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1986, 02-26 Permit App: 00009802 Addition DEPARTMENTAL REVIEW Approved CpApproval Hold Environmental Health Application# _i 19a "0' W.1101 College Room 200 , ft(61k) Planning/Zoning ❑ N.721 Jefferson Engineers ❑ N.811 Jefferson Utilities 1 0 N.811 Jefferson Plan Review/Fire Prevention ❑ N.811 Jefferson Other(SEPA/Critical Material/etc.) ❑ Fast Track/Special inspection Information Project Representative Phone Address I certify that I have examined this application and state that the information contained in it and submitted by me or my agent to compile said application is true and correct. Signature Date . ... , ...T.... . .. ., , . , . ... . „. . .., .,.. \A ,..... ,. ,.: , .s., . %0 cpk.,10 Cif)Pa- Poo(1. o - — . i ' \ Pt ti itkr50 sie.f‹., 2c,50 . \ OC.rwee-r--) o,)0 sE. 641/41z+6,6E ' •:... -. , • - . ,.... . . k -630 - --;› Ot•1 -. 140,A• .MrtE CuPrv.." 0 : z (3E,rini-F-E0 f1-0 use k' 6 i6r0PGE \ '107040' . , )11 w 1...X S 11-kfT- 12 .'•-:,,, '4.-..cs) ... X -, ,‘ r) ('') !.‘ 1:..: - (6 y 0. c .. 1 7 ‘• :I . 4........ N) L7.77 i / 'i ' . 1 I . 1 • ' , 1 <,„4.201..c, '••-' 1 ! • A APD 1. *k., • 1$9ed_p C).7: -)'-1- 1 .•' ,...5 E. 1-- --,- .:, 7 --', . - 1 .il' i . /4:, /.;)iL.-;);:i i l'e'. /'•/ i!:.:/L ', e..7:• —at? t.! /I\ ' s.,.. i -.._,.•• ...' . .-,.... ',.: ,, • i • • 1 , , c) ) -...,.. 1 . i.,:. . .. . i • ..:, . . -........ 1 . t. l• • . i , ,. 1 . . 1 , .,.. . . . . ,....., . . : ..7..r';• ,',., , • ; /.]) ,... , ...'.'",.. \•'..111. ,-,.. / '?, ',.,, ...' ,• s-- i' - '''' '. • , • •, . ..,,. - .., • -, ..:.:.,,..... i . :.... :,...... , `D6,0 i 60 •e- --fr I