HomeMy WebLinkAboutPermit 3004 - Abbot Laboratories - Interior DemolitionJob Address
301 1 uk: :i a Parkway
Te�narrt /Owner
A c,o�tc aos
Insp.
Date of Issuance
02.5'-
Description of Work
Legal Description
DEIAttached
Interior Demolition
Rec.
Rebar
Property Owner
Address 2001 Sixth Ave.
Phone
Armada L ugerquist
Seattle, WA 98121
447 -1940
Engineer /Architect
Address
Phone
Contractor
Address 603 Strander Blvd.
Phone
T.L. Simpson Construction Co. , Inc.
Tukwila, WA 95188
5.00
575 -4464
Authorized Agent
License No.
Value of Work
Si oson
TL SII�iC *225DA
50,03.1
F L.
ire Protection
Use Zone
Type of
- Appl- .- -A.Graptad. .y
Q Sprinklers ED Detectors
Construction
Issuez': Bv: ,81
INSPECTION RE
Type
Insp.
Date
Notes
Setback
Amt.
Date
Rec.
Rebar
g(0 00
2nd Fl.
Footing
Fdtn.
Slab
Frame
Demo.
5.00
.-5
.5
Wall Bd.
Total
alto, <.f —
Tot.
Tot.
Total
5.00
Dept. Approvals
Req'd
Insp.
Date
Planning 'Div.
Health Dept.
Public Works Dept.
Plumbing
Electrical
Cert. o ccupancy_
Size of Unit or Buildin
Uses
Sq.Ft.
Occ.
Occ. Load
Fees
P.C.
Amt.
Date
Rec.
- 1st Fl.
g(0 00
2nd Fl.
Bldg.
Demo.
5.00
.-5
.5
Bond
Total
alto, <.f —
Tot.
Tot.
Total
5.00
BUILDING PERMIT UKWIILA
THIS ERMIT MUST BE P STED CONSPICUOUSLY ON BUILDING
Special Conditions
Approved for Issuance
Signa }ire
Date
NOTICE
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC-
TION AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR
IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED
FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS
COMMENCED.
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS
APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT.
ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS
TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED
HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT
PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING
CONSTRUCTION 01 HE PERFORMANCE OF CONSTRUCTION.
Ai 111.wa/
K
Contractor or Authorized Agent
PERMIT NUMBER{/
Control Number g5-0
FINAL APPROVALS:
Fire Dept. Date Bldg. Official Date
THESE PREMISES SHALL NOT BE OCCUPIED UNTIL ALL APPROVALS HAVE BEEN SIGNED.
i
CPS No. I
TNSLIRED
2. '1:TLE Ti') THE E::TATE, LIEN OR IN ^L:.E. (.T INST = D E . TES . •; .1- -
the % ed• insured.
3. ESTATE, LIEN OR LNTEREST INSURED
Fee simple estate.
SURELY, LE A 301 pktoilaj
'47309 AMOUNT $, 126 , o 16.00
:Larch 20, 1961 at 8:30 A . M. PREMIUM$ 303.25
RECEIVED
CITY OF TUK ,'glut
DEC 1982
BUILDING DEPT.
4. DESCRIPTION OF THE REAL ESTATE WITH RESPECT TO WHICH THIS POLICY IS ISSUED
DESCRII'TiO:
Tract i of l.ndevcr Industrial Puri: 1
in Volume 66 of Plats on page 36, ,itua:''_' in L':h :. '.C.:•t:r. ::!: ".:':..:
County of King, State of Washington, formerly dcser:••d :is
Beginning it the Northwest c.rner of the Notil•.. :i:iti ' of
Northeast •'f of. Section 26, Township 23 North, Rc.a'ge
thence South 89 ° 40'24" East, 30.0 feet a1 the
Section 26, said :forth 1inc also i:c? ing t:13e South line : i rh.:. U. .i.
Gilliam Donation Land Claim No 40; thence_ on
.';est line of said Northeast' ':; of the Northeast: ' of S:: L , t :n 116
produced across said W. H. Gilliam Donation La ::: C'_ .. i:: ;-t..•: u' .._
West, 360.00 feet to the true point of be i nin:.;
North 0 ° 12'09" West:, .267.52 feet .to a point: of -u'-v•. •
the arc of the curve to the right having a' radius c.).7
•
distance of 7 tangent;
: ;: `'.
