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Home My WebLink AboutPermit 4025 - Mastro - TSAO Enterprises - Tenant ImprovementJob Address 4489 S. 134th P1. Tenant /Owner Tsao Enterprises, Inc. Insp. Oatp�o Vgance / � Description of Work Remodel-office and restroom inside Legal Description of warehouse 79C/:2L/.3 .2(Q i Atta hed 20 - 00X/ Property Owner Address 510 Rainier Ave. S. ,, ,. ) : hone M.R. Mastro Demo. Seattle, WA 98121 Fdtn. 323 -5393 Engineer /Architect Address 2201 6th Ave. Suite 1008 Bond Phone William S. Tsao & Co. Frame Seattle, WA 98121 441 -6688 Contractor Address 51lJ �2Q c v � 323 -5 �3 Isi-m Car► ��. -' ,I'pq,� 1)taN 723 3097 Authorized Agent License N o. Value of Work Tot. & m r e, 215 Tot. 1,000 Fire Protection Use Zone Type of 1-. -4c- ept 1-8-y tip Sprinklers L7 Detectors M -1 Construction Issued By: INSPECTION RECORD - 433 -1845 Type Insp. Date Notes Setback Date 6 -7 i' -S Rec. 8401 $qii - - 1st Fl. Rebar ,, ,. ) : Footing Demo. Fdtn. Slab Bond Frame Wall Bd. Total Tot. Tot. _Total 30.00 Dept. Approvals Req'd Insp. Date Planning 'Div. Health Dept. Public Works Dept. Plumbing Electrical Cert. o occupancy 1 Size of Unit or Building Uses Sq.Ft. Storage 5040 Occ. B -2 Occ. Load Fees P.C. Bldg. Amt. 12.00 18.00 Date 6 -7 i' -S Rec. 8401 $qii - - 1st Fl. 2nd Fl. ,, ,. ) : Demo. Bond Total Tot. Tot. _Total 30.00 PERMIT TUKWIILA THI BU ILDING ERMIT MUST BE P STED CONSPICUOUSLY ON BUILDING Special Conditions Approved for Issuance By -✓1 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. Signature of on actor or Authorized Agent Date 7' PERMIT NUMBER y025 Control Number 85 -156 Fire Dept. . Date Bldg. Official Date THESE PREMISES SHALL NOT BE OCCUPIED UNTIL ALL APPROVALS HAVE BEEN SIGNED. CPS No, I Job Address 441;9 S. 134th Fl. Tenant /Owner Tsa.c, rritt.wprises, Inc. Date of Issuance Description of Work kemudel -oFF •ice and restroom insid Legal Description D Attached ? of warehouse Property Owner M.L. Mastro Address :1U Rainier MVO. :). Seattle, W1 08121 Phone 323-539 Engineer /Architect William S. Tsao & Co. Address u01 Utn Ave. Suite !.UUU Seattle, W! 93121 Phone 441 - 6638 Contractor Hoe e4;o i -' ru'.".t on. h- (U (o i ;) t . Address !. ) k2(0,); ;,t,: a ;.: -,. 3.) , l• r) L: () . ie»' 4 l `l,) L LI Phone L,.! is - a.7P. 7.23- a0W— Authorized Agent License No. j7�"ijL>t'. 