HomeMy WebLinkAboutPermit D05-001 - STEPPING STONE VENTURES - 13 MOBILE HOMES DEMOLITIONOUThGATE MOBILE HOME
PARK DEMO
14005 42 AV S
D05 -001
Can
.,�wn, City oz Tukwila
Department of Community Development
6300 Southcenter Boulevard, Suite #100
Tukwila, Washington 98188
Phone: 206 - 431 -3670
Fax: 206 - 431 -3665
Web site: cOukwila.wa.us
DEVELOPMENT PERMIT
Steven M. Mullet, Mayor
Steve Lancaster, Director
Parcel No.: 1523049008 Permit Number DOS -001
Address: 14005 42 AV S TUKW Issue Date: 01/13/2005
Suite No: Permit Expires On: 07/13/2005
Tenant:
( Name: SOUTHGATE MOBILE HOME PARK
y Address: 14005 42 AV S, TUKWILA WA
Owner:
Name:
Address:
Contact Person:
Name:
Address:
Contractor:
Name:
Address:
Contractoi
ANDERSON CARL AUGUST
10212 NE 43RD, KIRKLAND WA
ERIN O'LEARY
20303 10 AV W, LYNNWOOD, WA
MARINE VACUUM SERVICE INC
PO BOX 24263, SEATTLE WA
- License No: MARINVS0973A
Phone:
Phone: 206 484 -3840
Phone: 206 762 -0240
Expiration Date: 07 /02/2005
DESCRIPTION OF WORK:
DEMOLITION OF 13 USED MOBILE HOMES AND DISPOSE OF THEM IN APPROVED CONTAINERS ON SITE. HOMES
AVERAGE IN SIZE 10'X 50' WITH ONE UNIT BEING A DOUBLE WIDE APPROXIMATELY 20' X 43'.
' TRAILERS NO. 19, 27, 28, 29, 34, 39, 40, 41, 42, 46, 52, 54 AND 56.
PUBLIC WORKS ACTIVITIES INCLUDE: TESC & STORM DRAINAGE PROTECTION. WATER DIST. 125 & VAL -VUE SAN.
SEWER DIST.
Value of Construction: $29,000.00 Fees Collected: $839.56
Type of Fire Protection: International Building Code Edition: 2003
Type of Construction: Occupancy per IBC: 0022
i Public Works Activities:
Channelization / Striping:
N
Curb Cut / Access / Sidewalk / CSS:
N
j Fire Loop Hydrant:
N
Number: 0
Size (Inches): 0
I Flood Control Zone:
N
Hauling:
N
Start Time:
End Time:
Land Altering:
N
Volumes: Cut 0 c.y.
Fill 0 c.y.
Landscape Irrigation:
N
Moving Oversize Load:
N
Start Time:
End Time:
Sanitary Side Sewer:
N
Sewer Main Extension:
N
Private:
Public:
Storm Drainage:
Y
Street Use:
N
Profit: N
Non - Profit: N
doc: IBC - Permit D05 -001 Printed: 02 -03 -2005
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�JILA City 0 Tukwila Steven M. Mullet, Mayor
:/� �► Department of Community Develoomei :t Steve Lancaster Director
6300 Southcenter Boulevard, Suite #100
Tukwila, Washington 98188
Phone: 206 - 431 -3670
Fax: 206 -431 -3665
Web site: ci.tukwila.wa.us
Water Main Extension: N Private:
Water Meter: N
* *continued on next page **
Public:
3
doc:IBC- Permit . D05 -001 Printed: 02 -03 -2005
1} s
City 1T Y w Steven M. Mullet, Mayor
y Deparhtietit of Commuttity Developmetit Steve Lancaster, Director
- 6300 Southcenter Boulevard, Suite #100
Tukwila, Washington 98188
Nk
Phone: 206-431-3670
y 1908 * Fax: 206 - 431 -3665
Web site: ci.tukwda.wa.us
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Permit Number: D05 -001
Issue Date: 01/13/2005
Permit Expires On: 07/13/2005
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Permit Center Authorized Signature: qua- Date:
I hereby certify that I have read and examined this permit and know the same to be true and correct. All provisions of law and
ordinances 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 provisions of any other state or local laws
regulating construction or the performance of work. I am authorized to sign and obtain this development permit.
Signature: / Date ,=0_9
0
Print Name:
1
j 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.
doc: IBC- Permit D05 -001 Printed: 02 -03 -2005
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FED-02-2005 11 :02 AM SOLTHGATE. MOBILE 206 485 1355 P. 105.
