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LOT. . . . . . . „ . . . . . s (":'LASS OF WORE. SALT TYPE= OFF USE. . . r COM OCCUPANCY GRP. s B2 OCCUPANCY LOAD s w5 TENANT NAME— : . s Remarks Weisfield .Jewelers-- tkenant modification W I NMAR-•CASCADE. INC 700 5TH AVE #2600 'SEATTLE: WA 98104--5026 E hone #: ALGE:NEw CONSTRUCTION, INC PO BOX 1353 LYNNWOOD WA Phone #s 206-774-3115 63650 �.�•_. . _iNlnt y of the abovta refer anted building is hereby given, and r. art ifiee the compliance with the State Of Oregan Specialty Codes for the group, oc•cupanr,.y, and 1.rsp unr_ler which the referenced permit was issued. t fiDING SPECTOR FICIAL -� POST IN CONSPICUOUS PLACE r.� h J ~C J w J INSPECTION NOTICE City of Tigard Building Department 13125 SW Hall Blvd. Tigard, Oregon 97223 Inspection Line (Rec-O-Phone): 639- 175 Business Phone: 639-4171 Inspection: �{: — Footing Plbg. Underalab Hoch. Rough-in Appr/Sdwlk Found. Plbg. Top Out Gas Line INALs Post/Beam Struct. San. Sewer Framing d Post/Beam Hoch. Rain Drain Insulation Plbg. Underfloor �yWater Line Gyp. Rd. #Hoch. Date Requested: v t0-C _ Time$ lW Addcese s ���� � �l � •Rok• Permit i s 7 I Builder: THE FOLLOWING CORRECTIONS ARE REQUIRED: J � Innpoctcr• -- Date:���_��_ f' APPROVED DISAPPROVED APPROVEb 8138"CT To ABOVE Call For Reinap. INSPECTION NOTICE City of Tigard Buildi.i.g Department 33125 SW Hall Blvd_ Tigard, Oregon 97223 Inspection Line (Rec-O--Phone): 639-4175 Business Phone: 639-4171 Inspection: / Footing P1bg. Underslab MeoM1r�. Rouqh-in Appr/Sdwlk Found. Plbg. Top Out Gas Line Post/Beam Struct. San. Sewer Framing -Bldg. Poet/Beam Mech. Rain Drain Insulation P1bg. Underfloor Nater Lino Gyp. Rd. -Mach. Date Requested:_ ab z.!( 1 Time: p Am ___PM Add;ems ?-����� Q Permit Builder.:_ THE FOLLOWING CORRECTIONS ARE REQUIRED: / a: N �_- -- — r J L3 W - -- J 0 � -&x �V Ins tor: Date: APPROVED DISAPPROVED APPROVED SUBJECT To ABOVE —.—Call For Reinnp. F CITY OF T I GARD COMMUNITY DEVELOPMENT DEPARTMENT 13125 SW Hall Blvd.Tigard,Oregon 97223*8190 (503)639-071 PLUMBING PERMIT PERMIT #. . . . . . . : PLM94-0108 639-4171 DATE ISSUED: 06/30/94 PARCEL: IS126OC--01107 SITE ADDRE=SS. . . : 09757 SW WASHINGTON SOUARE RD SUBDIVISION. . . . : ZONING: C—G BLOCK. . . . . . . . . . : LUT.. . . . . . . . . . . . . CLASS OF WORK. ALT GARBAGE DISPOSALS. . MOBILE HOME SPACES. TYPE OF USE. . . . :COM WASHING MACH. . . . . . . : BACKFLOW P,REVNTRS. . : OCCUPANCY GRP. . .Bli, FLOOR DRAINS. . . . . . . : I TRAPS. . . . . . . . . . . . . . : STORIES. . . . . . . . : 1 WATER HEATERS. . . . . . : 1 CATCH BASINS. . . . . . . : F I XTURES------------------- LAUNDRY TRAYS. . . . . . : SF RAIN DRAINS SINKS. . . . . . . . . . . URINALS. . . . . . . . . . . . . GREASE TRAPS. . . . . . . LAVATORIES. . . . . .. 1 OTHER FIXTURES. . . . . : rUB/SHOWERS. . . . . SEWER LINE (ft ) . . . . WATER CLOSETS. . : I WATER. LINE ( ft ) . . . . DISHWASHERS. . . . : RAIN DRAIN (ft ) . . . . Remarks : Wei.sfield Jeweler-s— tenant modification Owner-: FEES WINMAR -CASCADE INC type amol-int by date t-ecpF 700 5TH AVE #2600 PRMT $ 30. 