2005, 08-10 Permit App: 05002736 ResidenceProject Number: 05002736 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Project Information:
Permit Use: NEW RESIDENCE W/ATTACHED GARAGE/GAS Contact: DIAMOND ROCK CONSTRUCTION INC
Address: 15321 E MISSION AVE
C - S - Z: SPOKANE VALLEY, WA 99037
Phone: (509) 926-8094
Group Name:
Project Name: ROW
Date: 08/10/2005 Page 1 of 4
Setbacks: Front 20 Left: 5 Right: 15 Rear: 32
Site Information:
Plat Key:
Name: Corbin Estates Long Plat
District: East
Parcel Number: 55191.2723
SiteAddress: 23 S LONG RD
Location:: CSV
Zoning: UR -7*
Water District:
Area: .00 Acres
Block: 2
Urban Residential -7*
Lot: 23
Owner: Name: DIAMOND ROCK CONSTRUCTIO
Address: 15321 E MISSION AVE
SPOKANE VALLEY, WA 99037
Hold: ❑
Width: 60 Depth: 100 Right Of Way (ft): 40
Nbr of Bldgs: 1 Nbr of Dwellings: 1
Review Information:
Review
Site Plan Review
Released By:
Plan Review
Originally Released: 08/08/2005 By: cjjanssen
Released By:
Approach / Drainage
Originally Released: 07/19/2005 By: TMELBOU
Released By:
Sewer Review
Permits:
Originally Released: 08/08/2005 By: cjjanssen
Released By:
Operator: CJJ
Printed By: CJJ
Print Date: 08/10/2005
Project Number: 05002736 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 08/10/2005 Page 2 of 4
Approach
Contractor: DIAMOND ROCK Firm: DIAMOND ROCK CONSTRUCTIO
Address: 15706 E VALLEYWAY AVE Phone: (509) 218-8510
VERADALE, WA 99037
Item Description
APPROACH INSPECTION
CONST IN ROW - APPROACH
Units Unit Desc
1 NUMBER OF
1 NUMBER OF
Permit Total Fees:
Building Permit
Fee Amount
$25.00
$25.00
$50.00
Contractor: DIAMOND ROCK Finn: DIAMOND ROCK CONSTRUCTIO
Address: 15706 E VALLEYWAY AVE Phone: (509) 218-8510
VERADALE, WA 99037
Building Characteristics
Total Area 1250
Building Height 20
Stories 1
Dwelling Units 1
This Application: Total Project:
Description Grp Type Notes Sq Ft Valuation Sq Ft Valuation
GARAGE U-1 VB 372 $14,463.36 372 $14,463.36
RESIDENCE R-3 VB 1,250 $93,350.00 1,250 $93,350.00
Item Description
RESIDENTIAL PERMIT FEE
STATE SURCHARGE
RESIDENTIAL PLAN REVIEW
Totals: 1,622 $107,813.36 1,622 $107,813.36
Units Unit Desc Fee Amount
1 SELECT $1,038.55
1 SELECT $4.50
1 SELECT $415.42
Permit Total Fees: $1,458.47
Operator: CJJ Printed By: CJJ Print Date: 08/10/2005
Project Number: 05002736 Inv: 1
• Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 08/10/2005 Page 3 of 4
Mechanical Permit
Contractor: DIAMOND ROCK Firm: DIAMOND ROCK CONSTRUCTIO
Address: 15706 E VALLEYWAY AVE Phone: (509) 218-8510
VERADALE, WA 99037
Item Description
DUCT SYSTEMS
GAS WATER HEATER
GAS APPLIANCE<=100,000BTU
GAS PIPING
VENTILATING FANS
CLOTHES DRYER
HOOD -TYPE II
Units Unit Desc
1 NUMBER OF
1 NUMBER OF
1 NUMBER OF
2 # OF UNITS
3 NUMBER OF
1 NUMBER OF
1 NUMBER OF
Permit Total Fees:
Plumbing Permit
Fee Amount
$10.00
$10.00
$12.00
$2.00
$30.00
$10.00
$10.00
$84.00
Contractor: DIAMOND ROCK Firm: DIAMOND ROCK CONSTRUCTIO
Address: 15706 E VALLEYWAY AVE Phone: (509) 218-8510
VERADALE, WA 99037
Item Description Units Unit Desc Fee Amount
