HomeMy WebLinkAboutPermit 0250-M - WalkerCITY OF TUKWILA
Department of Community Development - Building Division
6200 Southcenter Boulevard, Tukwila WA 98188
(206) 433 -1849
MECHANCAL PERMIT
(POST WITH PLANS IN A CONSPICUOUS LOCATION)
MECHANICAL
PERMIT NO.
”
DATE ISSUED:
Q -a0 -90
AMOUNT
1:g <.13
Other>
Plan Chock Reference 8 90 -013 -M
PROPERTY OWNER:
Bedford Properties
'PHONE:
41 -1103
ADDRESS:
12720 Gateway Dr, Suite 107, Tukwila,
AA
PHONE:
ZIP: 98168
395-4004
IZIP: 98001
CONTRACTOR:
SITE ADDRESS: 12644 Interurban Av S
ADDRESS:
1702 Pike N.W., Auburn, WA
SUITE NO.
PROJECT NAME/T N NT: Walker
VALUE OF WORK: $ 32,200.00
r •
•
. • :.
X New /Addition
Modifications
Re.air
Other:
,
;
•
• ■ •
A • : . ' 1 •
. • • • • ..
• .
..• .
PROPERTY OWNER:
Bedford Properties
'PHONE:
41 -1103
ADDRESS:
12720 Gateway Dr, Suite 107, Tukwila,
AA
PHONE:
ZIP: 98168
395-4004
IZIP: 98001
CONTRACTOR:
Pac Aire Inc.
ADDRESS:
1702 Pike N.W., Auburn, WA
WA. ST. CONTRACTOR'S LICENSE NO. PACAII *15aR2
IEXPIRATION DATE: 1 -31 -91
UMC EDITION (YEAR : 1988
FIRE PROTECTION: ( )Sprinklers C )Detectors ()) N/A
CONDITIONS (other than noted on or attached to permit /plans):
APPROVED FOR ,y� BUILDING
ISSUANCE BY: i%(,c��jp di „t,,-:.) OFFICIAL
DATE: -,2-.3^56
I hereby certify that 1 have read and exami • . this permit and know the same to be true and correct. All provisions
of law and ordinances governing this work will be complied with, whether specified herein or not. The granting of
this permit does not presume to give authority to violate or cancel the provisions of any other state or local laws
regulating con= ion or the performance or work I am authorized to sign for and obtain this mechanical permit.
SIGNATURE* L —
DATE: '42 3- 7 a
PRINT NAME: Ql -if L 4461,14k----
COMPANY: t4 ` A ie10- bk__
IA .d.. Xl�AA '' A:'. dtgu.l.
REQUIRED INSPECTIONS
1 - Rough - inNents /Ducts
2 - Fire Final
3 - Planning Final
4-
X 5 - Mechanical
PHONE NO.
433 -1849
575 -4404
1'4
DATE
DATE(S)
APPROVED INSPECTOR CORRECTION NOTICE ISSUED
433 -1849
433 -1849
OTHER AGENCIES: Plumbing/Gas Piping - King County Health Department (296 -4732)
Electrical - Washington State Department of Labor and Industries
This permit shall become null and void if the work is not commenced within 180 days from.the date,of
issuance, or if the work is suspended or abandoned fora' period 01180 days from the last Inspection.
PLAN CHECKfti
NUMBER
9'0- 013
MECHANICAL PERMIT APPLICATION TRACKING
PROJECT NAME
Wc1� -I Ic.er
SITE ADDRESS SUITE NO.
1�lvyLIt- �rurban�5
INSTRUCTIONS TO STAFF
• Contacts with applicants or requests for information should be summarized in writing by staff so that
any time the status of the project may be ascertained.
• Plan corrections shall be completed and approved prior to sending on to the next department.
• Any conditions or requirements for the permit shall be noted on the plans or summarized concisely
in the form of a formal letter or memo, which will be attached to the permit.
• Please fill out your section of the tracking chart completely. Where information requested is not
applicable, so note by using "N /A ".
•
DEPARTMENTAL REVIEW
"X" In box Indicates which departments need to review the project.
