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Permit PG06-034 - DYDASCO RESIDENCE
This record contains information which is exempt from public disclosure pursuant to the Washington State Public Records Act, Chapter 42.56 RCW as identified on the Digital Records Exemption Log shown below. PG06 -034 Dydasco Residence 1413056 th Avenue South RECORDS DIGITAL D- ) EXEMPTION LOG THE ABOVE MENTIONED PERMIT FILE INCLUDES THE FOLLOWING REDACTED INFORMATION Page # tode Exemption = 8rlef Explanatory DeSclriptiop �t�tutel ule The Privacy Act of 1974 evinces Congress' intent that social security numbers are a private concern. As such, individuals' social security Personal Information — numbers are redacted to protect those Social Security Numbers individuals' privacy pursuant to 5 U.S.C. sec. 5 U.S.C. sec. DR1 Generally — 5 U.S.C. sec. 552(a), and are also exempt from disclosure 552(a); RCW 552(a); RCW under section 42.56.070(1) of the Washington 42.56.070(1) 42.56.070(1) State Public Records Act, which exempts under the PRA records or information exempt or prohibited from disclosure under any other statute. Redactions contain Credit card numbers, debit card numbers, electronic check numbers, credit Personal Information — expiration dates, or bank or other financial RCW 14 DR2 Financial Information — account numbers, which are exempt from 42.56.230(5) RCW 42.56.230(4 5) disclosure pursuant to RCW 42.56.230(5), except when disclosure is expressly required by or governed by other law. DYDASCO RESIDENCE 1413056AVS EXPIRED 11 -21 -06 PG06 -034 Parcel No.: 3365900320 Address: 14130 56 AV S TUKW Suite No: City in Tukwila Tenant: Name: DYDASCO RESIDENCE Address: 14130 56 AV S, TUKWILA WA Department of Community Development 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206 -431 -3670 Fax: 206 - 431 -3665 Web site: ci.tukwila.wa.us Owner: Name: TARR MICHAEL 7 +DARLENE A DY Address: 14130 56Th AVE S, SEATTLE WA Contact Person: Name: PAMELA HILL Address: 12601 132 AV NE, KIRKLAND WA Contractor: Name: FAST WATER HEAT COMPANY Address: 12601 132ND AVE NE, KIRKLAND WA Contractor License No: FASTWWH948BC DESCRIPTION OF WORK: REMOVE /REPLACE GAS WATER HEATER Value of Plumbing /Gas Piping: $0.00 Fees Collected: $88.00 Plumbing Bathtub or combination bath /shower sewer 0 Bidet 0 Clothes washer, domestic 0 Dental unit, cuspidor 0 Dishwasher, domestic, with independent drain Drinking fountain or water cooler (per head) 0 Food -waste grinder, commercial 0 Floor drain 0 Shower, single head trap Lavatory 0 Wash fountain 0 Receptor, indirect waste 0 Sinks 0 Urinals 0 Water Closet 0 doe: UPC - Permit PLUMBING /GAS PIPING PERMIT FIXTURE TYPE AND QUANTITY Permit Number: Issue Date: Permit Expires On: Phone: Phone: 425 814 -3124 x133 Phone: (425)814 -3124 Expiration Date:01 /03/2008 Steven M. Mullet, Mayor Steve Lancaster, Director PG06 -034 05/25/2006 11/21/2006 Uniform Plumbing Code Edition: 2003 International Fuel Gas Code Edition: 2003 Plumbing (cont.) 0 Building sewer and each trailer park Rain water system - per drain (inside bldg) 0 Water heater and /or vent 1 Industrial waste treatment interceptor, including 0 its trap and vent, except for kitchen type 0 grease interceptors Repair or alteration of water piping and /or water treatment equipment 0 0 Medical gas piping system serving one to five inlets /outlets for a specific gas 0 Gas Pining Gas piping outlets (0 -5) 0 Gas piping outlets (6 +) 0 PGO6 -034 Printed: 05 -25 -2006 doc: UPC - Permit City cn Tukwila Department of Community Development 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206 -431 -3670 Fax: 206 - 431 -3665 Web site: ci.tukwila.wa.us * *continued on next page ** Steven M. Mullet, Mayor