TOILETS/BIDETS 2 NUMBER OF $12.00
SINKS 4 NUMBER OF $24.00
TUBS 2 NUMBER OF $12.00
DISH WASHERS 1 NUMBER OF $6.00
CLOTHES WASHER 1 NUMBER OF $6.00
WATER USING DEVICES 2 NUMBER OF $12.00
Permit Total Fees: $72.00
Operator: CJJ Printed By: CJJ Print Date: 08/10/2005
Project Number: 05002736 Inv: I
Notes:
,Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 08/10/2005 Page 4 of 4
See plat file for TURTLE CREEK SOUTH 2ND for special drainage requirements
Payment Summary:
Permit Type
Approach
Building Permit
Mechanical Permit
Plumbing Permit
Fee Amount
$50.00
$1,458.47
$84.00
$72.00
Invoice Amount
$50.00
$1,458.47
$84.00
$72.00
Amount Paid
$0.00
$0.00
$0.00
$0.00
Amount Owing
$50.00
$1,458.47
$84.00
$72.00
$1,664.47 $1,664.47 $0.00 $1,664.47
Disclaimer:
Submittal of this application certifies the owner (or person(s) authorized by the owner) has both examined and finds the information
contained within to be true and correct, and agrees that all provisions of laws and/or regulations governing this type of work will be
complied with. Subsequent issuance of a permit shall not be construed to be a permit for, or an approval of, any violation of any of
the provisions of the code or of any other state or local laws or ordinances.
Signature:
Operator: CJJ Printed By: CJJ Print Date: 08/10/2005
Contractor: DIAMOND ROCK CONSTRUCTION License #: DIAMORC0320Q
SEWER CONNECTION 1 $85.00 PROCESSING FEE 1 $15.00
Total Permit Fee: $100.00
FOR SEWER INSPECTIONS CALL (509) 477-3604 UTILITIES 8:30-5:00 PM MONDAY THRU FRIDAY
Call for inspection prior to cover. ONE WORKING DAY NOTICE REQUIRED.
Contractor or applicant is to field locate and confirm the elevation and position of sewer stub prior to any other excavation.
Sewer stubs are to be checked prior to connection to ensure that they have acceptable grade and are clear and unobstructed to the main
sewer. Sewer lines should be constructed to allow for gravity flow from the lowest level of the structure.
This permit must be presented to the job site inspector for verification. To locate buried cables, gas piping, water lines, etc.
CALL BEFORE YOU DIG, (509)456-8000.
STATE LAW RCW 19.122 REQUIRES THAT PRIOR TO ANY EXCAVATION THE "CALL BEFORE YOU DIG" CENTER BE
NOTIFIED. CALL BEFORE YOU DIG AT LEAST 2 WORKING DAYS IN ADVANCE, (509)456-8000.
Spokane County Code requires the installer comply with all requirements of the Washington State Dept of Labor and Industries,
including those related to trench safety.
1
1
Atmeik
i
SPODE COU1*TY
SPOKANE COUNTY
DEPARTMENT OF BUILDING & PLANNING
1026 WEST BROADWAY AVENUE • SPOKANE, WA 99260-0050
Site Information
Project Information
Site Address: 23 S LONG RD
Parcel Number: 55191.0405
Subdivision: RANGE
Block: Lot:
Zoning: UNK Unknown
Owner: DIAMOND ROCK CONSTRUCTION
Address: 15321 E MISSION AVE
SPOKANE, WA 99037
Building Inspector: BOBBY STONE
Water Dist:
Project Number: 05005074 Inv: 1 Issue Date: 7/14/2005
Permit Use: SEWER CONNECTION - CORBIN EST
Applicant: DIAMOND ROCK CONSTRUCTION
15321 E MISSION AVE
SPOKANE VALLEY, WA 99037 Phone: (509) 924-8964