BUILDING -
initial review
cola -clo
(ROUTED)
I4SUL1At+tr: Data Sent .............................
data Approved -
O FIRE
INIT:
FIRE PROTECTION: i1 Sprinklers
FIRE DEPT. LETTER DATED:
S Detectors
INSPECTOR:
O PLANNING
INIT:
ZONING: (BAR/LAND USE CONDITIONS? [ ]Yes No
SCREENING REQUIRED? f Yas No
REFERENCE FILE NOS.:
O OTHER
INIT:
CZ BUILDING -
final review
2.23-`i0
-• 23 --90
UMC EDITION (year):
INIT:
1988
REVIEW COMPLETED
PERMIT NO.
CONTACTED
DATE READY
DATE NOTIFIED
a_ a5 - 10
BY: )S
PERMIT EXPIRES
2nd NOTIFICATION
BY:
(snit.)
AMOUNT OWING
9_5. (p3
3RD NOTIFICATION
B"
i.
081391x9
CITY OF TUKWILA
Department of Community Development - Building Division
6200 Southcenter Boulevard, Tukwila WA 98188
(206) 433 -1849
MECHAI SAL PERMIT
APPLICATION
Mechanical Fee Worksheet must also be filled out and attached to this
PLAN CHECK
NUMBER �O - O -'in
APPLICATION MUST BE FILLED OUT COMPLETELY
FEES (for staff use only)
cation.
DEECRiPT1.ON> >:: >: A#IIOUNT< RCPT4.
BASIC: PERMIT FEE ::`: `'
PLAN CHECK'.FEE
QTHER:
TOTAL -'
SITE ADDRESS SUITE #t
VALUE OF CONSTRUCTION - $
PROJECT NAME/TENANT
(ifL -�=
TYPE OF WORK: -New /Addition ❑ Modifications ❑ Repair ❑ Other:
DESCRIBE WORK TO BE DONE:
Pa d C-4-e G I04., s t.C..A..c.7'1...
hut°
TINE ZE .
3
-o
2-
sew
2.r
BUILDING USE (office, warehouse, etc.)
NATURE OF BUSINESS:
WILL THERE BE A CHANGE IN USE? jallo ❑ Yes IF YES, EXPLAIN:
WILL THERE BE STORAGE OR USE OF FLAMMABLE, COMBUSTIBLE OR HAZARDOUS MATERIALS IN THE
BUILDING? Q No 0 Yes IF YES, EXPLAIN:
PROPERTY OWNER Be cico,reity.
ADDRESS
PHONE. /10 3
/ 2. "7 2_ o et-V-- ("34 LA 131°
CONTRACTOR
ADDRESS 1 ") d 4 f- � /A) , (Ai , 414,6 ,�t,�.
WA. ST. CONTRACTOR'S LICENSE 8 p mac A, (� M at/ r? 2,
ARCHITECT
c
/07
ZIP 9s/6
PHONE 3 9..0/a0
ZIF,8ao 1
EXP. DATE / - 3 I - 9
PHONE
ADDRESS
ZIP
BUILDING OWNER
OR
AUTHORIZED
AGENT
c).6-1411*--
PRINT NAME
SIGNATURE
DATE
PHONE
ADDRESS i-,0 2_ i k1 . Nw ct c..t t
CONTACT PERSON ID �7 t � (1 to te
CITY /ZiP
PHONE 39s-4'00 4f
APPLICATION SUBMITTAL In order to ensure that your application is accepted for plan review, please make sure to fill
out the application completely and follow the plan submittal checklist on the reverse side of this form. A completed
"Mechanical Permit Fee Worksheet" must accompany this permit application. Handouts are available at the Building
counter which provide more detailed infoimation on appik;aiion and plan submittal requirements. Applicctior and
plans must be complete in order to be accepted for clan review.
BUILDING OWNER / AUTHORIZED AGENT If the applicant is other than the owner, registered architect/engineer, or
contractor licensed by the State of Washington, a notarized letter from the property owner authorizing the agent
to submit this permit application and obtain the permit will be required as part of this submittal.
VALUATION OF CONSTRUCTION The valuation is for the work covered by this permit and must be filled in by the
applicant. This figure is used for budget reporting purposes only and not to calculate your fees.
EXPIRATION OF PLAN REVIEW Applications for which no permit is issued within 180 days following the date of
application shall expire by limitation. The Building Official may extend the time for action by the applicant for a
period not exceeding 180 days upon written request by the applicant as defined in Section 304(d) of the Uniform
Mechanical Code (current edition). No application shall be extended more than once.