Steve Lancaster, Director PG06 -034 Printed: 05 -25 -2006 I hereby certify that I have read an ordinances governing this work will doe: UPC- Permit City O Tukwila Department of Community Development 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206- 431 -3670 Fax: 206 -431 -3665 Web site: ci.tukwila.wa.us Steven M. Mullet, Mayor Signature: t / Print Name: L YVI Steve Lancaster, Director Permit Number: PG06 -034 Issue Date: 05/25/2006 Permit Expires On: 11/21/2006 Permit Center Authorized Signature: 4 IM lvt—A rtc,�GAt Date: mi d his permit and know the same to be true and correct. All provisions of law and mplie 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 th- perfy ; ce of work. I am authorized to sign and obtain this plumbing /gas piping permit. Date: 3 5' This permit shall become null and void if the work is not commenced within 180 days from the date of issuance, or if the work is suspended or abandoned for a period of 180 days from the last inspection. PG06 -034 Printed: 05 -25 -2006 Parcel No.: 3365900320 Address: 14130 56 AV S TUKW Suite No: Tenant: DYDASCO RESIDENCE 1: ** *PLUMBING AND GAS PIPING * ** City or Tukwila Department of Community Development 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206 -431 -3670 Fax: 206 -431 -3665 Web site: ci.tukwila.wa.us PERMIT CONDITIONS Steven M. Mullet, Mayor Steve Lancaster, Director Permit Number: PGO6 -034 Status: ISSUED Applied Date: 05/25/2006 Issue Date: 05/25/2006 2: No changes shall be made to applicable plans and specifications unless prior approval is obtained from the Tukwila Building Division. 3: All permits, inspection records and applicable plans shall be maintained at the job and available to the plumbing inspector. 4: All plumbing and gas piping systems shall be installed in compliance with the Uniform Plumbing Code and the Fuel Gas Code. 5: No portion of any plumbing system or gas piping shall be concealed until inspected and approved. 6: All plumbing and gas piping systems shall be tested and approved as required by the Plumbing Code and Fuel Gas Code. Tests shall be conducted in the presence of the Plumbing Inspector. It shall be the duty of the holder of the permit to make sure that the work will stand the test prescribed before giving notification that the work is ready for inspection. 7: No water, soil, or waste pipe shall be installed or permitted outside of a building or in an exterior wall unless, adequate provision is made to protect such pipe from freezing. All hot and cold water pipes installed outside the conditioned space shall be insulated to minimum R -3. 8: Plastic and copper piping running through framing members to within one (1) inch of the exposed framing shall be protected by steel nail plates not less than 18 guage. 9: The issuance of a permit or approval of plans and specifications shall not be construed to be a permit for, or an approval of, any violation of any of the provisions of the Plumbing Code or Fuel Gas Code or any other ordinance of the jurisdiction. doc: Conditions * *continued on next page ** PG06 -034 Printed: 05 -25 -2006 City or Tukwila Department of Community Development 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206-431-3670 Fax: 206 - 431 -3665 Web site: ci.tukwila.wa.us I hereby certify that I have read these conditions and will comply with them as outlined. All provisions 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 provision of any regulating construction or the performance of work. Signature: Print Name: Steven M. Mullet, Mayor Steve Lancaster, Director of law and ordinances other work or local laws Date: ' a s OC doc: Conditions PG06 -034 Printed: 05-25-2006 CITY OF TUKWIL' Community Development