7.55 :c:et to the point ot: ,:!:,:.�. . t ..
East 401.05 feet; ::hence South 0 East 32 5
'i. .'89 ° 40' 24 ". blest, 450 feet returning to the trim:. point:
' .reserving a 27 foot wide easement adjacent Lo the E: prop:.. t :
for railroad track ge .and underground water, :.•:wc'r,
pow er, gas and telephone services; r i' `'°
130n� .`iCr\ iC�S, a].SG ment adjacent to the West and North prope rty Ltit..L' L.' -..• ... �' ::�•..::.
111
water, sewer, drainage, electric po ,,a ; and
situate in the Town of Tukwila, County of Kin;;, S..`.
T: , 'LAND TITLE A:' ; c:.;TIo\ STANDAIV J F0301
POLICY OF TIME INSURANCE
PUGET SOUND TITLE INSURANCE COMPANY
• 705 Third Avenue
Seattle 4, Washington
hereinafter called the Company, a Washington corporation, for valuable
tion, and subject to re conditions and stipulations of this policy, does hereby insure
the person or person.= named in item 1 of Schedule A, together with the persons
and corporations included in the definition of "the insured" as set forth in the
conditions and stipula on s, against loss or damage sustained by reason of:
1. Title to the e_:. :e, lien or interest defined in i :emns 3 and 4 of Schedule A being
vested, at the fa :e hereof, otherwise than as stated in item 2 of Schedule A; or
2. Any defect in. cr lien or encumbrance on, said title existing at the data here-
of, not shown in. Schedule B; or
3. Any defect in :he execution of any instrument shown in item 3 of Schedule A,
or priority, a: : a date hereof,•over any such instrument, of any lien or en-
cumbrance no: shown in Schedule B;
provided, however, the Company 'shall not be liable for any loss, damage or c ::pen e
resulting from the refusal of any person to enter into, or perform, ay contr.iet
respecting the estate, lien or interest insured.
The total liability is l ' ted to the amount shown in, Schedule A, exclusive of costs
incurred by the Company as an incident, to defense or settlement of claims !
under.
•In witness w hereof, PUGET SOUND TITLE INSURANCE COMPAN:.r
has caused this policy to be authenticated by the facsimile signature of its Presid:.:nt,
but this policy is not valid unless attested by the Secretary or an Assistant
Secretary.
PUGET SOUND TITLE INSURANCE• COMPANY
Att
C .w.
President
i'
•
Assistant Secretary
•
M is" •o" t4"
• le.
•
•
DLSCRLPTI ON
r . • . AN OV �IS . . '. 1
;:. a ,
11� b � ,
SEC 11ON 23 24 f
'L.gIWaO ac U• eectico c.rdr ..ammo. le failed 11. 14. 21 sad 14. TeoaodJp 13
Nor1h. Ray• 4 [ts•t, W. , Usac• North 11 40'. 24' Van, alai the mania 11•s of
aald Santana 11. dud Ilea •lto hems tits await lad at out V. 14. Cr Waco 0. L C.. .
:, ' So► J2° 17' 51" Week, 292.57 hit; lhaae• South 14 4a' 51" Waal 142.21 leer; W•e•
• Sw
,.. luny mare. rest are. d amid am road Non! 41° S5' 21' W..I. 70.05 (eat to pat d
1+17mto1 EXCEPT that 'ovum' al id •tauatt• 10 le•4 .UC ►'l. tb Clay of aural,
• papa ILa• ngbl•11•roy all a w Va.
ICay Cury, hn •1r
I .
'.
• • RLTR
SJCTIONS
. atoll b b wbp•cl to t r. • (1.4.•••••1• ••corded o• M. 28 r.'. day of
• ff1•••e.• , A.D„ 1141. uod•r •**blur'. III• •au.b.r 4;4.7,4,44 5'
•
. t. ENGINEER'S CERTIFICATE •
' 1 ha ran 1•ruly that w• p$•I .5 Aral...., !Manna! Perla N•. 1 1s wand upon u actw •
•°reap 4.d • **bd1 too d • pn11� a1 V. N. GLLIU11 C\.uU« lr. C1•rsa Nm. t 0 Camay Couy TTramline's la
'i1ASH! GION.