Contact: DIAMOND ROCK CONSTRUCTION
15321 E MISSION AVE
SPOKANE VALLEY, WA 99037 Phone: (509) 924-8964
Setbacks - Front:
Group Name:
Project Name:
Left: Right: Rear:
Permits
Sewer Connection Permit
1
Payment Summary
Total Fees AmountPaid AmountOwing
$100.00 $100.00 $0.00
Tran Date
7/14/2005
Processed By: BURRIS, ROBIN
Printed By: WENDEL, GLORIA Page 1 of 1
Receipt # Payment Amt
4083 $100.00
PERMIT
i
Spokane
j0Ualley
BUILDING PERMIT APPLICATION WORKSHEET
qf qpo a alley Community Development Department
`_ Building Division
11707 E. Sprague Avenue, Suite 106
Spokane Valley, WA 99206
ne: (509) 688-0036; Fax: (509) 688-0037
ULnllm
REQUIRED SITE INFORMATION
Street Address:
,Z 3 s.. �G Li
Assessor's Tax Parcel Number(s): 3 19 1. 2. Z
Legal: Description:
PERMIT DESCRIPTION:
ViBuilding Permit
❑ Relocation
❑ Change in Use ❑ Grading ❑ Manufactured Home
0 Tenant Improvement ❑ Fire Safety ❑ Other
OWNER/APPLICANT INFORMATION
�T
Owner: �, s /f.' r\,,)_ _ v
Phone: --%, -, ; Fax:
Address: QG"°g��
City
Contractor:
State
Applicant:
Phone:
Address:
Zip Code City
Fax:
❑ Architect:
Phone: , Fax:
Address-' Phone:
State Zip Code
Address:
City State Zip Code City
WA State Contractor License #: Contact:
Fax:
State Zip Code
PERMIT/BUILDING INFORMATION
HEIGHT TO PEAK:
2(0
MAIN
DIMENSIONS:
/ V1.3' 2 ��
# OF STORIES:
l
FLOOR TO SQ. FTG: .
1250
..2"'"FLOOR SQ. FTG:
UNFIN BASEMENT SQ. FTG:
DECK/COV. PATIO SQ. FTG:
/C-»
FINISHED BASEMENT SQ. FTG- •
GARAGE SQ. FTG:
372,
OCCUPANCY GROUP:.,
CONSTRUCTION TYPE:
Ai r �`'�i
HEAT SOURCE:.
itis
IMPERVIOUS SURFACE AREA:
# OF BEDROOMS: .-;
TOTAL HABITABLE SPACE:
C OST OF PROJECT:
bC) 004
0
3% SLOPES ON PROPERTY
:
SEWER OR ON-SITE SEPTIC
SYSTEM? :)
-t�t.-�e�'"'
MANUFACTURED HOME
Width:
Manufacturer:
Length: Year:
Pit Set:
RELOCATION
Previous Address:
Proposed Use:
FIRE SAFETY
Fire Sprinkler: # of Heads: Fire Alarm:
Tent:
Paint Booth:
Fireworks Display: Blasting: Date/Time:
Valuation: Above/Underground Storage Tank Size:
WASHINGTON STATE NON-RESIDENTIAL ENERGY CODE
Plans Examiner:
Address:
Phone:
Fax:
City State
Inspector: Phone: Fax:
Address:
Zip
City
State
Zip
SPECIAL INSPECTIONS
❑ BOLTING
Firm Name:
❑ CONCRETE
C REINFORCEMENT
❑ WELDING
Phone: Fax:
Inspector(s):
DISCLAIMER
The permitee verifies, acknowledges and agrees by their signature that: 1) If this permit is for construction of or on a
dwelling, the_dwelling is/will be served by potable water. 2) Ownership of this City of Spokane Valley Permit inure to the
property owner.- 3) The signatory is the property owner or has permission to represent the property owner in this
transaction. 4) All construction is to be done in full compliance with the City of Spokane Valley Development Code.
Referenced codes are available for review at the City of Spokane Valley Permit Center. 5) This City of Spokane Valley
Permit is not a permit or approval for any violation of federal, state or local laws, codes or ordinances.
Ownership of r ulting development rights granted by any issued permi nure to the property owner.