Department Public Works Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 ht tn: /Avww. cL t ukwila. wa. us Site Address: 14130 56 AVE S Tenant Name: Name: 514 8tze &te rlog Mailing Address: E -Mail Address: Company Name: FAST WATER, COMPANY Mailing Address: 12601 132ND AVE NE Contact Person: PAMELA HILL E - Mail Address: pamelah @fastwaterheater.com Contractor Registration Number: FASTWWH948BC Contact Person: E -Mail Address: Contact Person: E-Mail Address: QJAppliasosWomis- Applieacmu OnLSO- 2006 - Permit Applieuioo.,ioc Revise& 42006 bh Building Permit No Mechanical Permit No. Plumbing/Gas Permit No. 1( - -D 9 ) 4 1 Public Works Permit No Project No. Applications and plans must be complete in order to be accepted for plan review. Applications will not be accepted through the mail or by fax. * *Please Print ** SITE LOCATION King Co Assessor's Tax No.: 3365900320 Suite Number: City City New Tenant: or office use 04) Floor: ❑ Yes ❑..No Property Owners Name: DYDASCO, BO & DARLENE Mailing Address. State Day Telephone: State Zip Zip Fax Number: GENERAL CONTRACTORINFORMATION (Contractor information for Mechanical (pg 4) for Plumbing and Gas Piping (pg5) KIRKLAND, WA 98034 City State Zip Day Telephone: 425 814 -3124 x133 Fax Number: 425 814 -3124 Expiration Date: 113/08 ARCHITECT OF RECORD —All plans must be wet stamped by Architect of Record Company Name: Mailing Address: State State Zip City Day Telephone: Fax Number: ENGINEER OF RECORD All plaa must be wet stamped by nglneerof Record Company Name: Mailing Address: Zip City Day Telephone: Fax Number: Page 1 of 6 Fixture Type: Qty •Fixture Type: - Qty Fixture Type: Qty Fixture Type: Qty Bathtub or combination bath/shower Drinking fountain or water cooler (per head) Wash fountain Gas piping outlets 1.00 Bidet Food -waste grinder, commercial Receptor, indirect waste Clothes washer, domestic Floor drain Sinks Dental unit, cuspidor Shower, single head trap Urinals Dishwasher, domestic, with independent drain Lavatory Water Closet Building sewer or trailer park sewer Rain water system — per drain (inside building) Water heater and/or vent Industrial waste pretreatment interceptor, including its trap and vent, except for kitchen type grease interceptors Repair or alteration of water piping and/or water treating equipment 1 Repair or alteration of drainage or vent piping Medical gas piping system serving one to five inlets/outlets for specific gas Additional medical gas inlets/outlets — six or more PLUMBING AND GAS PIPING PERMIT INFORMATION - .206- 4M -3670 PLUMBING AND GAS PIPING CONTRACTOR INFORMATION Company Name: FAST WATER HEATER COMPANY Mailing Address: 12601 132ND AVE NE Contact Person: PAMELA HILL E -Mail Address: pamelah©fastwaterheater.com Contractor Registration Number: FASTWWH948BC Valuation of Project (contractor's bid price): $ 449.00 Scope of Work (please provide detailed information): Remove /Replace Gas Water Indicate type of plumbing fixtures and/or gas piping outlets being installed and the quantity below: QMApplindoMPmm- Alpaeadone Qa W nen -]006 - Permit Appautioadoc Revised 44006 KIRKLAND, WA 98034 City Stale Zip Day Telephone: 425 814 -3124 x133 Fax Number: 425 814 -9516 Expiration Date: 1/3/08 Page 5 of 6 sr;ctea Gas Residential A A 'AWARNING: This water heater Is not suitable Use & Care Manual for use In manufactured (mobile) homes) With Installation Instructions for the Installer Water Heaters Model: HG Series, GG Series, GP Series, PG Series, SG Series, SG Series with Smart Water'" Ignition System The purpose of this manual is twofold: one, to provide the installer with basic directions ana recommendations for the proper installation and adjustment of the water heater; and