'j % Value of Work 1,00:1 moire Protection Use Zone M-•i Type of Construction •Appl•:-•Accepted issued By: Bi Sprinklers D Detectors INSPECTION RECORD - 433 -1845 Type Insp. Date Notes Setback Date Rec. I, 1st Fl Rebar 1»2 P.C. Footing 0 -i [3401 2nd Fl. Fdtn. , Bldg. Slab 'I -, ;° / / Frame Demo. Bond Wall Bd. Total Tot. Tot. Total 30.00 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. I, 1st Fl : 301-0 1»2 P.C. 12.00 0 -i [3401 2nd Fl. Bldg. 11_..00 'I -, ;° / / t . t .l < Demo. Bond Total Tot. Tot. Total 30.00 CITY OF BUILDING PERMIT TUKWIILA THIS ERMIT MUST BE P STED CONSPICUOUSLY ON BUILDING Special Conditions Approved for Issuance By 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. Signature of Contractor or Authorized Agent. Date ' l :a PERMIT NUMBER t -fL.V3 Control Number ,:.-2,-1b6 Fire Dept. Date Bldg. Official Date THESE PREMISES SHALL NOT BE OCCUPIED UNTIL ALL APPROVALS HAVE BEEN SIGNED. CPS No. I CITY OF TUKWILA Building Division 6200 Southcenter Boulevard Tukwila. Washington 98188 (206) 433 -1849 Type of Insp cti Site Address "Nei Requestor Special Instr Lions Inspection Results /Comments: INSPECT N RECORD PERMIT # A 20Z S Date 7 Date Wanted /fls /17 Project rzet Phone # a.m. p.m. / S Fr Inspector %'/af'Z142 T Date iii_S—;47 CITY OF TUKWILA Building Division 6200 Southcenter Boulevard Tukwila, Washington 98188 (206) 433 -1849 Type of Inspection Requestor Address 441? Inspection Results /Comments: -GG /3e/ /eett e Inspector % /e2 INSPEC 'ON RECORD PERMIT # Date 03/77 Date Wanted / 0 Project Phone # Special InstiaGctions - Date // 9/7 ,;R�� '�" ".�j 'c.wr. ^.. •..M 'L ttr' . 4:;r -,, f;TrA"5r., i," ;: e.« ,1 ="'�, .f:,,ti n'1�''rd ;' ': •�?ic , �C "? 3' •� lt�a:Jh.'. ��' :-�T r �- 'Yr�t; ,er *wTiF{ .i'1 ` h .. . >,� i I i CITY OF TUKWILA Control No ! s Central Permit System Permit No. ` E: 2: TO: El Building ❑ Planning Project Name r .,�. Address qt.! Type of Permit(s) FINAL APPROVAL FORM This project is approved by this department: Auifionzed Sig nature ❑ Public Works . Fire Dept. ❑ Police ❑ Parks /Recreation This project is nearing completion. Please investigate your area of responsibility and indicate below either your final approval or necessary corrections. I f no response is received within one week, it will be assumed that the project is of no concern to your department and a certificate of occupancy may be issued. 2 1 .') Date _} This project is NOT approved by this department; the following corrections are necessary: () () () () () ( () () () () () () Authorized Signature Date CPS Form 3 1 71 PE RECEIVED CITY OF TUKWILA JUN 7 1985 SWIM n rt, NOTES; C q ti° .S'o ' - „- ! i4 ri , Drawings to TFD for approval 2, Provide adequate cluantity'of electrical out cords are not permitted 3, Maintain exit marking and exit door hard 4, Provide one 2A-10 E. C. Dry chemical gallon pressurized water