00 JG 06/30/94 — PLCK $ 7. 50 JG 06/30/94 — SEATT!E WA 98104-5026 5PCT $ 1. 50 JG 06/30/94 — Phone #: Cont r-act or--- —_--_.__—_---_---__._—_---_—___. M5I MECHANICAL 9655 SW SUNSHINE CT #700 BEAVERTON OR 9700*7 -------------------------------------- r-11-ione 642-1234 $ 39. 00 TOTAL Reg #. 70032 -------- REQUIRED INSPECTIONS This permit is issued subject to the regulations contained in t, c Rough—in Insp Tigard Municipal Code, State of Ore. Specialty Cooes and all other Top—oLtt Insp apP11C4blP laws. All Work will be done in accordance with Final Inspec-tion approved plans. This persit will expire if kqrk is not started within IN days of issuance, or if work is suspended for tore than 18v days. cc Vlel-mittee Signati-lir-e : Issi-ted By : Call for inspection 639-4175 CITY OF TIGARD PLUMBING S W H3L11 B1 23399 Applicants must hold Orrgon Registration to eondud a plumbingPI�� IT Tires aR 9=business or must be property owner/operator not hiring outside Wp. 639-4175 Name of DevOlOprr�ry _ '' Plumbin AdCrasa _ K Permit No. Job ;ax L.ofORS 814-21-610 DUAN. PRICE AMI Address Man.No. Lot Block Subeivtslon FIXTURES art►e Sink 7.50 -- «name ss Lavatory / 7.50 7 5 o ass Tub or Tub/Shower Cane. 7.50 Shover Onty Owner City/ to 7.50 Tip WaterCiosel / 7.50 Phone Dishwasher 7.50 - _ Garbage Disposal :: N _ - 7.50 arae Washk V Machine 7.50 Floor Drain / 7.50 ess Ph«e 75-7 SrJ 5 �? p� walerHealer 750 � Al Occupant / ` Ciry Stale LermeryReamTray - - 7.50 llnnal -- 7.50 / Other Factures(Specify) 7.50 <Aje- "�► 7.50 `J rSc•J 5�.,,,h.,,t� ��. b 7U.1 Contractor C1ty/Stets 1.50_ 7d 50 ZIP 7. r ,,'�+L\ V� MISCELLANEOUS Sewer 1 st 100, 30.00 (Re m st:t. taus.I-X.NO. Sews-ee.Addit.100' 15.00 - j013 Water Service 1 st 100' _ 20.00 1 hereby�thel I haw read this a._*Cation,VW the hbnmatbn Water ServioO ea Addit�r 9t~is onrrect,that I am r'eQ*wod with the State&indene,Board,and also 15.00 haw a SUMO PkrrnbfnV tomos that the nrxnbers given aro correct•that an Storm 6 Rain[rain 1 it_100• _ 30.00 pkxnt)w V work will be Clone in e000rdinoe with applicable provielom of Ora- Stam b P:in train Add%.100• -- 90n Revised Staples Chapters 447 and t383 end applicable,oodos and that 15.00- — - no help will be Onpbyed unless konsod under ORS 593.(If exempt from Mobilo Horne Spada 25.00 Sou reghWabOn.please We reason below). Back Flow Pnverttia� HOMEOWNERS-1 hereby ceryty thef 1 am the owner d M+e property de- DWACe or Anti-Pollution Devoe 7.50 Scribed above.at wtk h locadm l propoe0 to make a pttar+„*V t^-�s�.^"cr for my Own use and Via property Is not beim Constructed f«Sale.hale« COrxter�e rwvL o Trap d waste Not d to e Fxhxe 750 -- Catch Basin 1.50 -- --- Insp.of Exh".Pk-ibw V 40.00 Per He. Specially meted 1nt(mcd«+s 40.00 Per Hr �\ Aller.Of Plunbin0-V An _ " /r•1 �C J C C tip. /l✓!5T a"E **V BIdO. 15.00 rNn. s AUTHORIZED SIGNATURE Gate New Bldg or Build.Addwon y 9 26.00 min. Datleribe worse tew �� a Emily r -r ❑ addition❑ alter>atbn Q repair❑ AL1 15. 