two, for the owner operator, to explain the features, operation, safety precautions, maintenance and troubleshooting of the water heater. This manual includes a parts list. It is Imperative that all persons who are expected to install, operate or adjust this water heater read the instructions carefully to that they may understand how to perform these operations. If you do not understand these Instructions or any terms within It, seek professional advice. Any questions regarding the operation, maintenance, service or warranty of this water heater should be directed to the seller from whom it was purchased. If additional Information is required, refer to the section "If You Need Service...." Do not destroy this manual. Please read carefully and keep In a safe place for future reference. Recognize this symbol as an Indication of Important Safety Information! California Proposition 65 Warning: This product contains chemicals known to the State of California to cause cancer, birth defects or other reproductive harm. I `A WARNING: If the information in these instructions is not followed exactly, a fire or explosion may result causing property damage, personal injury or death. A FOR YOUR SAFETY! — Do not store or use gasoline or other flammable vapors or liquids or other combustible materials in the vicinity of this or any other appliance. To do so may result in an explosion or fire. — WHAT TO DO IF YOU SMELL GAS Do not try to Tight any appliance. Do not touch any electrical switch; do not use any phone in your building. Immediately call your gas supplier from a neighbor's phone. Follow the gas supplier's instructions. Is If you cannot reach your gas supplier, call the fire department. Do not return to your home until authorized by the gas supplier or fire department. — Improper installation, adjustment, alteration, service or maintenance can cause property damage, personal injury or death. Refer to this manual. Installation and service must be performed by a qualified installer, service agency or the gas supplier. Manufactured under trademark license by: Rheem Manufacturing Company 2600 Gunter Park Drive East, Montgomery, AL 36109-1413 Part No. AP13204.3 (08/04) Pub. No. 49 - 50103 JR -, wi f 7 ,.. ,ai:w r r*^1f'"!Y+r!"- 4..'rnra .711. s.- MODEL SKU SIZE HEIGHT WIDTH DEPTH VENT WT BTU BRAND NATURAL GAS 45 250SA -N3 366 -178 TALL 23 1/2 153/4 81/2 8 47 175 a v e r o D r r CO d AQUASTAR i 3.74 ^.:'. 426.588 1/2123 25 3/8 14 7/8 11 1/8 92 55 199 PALOMA P 429.814 40 25 3/8 14 7/8 111/8 v 55 199 PALOMA 25/1A-NC., 601-751 46 29 3/4 18114 83/4 W 0 39 117 AOUASTAR '.253 -NG 479 -055 45 3/4 29 3/4 181/4 8 34 93 40 117 AOUASTAR E -9 YR TANKIPARTSILABOR MODEL SKU SIZE GE (9/9/111 KEIGHT ONERTU WIDTH not wo Instanedl . YEN1 WT ETU EF STN SELL SHORT PG40609AVG 1182-786 40 491/2 53 }213/41 3 1331401.591W,0.0 319 TALL ?G50TQ9A / 1184 -0 6I 501581/4161 8 1 18 3/ 41201/8 VI el 130 301 81.581W 1130-5121 1 3.514 O,C1369 1/2123 E-9 YR TANKIPARTSIIASOR MODEL OE Not N na PIO 84411401 SKIM SITE HE WIDTH WT WATTAGE 0 ST A SEL'. SHORT ilai 87 3800 93 PE38609KAG 1130-5121 1 3.514 3813 1/2123 08138001 92 1 MEDIUM PE4OMO9AAH 487 -710 40 46 3+4 19 3a 105 4500 92 259 PE5DM09AAH 487-837 50 46 21 34 117 4500 90 W 0 269 TALL PE3OTO9AAG 487-612 30 45 3/4 17 3/4 85 4500 93 PE50109AAH 487 -847 50 57 19 107 4500 91 PE65709AAH 487-942 65 58 7/8 21 158 4500 .89 W.0 425 GAS SPECIFICATIONS -COME DEPOT TANKS GE made b Rheem Stock California =C, Washin•ton = W, Oregon = 0 All BOOKS 3 YR TANK, 1YR PARTS, HOT PO WIT MODEL SKU SIZE HEIGHT PUERTO WIDTH VENT WI' BTU 0 STR SELL SHORT HG49S01AVG 182-7n 40 1491/2 53 21 _- 1 3 113:.1 ,..i 1591 1 TALL HG40T01AVG 11828941 40 157 3/4 160 1 1/4117 