:t SCALE I • ,00
•
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TRACT <•
144
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t uQ1 TRACT' 3 •
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;. chit., o Lh• .ul**1•• ad p1•Uay regulation.. • d ad year Coral al£1.....y. ,• taints. ' .1
,•. !.
C T r, 11
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ley co SUT7 l,t •c Lima RK1rT_0/ W0r'7 •'+' 7 1 • .:' ,. J •r i• •�•� y 1 1 ,'�
!J P' P .- T T T.: .r
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•
: To.. .ate~ { ` I ; '? 2 a; ea•Tr:''i
; 'Tar at d 4'
Pia AN 'DUSTAIAL PAJUZ Nt. ►rac.a I am that potato. es W W. N. .. IL00V 42 .-1, USN DT Ta7 L PADS.:n'I'S, Tart a .: :v ✓ n
1 .:1•r 1,c. • • corp.,ntid.
`. Collura Doodles Load Clam, No. 40 more p•rtLcolotly d.•cria. 5
d as .530..: . m .1 a•1 no:, Lila I.... tit 3.a a1 V
:• art...ert..I, o s tee .1
re• • t. ample d U.• 1•,.d
. Ln .an
by 1 -e4 o loci-are rebloci-are :. c
re .e J:at ad ad W lrr.la 11.• • d t p•b
1 a: :.• lic lonelier
' .aa •ir••u g
, dre•••• 411•74. , parp•J or pe al ;ro** 1141 t
1u'r &LC 1., •uu e **1r W1•.
. far *ay 44.1 ill p..:.:14 p'rrpasts and ta:000.::r.l ..ill, Io u• rote.' jut , .tile u3b.
• •r pars pa/pada, •lau L'.* rt fU to W/a al Liar•*. 'lora. !C.( e e1•ta ur (61:11 ult.' 1331.70 (.•t, to the •orth.censor .t censor el th D. e aortha••t 1/4 d 4 •.rthn d .a 114 ••a4 . ID. La. ••
..blood d tracts ..
.r. eyo• the. .,..4.1 u Ow w cr. *a.l u
, r...oL4• •146:41 .
•c
611d 24: Unmake •Io04 Id west lad ••14 •**t4rriu.+ pro1Uc•d across add I. 10. all all 44444 •..•o••, •a.6 allay, 411`....0.01 bates.. '
,Ll
Caco D. C., North 0 12' or' .'•.1, 755.09 fo.t: shads Noni 15 43' 00" Lau, 475.75 (.•I; tlroc• North l4 44' 00" L•t, 1110.41 feet to • Isom, co nte r a aail mac... d' • Y ward. rb•r•.J .. •a
tid cot parau••1. Ly Ito 3r.r.t,.. :. 4,'. . etc. pe.t
•,,d•r•I 1... tart
. 4. '• Jude CO u ,a D. 01•11.11 Si t1•.••. Road. ILs.c•uuab4 Fly along 4tarly a.111. Gad raid sod add cooperate a to tar rato a:Lac:Oro! eta: loo •d a1
.,.:1...5 Ile .,J • a•►yf •i,
''7 mar ina bang p•raU•1 to ad 10 (••t trot. tar ceot•r 4a. of 'Gad road, 1 7 '' P. -.. . • f ? A.D.. 142.; . .GS" L L N, 14••
I
•! sc.,. 3° 11' 01" L•t.11.11 fair tlo•c• S•outb 45 42' 51" W• et, 12 lees; U•••• • Al
• :!y _` 1 D . . rl�,,
' 10• 32' 01" Week, )C) 30 frets tha
v1/
4:,0
41.114 13 . .
d 14, To.Lly 43N V b 01.101L•044 .
, 11• ..• 4r., .U., L.a, at sire..• cot petits oat. • .
. 1 t.. ,..