° State of
Washington
DEPARTMENT OF LABOR & INDUSTRIES
PO BOX 44450
OLYMPIA WA 98504 -4450
MARINE VACUUM SERVICE INC
PO BOX 24263
SEATTLE WA 98124
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IrIRST CLASS MAIL'
1 US POSTAGE j
PAID
i PERMIT NO 312
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r-- Detach And Display Certificate - --,
DEPARTMENT OF LABOR AND INDUSTRIES
REG f AS �37 E � PRQVIDED BY LAW AS
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MARINE VACUUM SERVICE INC
PO BOX 24263
SEATTLE WA 98124
r-625- 052.00n rst!i
L--- ---- -- Detach And Display Certificate
I hereby state that this is a true copy of the original Marine Vacuum
Service, Inc. General Contractor License for the State cif Washington.
Dated this 2nd day of February, 2005.
.. J, �Plq''•.. ��� Sherry S' o] ik
Q Q C-3 P� �S't ��i Notary i the State of Washington
�� tiP 'Q % King County
� =ice 20 �
•-A My Commission aNpires 2/8/07
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Tt?I•S CERTIFICATE 1: ;UED AS A MATTER. OF INFORMATION
nMI.'if AND PAkIV =Rq . a piriwr unori rue rga
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Assurance Brokers Ltd. HOLDER. THIS CERTIFICATE DOES NOT AMEND EXTEND OR
90 Krilage Fare Road ALTER THE COVERA AFFORDED BY 7'HE POLICIES BELOW.
Glen Carbon IL 62034
Phone: 618-692-9800 Faxs6ig- �a� -aah�
I NS URERS AF50RD -ING "OVERAGE NAIC; #
INSURE 4: 2•slrla- Amati. -an Ccu ccvrpuny
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IN,I)RER E Soiab right taauranaa UnIpaany
COVERAGES
THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED A13OVE FOR THE POLICY uER.1Oh" INDICATED. 1I0'I ". ITIiS AV]ING �
AN'Y P.EQUREMENT, TERM OR CONDITION OF ANY CONTRACT OR 07HER COCLIMENT WITH
RESPECT TO YdFilCI, -. OIS CEF17'PC4. ?E MAY BE I SS12FD OR
MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO AL'.. THE •i'Ef'MJPS, EXCLUSION'S Alin CONDITIONS OF 0
POLICIES. AGGREGA71 LIMITS SHOWN MAY HAVE BEEN REDUCEC SY PAID CLAIMS'.
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DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT 1 SPECIAL PROVISIONS
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SOR INF SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCW- EO FIEFORE THF. EXPIA4TION
DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR \'O MAIL -► 0_- DAYS WRITTEN
NOTICE TO 714E CERTIFICATE HOLDER NAMED TO THC LEFT, BUT FAILURE TO 00 SO SHALL
FOR IUFORla.TIONAL PURPOSES IKIPOSE NO .'6LIGATICh OR LIABILITY OF ANY PIING UPON TOE INSURER, ITS AGENTS OR
REPRESENTATIVES.
AUTI'OR12E1 REP. S NTATIV
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MARINE VACUUM SERVICE, INC.
CERTIFICATES AND PERMITS
( 0"N r
,.FEDERAL TAX ID #9 i- 1153034
'EPA #WAD9809745? 1
METRO WASTE DISCHARGE PERMIT #7676
1CC #MC- 239353 U.S. DOT #366485
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DEPT OF LABOR & INDUSTRIES #441,861 -00
AMERICAN SAFETY RISK RETENTION GROUP, INC. (LIABILITY, CONTRACTORS'
POLLUTION) #HSR 00 -1236 -002
REPUBLIC INDEMNITY CO. OF AMERICA (OFFSHORE) #137305 -04
FIRE & CASUALTY INSURANCE CO. OF COIvT1ECTICUT (AUTO) #USH001518
CENTENIAL INSURANCE CO. (MOBILE, COMPUTER, RENTED OR LEASED EQUIPMENT)
#273 10 02 56
FIREMAN'S FUND McGEE (SHIP REPAIR) #OHL- 98298134
EMPLOYMENT SECURITY #500859
SEATTLE FIRE DEPT FLAMMABLE LIQUID STORAGE/USE #68905
i SEATTLE FIRE DEPT MEDICAL GAS PERMIT #68168
SEATTLE FIRE DIEPT MASTER FUEL TRANSFER PERMIT #65755
KING COUNTY PUBLIC HEALTH SEWAGE/SLUDGE HANDLING #KC 117
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STATE CONTRACTOR LICENSE #MARINVS0973A
STATE OF WA DEPT OF REVENUE #600 -412 -278
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j CITY OF SEATTLE BUSINESS LICENSE #0039710 -000
