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HomeMy WebLinkAboutPermit 0210-M - Southcenter Mall - US ChickenCITY OF TUKWILA Department of Community Development - Building Division 6200 Southcenter Boulevard, Tukwila WA 98188 (206) 433 -1849 MECHANICAL PERMIT (POST WITH PLANS IN A CONSPICUOUS LOCATION) NI MECHA AL C PERMIT NO. 1 m DATE ISSUED: 'kilt a >rDA !Man Ifitt751,FINAITETIMA 1111111 Other :: OWOOPM Plan Check Reference A 89-101-M i::,f „ <::::i>C::i:isn ^•, +w �:::: ?:�:::::f {{•:i5 �:ti ::i:�iil :ti i::::•:: + }iii5�4::::i:::•i::::: J:::: {:r :'i::: SITE ADDRESS: I1 8 a r ��9F ! r.� a � m < , 896 Southcenter Mali PROJECT NAME/T�1 NT: U.S. Chi c TYPE OF WORK: (X) New /Addition Modifications :f;:. }v.vx! ? ?.;n:n.., n..• .:.n..•... m,. };# .wn;v: ........:: n;•r. •••?::: ii: ^iii•::::. }.,r; ..:::. }�:. ..nry:::: ?::.r.:.y }•.:::. �:: n.::; �r.n.... fit::.. ... w::m:.�.�:mn•:. }:?:.n•:, ?:•: n•:: n:.::::: r:::::.::.: x.: n.:r :. SUITE NO. VALUE OF WORK: $ 5,000.00 0 Repair ) Other: DESCRIPTION OF WORK: Add two (22 Class One hoods and two (2) Class Two hoods. PROPERTY OWNER: Jacobs Visconsi Jacobs IPHONE: 216 -892 -2300 ADDRESS: 25425 Center Ridge Road, Cleveland, OH IZIP: 44145 CONTRACTOR: Harbor Island Sheet Metal IPHONE: 206 - 633 -5330 ADDRESS: 513 North 36th, Seattle, WA JZIP: 98103 DATE: 9 -13 -90 WA. ST. CONTRACTOR'S LICENSE NO. HARBOIS290C3 EXPIRATION b UMC EDITION (YEAR): 1988 FIRE PROTECTION: ( DSprinklers f Detectors (X) N/A WOMMiNtOMMOMMMUMMOMM CONDITIONS (other than noted on or attached to permlt/plana): APPROVED FOR / BUILDING ISSUANCE BY: /Ate _ .�� OFFICIAL / DATE: l /- 7- 6ct I hereby certify that I have read and exa 1ned 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 construction or the performance or work. I am authorized to sign for and obtain this mechanical permit. SIGNATURE: 7? &(, ,_.-, �.- %.�7.- , -=-,.� DATE: lam- Z > - cil PRINT NAME: w(e- G /A M �, I'V./// c S COMPANY: 9 - ,�1n. --. 1-evel - 2--� IMORUgggagN REQUIRED INSPECTIONS 1 - Rough- inNents /Ducts 2 - Fire Final 3 - Planning Final 4- X 5 - Mechanical N tar InapectIone al Meet> DATE PHONE NO. APPROVED INSPECTOR DATE(S) CORRECTION NOTICE ISSUED 433 -1849 575 -4404 433 -1849 433 -1849 OTHER AGENCIES: Plumbing/Gas Piping - King County Health Department (296 -4732) Electrical - Washington State Department of Labor and Industries ............... Ina nuN .anal ward l :N l► wiorlc (s riot oo rn n CITY 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: (I-D -`69 AMOUNt : • Unit(s).. Fee 61. rill minim Plan Check Reference 0 89 -101 -M • :)NF A. A. RM Jacobs Vlisconsi Jacobs PHONE: 216 -892 -2300 — SITE ADDRESS: 896 Southcenter Mall 25425 Center Ridge Road, Cleveland, OH Harbor Island Sheet Metal SUITE NO. PROJECT NAME/TENANT: U.S. Chic e _C_CINTRACTOR: ADDRESS; VALUE OF WORK: $ 5,000.00 TYPE OF WORK: (X) New /Addition Modifications Re *air Other: DESCRIPTION OF WORK: Add two Q Class One hoods and two Q Class Two hoods. PROPERTY OWNER: Jacobs Vlisconsi Jacobs PHONE: 216 -892 -2300 — ADDRESS: 25425 Center Ridge Road, Cleveland, OH Harbor Island Sheet Metal ZIP: 44145 PHONE: 206 - 633 -5330 SIGNATURE: 'r ��...,_, `,` -;;--?__i ,.•.,_r-'_ -T _._ _C_CINTRACTOR: ADDRESS; 513 North 36th, Seattle, WA LICENSE NO. HARQOIS290C3 ZIP: 98103 jgcry ATION DATE: 9 -13 -90 WA. ST. CONTRACTOR'S UMC EDITION (YEAR ' 1988 FIRE PROTECTION: .. Sprinklers Detectors X N/A CONDITIONS (other than noted on or attached ID permit /plans): APPROVED FOR ger '' , BUILDING ISSUANCE BY: //E/'7 {i,, // , ,,,.._ -.