3/4 1 3 11201 34 1.591 1 GE-6 YR TANK/PARTS /LABOR 6/6/1 if not pro Installed) NT Wr BTU EF 5TK SELL MODEL SKU SIZE HEIGHT oIVERTEF WIDTH SHORT 0630806AVG 182-548 30 46 1/4 493/4 19 3/4 3 118 30 61 0G40306AV0 182 -755 40 49 1/2 53 21 3/4 1 3 133 36 .59 TALL GG8T06AVG GG40T06AVG GG50T06AVH G67STO6ANF TALL LP GP3OTO6AVG GP40TO6AvG GP50T06AVG 182 -665 182.757 183.717 832.244 185-332 187.918 188 -374 30 40 50 75 30 40 50 57 57 3/4 58 1/4 60 1/2 60 1/4 61 6134 64 1/2 57 59 58 60 1/4 631/4 61 3/4 17 3(4 17 3/4 20118 26 1/4 17 3/4 1934 21 3/4 3 3 3 4 K 3 3 101 120 130 320 101 125 150 30 36 38 70_ 27 34 36 62 .59 58 53 .61 59 58 C w,O,C W.0 C 259 319 429 POWER VENT GG40T6PF 40 58 1 /261 3 140 40 .64 GG5076PF .1198 -29 50 57 1/2(67 123 3 170 40 .651 1 GE- LIFETIME TANK, PARTS, LABOR (1211211 it not pro installed) MODEL SKU SIZE HEIGHT DIVERTEF WIDTH VENT WT 81U 0 S7K SELL TALL SG40T12AVI y e050T12AVH $G60T12YNG 182 -953 185 -191 306 -064 40 50 60 59 58 56 61 112 61 112 60 19 3/4 21 314 23 3 3 4 125 150 180 40 40 50 59 58 56 W.O.0 W.O.0 350 399 TANKLESS SPECIFICATIONS MODEL SKU SIZE HEIGHT WIDTH DEPTH VENT WT. BTU NANO PROPANE 45 '256- P 1877.1351 T 124 29 3/4 118 1 4 1 8 34 1 5 1 0 1 117 AOUASTAR ELECTRIC SPECIFICATIONS 3 YR TANK, 1YR PARTS, HOT POINT (SINGLE ELEMENT) MODEL SKU. SIZE HEIGHT WIDTH 5.(1. WATTPGL EF STK SELL SHORT HE30601SAG 487.574 30 30 22 1/4187 3800 .93 1 MEDIUM HE50MO1SAG 1646 801 50146 3/4 121 3/411117 3800) 90 1 W.0 1199 E4 YR TANK/PARTS/LABOR (676x1 if not pro Installed) OPEL 0714 WT WATTAG( EF STK SHORT GE30S06AAG GE38S06AAG GE47SO6AAG 487 -602 487 -672 487.766 LM SIZE HEIGHT 30 38 47 30 31 1/2 32 22 1/4 23 26 1/4 87 108 148 4500 4500 4500 93 92 91 W W.0 SELL 179 189 MEDIUM. GE30M06AAG GE40MO6AAG GE50M06AAG GE3OTO6AAG GE40TO6AAG GE50T06AAG GE50T06TAG GE80TO6AAG GEO2P06SAG GEO6P06SAG GEIOPO6SAG GE2OP06SAG 487-609 487 -675 487-776 487.611 487 -702 487-834 487-808 487-969 487-976 488-000 488-007 488-021 30 40 50 30 40 50 50 80 25 6 10 20 36 46 3/4 46 45 3/4 59 1/4 57 57 59 14 15 1/4 23 25 1/4 19 3/4 19 3/4 21 3/4 17 3/4 17 3/4 19 22 1/4 23 9 3/4 15 3/4 15 3/4 19 314 87 105 117 4500 4500 4500 TALL 85 96 107 126 177 4500 4500 4500 4500 4500 POINT OF USE 22 37 46 70 1440 2000 2000 2000 .93 92 90 93 92 91 94 86 N/A NIA NIA N/A GE3OTO6MAG 784-772 30 45 3/4 17 3/4 86 4500 93 0E40T061.tAG 487-705 40 46 3/4 19 3/4 106 4500 .92 W.0 W, W.0 MOBILE HOME APPROVED 189 209 239 159 179 199 E- LIFETIME TANK, PARTS, LABOR (12112/1 it not pro installed) MODEL. SKU M SIZE HEIGHT WIDTH WT VATTAG EF S MEDIUM SE40M12AAH SE4DM12TAH SE50M12AAH SE50M12TAH TALL SE50T12AAH SE50T72TAH SE80T12AAH 487-738 407-039 487 -868 408 -549 487.876 408 -803 488 -106 40 40 50 50 50 50 80 46 34 46 3/4 46 46 57 57 59 19 3/4 22 1/4 21 3/4 24 1/4 19 22 1/4 23 105 115 117 138 107 126 177 4500 5500 4500 5500 4500 5500 5500 92 94 90 93 91 94 86 W.0 W.0 O W. 0 526 PAGE 33.2 1 1 /1 3/2 0 0 5 10-03 -2006 PAMELA HILL 12601 132 AV NE KIRKLAND WA 98034 RE: Permit No. PG06 -034 14130 56 AV S TUKW Dear Permit Holder: In reviewing our current records the above noted permit has not received a final inspection by the City of Tukwila Building Division. Per the International Building Code and /or the International Mechanical Code, every permit issued by the Building Division under the • provisions of this code shall expire by limitation and become null and void if the building or work authorized by such permit is not commenced within 180 days from the date of such permit, or if the building or work authorized by such permit is suspended or abandoned at any time after the work is commenced for a period of 180 days. Based on the above, you are hereby advised to: Call the City of Tukwila Inspection