•r• •Lain lur•oo correctly; that W. ... tare tads• ••1 .d it.. lid aWitch. .d W •
(- revert• •L4.4I correctly upon Ur 6 and that 1 dye 5.11 e.mp.L.d OIU no pro-
IN VITJJL:SS WUL1CC1', I 4r• ha :rt:L/u s•: my Lana ►,.l .uLC4J my ;d1t:W dal LL
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• •
: • , Pt.4•.••••1 rrjtr•r 101.6‘.04j104.... r•.Idl•( •1•� �,•y.
` •. . .e' TRCASUkCR'S CERTIFICATE
I a'•►I,_
•• •• •' APPROVALS
T II
' 1 ►.r•0y (stilly than al property L•••• acs pall co al d V• property b eau taYalaaa. r•,,,,, sat •Plrowll lids ✓ .•. � du a1 r• ;iJ7.tI: %r A.::,, l'•,1.
Us J?R Coy d r ley A D. 1 101 1
` '! A A. T.amp•er E !'•r .ti '.�" �•, "'f• ta..r
Leval 61.•aay
Trod i�
achu4•r
fir
:, 1 Sat•Ly c• tidy that than ate ma /•Ltat(waa •p..cW maw. c•rutl• l t• 1U• • 1 Lrtsby candy than 1.44 plat creo,a.1• etas It+ 10.1.511 :..4 ••1 I. by t..• '(Wirt::,
d11c• (or coll•cu., ••4 that 431 apwcl•s mu•.. , cm may a1 id pre1•rny harem y3aaa.ag C'rvaa.nd ••4 na .....11 •pprn,td thlt . ;? . ..,.....2,.....•...y a( - r • T l�
.L D,. 14.1 l • �. "! ..� '
• t onus.ld 4mc•ud d straits, •11•70 •r let mortar poatc ad u• pant . 111. I •141 .'. a .��,,,, L �.. • a a Copt 4 , . ,..ant.. A.D. 1 01. �� _ .
a - J , J , . • - ..1.•41, ...11.1, •
; �•-•': I : . ' _ r• . ,�_ I h.
JCCORDIIG CERTIFICATE Tr•a10/11, 7..•
i •rued ler 4 •t 11• n4wf/ d air TraWW Toes Cw..1l W• 2B
Fe• i A. 14•l u [ nlrlai peel /re w,
• ,: naartt la V.I..m• l.. 6 Y .4 1•ts age _ 'l !' <. ra0 I 4 ..twg
:-2. / L� i 7, - f w 1w� i1 - • 'I .� - _ n . 5
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7M. Coy Y , • • L.!/. 11v & !'!•.Ira..• A•1. al; , - .•... • :.. r ....1 .ti .2.
had. .4 Wyatt. .we* us ••••1 :6 t. :.II.7a•a ad Toma•
kscarad al 1 .444' 1 o A, .. 1101.
. . La '- d aid•ppt•w 1I W r1 dyt: .... 4 . .... ' . .
y--
Job Address
Type
Tenant /Owner
Date of Issuance
Description of Work
,nierIul^ L llt10i"!
Legal Description ED Attached
Property Owner
Armaea Li
Rec. 4
Address wUCil Sixth Ave.
Ser:tti::. ,, A Asl:'1
Phone
'i - "J - .. ,.
Engineer /Architect
Address
Phone
Contractor
F.L. SiflloSou Construction Co., af
Address LO3 S C rilnd r .; iv..
. TuC:`.ii 13 . l;:. ;
Phone
Authorized Agent
1.L. Simpson
License No.
IL SL'C 22...Pr;
Value of Work
.,.t;:4:
Fire Protection
C7 Sprinklers
ED Detectors
Use Zone
Type of
Construction
•Appl."Accepted By
1 ;:'> ,, , , d ` " :.l, .:'.._.
INSPECTION RECORD - 433 -1845
Type
Insp.
Date
Notes
Setback
Date
Rec. 4
1st Fl. :)0,06i)
Rebar
P.C.
Footing
Approved for Issuance By, f �.�'
, re"'
2nd Fl.
Fdtn.
Bldg.
Slab
Frame
Demo.
i.,..,
. - ...
. :-- J :11
Bond
Wall Bd.
r
Total ":-. , !7L%'V
Tot.
Tot.
Total
:b..3
Dept. Approvals
Req'd
Insp.
