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SITE ,LOCATION <br />Site Address: 12,44 1- 11L1.r.647 -f 124, '7 <br />Tenant Name: ',`tr hilt <br />Property Owners Name -t'fl444t .4 MS 1 <br />Mailing Address. <br />CONTACT PERSON::.: <br />Mailing Address• <br />E -Mail Address: <br />CITY OF TUKWILA.," <br />Community Development Department <br />Public Works Department <br />Permit Center <br />6300 Southcenter Blvd., Suite 100 <br />Tukwila, WA 98188 <br />http: //www. cL tukwila. we. us <br />Building Permit No:; <br />Mechanical Penult N <br />Plumbing /Gas Permit <br />Public Works Pena <br />Project No. <br />Applications and plans must be complete in order to be accepted for plan review. <br />Applications will not be accepted through the mail or by fax. <br />"Please Print'* <br />King Co Assessor's Tax No.: ((OZ' 2204 •- °ICY71 <br />Suite Number: <br />New Tenant: <br />Floor: Z <br />d <br />❑ Yes [c1..No <br />,mot. <br />••• • <br />Name: 'nbot1/4.11--1P; tit I Lll2 -rer <br />Mailing Address. ((n? —1 C ttl Sv J <br />E -Mail Address. <br />GENERAL CONTRACTOR INFORMATION - <br />(Contractor "Information for Mechanical (pg 4) for Plumbing and Gas Piping (pg 5)) <br />Company Name. `L-'( CcMST%t IC-11 4 <br />Mailing Address LS I. le 1 501 L4 ''G%P 'De c. attr. <br />Contact Person:DSie StAiz- It-.16t <br />E -Mail Address: -f J f C. e.G 'f. <br />Contractor Registration Number: G(i 4? i tint ' -c-A 9- P1 <br />,ARCHITECT OF RECORD - A11 plans must be wet stamped by Architect of Record <br />Company Name (t rt 1G + CH )T14 <br />Contact Person: i 4 •"► ETA" <br />City <br />tr :L.7'tze ICTLAtzJkt <br />( <br />an v <br />rr <br />Q: ApplicationsWorms.Applications On Lnet3 -21106 - Permit Application.doc <br />Revised: 4-2006 <br />bh <br />State Zip <br />Day Telephone: ZOtn - Y"-A . s344 <br />(�ia• i?5 11n(n <br />State Zip <br />City <br />Fax Number: 2o(v • 2-Ala . <br />'Zoo 3'7F1 LF• %1 US 1k s ° 17xarc <br />City State Zip <br />Day Telephone: 44•2S .4(o1. 1 10ej <br />Fax Number: 42S . 4161- 1MP\ <br />Expiration Date: 9 /30 /Olc' <br />Company Name- t -1141 e T isstz.44 rrFC5rUtiot t. (Or.tp&s - j <br />Mailing Address:: ZZ01 (cm .RTC 14C:r S4 r-r, P ci9,12 I <br />City State Zip <br />Contact Person: a�►St✓ � '1d, Day Telephone: SC:3Ia. %. 4S7-2— <br />E -Mail Address: t {rSn -1 °� t`l►�A�2 eA o. Cyr l Fax Number: ja a. 4441 . 1 el f <br />[ENGINEER OF RECORD - Aii plans must be wet stamped by Engineer of Record <br />City State Zip <br />Day Telephone: 42.-S. 4''Ls . 3(.01. 101 <br />Fax Number: '2 7 , ‘S <br />Page 1 of 6 <br />