• OFFICIAL DATE: 11 -r2Z % - I hereby certify that I have read and exarfiined 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 construction or the performance or work. 1 am authorized to sign for and obtain this mechanical permit. SIGNATURE: 'r ��...,_, `,` -;;--?__i ,.•.,_r-'_ -T _._ DATE: /l — -..? ,, ... di r PRINT NAME: G ( G C• /4 ri f: , 11/' / Al r.'� S COMPANY: �� ,. /,,,'‘..- � ,(-== DATE REQUIRED INSPECTIONS PHONE NO. APPROVE 1 - Rou • h- inNents /Ducts 433 -1849 2 Fire Final 575 -4404 3 - Planni Final 433 -1849 5 - Mechanical 433-1849 DATE(S) INSPECTOR CORRECTION NOTICE ISSUED 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 wolf( is not commenced within 180 days from the date :0. issuance, or if the work Is suspended or abandoned for a period 01 180 days from the last Inspeoaton- 06I0NW CITY OF TUKWILA Ouilding Division Boulevard (206) 433 -1849 Type of Inspection _ Site Address M 5,, /l%� // ,......,....w.. ., .nsi.' • a.. ..,..w,...w........�.....,..... �.. _� — «.... w�.r.wv v.... rw.».._ wna., n.. v+ r.•J. W4vrNSJl< YtiCn.+ Mtt! liC' M; i(:lli+«M?71.GsvG7.li+`.i1f^Lo• Requestor Special Instructions INSPECTION RECORD PERMIT # 02/0 " -1r7 Date ///30/g9 Date Wanted / 0 0 tJ Project U. Phone # Inspection Results /Comments: Date 1/349/g9 0 1 • ,CITY OF TUKWILA Building Division 6200 Southcenter Boulevard Tukwila, Washington 98188 (206) 433 -1849 ..... ................_......._._..._,... ..».,,,......,......,.......,,, •..m..,..n..a ree.. nae, a.. wwr�+ rnn. rnae+l k•. x6YC ^4b;dUe}N:i!fA'�.'tit^S'�.kY`r: INSPECTION RECORD PERMIT # CD0lO Date 11— c.`5 ''''T-4)1 Type of Inspection �hGk YY�IJ i1 (Y Date Wanted 1 (" Q(1.--U1 Site Address ' kp rte( �.il Project U .5 _ C hacl� P� 4 0 Requestor '! r l a^ Phone # a� J w 1 -20 Special Instructions Inspection Results /Comments: Date /f /.f Plan Check #89-101~M:' U.S. Chicken 896 Southcenter Mall THE FOLLOWING COMMENTS APPLY TO AND BECOME PART OF THE APPROVED PLANS UNDER TUNWILA MECHANICAL PERMIT NUMBER _ _° 1. No changes will be made to the plans unless approved by the Tukwila Building Division. 2. 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). 3" All permits, inspection recordsv and approved plans shall be posted at the job site prior to the start of any construction. 4. All construction to be donna in conformance with approved plans and requirements of the Uniform Building Code (1988 Edition), Uniform Mechanical Code (1988 Edition), Washignton State Energy Code (1989 Edition). 5. Validity of Permit. The issuance or granting of this permit or approval of planaw apocifications arid computations shall not be construed to be a permit for, or an approval of, any violation of any of the provisions of this code or of any other regulation'or ordinance .of thie jurisdtotion. No permit presuming to give authority to violate or cancel the provisions of this code shall be valid., 6. Commercial_type food heat-processing equipment from which grease-laden vapors emanate in normal cooking application shall be protected by an approved automatic extinguishing system. The extinguisher system shall be interconnected to the fuel and current supply so that the fuel Or current is automatically shut off to all _ equipment under _the hod when the system is actuated, (UPC 10,314) (Therange hood shall be Connected to the alarm �oupervision): , PLAN CHECK NUMBER "X" REQUIRED INSPECTIONS ._. 