIPTION Le..,' /"' o fi P/q ,y? 1dK�s '4"...5-- (If necessary, please submit a separate page with the legal description.) K.C. Plat Recording # BOX 7 BUILDING SQUARE FOOTAGE: (Existing/Proposed) 1ST FLOOR / 2ND FLOOR / 3RD FLOOR / BASEMENT / DECK / GARAGE / BOX 8 ( ) SINGLE FAMILY ( ) NEW CONSTRUCTION ( ) MULTIFAMILY (NO. OF UNITS = ) ( ) EXISTING STRUCTURE ( ) COMMERCIAL/INDUSTRIAL TOTAL AREA OF PROPERTY SQ FT BOX 9 PLUMBING FIXTURES (including rough-ins) MECHANICAL APPLIANCES — BASIC FEE$ 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 U DER PENALTY OF PERJURY THAT THE INFORMATION FURNISHED BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNO E 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 WA :UT ONLY WHERE SUCH CLAIM ARISES OUT OF THE RELIANCE OF THE CITY, INCLUDING ITS OFFICERS AND EMPLO _ S, d'I" T! , . .; t OF THE INFORMATION SUPPLIED TO THE CITY AS A PART OF THIS APPLICATION. / ,, OWNER/AGENt/ 'A 1 A DAT • _.1 - Z - V ANP-008 3/90 • OFFICE USE ONLY (PLEASE DO NOT WRI I t BELOW THIS LINE) ZONE SETBACKS: FRONT SIDE REAR HEIGHT LIMIT PLANNING DEPARTMENT APPROVAL yyrr REMARKS: /A SEPA: EXEMPT NOT EXEMPT FIRE DEPARTMENT APPROVAL DATE REMARKS: /1//A PUBLIC WORKS DEPARTMENT APPROVAL DATE REMARKS: A/4 TYPE OF JOB: NEW RESIDENCE RES. ADD/ALT A' NEW INDUSTRIAL IND. ADD/ALT NEW COMMERCIAL COMM. ADD/ALT NEW MULTIFAMILY (UNITS MULTIFAMILY ADD/ALT 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: I PERMIT FEE iSA*,'(\. aNt PLAN CHECK FEE 3G j _ PLUMBING FEE MECHANICAL FEE TOTAL BLDG. FEES PART P/C FEE SEPA REVIEW S.B.C.C. FEE OTHER FEES ((- AMOUNT DUE r -- ASSIGNED ADDRESS: PARTIAL PLAN CHECK FEE RECEIVED Amount Date Receipt# BUILDING DEPARTMENT APPROVAL RECEIVED BY471- . �� A•tJ'j'I ^ DATE 7�/'b/; ACCEPTED FOR FILING 11, omit ( _ • # SEC 1.:1VE CITY OF FEDERAL WAY •LJ 4 5 1991 BUILDING PERMIT APPLICATION o',rY or , ,;;) F v'JJ —Please Print— 81)11.S3 NC2 DEPT.. BOX 1 TENANT NAME: -35L.u78 A114/f OWNER ri-z iy 7cr7 y •33LK8M/GH SITE LOCATION 376-' ..r./ 3/cf'!' OWNER'S ADDRESS 3756 1.5 kl cf -si CITY rkze-P.4-c. tA/4 v PHONE 6.h Y/Sy DESCRIBE JOB Y�c THE PROPERTY IS OWNED BY: SINGLE/MARRIED /C PARTNERSHIP CORPORATION BOX 2 CONTRACTOR'S NAME 7:-.0‘,2 sc;•./S / ALL (;e1ii6N ., ) c CONTRACTOR'S REG. #if-cc:;•- v1C. c' CO Card MUST be presented CONTRACTOR'S ADDRESS 4-1 !Jh/ #IO CITY Ati Ltd PHONE - 5'o EXPIRATION DATE t/z8/ yz — 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 s PHONE t= G- r%// BOX 4 SEWER DISTRICT WATER DISTRICT BOX 5 ESTIMATED PROJECT COST fL. .67no EXISTING BUILDING VALUATION BOX 6 PROPERTY TAX ACCOUNT NUMBER A73 / 9R -- 3/40 LEGAL DESCRIPTION Lev . y1 "PtAT j g./ii./ (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_ / 3 3k GARAGE / BOX 8 AQ 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: � �� . -,tom_ DATE: c i ANP-008 3/90 • S 111, ; . OFFICE USE ONLY (PLEASE DO ND-r- WRITE BELOW THIS LINE) ZONE. 1•Z SETBACKS: FRONT 2-0' SIDE 5 ' REAR 5 ' HEIGHT LIMIT PLANNING DEPARTMENT APP''VAL WE' / - /Ji''t_A_- REMARKS: //, SEPA: EXEMPT V ' I NOT EXEMPT FIRE DEPARTMENT APPROVAL l . / f _ DATE REMARKS: / PUBLIC WORKS DEPARTMENT APPROVAL �� DATE 7/f)/?/ 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 .M 7: TYPE OF CONSTRUCTION VA) STORES P� BUILDING SQ. FT. 33 @ (v = 3 3 G O BUILDING SQ. FT. @ = BUILDING SQ. FT. @ = BUILDING SQ. FT. @ = BUILDING SQ. FT. @ = BUILDING SQ. FT. @ AhoQE( �(e.. z-___ 6 . `d 8 TOTAL SQ. FT. TOTAL VALUATION 2c( r6- g O BUILDING DEPARTMENT REMARKS: PERMIT FEE . PLAN CHECK FEE 3 5-- PLUMBING FEE MECHANICAL FEE TOTAL BLDG. FEES Sc? PART P/C FEE SEPA REVIEW Pw 3.57 oO S.B.C.C. FEE 1.-( S O OTHER FEES AMOUNT DUE 11A6iSeil ASSIGNED ADDRESS: 5Q-Q. `F- K( ST (k( f\ \V PARTIAL PLAN CHECK FEE RECEIVED .4 'Z S SS\ Amount Date Receipt# " rN� Y( � BUILDING DEPARTMENT APPROVAL RECEIVED BY DATE - C ( " 1 I ACCEPTED FOR FILING 6,1 N N > o 0 'V D �a^ "13m *r p m co — • -1 in rOCm V\ CA - mco TI , 0 co d —� ,33G C .< v m IN C7 ° 0. v O -� ; Z n ` yJ C o t6- t..4, , vi Aia v m M p -* r= umi U -c I 13 0t-,-, $ (4).I � W U • • G 0 0 ttlR I � 7. (., o k > c U, , 1. of u -0 Ca w \ /GI � U. 0, i1