6 dorms reskientiel f 1 non-residentlal ExdatklQ u e ol ------- _- b iv*v or prClpsrty__ biutas of --- -- Milt;-TOTILL 3v txprpperly -- M1RC11Al14� NOTICE Tte pal1Wboomnes nus and void tl war at ooneeuodon wo ortzed r not o0n+ C otoed%*%in NO deymgm N o wmerucom a Woe*is Mapan dad or abandoned for f v r a perb9 CO 190 days M any time elle,work M �• t11PlC L&L 00"DMONS —-- Data Issued by . OFJIGARD p ticx+a"y Approved.:.. .. . :•wQtk-dGscribed in 41 3 CL vz LU * .xAl ! U) 1 - ,' y- 1•;«T T— CL CL A Jam: ") cc 7 . .`A••�,.�.. syn J A.. Z i City of Tigard PLUMBING PERMIT Planck/Rec. # 13125 sw Hall Blvd. APPLICATION Permit # f'/m 9�/roio8 Tigard, OR 97223 (503) 639-4171 escnption r ��VP'Q✓j ORS 814-21-610 QTY PRICE AMT Job 7S ("/ U/�fl FIXTURES Address c5q-e in avatory 7.50 ""•""° "" u or TLIE ib, hower Only 7.50 Water ose! I� Owner Dishwasher 7 0 zo a age isposa Washing Machine 7.50 Floor Drain 7.50 Water Heater 7.50 ry arc: Occupant — — Laundry oom ray 7.50 Unna 1.50 ^ ° ter Fixtures pecr 50 7.90 7.50 MISCELLANEOUS Contractor — Sewer 1st 100' 30.00 ewer-ea, Addit Water Service 1st 100 20.00 ere y a now get ami t I have rea-7c fjiis application, that the Water Service ea Addit 200' 15.00 information given is correct, that I am the owner or authorized agent of the owner, that plans submitted are in compliance with State laws, that Stone 8 Rain Drain 1st 100' 30.00 I am registered with the Construction Contractor's Board, that the Stone &Rain Drain Addit. 100' 1500 number given is correct (If exempt from State registration, please give reason below.) Mobile Home Space 15.00 Back ow Prevention Device or Anti-Pollution Device 7.5� Any Trap or asle Not Connected to a Fixture 7.50 Descril5e work nPw addition —55e—ration T7 repair {) atc Basin 7.50 to be done residential 0 non-residential Q 40 Insp. of Exist Plumbing per hr 4 00 Specially Requested Inspections per hr Existing use of Rain Diain, singe family building or property _ __ dwelling 15 00 Residential ac prevention devices 15.00 Proposed use of � building or property , _ *(Except res nda ow prevention devices) NOTICE 'Minimum Fee $25.00 SUBTOTAL PERMITS BECOME VOID IF WORK OR CONSTRUCTION 5% SURCHARGE ) b AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS,OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED PLAN REVIEW 25X OF SUBTOTAL FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED. TOTAL Special Conditions — �— Date issued _by k.VLUU +tt MECHANICAL CITY OF TIOARD PERMIT PERMIT #. . . . . . . : MEC94--0157 COMMUNITY DEVELOPMENT DF 7,P DATE ISSUED: 06/27/94 -9 13125 SW Hall Blvd.Tigard,Oregon 97223-81 0 T) U 7I PARCEL: IS126OC-01107 SITE ADDRESS. . . : 09757 SW WASHINGTON SQUARE RD SUBDIVISION. . . . : ZONING: C-G BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . ___------------------------------------------------------------------------- --------- CLASS OF WORK. . :ALT FLOOR FURN. . . . : EVAP COOLERS: TYPE OF USE. . . . :COM UNIT HEATERS. . : VENT FANS. . . . 1 OCCUPANCY GRP. . :B'C-_ VENTS W/O APDL: VENT SYSTEMS: STORIES. . . . . . . . : 1 BOILERS/COMPRESSORS HOODS. . . . . . . : FUEL TYPES--------------- 0-3 HP. . . . : DOME-13. INCIN: 3-15 HP. . . . : COMML.. INCIN: MAX INPUT: BTU 15-30 HP. . . . : REPAIR UNITS: 1 FIRE _)AMPERS?. 