extinguisher, / C d A t 5 / T. �, 4, • s ;,i .11 / <�* '' t 0 4 , A Ooi�.fst . i r� S / fr v, ,4' wf ,r' c o s -t. c Tl a Y.A1/4,! N/ l/c i. R o LEGAL DESCRIPTION: Lot 1 of Short Plat No. 79-26-SS , according bp the short p recorded under King County Recording No. 60 by boundary line agreement recorded under Redvndgallih8l2th @COI31AMek approvals are TOGETHER with an ea.: ement for ingress, egra ekttifbORACARAFtr1 Alms and approval of forth In said short plat No. 79- 26 -SS; plans does not authorize the violation of any City of Tukwila, County of King ,State of Waskorleat &node or ordinance. Receipt of contr'actor's copy ofgroved plans acknowledged. 1. Maintain full sprinkler protection throughc.Jt, �r rnit Wa�i Sapproved 7 1 re perrr o.. &. U Fs:.► :aqu i r t i x., extingutsher and one r .e is palee . x•te ns l an /0 7a 832 0 t /° G 1/7S 58 � /Ivy Id 68 / IN — 0331 — ry )ci �i tvo 11/4 d . �Qe/• 77 d . . f o o 1 /v/vi o d A7gw7ss v iois v c/ 9 r il s o J _ _� 200 MOWS 1HS ifs W1IAVIfu AO MO CON333k1 .0014W , 0100004111 0- P..... C jI, J ls/x1 / 1.... o ;' 1. 0 • 1,, To/ter 7a COAlf014.AA To 1 j OC. P762 51C 5/1 OA. t/to-/7/1. A 7/4,v, CJ/a/v1 7c 1-113e / 8 1 1 5 .E c 7c?5 ANO_ICAP 70/ZE r. I /4" =) troy y>lyt /.26•01 .0114/ fq C • RECEIVED OTY OF 'TUKWILA JUN 7 1985 BMW Dor. ( Q U it /! 61i . ••■••••••■•• 1••■•■nr..0.4.1..1••••••••.^ ••••■•■•••••■..r, • GRAB EIA .. • , 'te I . • : 0.!Y fL " ,•.• • T 0 At /sifitV . , • sc A CE 4 / 44/ 67/41 ■ • 22 5 , iT 3 of 3 CITY OF TUKWILA _ PERMIT NUMBER - _ CONTROL NUMBER 5 - 6 CENTRAL PERMIT SYSTEM - RING FORM T0: Q BLDG. PLNG. Q P.W. [� PROJECT 9.. , A r 1717 i7��..�.t. ADDRESS /-/�{ DATE TRANSMITTED 6-1 C.P.S. STAFF COORDINATOR PLEASE REVIEW THE ATTACHED PROJECT PLANS AND RESPOND WITH APPROPRIATE COMMENTS IN THE . SPACE BELOW. INDICATE CRUCIAL CONCERNS BY CHECKING THE BOX NEXT TO THE LINE(S) ON WHICH THAT CONCERN IS NOTED: cod 4 _g / 4Ifj 187 ore / on o u/i�� aP:toc c c,ir loco D.R.C. REVIEW REQUESTED 0 PLAN ,SUBMITTAL REQUESTED PLAN APPROVED ❑ • RESPONSE RECEIVED :ne��ase SY� FIRE ❑ RESPONSE REQUESTED BY POLICE ❑ P. & R. /v .tea y7/7 AiikPa /c 34? 3.29 07,3/ e -26 ..?fdees /0 W-4 20. // oVVwes PLAN CHECK DATE COMMENTS PREPARED BY "WIL1-1I.A.1VI S. TAO c4t. COMPAN'Y PS. Engineers & Architects June 17, 1985 Ms. Moira Bradshaw City of Tukwila Building Dept. 6200 Southcenter Blvd. Tukwila, Washington 98188 Re: Fostoria Warehouse 4489 S. 134th Pl., Tukwila, Wa. TEl Warehouse. Dear. Ms. Bradshaw: Per your request, transmitted herewith are two copies of the existi ng parking plan indicating the stripping of an additional parking space for the above mentioned subject matter. Thank you. Very Truly 'Yours William S. Tsao WST: ft Encl. 2201 6th Avenue, Suite 1008, Seattle, Washington 98121 Telex #: 4991861 PCINVEST Seattle, WA Phone: 206/441 -6688 / JUN 18 19II5 CITY OF TUklhhl.A PLANNING DEPT. ■Iko. . • A )60 t'; / ),/1 , TiJA '•■1^r4•=.. '4. ( 7. 