Date
Planning 'Div.
Health Dept.
Public Works Dept.
Plumbing
Electrical
ert. o ccupancy
Size of Unit or Building
Uses Sq.Ft.
Occ.
Occ. Load
, Fees
Amt.
Date
Rec. 4
1st Fl. :)0,06i)
P.C.
Approved for Issuance By, f �.�'
, re"'
2nd Fl.
Bldg.
Demo.
i.,..,
. - ...
. :-- J :11
Bond
r
Total ":-. , !7L%'V
Tot.
Tot.
Total
:b..3
Special Conditions
Approved for Issuance By, f �.�'
, re"'
BUILDING PERMIT TUKWIILA
THIS ERMIT MUST BE P STED CONSPICUOUSLY ON BUILDING
NOTICE
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC-
TION AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR
IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED
FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS
COMMENCED.
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS
APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT.
ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS
TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED
HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT
PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING
CONSTRUCTION OR',THE PERFORMANCE OF CONSTRUCTION.
Signatureldf Contractor or Authorized Agent
Date �:.. ..,
PERMIT NUMBER < �t)
Control Number - ON
Fire Dept. Date Bldg. Official! 4 '''[L Date /WK
THESE PREMISES SHALL NOT BE OCCUPIED UNTIL ALL APPROVALS HAVE BEEN SIGNED.
CPS No. I
ARMADA/LAGERGUISY COMPANY
ERIC S. WAGNER
VICE PRESIDENT
CONSTRUCTION
SUITE 3202 / 2001 SIXTH AVENUE / SEATTLE, WA 98121/ (206) 447 -1940
�... < ate r 7, .r w..:. •., ., .,�
tr CATCH IMAM
a 1TORM DRAT
MAIJ1406¢
17 1
a
g '
SET REGAR y/,
1.0, GAP
�' t
'.wI MA . Civil -
I vire'
ARIA':,
SITE CONTAINS 144,042 SQUARE FEET Olt;
3.32S ACRES.
DESCRIPTION:
TRACT 1, ANDOVER INDUSTRIAL PARK NO:
ACCORDING TO THE .PLAT THEREOF RECOR
IN VOLUME 64.0F PLATS PACE 36,. IN KING
COUNTY, WASHINGTON.
SURVEY IDENTIFICATION NO. 060011
DATE: JANUARY 24, MI5
REGISTERED LAND SURVEYOR NO.: .22333
SURVEYORS ADDRESS AND COMPANY:
BUSH, ROED i HITCHINGS, INC.
200 MINOR AVENUE EAST
SEATTLE, WASHINGTON M102
s
TELEPHONE: (206) 32.3 -4144
CERTIFIED . TO.:
RAINIER NATIONAL . BANi •
.CHICAGQ; •TITLE INSURANCE COMPANY
CERTIFI
"I HERESY CERTtFY TNA'T THE MAP HERnON
IS A TRUE AND CORRECT COPY OF THE
SURVEY AND THAT THE DIMENSIONS
SHOWN THEREON ARE CORRECT; ' THAT THE
ARE NO ENCROACHMENTS OR OVER-
LAPS EXCEPT AS SHOWN, ACCORDING TO
MEASUREME JANUARY 21, MIS,
IN CONFORMITY WITH THE STANDARDS
COVERING REGISTRATION."
L.S. NO. 22333
EASEMENT AND THE TERMS AND CONDITIONS ,.
THEREOF,:
PACIFIC NORTHWEST
RELI., TEMIPNQN
Ell Ifsirkrus. Wit404#IG;TON :CORPO* ,
GRANTEE:
SPECIAL CONDITIONS
TENANT / 'DATE OF APPL.
.�V�Y�n A �' ! ,! r1 �.nt ^„ e' � r C�)> > <. T -,� 5 - G •--'
DESCRIPTION OF USE
.: {. i r I., 1.::, 1)c ,U ,..
LEGAL DESCRIIIP ON y ' ATTA ED ',I3
I I 2 , �-i(• / .I9//1/�J tI'('4' , b -) � ift) C.. 1 ! w .. /%,
//
/
PROPERTY OWNER
' i L .. '') A L. �, h 1: R .