If you have any questions about our process or plan submittal requirements,
please contact the Department of Community Development at 433 -1849.
DATE APPLICATION ACCEPTED APPLICATION EXPIRE
-1a -� o (6-1a -90
•
MECHANICAL
• Completed mechanical permit application (one for each structure or tenant
• Two (2) sets of mechanical plans
• Floor plan
• System layout
• Elevations (for roof mounted equipment)
El Structural calculations stamped by a Washington State licensed engineer may
required if structural work is to be done (2 sets)
which include:.
Note: Hood and duct systems require a building permit for the duct shaft.
CITY OF TUKWILA
Department of Community Development - Building Division
6200 Southcenter Boulevard, Tukwila WA 98188
(206) 433 -1849
THIS WORKSHEET MUST ACCOMPANY
YOUR MECHANICAL PERMIT APPLICATION.
MECHAIAL PERMIT
FEE WORKSHEET
NS Complete the wnrkshe •
e numtierof unitw being.Insto
gory► multlplled by the unit cost •
sn tut►ly the aubtotal c mn hlphilphted at
r bottom of the worksheet Af time of
lamllta/, staff will cakwldte the remaining h
DESCRIPTION
UNIT COST
NO, OF
UNITS
X
TOTAL
COST
BASIC FEE
$15.00
1
Installation or relocation of each forced -air gravity -type furnace or
burner, including ducts and vents attached to such appliance, up to and
including 100,000 Btu/h.
$9.00
x
2
Installation or relocation of each forced -air or gravity -type furnace or
burner, including ducts and vents attached to such appliance over
100,000 Btu /h.
$11.00
x
3
Installation or relocation of each floor fumace, Including vent.
$9.00
X
4
Installation or relocation of each suspended heater, recessed wall heater
or floor- mounted unit heater.
$9.00
X
5
Installation, relocation or replacement of each appliance vent installed and
not included in an appliance permit.
$4.50
x
6
Repair of, alteration of, or addition to each heating appliance,
refrigeration unit, cooling unit, absorption unit, or each heating, cooling,
absorption, or evaporative cooling system, including installation of
controls regulated by this code.
$9.00
X
7
Installation or relocation of each boiler or compressor to and including
three horsepower, or each absorption system to and including 100,000
Btu /h.
$9.00
x
8
Installation or relocation of each boiler or compressor over three
horsepower to and including 15 horsepower, or each absorption system
over 100,000 Btu /h and including 500,000 Btu /h.
$16.50
X
, 9
Installation or relocation of each boiler or compressor over 15
horsepower to and including 30 horsepower, or each absorption system
over 500,000 Btu/h to and including 1,750,000 Btu /h.
$22.50
X
10
Installation or relocation of each boiler or compressor over 30
horsepower to and including 50 horsepower, or for each absorption
system over 1,000,000 Btu /h to and including 1,750,000 Btu /h.
$33.50
x
11
Installation or relocation of each boiler or refrigeration compressor over
50 horsepower, or each absorption system over 1,750,000 Btu/h.
$56.00
x
12
Each air-handling unit to and including 10,000 cubic feet per minute,
including duds attached thereto. (NOTE: This fee shall not apply to an
air - handling unit which is a portion of a factory- assembled appliance,
cooling unit, evaporative cooler or absorption unit for which a permit is
required elsewhere in this code.)
$6.50
Co
X
(59.00
13
Each air - handling unit over 10,000 ctm.
$11.00
x
14
Bach evaporative cooler other than a portable type.
$6.50
X
15
Each ventilation fan connected to a single duct.
$4.50
6
x
ga .so
15
Each ventilation system which is not a portion of any heating or
air - conditioning system authorized by a permit.
$6.50
X
,
17
Installation of each hood which Is served by mechanical exhaust, including
the ducts for such hood.
$6,50
X
18
Installatbn or relocation of each commercial or Industrial -type incinerator.
$11.00
x
19
Installation or relocation of each commercial or industrial -type incinerator.
$45.00
x
20
Each appliance or piece of equipment regulated by the code but not
classed in other appliance categories, or for which no other fee is listed in
this code.
$6.50
X
SUBTOTAL (unit fee)
70,50
PLAN CHECK FEE aa2. W
1 q . ( 3
GRAND TOTAL
$q (p_
Plan Check 090-0137M; 'Walker
12644 Interurban Av sa
THE FOLLOWING COMMENTt APPLY • TO AND BECOME PART . UF . THE APPROVED
PLANE UNDER TUKW I LA MECHANICAL PERMIT NUMDEF� _ (�j ��7,Q, ,,,...
l .