1 ; , • •• • $ . r - '1 ' .!••••.1!"•< 4 p , ry% 't ,';.! ; t • r .r•••1 • ••• p•-••• ' • \ t -.4.•••••• ,•••••••••• • ••• Fusilsi+er) Al i D \() f==;, 4 4 16 •=2:1-A (Zo A s /3 4 PL Tok 441 I A, ‘10 roL,L.,0„41r,i'T 1**1 A - rrt v11 P4'4 PIO I )I4 jold gs.r ei;d //AX.. :)TH sJot,X;r• 00-f6p •• • 5r212- I/0 tvoisi 4 /AAA • A, 1?* ?* / /. // - L-1 • • I' • • • • ..'.' .--....,,, : lie ..... N ' " -- I% • ' ... . .. -- g'. -- ''.... . 7•••,' . ••• ' •■•:, ..6%,,, %oft(' •''• ' 'A cc 1 ( 3 t 0 4/6 PA•itte•A/4 srAti. r N N.. .•!••",\., .NN .• • • 5• ' 6 r FIP4ISR All Di ' ALi . 2)f 3 6 P;..1.) U2 (.:"411 013:3 K (1 1,)„ 0.0 td1)16./2\ S /3 4 P1 TukwilA /./Nr=ir 'l...1a.9 1K4 e,1:44 'IV•i2.1 A "rrH , c-F- • J -r /,eAx,. . !•E al,k 1,10112 • • ,.;!::. F*4= c IS Ir. P •••••• • : • ••••••••• • 1 1. ' / ' • r 4,' .i ' It? ' )1 " .:' / ,I ' ' A. 's \ ' 4 / i / N i? . '■, \ 'N. .... e , r J A: • / N .. .1 N. 44e, ••••• . • ' • T O A44Al< OA/6 P S Th IL 11•••■•••• .• • •t../ _LL.C.E. ' 41 : .,,,,,;• ; - ' •,/ .:.','•■$. / s • / ...r • , . I / / •• 1 . ..: e • • ■ r•-• , . . • ,•• •■:• ht. t. •• ■••• 3'. • 1 • . • 1 .'1,10 • •-••.., 9,11 1 0•46 4, or 7 C ,/ ( 1 A-- •1:1-.)hr.) 1 . ' JA ' I • r:: t- r: I is) , ;9 L.. r:.1 Fl S f+er) i Di Ya). ,?.A r..) ( / i C' ) it A'%I 1 ..0 64:n e 4<do t2,-rA o ttv-e, x (2-o 44 S /3 4 PI Tuk tu, 1•C rso?.4•f/r .r. A 1 • - fl-t1(-1 4 6 c4-1c-14 11 615, - ; v-r1 P iftJ 1 • '' Y:) 0 )oUkj 4 .r 124. /vow.. 11:;114 t - (3'' Q014% 00162 •••••• pr.. IN4 1 /AAA • ••"• • .4- 1••••" • S . S. <7.7 • • • I N , o • / • .• 1 ah • ••, • 4\ • J. ' ' •• •• • •4' • 1 4 1. ;g 4c, • „ • , , . • - 1," sta., • • , • • OW. ..*•••■■.. • • • ftio • ',go:4 • '1 % 1 4 m4AA olve PAAfre' srAIL 3 s'cAtic ./ c 0 4) 04 "..,<•%# ' • • • • ./ - • t.. 1/4 A • • N* '\ • b•■••! • ‘• ••‘.• , • • • •-• • . ' • . • , 1,4 344W • " • 15414, IP r ••", •■■•• 1••••• r • 1 e r:v.AvJ }.10e.L. .s f1-60 k.J •(a) 4 Pr2e:T.. .3 /. I C' 1- U4 l'r1,;•;r 1 ,,.0 • :1116T (-.2 L. i?( 1/. 10 lA)1.4 1 i t-•11D1C•l a rak 10 I "1" I 11*. roL-L.09.k r i - r*1 - rt11 6c4,1c-F-'615:, o jouJT. 1 Q014 001 2 7 INIAM Is. I/. MosJ. I \ I • ••• I •-•-■ "1 N • „„. , • : . • 4 4 e3 / 3 4 P A. • • N. • . , • .' , 2 411. * /\• . ' ' 2 ,....• • . • . s " e" A. •., \ \ • . \ *‘,.... • • 'N, ; .>k ...