1 Footings 2 Foundation 3 Slab and/or Slab Insulation 4 Shear Wall Nailing 5 Roof Sheathing Nailing 8 Masonry Chimney 7 Framing . 8 Insulation 9 Suspended Ceiling 10 Wall Board Fastening 11 12 13 14 FIRE FINAL Insp: 716 t17 15 PLANNING FINAL PUBLIC WORKS FINAL BUILDING FINAL • THE FOLLOWING COMMENTS APPLY TO AiID BECOME PART OF THE APPROVED PLANS UMBER TUKWILA BUILDING PERMIT NUMBER 10 No changes will be made to plans unless approved by Tukwila Building Department. OPlumbing permit bo obtained through King County Health Department and plumbing will be inspected by that agency (including all gas Piping). Electrical workSW'U.be inspected by State Electrical Inspectors and all required electrical permits obtained through that agency. OAll mechanical work to be under separate permit. 0 All pormits S- j,be posted at job site prior to start of any construction. When Special' inspection is required either the owner, architect or engineer shall notify the Tukwila Building Department of appointment of the Inspection agencies prior to the first building inspection. Copies of all special inspection reports shall be submitted to the Building Department in a timely manner. Reports shall contain address and permit number of the project being inspected. OAll structural concrete to be special inspected. (Sec. 306, UBC) OAll structural welding to be done by W.A.B.O. certified welder and special inspected. (Sec. 306, UBC) OAll high- strength bolting to be special inspected. (Sec. 306. UBC). OAny new ceiling grid and light fixture installation to meet lateral bracing requirements for Seismic Zone 3. OPartition walls attached to ceiling grid must be laterally braced if over eight (8) feet in length. IS Readily accessible access to roof mounted equipment /required. Engineered truss drawings and calculations shall be on site and available to Building Inspector for inspection purposes. (' s Any exposed insulation backing material to have Flame Spread v Rating of 25 or less. USubgrado preparation including drainage, excavation, compaction, and fill requirements shall conform strictly with recommendations given in the soils report or as directed by the soils engineer. QStatement from roofing contractor verifying fire retardancy of �J roof will be required prior to final (see attached letter). All construction to be done in conformance with approved plans and requirements of the Uniform building Code (tom Edition), Uniform mechanical Code (Iriiz% Edition), Washington State Ener +y Code (imei Edition), e O 0 All food preparation establishments must have King County Health Oepartment Sign -off prior to opening or doing any food processing. Arrangements for final Health Department inspection should be made by calling King County Health Department, 296-4787, et least three working days prior to desired inspection date. On work requiring Health Department approval, it Is the contractor's responsibility to have a set of plans approved by that agency on the job site. • Validity of Permit. The issuance or granting of a permit or appieval'of plans, spec ilic itiuii and computation' shali, notbeconstrued lobe a permit for. or an approval of, any violatiun ufany Of the pruvisiuns of this'code or of any other nrsmanrc Inc ul' jiirisJictinn• NO permit presur ling to jyive authoriry,to violate or cancel th . pruvisiuns (lidos code Shail.be valid. • • tr MECHANICAL PERMIT APPLICATION TRACKING PLAN CHECK NUMBER PROJECT NAME U.S. Ch(cjpn SITE ADDRESS zc1 lQ 5,WY r nter Mal I SUITE NO. 