No :.changes will, be made to the plans unless approved by
the •Tukwila Building Division.
2
Plumbing permit shall be obtained through the King
County Health Department and plumbing will be inspected
by that agency, including all gas piping (296 -4732) .
3. Electrical permit shall be obtained through the ..
Washington State Division of Labor and Industries and.
all electrical work will be inspected by that agency
(872-6363).
All permits, inspection records, and approved plans
shall be pasted at the Job site ,prior to the start of
any construction.
Any exposed insulations backing material . to have ..Flame
Spread Rating of 25 or less, and material shall bear .`.
identification showing the fire:: performance:: rating
thereof.
All ne tri.. cti can to be done in: conformance with .
approved plans and requiremdnts elf .theL Uniform Building
Code .: (19819 Edition) , Uniform Mechanical Code (19198
)
Edition y 'Washignton State Energy Cade.•`.(1989 Editiian).:
Validity cif P rmi t. The i ssuane a ca.f a permit. or,
4apprc va1 of plans,' spec i f i cM..i on,s and mputa-tti ens
ssh11' ` not be construed ,to bey a perm .t .for , or 1n
approval of, any v iol wit» i an of :any of ; the pravi.,si ens cif,
this code ar~ of : iany :. other;. ' ordi n anc.e, of thia'.
,..jurisdiction..: NO permit parotsc.tming.,t i.ve authpri.ty ark;;;
violate.. car crrspel .the, prc vipianof` this code shall be
vlid»
A * ktfnt4000 10311iw.ay.2 1V,V1 ew:nr
CITY OF TUKWILA
Building., �"irtment
6300•Sout ..ter Boulevard
Tukwila, 98188
(206) 433 -3670
INSPECT RECORD
PERMIT #
Date 5.
ype of Inspection
i to Address /24 1141
equestor
pecial Instructions ,
Date Wanted cS --`g --,p
Project 44:4,/4.491_,
Phone #
/III 4J6 U �Gi o /Ass.
GIL
.,.,•
nspection Results /Comments:
3 9 S -- Yoc `r
Inspector
Date 5.18 --g0
FROI1 HUDSON 206- 324 -6248
RICHARD HUDSON 8e 30CIATES, INC.
CONSULTING E LNEERS
1605 12TH AVENUE • SUITE 18
SEATTLE, WASHINGTON 98122
206.324.6160
2.12.1990 12320 P. 1
JOS eA k7E r ---
SHEET NO OF
CALCULATED BY 00.1 1 DATE
CHECKED BY DATE
SCALE
1- 12 AO
j
j'e r 1ta Lcf : I� tr L i T S, qa � aj6.v`141 lOrr ". _� 1 -
..;1 f{. • 4.; `l.ocAlc i of 4 -'DSO R.T..a. c5u Burc.Do..441. 3
.4ptgfi.*"%i Cc•tcQ, FIR4i fire Z ; 4Qu.'r!oN of p.I.L L,)1.4 0,Jr4
S1 M .L-qrt ' 40.11-1 ' rZ�.:�'�c�-' To 'Pk? iz mil, bra. L g►V'1 Fbur•'4'1
I
w= .27Q Ict-r
a .?50 ,..' .1TbE; ;Or.
■
,
i
1100. P61 4 14 i(1.15J
Itirb ' 1 c*... : n
.. •..,1}iI ■L( ) +11.7.14'. !i4614:..a,r .4. 3.k,IK > 345..;.
tA5• .L1)3, &t K1 (91[1.15 ;
P.eL1N i. kee. 14-
De4se k .
sl ZIL 31�b?► 13 "/b
5r- I2'4.31N3
Lag : To ' ?u.aui e
Voent4,4, aCt.e; ' . 22.1 ?t.r ,
Ye, Osib 8(14 _ 12.0
�►TI FAN PC b(.7) s 6.L
hioc. , bat ' .12 . .
Pttat.w !'t
RECEIVED
CITY OF TUKWk .A •
�!EBi 1 •21990
PERhhIT CENTER
• j
2074 PS•1.
2601), -- . -Lee
230 P4.F
1.
affil ��lSI"-'•.