•,• - \....,,,,... ..0 . , 3 ■■• • •••. • /' 1*. 4*' ■ Ale% • 6 444- •s ' Ad 4 o4/6 / STAIL • 0 I • ��^0��x of Tukwila '��l� �~�� Fire Department BUildiMd Official BVi1dtnd Department City of Tukwila Control #85-156 Dear Sir: GnmVanDusem Mayor ^ . ' Hubert H. Crawley Fire Chief • June 19v 1985 Re: TSAO Enterprises - 4.409 South 134th Place `'- The attached set of buildinm plans have been reviewed by The Fire Prevention Bureau and are acceptable with the followind concerns: 1^ The total number of fire extinduishePS pgmuired for yoUy establishment is calculated at one extiDduisher for each 3000 sm, ft^ of area. The gxtiDduisher(s) should be of the "All Purpose (2A, 10 B:C) dpy chemical tyPe. Travel distance to any fire extindUigher must be 75/ or less. (NFPA 10y 3~1,1 and UFC 10,301b) EXtinduishers shall be installed on the handers or in the brackets supPlied, mounted in cabinetsv or set on shelves (NFPA 10v 1~6,6)/ and shall be installed so that the top of the extinduisher is net more than 5 ft, |bovgthg floop^ (NFPA 1Ov 1~609) Extinduishers shall be located so as to 'be in plain view (if at all possible), or if not in plain view, they shall be identified With a sidn statindv "Fire Extinduisher"v with an arrow pointind to the unit'. (NFPA 10, 1~6^3) 2, Exit hardware and markind must meet the remVirgmeDts of Uniform Fire Code Sections 12^104 & 12^114~ 3. Hose stations are rgouired. (Plans must be submitted to the Fire Marshal for approval prior to installation.) (City Ordinance #1141) 4. All modifications to sPrihkler swstems shall have the written approval of the Washindton SurveYind & Ratind Dureau, Factory Mutual End1nemr1nN or Industrial Risk Insurers, then by the Tukwila Fire DePartment, No work shall commence without approved drawinds. (City Ordinance #1141 % NFPA 13,-1~9,1) City of Tukwila � Fire Departmen . 444 Andover Park East, Tukwila, Washington 98188 (206) 575-4404 • City of Tukwila Fire . Department I:: w;t c number. F° X:1 F'• :i. a. (•? .. Gary VanDusen Mayor Hubert H. Crawley Fire Chief 2 I.:. C) (:.' ii) 7. . U I... Central. Station iii P..1 F ' ( • : ! r V :i. iii :i. (:)1" I :i. iii . r : e cSt'..I :I. r (•'r? d .' (City Ordinance *1327). :`.J I::� r` c7 V :i. r,•i F:: 3 cI c ? ca'..1 ii)'l; (::? . • (a'..I i3I" I't; a. '1;1:3 of electrical (71J t 1. c•:?'t: Si3 't; C) C?.I.:I.it ii"lii3'I;c I;I')C? • I"Ii (•:?(:I c)'f' (i?);'I;Er?I"iiis:101"I .(:?(7r(:iiii. 6 • • Your i'l: T' a c ?'t; address irl I..I'.ii'l; f:1(•'r? (:: (:) I'7 s p :i, (:?'..I (:)'.,I Si3 .I. !:3 •1"• (7 ii3't; C d on the isuilr:i:i.nN• and shall, bp plainly, 1 , r .