ADDRESS f 7'i?''J; . !
(.� 10 J r i"(.` .. i- c' - ..)=)/4 L &4 .
PHONE
. `/ 2 / f 7 5'6
ENGINEER /ARCHITECT
ADDRESS
PHONE
CONTRACTOR
T i. 1 " t n., 4� , 1• L M � // . , t 73. .A.C., .
A ^ y-
CO :i 1 �- ov4\ , a•/4 100. -1 r..r,l1 1 ' 4 ...y I
PHONE
Z5 ' 4 f7 / ,, / V
AUTHORIZED AGENT
- 71. I Si /•%'. ..S'3) I
LICENSE NO.
> - on * S )/-
VALUE OF WORK
55`.), /le) ') ---
FIRE PROTEC ION SYSTEM
SPRINKLER DETECTOR
USE ZONE
I
TYPE OF CONST
ADJUSTED VALUE
GRADING i CUBIC YARDS
CUT FILL
SIZE OF BUILDING
SIZE OF UNIT
WORK TO BE DONE: 1% 1ST
r.
�(
n_"\, P � ■ r) v. a' N. r7 `.: ,"a , & . ),' V'-- 0.
N4. �� ; s, )(.1) 0
2ND FL.
PLAN CHECKED BY
DATE
APPROVED FOR-M JI' BY/ `
c:. f ,,
"
'
'' DATE
JOB ADDRESS / ,r� ~�
3 1 ..� iv' [,cJ i f /� A�«�,I)) 4 uJ ,1 �. L� >
TENANT / 'DATE OF APPL.
.�V�Y�n A �' ! ,! r1 �.nt ^„ e' � r C�)> > <. T -,� 5 - G •--'
DESCRIPTION OF USE
.: {. i r I., 1.::, 1)c ,U ,..
LEGAL DESCRIIIP ON y ' ATTA ED ',I3
I I 2 , �-i(• / .I9//1/�J tI'('4' , b -) � ift) C.. 1 ! w .. /%,
//
/
PROPERTY OWNER
' i L .. '') A L. �, h 1: R .
ADDRESS f 7'i?''J; . !
(.� 10 J r i"(.` .. i- c' - ..)=)/4 L &4 .
PHONE
. `/ 2 / f 7 5'6
ENGINEER /ARCHITECT
ADDRESS
PHONE
CONTRACTOR
T i. 1 " t n., 4� , 1• L M � // . , t 73. .A.C., .
A ^ y-
CO :i 1 �- ov4\ , a•/4 100. -1 r..r,l1 1 ' 4 ...y I
PHONE
Z5 ' 4 f7 / ,, / V
AUTHORIZED AGENT
- 71. I Si /•%'. ..S'3) I
LICENSE NO.
> - on * S )/-
VALUE OF WORK
55`.), /le) ') ---
FIRE PROTEC ION SYSTEM
SPRINKLER DETECTOR
USE ZONE
I
TYPE OF CONST
ADJUSTED VALUE
GRADING i CUBIC YARDS
CUT FILL
SIZE OF BUILDING
SIZE OF UNIT
WORK TO BE DONE: 1% 1ST
r.
�(
n_"\, P � ■ r) v. a' N. r7 `.: ,"a , & . ),' V'-- 0.
N4. �� ; s, )(.1) 0
2ND FL.
l
f i
TOTALS
I HEREBYpEpTIFHAVE
TION f b�( 01�'h
f" t f " /
READ AND EXAMINED THIS
E. ME TO BE TRO AND CORRECT.
.---'
APPLICA-
FEES
AMT.
DATE
REC. NO
REC. BY
P.C.
--------:
ADJ.
`'
SIGNATURE
--° - - /1 y
S / / ti,. !a r. 4 (-- -� �,.�' �c ( 1' , .0
B.P.
DEMO.
COMPANY
DATE - .5 -- (-7. 5 PHONE 5.75- ' 4'5'6 of
TOTAL
APPLICATION
FOR
BUILDING PERMIT
USES
TOTALS
SO. FT.
OCC.
OCC. LOAD
DEPT. APPROVALS
PLANNING
HEALTH
PUBLIC WORKS
FIRE
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