FROM HUDSON 206 -324 -6248
RICHARD HUDSON de LiOCIATESI INC.
CONSULTING ENGINEERS
1605 12TH AVENUE • SUITE 18
SEATTLE, WASHINGTON 98122
206. 324.6160
2.12.1990 12120
JOS kit(
SHUT NO, Of
CALCULATED SY OAT!
CHECKED •Y DATE
SCALE
RoabT ToP' tat c IL L r uu ts �4 \4 h
i , .ottp. ��► �,_.
1 1I'4 . RE�tlav4t6 � `L0c 'rc J ;oF ;l. - "iSCS�` R.T.u'. 55)-, ' Ruf1.DINl.�:
• QF. 46. I' .c rF. Co,► rirz
vy y T 1� , 4�c..'�'.cN . uNtTs Pik
Lt r %NI71 tZs.e.:.f'.c -T To ?v re4jki ;, .11.t) • L '1 Psi
M 3:24
s
sti
.I
3,.3Swn,
:.r
:rov.wriz. Aga R.S. 'is. 1+
D.F. -�.. 004st 1.
'sit: VA* 1'Vb
(24.31N3 .
Lasko To ?u.auly e
1.2.4 rLr ,
ItO
C s,Z
,12..,.
e
102
RECEIVED
CITY OI iTUKWiLq
FEB 2:1990
PERMIT CENTER
VC) f F
°oo P'1 Li (1. 20 7o P4
....;.
..,.$Sn►% Alt*, A6143..)% `1'•33kIk >45.
AS.. •L1t3'
6s.q Ct)
r ; t1 ril <4s0A
RECEIVED
CITY OF TUKWILA
FEB 1 2 1999
PERMIT CENTER
WALKER
02712- -1990
SEA'TTLEWASH I NGTON LA "I' = 48 ALT = 14
CONS"C'"- 70W /40R/ 7013 • JIY- 75/50 : 75
WALL. COLON I. • MEU I IJM ROOF COLOR: MEDIUM
60515841.6
0 . C3 . TEMP TOTAL TONS RSH . TONS C . F . M
1.: JUN AT 9 A.M. 7 .4 • 14.57 10.92 5,954 .
2. JIJL. AT 9 A.M. 73.4 15.00 11.29 6,160
3. SEP AT. 10 A.M. 73.2 •'16.11 12.49 6,£'310
4. OCT AT 2 P. M. 7 8.4 20.60 16 ,.29 8,883
5. SEP AT .3 P.M. 85 ;0 22.97 17.94 9,785
6. JUL AT. 4 P.M. 84.0 2r 65 17.4 ' 9,500
7. , JUN Al 4. P.M. 83.() 22.18 17.00 9,271.
ZONE HEATING-7> - 1010403' W/ I NF I L.�_ 1010403' C.F.M. - • 2,634"'
TRANSMISSION FACT.
TEMP DI F"F I- IEA'TI NG .
TEMP D.IFF. COOLING
F'L..OURESCENT LIGHTS
INPUTS
CEILING PARTITION
0.00 0.00
0 0
0 0 ...
FLOOR' SKYLIGHT
0.00 0.00
0 53
0 8
Y SOLAR FACTOR SKYLIGHT =
EFFECTIVE AVERAGES FOR ZONE LOADS OR OP-COST:
EXPOSURE: N NE E. SE S. " SW W.. NW:
WALL TRANS FACTORS- 0.08 0..00 0.20 0.08 0.00" 0.00 0.00 0 ; 00
GLASS TRANS F'ACT'ORS 0.00 .0 00 0.00 0.00 0.55 0.55 0.55 55 : 0.00
GLASS SOLAR FACTORS 0.00 0.00 0.00 0.00 0.60 0.63 0.63 . 0.00
ROOF TRANS. . FACTOR = 0.08 SKYL:.1: GHT TRANS. FACTOR = 0.00
NUMBER -OF I: EOPLE
TOTAL 'LIGHT$.