$ , t s v :i.:> a. t::I, r•.: •<i; r7 .i •:I. c::: :i. t:� :I. c:. f r (7 m 'l; t•) (•:� . s t; r`c et . Number's Si'>I')a :I.:I, contrast with their biiic?k.<:t rodr•Ir.:i e ((WC :10.208) 7. This . T ` (i? V :i. e w :1. Y. irl :i. 'l; C•? d t'. (:) •iii p (•:? (:? 1.1:I. ii3'1; :i. V (•r? 't; (•:! I" I ii3l "I 'l; iii p ii3 (: (•:•? c :) r I .I. t • °'• • Sii }:• f i? (." :I. ii3:I. lire F (:d r in :I. '1; iii may 1:1 c:? I'7 (•i? f .' c iii iii iii r i:i r 1(• ?? r:• c i") (:i :I. I "I a (7 I r;.I e'I; ii3 :i.:I. p (:I • deiiic: ra.p'l; :i,c :)r7 of intended u..It c? Y (7 I..1 r t 't; r i..i 1 v .The •r• lI I'. t'I I :1 I :i. r e . P r e (l i t::i., c:) I °I H I:.i r r ?,i,31..I City of Tukwila Fire Department, 444 Andover Park East, Tukwila, Washington 98188 (208) 575404 USES SQ• FT. OCC. OCC. LOAD - a v 46 4b 3 -Z leo PROPERTY/ OWNER / / / / 4; . (� ' / L -� I ADDRESS � / ; 7 / /) y° -:J A? I / / ,; ) • - PHONE `A:2 53/_3 ENGINEER /ARCHITECT 4 ,./1/ 1 %r /rl S l S'O0 C ( i , `� . PHONE 'l= / - �7,r ! CONTRACTOR , J . / -. )4.r.. 67 �=" - t, 7 / . /(" T .'R, ADDRESS , PHONE 7.>>),::4 . 0 9 7 AUTHORIZED AGENT LICENSE NO. TOTALS FIRE PROTECTION SYSTEM SPRINKLER DETECTOR USE ZO OF • DEPT. APPROVALS ADJUSTED VALUE SENT CORR. APPR• PLANNING SIZE OF UNIT WORK TO BE DONE: l ( if(� 1r <i •• /� C e. - '(' / r 1ST FL. HEALTH 2ND FL. PUBLIC WORKS FIRE , 11I •` ~ ` i) (') ,5 Irk /./.a'z fr w k::; - JO B / ADDRESS ( QU 7��IANT DATE OF APPL, t DESCRIPTION OF USE :: ! ((% Ids` `)J ( / ().l. 'c Y.,,j7'1 LEGAL DESCRIPTION ces ?' r "i ��)( het--1 ATTACHED ;E, PROPERTY/ OWNER / / / / 4; . (� ' / L -� I ADDRESS � / ; 7 / /) y° -:J A? I / / ,; ) • - PHONE `A:2 53/_3 ENGINEER /ARCHITECT 4 ,./1/ 1 %r /rl S l S'O0 C ( i , `� . PHONE 'l= / - �7,r ! CONTRACTOR , J . / -. )4.r.. 67 �=" - t, 7 / . /(" T .'R, ADDRESS , PHONE 7.>>),::4 . 0 9 7 AUTHORIZED AGENT LICENSE NO. VALUE OF WORK / A' Oa Co ne Lca FIRE PROTECTION SYSTEM SPRINKLER DETECTOR USE ZO OF • ADJUSTED VALUE GRADING CUBIC YARDS CUT FILL SIZE OF SIZE OF UNIT WORK TO BE DONE: l ( if(� 1r <i •• /� C e. - '(' / r 1ST FL. 2ND FL. •` ~ ` i) (') ,5 Irk /./.a'z fr w k::; - TOTALS I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICA- TION AND KNOW THE SAME TO BE_TRUE AND CORRECT. ..._.._ ) i ). `� • �.t .!....("} FEES AMT. DATE REC. NO REC. BY P.C. /.;?,, . (c 7 /FI> J : V / .id('''� ADJ. SIGNATURE B.P. /5, oo (2 - 1 k, ? // 1 i � ra .] /, (, ? ` g'.) DEMO. COMPANY , j) /- / j 1 ) . DATE 7 ~ - (� -,22 PHONE � I / • l L '. - TOTAL APPLICATION` � 1 o 198 CITY FOR BY OF A r; ... CITY USE ONLY SPECIAL CONDITIONS PLAN CHECKED BY DATE APPROVED FOR PERMIT BY DATE