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. •:::: i:. }:.: •:.:.• . F...:•.: :.:: ::: .e::: : ' •:.y . } "i�iAT�••.�!:r. •. �.::::::::.*:::*:::::::::::::x •.:: :... :...:..r . •:•.� ' •.)Y) ... .: �� •�•: r.)Y) 2r:SYi:::: {:ri: Y:;:.; Y } } }: ?2)::.)::) ))i:i :::::i2:4; :•YYe•:+ •):.: {. }:..,:22:; :: i': ..:.:...: ... .w ::::: ::...:::: }:�Yti• i { }'f�{{)tin:Yt$FJY:::<:: ..;:::.. .. „•: ••::::.� '%�:.•`. «z:')r : % .... {,.:> .... n., •r.,. • . ... ....: ............ n...,.n..,v:. r.....•..w:: r.... wrr .. r., .... .....n An; r: :...l. rr:++ n.....,:::.....l.:. nr:.r..::..:::::: v:•;::::•; v.:.:. v: ..:: n•::;•: �.::.: x:;•::: .::v::::;:•::;:•.:••:: ?:.: :nY:: :...•.:: •::n• :, •. �Yii::•::Y:): .::. ( BUILDING - initial review 1O-10-ffl (ROUTED) Liiiilf dote tent - bate Approved - PERMIT EXPIRES O FIRE AMOUNT OWING f (• FIRE PROTECTION: [ ] Sprrklers (T6etsctors �N/A FIRE DEPT. LETTER DATED: INSPECTOR: INIT: O PLANNING SCREENING REQUIRED? n Yee p No INIT: REFERENCE FILE NOS.: O OTHER UMC EDITIONiyesr): INIT: 0 BUILDING - final review - Iti2; ,cf ,9 !NI .,�Ie !i REVIEW COMPLETED PERMIT NO. CONTACTED DATE READY DATE NOTIFIED 2nd NOTIFICATION BY: (Init.) BY: (Init.) PERMIT EXPIRES AMOUNT OWING f (• 3R0 NOTIFICATION BY: (Init.) 031001M CITY OF TUKWILA Department of Community Development - Building Division 6200 Southcenter Boulevard, Tukwila WA 98188 (206) 433 -1849 MECHAN,' :AL PERMIT APPLICATION Mechanical Fes Worksheet must also be filled out and attached to this application. PLAN CHECK NUMBER - I - TY) APPLICATION MUST BE FILLED OUT COMPLETELY SITE ADDRESS SUITE # FEES (for staff use only) Eng '14- ;11j1161: MIGLaiainaikil IMILL113111 INVOCIMEMINEMEI IMO MEM MIPTMONSI ASIC PE MIT, FEE NIT S ;FEE PLAN CHECK FEEN:i :i <! TOTAL VALUE OF CONSTRUCTION - $ Cr, j PROJECT NAME/TENANT TYPE OF WORK: ❑ New /Addition ❑ Modifications ❑ Repair ❑ Other: DESCRIBE WORK TO BE DONE: 7'14V0 CL fi S S c' IV & /(c-, d,�5 A/c/ (...) 7 D C '. , S S --r- of /y. c elf, S M BUILDING USE (office, warehouse, etc.) NATURE OF BUSINESS: WILL THERE BE A CHANGE IN USE? ❑ No ❑ Yes IF YES, EXPLAIN: WILL THERE BE STORAGE OR USE OF FLAMMABLE, COMBUSTIBLE OR HAZARDOUS MATERIALS IN THE BUILDING? ❑ No ❑ Yes IF YES, EXPLAIN: PROPERTY OWNER c7-4 car lSCex/ / rT C �` S P ADDRESS 't/ _s- CONTRACTOR #>71.130 L C T A7-6- 7/7 £.- ADDRESS / 3 /7 3 727 z / S�/ WA. ST. CONTRACTOR'S LICENSE *Azzir4y3 T 5. � 9 c ARCHITECT /)///q L C' S L " e74,/ ZIP c7 /VS" P H Q N - 63.E . 5 ' 0 ZIP%/-' / Q_s EXP. DATE ?_7. 3 _ ? r? PHONE ADDRESS lo//6 BUILDING OWNER OR AUTHORIZED AGENT 36 .mg-- .S4/ 7C ZI P7 J, ,/l/• SIGNATURE PRINT NAME (/tii /Lz. `ter W /A( DATE ./ —/c, -J7 PHONE,3 s._ ADDRESS / /V CITY /ZIP$C-,f. T j�� - .�/ 03 CONTACT PERSON /3:� / I,1, //,v E S PHONE 3 - .5 3 :3 C� 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 Informatio1a on application arid plan submittal raquiramants. Application and plans must be complete in order to be accented 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 EXPIRES H- 10- cl DATE APPLICATION ACCEPTED owaerair MuihrAL CHECicLIST MECHANICAL 0 Completed mechanical permit application (one for each structure or tenant) El Two (2) sets of mechanical plans, which include: • Floor plan • System layout • Elevations (for roof mounted equipment) El