Print Name a lit. ( Crcpd
Signature
Method of Payment: (Faxed permit applications will only be accepted with major bankcard)
❑ Cash ❑ Check
Bankcard #:
Authorized Signature:
❑ Mastercard
Expires:
❑ VISA
VIN#:
❑ Other
.--...traYcllLLc ,4xtC ivo rnone
Spokane Valley, WA 99206 509-688-0037 - Fax
.il
Plumbing Permit Application
PROJECT'
ADDRESS: ? S
OWNER
or or ^)
MAILING ADDRESS:
(street)
CONTRACTOR
MAILING ADDRESS:
(street)
DESCRIPTION
TOILETS
uR]NALS
TUBS
SHOWERS (PER TRAP)
SINKS
(thy/state)
PERMIT
USE:
PHONE (Daytime Contact):
(city/State)
PLUMBING FIXTURES
1L/CENSE t:
PHONE 1:
(Z)
DETAILS F OF MITTS
WATER CLOSET, B/DEIS
X
COST
EQUALS
AMOUNT
X
11.111111101
16
e X
vs/BASINS, BAR, FLOOR�.�
Y, t1'I'ild'IY, JANrnoR PHarnv, x -
FOOD: PREP/CULINARY/MEAT
ATH; STALL. ONSITE BUILT
LA
LAUNDRY,
RAY,
6 DISHWASHER
7
8 GARBAGE DISPOSAL
9 WATER SOFTENER
10 ELECT. HOT WATER TANK
11 FLOOR DRAINS
CLOT IES WASHER
12 FOUNTAINS, DRINKING
13 WATER POING/DRAIN-IN
WASTE, VENT, PLUMBING
REVERSAL
14 SEWAGE EJECTOR
15 WATER USING DEVICE
16. CROSS CONNECTION DEVICE
17 SPRINKLER SYSTEM
13 INTERCEPT ORS •
19 MEDICAL GAS per outlet
20 MSC, PLUMBING FIXTURE
HOD OF•PAYMID,TT
LSH 0 CHECK 0
NOTE: IF GAS, SEE MECHANICAL
AREA, CASE, COIL, TRENCH CONDENSATE S6
INSTALLATION; ALTERATION, REPAIR,
RLS-
' S6
GRINDER, SUMP PUMP
ICE AND/OR COFFEE MAKER, HOSE BID,
STEAMER, PROOFER, CARDONATDP, _ 56
SWAMP COOLER
VACUUM BREAKER, CHECK VALVE, AND
R.P.B.P.D. POR VATS, TANKS, BOILERS X $6
GREASE TRAP, SAND X 525
TRAP, CHEMICAL
HOLDING TANK
NITROUS, OXYGEN MENNE
EXPIRES:
CARD NUMBER
ORIZED SIGNATij ;
SO/t,0 d
b6089E6 01
SUBTOTAL:
PLUS PROCESSING FEE:
TOTAL PERMIT FEE DUE:
dd tiO:LT 200E 0Z d9S
sii&S
Valley
11707 East Sprague Avenue, Suite 106
Spokane. Valldy, WA 99206
Mechanical Permit Application
PROECT
ADDRESS: —13
vim&
G ADDRESS: •
• "2.
5
CONIRACIOR:
ADD.
(slice)
.1•0111•1•1111=6,
(City/state)
E:
509-6880036 - Phone
509-688-0037 - Fax
PHONE (Daytime Contact):
LI
F 0 1:
E
city/state)
)
DESCRIPTION OF WORIC ' 1 OF UNIT$ 1 COST EQuas AMOUNT
11E3M3=1 • • OR 4100,099 1 - x ' $15 • j 5
MI FUEL BURNING APPLIANCE 7. tte,cea
U UNLIRCED APPLIANCE (Ammo X• 519 .
El MINN
EI.,,,„...... APPLIANCE (ADDITIONAL FE
HOSED APPLIANCE (WBEC min. ARM rutin .11111.111Eal • /59 Milill....111
6 USED APPLIANCE (VSEC min, ARM ting)
11
POILER/REFRIGERATION
11154341-
9 BOILER/RE
itamuommticimAmoN
c m0G, AS SEgt G
11 CAS L
RAN
N
11 DRYER
111 FUE
Ei MISC.