Request Line at 206 -431 -2451 to schedule for the next or final inspection. This inspection is intended to determine if substantial work has been accomplished since issuance of the permit or last inspection; or if the project should be considered abandoned. If such determination is made, the Building Code does allow the Building Official to approve one or more extensions of time for additional periods not exceeding 90 days each. Extension requests must be In wridne and provide satisfactory reasons why • circumstances beyond the applicants control have prevented action from being taken. In the event you do not call for the above inspection and receive an extension prior to 11/21/2006, your permit will become null and void and any further work on the project will require a new permit and associated fees. Thank you for your cooperation in this matter. Sincerely, zc: Permit File No. PG06-034 City of Tukwila Steven M. Mullet, Mayor Department of Community Development Steve Lancaster, Director 6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • Phone: 206-431-3670 • Fax: 206 - 431 -3665 June 26, 2006 Pamela Hill Fast Water Heater 12601 -132nd Avenue NE Kirkland, WA 98034 RE: Refund PG06 -033 — Ghorley Residence PG06 -034 — Dydasco Residence Dear Ms. Hill: Enclosed please find a check in the amount of $27.00. Each permit referenced below was over charged $13.50 each. PG06 -033 — Ghorley Residence — 6241 South 151st Place, Tukwila PG06 -034 — Dydasco Residence —14130 — 56th Avenue S, Tukwila If you should have any questions, please contact our office at (206)431 -3672. Sincerely, Brenda Holt Permit Coordinator enel xc: City of Tukwila Department of Community Development Steve Lancaster, Director 14A- Permit No. PG06 -033 / Permit No. PG06 -034 Q:\Documents\Bond Release \PG06 -033 anf PG06 -034 - Refund t.eder.DOC bh Steven M. Mullet, Mayor 6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • Phone: 206 - 431 -3670 • Fax: 206- 431 -3665 CRY OF TUKWILA, WA 98188-2544 ACCOUNTS PAYABLE CHECK 061906300 06/13/2006 PERMIT FEE OVERPAYMENT PLEASE DETACH BEFORE DEPOSITING NO. 27.00 THE FACE OF THIS DOCUMENT HAS A COLORED BACKGROUND —NOT A WHITE BACKGROUND THE BACK OF THIS DOCUMENT HAS AN ARTIFICIAL WATERMARK — HOLD AT AN ANGLE TO VIEW CITY OF TUKWILA 8200 Southcenter Boulevard .Tukwila WA 08168-2644 - TO THE FWH ACQUISITIONS LLC, ORDER 12601 - 132ND "AVE NE OF KIRKLAND, WA 98034 181AMev*r Pik Eut 06/19/2006 1250 , ***27 .00 Memo Ar e1,2006 To: Laurie Anderson j/ From: Brenda Holt 1448&1 Re: PG06 -033 — Ghoriey Residence PG06 -034 — Dydasco Residence FWH Acquisition LLC 12601 -132 Avenue NE Kirkland, WA 98034 Xc: File No PGO6 -033 File No. PGO6-034 ✓ D:\Documemstanen7GO6-O33 - PGO6-034 - refund memo.doc Oh City of Tukwila Permit Center Please refund $13.50 for each permit fee paid in for the above reference permits to FWH Acquisition LLC. Total check amount should be $27.00 ($13.50 for each permit). The permit fees were less than payment received. Please make the check out to the following and I will forward it to them: Parcel No.: 3365900320 Address' 14130 56 AV 5 TUKW Suite No: Applicant: DYDASCO RESIDENCE Payee: FWH ACQUISITION LLC ACCOUNT ITEM IST: Description doc: Receipt City of Tukwila 6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670 PLUMBING - RES RECEIPT TRANSACTIONl25TI Type Method Description Amount Payment Check 1549 101.50 Account Code Current Pmts 000/322.100 101.50 Permit Number: PG06 -034 Status: PENDING Applied Date: 05/25/2006 Issue Date: Receipt No.: R06 -00739 Payment Amount: 101.50 Initials: 7EM Payment Date: 05/25/2006 11:43 AM User ID: 1165 Balance: $0.00 Total: 101.50 5845 05/25 9716 TOTAL. 101.50 Printed: 05 -25 -2006