O "TER , ELEC:'I",R I CAL
5. _ TYPE 1 GLASS AREA
SW TYPE 1 GLASS AREA
W. TYPE 1 t LASS AREA=
TOTAL GLASS AREA
TOTAL GLASS AREA
SKYLIGHT. : AREA
SKYLIGH"r AREA
OUTPUTS
88 . SENSIC3LE.. PEOPLE LOAD
15,028 LIGHTING LOAD
4, A r 0 Cl "I HEIR
ELECTRICAL:"
400 5. TYPE . 1 •GLASS ' SOL.AR
400 SW TYPE 1 GLASS SOLAR
400 W.. T'YPE 1 GLASS : SOLAR
1,200 : `T'OT'AL. GLASS SOLAR
TOTAL GLASS TRANS. ,
0.
,TOTAL SKYL I GH'1 "., SOLAR
U. `T"OT"AL SKYLIGH.'I°,TRANS
21,658
64,11:
15,085
28,057
.4,056
27 9 652 ,
96,765
5,280'
0
N. TYPE 1 WALL AREA
E. TYPE 1 WAIL.. AREA
SE TYPE .1 WALL' AREA
TOTAL WALL. AREA
PARTITION .AREA.
CEILING AREA
FLOOR AREA
AREA OF ROOF •
SAFETY FACTOR •
EVAP FAN FL P..
MISC SENSIBLE
VENTILATION CFM
MISC. LATENT
NUMBER OF PEOPLE.
VENTILATION CFM
TOTAL_. CFM --STDA I R
900
360
900
2,160
0
0
0
8,840
OW
8.40
0
884
0
88
884
9,/85
N .. TYPE 1 WALL LOAD
E. TYPE 1 WALL LOAD
SE TYPE 1 WALL LOAD
TOTAL.. WALL TRANS.
TOTAL. PART. TRANS
TOTAL.. CEILING TRANS
TOTAL FLOOR TRANS
ROOF= L_OAF.:)
SAFETY E3 .T .EJ .S
FAN HEAT" GAIN - DT
MISC. SENSIBLE
O. A ,.SENS I E3LE LOAD
MISC. LATENT
PEOPLE 1_.AT1 NT LOAD
0.A. LATENT LOAD
TOTAL... LATENT LOAD
ROOM SENSIBLE.. = 215,260 ROOM LAT . LOAD
.
WALKER
-- > GRAND 'TOTAL LOAD .•� 275,678 BTU'S' OR
LOAD: RUN FOR 1# 5. SEP AT
9,840 SO. FT PER TON
9,785 CFM PER 60 FT
HEATING LOAD
0 CEILING LOAD
51,537 .ROOF HEATING LOAD
0 SKYLIGHT LOAF)
34,980 WALL HEATING LOAD
17,493 INFIL HEAT LOAD
0 H LOAD WITH VENT
COIL. SELECT I . ON PARAME'TERS
Dt3., TEMP. EN°I' /1. VG.. Mw. 75.7; '/ 5 ..6 `: T01 SENSIBLL LOAD
'WI3. TEMP. EN'I "%I. VC = :TOTAL .COIL
SPEC I F 1 CD ROOM RF 1 50X . RESUL. f' T Nta ROOM RH
TERM AIR fF_MP - 55..00. / ' 110 DEGREES ROTATED • 0
1 . :3T , `EVAP ;FAN 3.00 NON7CF: L.'ING RETURN:.
F3L L)U ' U' 1 FF1CYI OR 0 ..13 CARRIER GEFAUL.`I "a
AREA (SO FT)
TOTAL CFM --STD AIR =
PARTITION- LOAD
VENTILATION LOAD w
FLOOR HEAT I NG •LOAD= .
GLASS . HEAT° I N(3 . LOAD = .
SLAB_ HEATING L..OAD • W
WARM UP LOAD
18
402
1,024
•_ 1,444
-- 0
0
0
= 10,915
0
- 25,771
_. 0
--
7,779
0
18,12;
8,745
26,867
1,
I
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liECEIVED
CITY OF T UKWILA
FEB 1 2 1990
PERMIT CENTER
SEPARATE
PERMIT AND
APPROVAL
REQUIRED
CITY OF TUKWIL.A
APPROVED
FE 231•90
0.,
j .4-4 .tr.
Bti I!. D NG >t` 1 ISION
'f' totem
understand that the Plan Check approvals are
subject to errors and omissions and approval of
plans does not authorize the violation of any
ackpted code or ordinance. Receipt of contractor's
copy of a -+ • ved ns acknowledged.
Sy...
Date
Permit No �J1 . i .........-
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APPROVE[? 6Y:
DRAWN e? /1-3_:.- t 7
REVISED
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