1E1
EiEl AIR HANDLER (DOES NOT Include dueling) • OR cl(1,0CCFM C
E120°023M1.111.11111111101111115111.11,10,cce "
AIR HANDLER (DO€5 NOT Include dktin,
$19 MIMI
400,000
1-100/d ITU
GAS PIPINC Owlet
1111111111,111216 1111131111111111111111111
IIIIIII1M11E1111112111111113MIIIIIIIIIII
gol 403145TV MEM =I
sai-vxminw NEN 09 •
1002 • L7SE65 IDII 111.1111MSIMIMINI
+17SOM BTU 111111.1111.2111C .1101111•11111111111
nommuilmil NMI MII2111- IIIMIIIIIIIIMII
IM121•11111111111131 II= IMINI111111
ii
lirrimEN imii op. ic
- 11111111111011t011111101111W1)
no
- IMMO 1111X111•11111111111
11111EMINVAIIIIIIIE1111EINIIMMINI11111
111011111011111111111111 x no - 6
DUCT SYSTEMS
El ME I HOOD
13 EVAPORATIVE cOoLERs
Ei TYPE HooD
pima PUMPIAJR CONDmoNER
fl
comirnoNut
IAlR CONOMONER
28 AIR CONDITIONER
2$ AIR CONDIIIONER
30 LPG =WAGE TANK
El
El
0-3 TON
3-1.5 1VN
WM TON
WOOD OR PELLET sTovEnNsEirr
x •
11131111131111111112111■111111110111
11111
MAN 11111 X $60
X SW
30-92 ToN
METHOD OP PAYMENT
Ci6sH cHEOc 0 MIMS
DATE:
BAN KCARD NUMBER
AUTHOR] MD Si GNATUR.E:
Sn SO ' d
EXP
1111112111
MEI
EIR
I760556 01
PLUS PR
TOTAL PERMIT rEE DUE:
d3 TO:LT 200E OC d3S
Cizy0f
2001 WSEC.Reszdential Compliance Form
rrescriprive (Ctrapter 6) Options for all R Occupancies, Climate Zonc 2 t]; 1
Heat source: ALL
5Po.ICA. VAT/LEY $U. ,D G» P T� T..��;;r, ..
•
11707 E. Sprauge .A.vehge, #1U6, 5pakaaae 'Valk gra r,�� .
y, Washington 99206 - Tel 509-921-1000 - Fax 509-921400$
SITE A.DDRRSS:_ LQ1_,PLO
ERMIT NO, DATE: 2: -/c --0---S
INSTRUCTIONS
1) Your permit will be processed more efficiently if you provide all of the requested information. Department staff can
Delp you with general questions about this form. Your building must match the selected option requirements without
'exceptions or substitutions.
2) Glazing percentage determines which option to choose. Complete the following glazing area calculation before
proceeding to the option table below,
GLAZING AREA CALCULATION:
J 35
TOTAL WINDOW AREA -r HEATED FLOOR AREA (ALL FLOORS)
NOTE: Use roughopening (RIO) % OF GLAZING
calculetiort_ o p $ for window area. Include all half -lite and full-Itte door glazing its this
CANT COMPLY? If none of the Prescriptive (Chapter
(Chapter 4) or; Component Performance (Chapter 5 6) Opizarts below rice acceptable, consider systetrts analysis
factors (LZ -values) as long as arc overall maximum value isn't exceeded. Noteproach. The main thatadvantage iso overall
p to "u ie individual tl-
hr I gS
are no less stringent than the Prescriptive' requirements. Calculations may -that the overall performance requirements.
computer software program. Helpful forms and other resources can be downloperformed-
ded a f h by hand or, http://www.eriergy.wsu.edu/ an acceptable
buildings. ttp://www,eriergy.wsu.edu/
Vafuted
Ceiling'
rez
o °
x d Urd7miletl
QNOccupancy 0.56
O Only
al - • 1. m � yrs appeal �es onlyor but to
A
Eml `a r1 is'In imply mre ui a Wattlet eaCh option Wet For Q fie, y a am:taboos with zing to tion the
�.% V requirements of a Wed reve. the 15% g�fng option design aroposed esigrabo b IFS itiived floor area of 13%, it
¢ 2 apples to al ceilings except o rafter may calculate ccoplanoe by Chapters 4 w 5 of which cannot rivet specific
< 3. +t ep.&re only b single tarter or 1° ar>rted ° ^�. Adv' denotes Alva
Awl -� 4- eebw dada walls Shan be insulated abler on n H'e'ss Advanced Framed retry g
PO asPrl "$ to the r, installed on t�etav grashaff be a water R 12, or an the intortor to thefor sans levet as , an above
F' a Floors over crawl Section rIOZZ te l' a Ax its intended use, and installed
5, stab crawr or exposed fa arrbienL alt conditions.