Structural calculations stamped by a Washington State licensed engineer may be .: required if structural work is to be done (2 sets) Note: Hood and duct systems require a building permit for the duct shaft, • MECHAW :AL PERMIT FEE WORKSHEET c:► ► r yr ► vR r►LA Department of Community Development - Building Division 6200 Southcenter Boulevard, Tukwila WA 98188 (206) 433 -1849 THIS WORKSHEET MUST ACCOMPANY YOUR MECHANICAL PERMIT APPLICATION. JNBTRUG`I"IONS • Complete the worksheet. lndkatNt� the 110 mbe11411116 belay M911111d eacA �,+ IlNUltlplled Who unit cost Then tally the subtotal column highlighted at th4 battant el the woiksheet. At time of awbm /, aeta ip ll "y cakulate;the remain teen. 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 bumer, 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 Installatbn, relocation or replacement of each appliance vent installed and not included in an appliance permit. $4.50 X 8 Repair of, alteration of, or addition to each heating appliance, refrigeration unit, cooling unit, absorption unit, or each heating, cooling, absorptbn, 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 ducts 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 X 13 Each air - handling unit over 10,000 ctm. $11.00 x 14 Bach evaporative cooler other than a portable type. $6.50 X _ 18 Each ventilation fan connected to a single duct. $4.50 • x 18 Each ventilation system which is not a portion of any heating or air - conditioning system authorized by a permit. $6.50 X 17 Ina ducts for each hood which is served by mechanical exhaust, including $6.50 X 100 18 Installation 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 Dods. $6.50 X SUBTOTAL (unit fee) Li I. pb PLAN CHECK FEE I 10 . GRAND TOTAL $51 a5 s- O (tni CENTR )1,U ropc.iii rkiim-Ors: 17ull-iit 161-w-LJE -1144nik '( .Cy-t/ c...s- (/7iU C �°` 5 IttA/ oirr - !7 rl Cr 1 7 10 i r 300 t C-4455 • `7''nvo ;fa , i •i-4n,CE mss-« /Z '' / G le . /-/o 4 !� - 3o.F ._':4 7---/T,;(.:: 4 ir v / -e..r"o [A� w W A 1_ rkk y `' c; rG_ ,74-- . 2'�- 7 -Two t h y� ? a rfJ o h 0 0 &A- IAN Joy/1.15 apt tLl�l� rLo� /2oC t3 fr 1P /20 1/ T1-511 i• . .q))0 • 57 &4t cif L3l r t/ ✓ - ry /`7,4 G- '1p 44 /%i By gV/Ic co ,y7, • CITY OF TUKWILA APPROVED Nov dri `891 Mil ° DING DIVISION FILE COPY l understand that The Plan Check approvals are subject to errors and omissions and approval Of plans does not authorize the violation of any adopted code or ordinance. Receipt of contractor's copy of approved plans acknowledged. • ( )1 • • 5 C / C.1 /&/!;,L By Date ............. .....l.•. ............. Permit No........ t J-ivz 2L..S cbt. Sew 77// c_ t4' re-A. /-7,4 F v• I . i /oo P S, e 7S -0714,6 . 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', 11toEt. b 4' 06 - 13,4cE &A- IAN Joy/1.15 apt tLl�l� rLo� /2oC t3 fr 1P /20 1/ T1-511 i• . .q))0 • 57 &4t cif L3l r t/ ✓ - ry /`7,4 G- '1p 44 /%i By gV/Ic co ,y7, • CITY OF TUKWILA APPROVED Nov dri `891 Mil ° DING DIVISION FILE COPY l understand that The Plan Check approvals are subject to errors and omissions and approval Of plans does not authorize the violation of any adopted code or ordinance. Receipt of contractor's copy of approved plans acknowledged. • ( )1 • • 5 C / C.1 /&/!;,L By Date ............. .....l.•. ............. Permit No........ t J-ivz 2L..S cbt. Sew 77// c_ t4' re-A. /-7,4 F v• I . i /oo P S, e 7S -0714,6 . 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