30-50. HF'. . . . : WGODSTOVES. . : GAS PRESSURE. . . 50-+ HP- . : CLO DRYERS. . : NO. OF UNITS——------ AIR :4ANDLING UNITS OTHER UNITS. : 1 FURN ( 100K BTU: <= 10000 cfm : GAS OUTLETS. : FURN ) =100K BTU: 1 10000 cf1fl : Remar-l-(s : Weisfield Jewelers— tenant modification Owner: ---————————————————--———————---—————————————————---—--- FEES —————————————— WINMAR—CASCADE INC type amount by date recpt 700 5TH AVE #2600 PRIYIT $ 2-5. 00 SW 06/27/94 PLCK $ 6. 25 SW 06/2-7/94 SEATTLE WA 98104-5026 5PCT $ 1. 25 SW 06/27/94 Phone #: Contractor: ARROW MECHANICAL CONTRACTORS 10330 SW TUALATIN RD. TUALATIN OR 97062 ____.__._-----..-___—_--_ Phone # . 692-1565 $ 32. 50 TOTAL Reg #. . : 05193 ------- REQUIRED INSPECTIONS This permit is issued subject to the regulations contained :n the Duct Inspection Tigard Municipal Code, State of Ore. Specialty Codes and all other Misc. Inspection applicable laws. All work will be done in accordance with Final Inspection approved plans. This permit will expire if work is not started within i80 days of issuance, or if work is suspended for @or@ than 180 days. Permittee 519rAtul'e ' I -,S1_t L-d FAY ..", Call for inspection 639-4175 City of Tigard MECHANICAL PERMIT Planck/Rec. # C- 13f25 sw Hall Blvd. APPLICATION Permit # Tigard, OR 97223 (503) 639-4171Description lcJ/15/1rl�t.h7�1 S�x'rf�C Mr�t Ta-e 3A Mechanical Code QTY PRICE AMT Job '175 7 5(r, W�'NI Nv r0l �(w 60 F� F 1) Permit Fee -o- -0' 10.00 Address ,. I/,�y fL per,sl7 2) Supplemantal Permit 3.00 Furnace to 100,000 13TU �1 A)1")k9(I OAC t 1� C= � _ 1) incl.ducts&vents 6.00 «. c Furnace 1100,000 BTLT+ Owner Gr; IZd L/Lt' 2) incl. ducts&vents 7.50 e' or Furnance ,sell-T7-u- LJ a Ty 7 C' 4 3) incl. vont 6.00 •^ a^'"•� '•• ----`,7u-ii55nded FFeater,wall eater , 'Le 1,S t D �dtjdt_d7tS 4) or floor mounted heater 6.00 K+ en no inc.in Occupant cf 7�-7 5W /� // A&/1,1S.IC; 5) appliance permit 3.00 o - —Repair of hqaVng,re ng. n 1) 6) cooling,absorption unit 6.00 C Boiler or comp,heat pump,air con . 7) to 3 HP absorp unit to 100K BTU 6.00 _ i er or comp, at pump,air conU. Contractor /033c HLA v (' �q} 8) 3-15 HP absorp unit to 500K BTU 11.00 iTeror comp,heat pump,air con . T�iyL/l7i/-� '���:� t 9) 15-30 HP absorp unit.5-1 mil BTU 15.00 F."" .to- frTBoilef or comp,beat pump,au cond. 7; P/LrrP i �, 7� 10) 30-50 HP absorp unit 1-1.75 mil BTU 22.50 ere y ac ow ge that I have reau this application,that the Boder or comp,heat pump,air cond. information givon is correct,that I am the owner or authorized agent 11) >50 HP absorp unit 1.75 mil BTU 37.50 of the ownor,that plans submitted are in compliance with State Air handiN unit to laws,that I am registered with the Construction Contractor's Board, 12) 10,000 CFM 4.50 that the number given is correct. (If exempt from State registration, Air handling urn please give reason below) 13) 10,000 CTM+ 7.50 Non norta e 14) evaporate cooler 4..50 Vent an connect -` 15) to a single duct 3.00 3�t enr aton system not L a3 �j 9 16) included in appliance permit 4.50 i ° wFlood serv5d y _ 17) mechanical exhaust 4.50 DescnFe work new U addition a terabon repair mmeraa or instria _to be done residential(1 non-residential-016) type incinerator 30.00 xis ng use o 17 -- Mor-i.e.,wo slove,water 5U building or property V E'T//1 4 .5/9 LtrS 19) heater,solar,clothes dryers,etc. I 4.50 `t CL Proposed use of20) Gas piping one to four outlets 2.00 building or property 4 1/1/(- SrJ L t_ S t 21) More than 4-per outlet Type of fuel -oil O natural gas Q 1 PG O electric Q C»n ILLE5 1 1)vCT(ti1, aff orLLY �- - -� Minimum Fee$25.00 SUBTOTAL ,` 1 PERMITS BECOME VOID IF WOGIK OR CONSTRUCTION " ;J AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS,OR S%SURCHARGE ,1 w IF CONSTRUCTION OR WORK IS SUSPENDED OR J ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME PLAN REVIEW 25%OF SUBTOTAL AFTER WORK IS COMMENCED. TOTAL Special Conditions Date issued, by _ V YECNL4fT ►fdmWv City of Tigard MECHANICAL PERMIT Planck/Rec. # 131,25 sw Hall Blvd. APPLICATION r rmit # y)CC 7er-01 -�� Tigard, OR 97223 (503) 639-4171 `w" " Description Table 3A Mechanical Code OTY PRICE AMT Job Address 7 ," r/ < �/ (/� J!. ' �t �7��' 1) Permit Fee 0- 0 1000 2) Supplemental Permit 3.00 '"` Furnace to `100,000 BTU 1) incl ducts .S vents 600 Owner 2) incl ducts &vents 7 50 d.,I Floor Furnance 3) incl. vent 600 ° "' uspen a eater, wall eater 4) or floor mounted heater 6 00 Occupant U. ° ... Vent not OF. in --' 5) appliance permit 300 LI. -- Repair of hea ing, re ng. 6) cooling, absorption unit F F.00 C,x Boiler or comp, heat pump, au con 7) to 3 HP; absorp unit to 100K BTU 600 FA.A"° '"" — """ Boiler or cornp, heat pump, aii cond. Contractor 8) 3-15 HP; absorp unit to 500K BTU 11.00 oyer or comp, heat pump, air con 9) 15-30 HP; absorp unit .5-1 mil BTU 1500 .m "' Boiler or comp, heat pump, air con 10) 30-50 HP, absorp unit 1-1.75 mil BTU 22.50 -TTere y ac mow a ge that I have read is app ication, t at t eo- er or comp, heat pump, air con information given is correct, that I am the owner or authorized 11) >50 HP, absorp unit 1.75 mil BTU 37.50 agent of the owner, that plans submitted are in compliance with it handling unit to State laws, that I am registered with the Construction Contractor's 12) 10,000 CFM 450 Board, that the number given is correct. (If exempt from StateAir-Fian ing unit registration, please give reason below) 13) 10,000 CTM + 7.50 Non po a e 14) evaporate cooler 4.50 ----Vent fan connected 15) to a single dud 3 00 --Vend a ion system not 16) included in appliance permit 4.50 Hood—served y � 17) mechanical exhaust 4,50 Describe work new addition alteration repairommercraorinustnel-- to be done residential O non-residential 0 181 type incinerator 30.00 Existing use of Uther i.e., woodstove, water building or property 19) heater, solar, clothes dryers, etc t I I 450 Proposed use of 20) Gas piping one to four outlets 200 building or property 21) More than 4-per outlet i— Type of fuel -oil Q natural gas O LPG O electric 0 NOTICEr F- J PERMITS BFCOME VOID IF WORK OR CONSTRUCTION -Minimum Fee $25.00 SUBTOTAL — AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR 5%SURCHARGE 1,2_C r,i IF CONSTRUCTION OR WORK IS SUSPENDED OR -� ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME PLAN REVIEW 25% OF SUBTOTAL AFTER WORK IS COMMENCED. TOTAL =—LjSpecial Conditions ---- J Date issued by rwEus++r .vAcawee. CMr OF TIGARD BUILDING PERMIT COMMUNITY DEVELOPMENT DEPARTMENT PERMIT fl. . . . . . . . BLIP94-01.44 13125 SW Hall Blvd.Tigard,Oregon 97223*6199 (503)839-4171 DqT[: ISSUED: PARCEL ! JSI.bOC-01107 09757 SW WASHINGTON 2D.IJAIRE RD -11 V I S!ON. ZONING: C-13 . . . . . .. . . . . .. LOT. . . . . . . . . . . . . 3 G UZ FLOOR EXTERIOR WALL CONSTRUCTIOi`-; ,0 01' WOR11%. :A!-T 771 RST. : 1050 s N W. flR U131711— .(70M SFrOND. . . - C;f PROTECT L OP CONST. :SN THIRD. . . . a Sf N: Sil E: W. oc(.-,urof !cy onr. s na TOT01- ------ --- : 1050 �f ROOF CONST: rIRE RET? :; 0,CCUPANCY LOAD:25 BnGEMENT. S f., f-IREA SEP. RATED: C7' R. -. I H I- rt OnRAGE. 5f OCCU SEP. RATED: ME"ZZ'7 . REDD SETBACKS RCI UI .Jorx LOAD. P%f LUFT. ft RG117' ft FIR 5P11'NL-:Y SMOI-', DET. 11 TNG UNfTSt FRNT! ft REAR: ft FIR AL.RM! HNDTCP ACC:Y BATHE- IMP SURFACE- PRD CORR!Y PARK TNG: 4 0 2."'5 0 ,.rkn : Weisfiold Jewelers.- tenant modification er: "MAI -CASCADE INC type amount by d Evt e reL. 5T!' A V-i #('7-,G iZ.0 PRMT $ .278. SO SW 06/17/04 - ''? rK 1i 18t. 03 - 05/27/94 94-252856 Pirzf)TTLF WA 13811214-50i?6 5pr_T $ 17, 93 SW 06/17/94 -- CONSTRUCTTON, INC BOX 1353 -YNNWOOD WP IN-1 u n e # ^06-77/4 - 311:5- 473. 46 TOTAL 44. . 63650 REDUTRED IN3PECTIONS This nersit is issued subject to the rpaqlafiir; f-nra- the Framing Insp Tigard ru;,icipal. Code, State of Dre. Specialty Codes and all other Tn:iiilation Insp aPP!;-,-ab!e laws. All woH, will be done it accordance with Syp Board Insp plans. This periit will expire if work is not started, Si-Ism 7-i Intl T-7gr1l witi•in 180 day; of issuance. or if work is suspended for iiiare -inal Inspection ",`a' '80 dans. rp-mi*+pp r Lon T -J Call for inspection 639-4175 CITY OF TIG u1uswH,uo►,a PLNCK,/RECT # COMMUNMDEVICLOPMUNTDEPAV'LTMPJYT nc�4,g..,gm, PERMIT A �� f! ;r (M)43S4171 DATE ISSUED ~� JOB ADDRESS: TAX MAP/LOT SUB: SPAc.E A - c/ _ LOT_ - LAND [ISE: ��9v -3� 09.-lo VALUATION: ���+ 2 5 o �� SPECIAL NOTES NAME: _five elc� JeL -t:t- - REISSUE 01": ADDRESS: 3'L 7 � Ave S4 LAST REISSUE: FLOOD PLAIN/ PHONr: 3i0 o SENSITIVE LAND: CQNTRACTOR APPROVALS REOU__IREO NAME: 0LI-1 7-b !3-r1) PLANNING: ADDRESS: ENGINEERING: FIRE DEPT: _ PHONE: OTHCR: CONTR. BOARD : EXP GATE: �� � L 7 J i�'� L1105.1MYIRED SUBCONTRACTORS: PLUMB: LIST/SUBCONTRACTORS: MECH: BUS TAX: ARCH/ENGINEER —� CALCULAT19NS: NAME: /�i'f, �,• � /-/G by rF� . TRUSS DE' ^,►LS: ADDRESS: OTHER: PHONE: '31 o 3 ie - 6 LL PROPOSED BLDG. USE: Re-rlll / Irk-'��<'•' � COMMENTS: J L ' W J � APPLI S[GNATURE V Received By: Date Received; _,�•���C� i �r �'lhm� ' �r18� �a S"�U -- 13. 93 / Grn ��t�,� � �� . v3 / �� . � �� �� � � la J s W J + i •SST+. S. -.r f t 'F f M �,: II y e .�i , R''+6 ��;*� s u•,ixt � ` ,.A �•s �.� , '�"'M IN •f� • •yHY i k '•1 4 �I I� vF�p.� is � • r FOR OVERSIZED DOCUMENTS SEE 35 mm ROLL FILM