manr>fadu s ons.' ans SttaR be a waw resistant rtateria(. tterwfaciunad for its intended use. and ihslan� 2mpnjing to
7, Int derit70esstaN
8. This well esimbibesndframing 10 inches on center With headers klsubbed with a minimum or R-5 insulation.
R. mss, default taGan m bl foam sheathing.
mgatiro doors, shag be
10. Where arr�grturr� g tweak ��assigned �� W a�S {rorrtTabtg 10 -SC, ��
shalt be Fess Than or squat to that value, Ova/read sow ane area (combined vertical plus overhead) es a
i2. L sot it Overhead glazing shall � L -f rS determined i a zing a, th � faclor of 100 or or tsps is includedin percent of coazing area nditioned tiogr area
09 tenger walls with a minimum average tis or 3.S FRC as is ins ed in Section 502.1.5.
ire exempt � this Insulation requirmmer, t
Warr
Above
Grade
wan" INt4
Befew
Grade
Wali"
ext'
Below
Grads .
Srab4 on
Grade
R-12
R-5.
Rr19f.
R-56
Forrt, 5-050801-200 1 Residential Comp Form
1
Contractor: DIAMOND ROCK CONSTRUCTION License #: DIAMORC0320Q
SEWER CONNECTION 1 $85.00 PROCESSING FEE
1
$15.00
Total Permit Fee: $100.00
FOR SEWER INSPECTIONS CALL (509) 477-3604 UTILITIES 8:30-5:00 PM MONDAY THRU FRIDAY
Call for inspection prior to cover. ONE WORKING DAY NOTICE REQUIRED.
Contractor or applicant is to field locate and confirm the elevation and position of sewer stub prior to any other excavation.
Sewer stubs are to be checked prior to connection to ensure that they have acceptable grade and are clear and unobstructed to the main
sewer. Sewer lines should be constructed to allow for gravity flow from the lowest level of the structure.
This permit must be presented to the job site inspector for verification. To locate buried cables, gas piping, water lines, etc.
CALL BEFORE YOU DIG, (509)456-8000.
STATE LAW RCW 19.122 REQUIRES THAT PRIOR TO ANY EXCAVATION THE "CALL BEFORE YOU DIG" CENTER BE
NOTIFIED. CALL BEFORE YOU DIG AT LEAST 2 WORKING DAYS IN ADVANCE, (509)456-8000.
Spokane County Code requires the installer comply with all requirements of the Washington State Dept of Labor and Industries,
including those related to trench safety.
1
1
Ihi
HOF
Alsik
SPOIL COUNTY
SPOKANE COUNTY
DEPARTMENT OF BUILDING & PLANNING
1026 WEST BROADWAY AVENUE • SPOKANE, WA 992600050
Site Information
Project Information
Site Address: 23 S LONG RD
Parcel Number: 55191.0405
Subdivision: RANGE
Block: Lot:
Zoning: UNK Unknown
Owner: DIAMOND ROCK CONSTRUCTION
Address: 15321 E MISSION AVE
SPOKANE, WA 99037
Building Inspector: BOBBY STONE
Water Dist:
Project Number: 05005074 Inv: 1 Issue Date: 7/14/2005
Permit Use: SEWER CONNECTION - CORBIN EST
Applicant: DIAMOND ROCK CONSTRUCTION
15321 E MISSION AVE
SPOKANE VALLEY, WA 99037 Phone: (509) 924-8964
Contact: DIAMOND ROCK CONSTRUCTION
15321 E MISSION AVE
SPOKANE VALLEY, WA 99037 Phone: (509) 924-8964
Setbacks - Front: Left: Right: Rear:
Group Name:
Project Name:
Permits
Sewer Connection Permit
1
Payment Summary
Total Fees AmountPaid AmountOwing
$100.00 $100.00 $0.00
Tran Date Receipt # Payment Amt
7/14/2005 4083 $100.00
Processed By: BURRIS, ROBIN
Printed By: WENDEL, GLORIA Page 1 of 1
PERMIT
Ga
Sale 4y,'1-7.
Coir- `y, Es+f +es
2 3 S, Lon, g d