DEPT OF ECOLOGY UST SERVICE PROVIDER #S000002
MINORITY BUSINESS ENTERPRISE #D4NI1302341
US DEPT OF TRANS HAZARDOUS MATERIALS #053100 001 0061K
SMALL BUSINESS ADMINISTRATION 8(a) CONTRACTOR
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City t`,� Tukwila
Department of Community Development
6300 Southcenter Boulevard, Suite #100
Tukwila, Washington 98188
Phone: 206- 431 -3670
Fax: 206- 431 -3665
Web site: cOulnvila.wa.us
DEVELOPMENT PERMIT
11�,
Parcel No.: 1523049008 Permit Number:
Address: 14005 42 AV S TUKW Issue Date:
Suite No: Permit Expires On:
Tenant:
Name: SOUTHGATE MOBILE HOME PARK
Address: 14005 42 AV S, TUKWILA WA
Owner:
Steven M. Mullet, Mayor
Steve Lancaster, Director
DOS -001
01/13/2005
07/12/2005
Name:
ANDERSON CARL AUGUST
Phone:
Address:
10212 NE 43RD, KIRKLAND WA
Contact Person:
International Building Code Edition: 2003
Type of Construction:
Name:
ERIN O'LEARY
Phone: 206 484 -3840
Address:
20303 10 AV W, LYNNWOOD, WA
Contractor:
Public Works Activities:
Name:
ESE CONSTRUCTION INC
Phone:
Address:
7189 F & S GRADE RD, SEDRO WOOLEY, WA
Contractor
License No ESECOI *OOORA
Expiration Date: 12/01/2005
DESCRIPTION OF WORK:
DEMOLITION OF 13 USED MOBILE HOMES AND DISPOSE OF THEM IN APPROVED CONTAINERS ON SITE. HOMES
AVERAGE IN SIZE 10'X 50' WITH ONE UNIT BEING A DOUBLE WIDE APPROXIMATELY 20'X 43
.
TRAILERS NO. 19, 27, 28, 29, 34, 39, 40, 41, 42, 46, 52, 54 AND 56.
PUBLIC WORKS ACTIVITIES INCLUDE: TESC & STORM DRAINAGE PROTECTION. WATER DIST. 125 & VAL -VUE SAN.
SEWER DIST.
Value of Construction:
$29,000.00
Fees Collected: $839.56
Type of Fire Protection:
International Building Code Edition: 2003
Type of Construction:
Occupancy per IBC: 0022
Public Works Activities:
Channelization / Striping:
N
Curb Cut / Access / Sidewalk
/ CSS: N
Fire Loop Hydrant:
N
Number:
0 Size (Inches): 0
Flood Control Zone:
N
Hauling:
N
Start Time:
End Time:
Land Altering:
N
Volumes:
Cut 0 c.y. Fill 0 c.y.
Landscape Irrigation:
N
Moving Oversize Load:
N
Start Time:
End Time:
Sanitary Side Sewer:
N
Sewer Main Extension:
N
Private:
Public:
Storm Drainage:
Y
Street Use:
N
Profit:
N Non - Profit: N
IY
doc: IBC- Permit D05 -001 Printed: 01 -13 -2005
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City Tukwila
y
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
Water Main Extension: N Private:
Water Meter: N
* *continued on next page **
Steven M. Mullet, Mayor
Steve Lancaster, Director
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Public:
{
MIL w City �Tukwila
N
1
1908
Permit Number: D05 -001
Issue Date: 01/13/2005
Permit Expires On: 07/12/2005
11
Permit Center Authorized Signature: Date:
I
I hereby certify that I have read and examined this permit and know the same to be true and correct. All provisions of law and
ordinances 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 provisions of any other state or local laws
regulating constru ion or the performance of work. I am authorized to sign and obtain this development permit.
t
f Signature: Date: " LS - o.�5
f ' Print Name: � �+ Yl l
I
S.
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.
Steven M. Mullet, Mayor
Department of Community Development Steve Lancaster Di,•ector
6300 Southcenter Boulevard, Suite #100
Tukwila, Washington 98188
Phone: 206 - 431 -3670
Fax: 206 - 431 -3665
Web site: ci.tuktivila.wa.us
doc: IBC - Permit D05 -001 Printed: 01 -13 -2005
ti
City of T k ' la
u wi
Department of Community Development / 6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670
PERMIT CONDITIONS
Parcel No.: 1523049008 Permit Number: DOS-001
Address: 14005 42"S TUKW Status: ISSUED
Suite No: Applied Date: 01/03/2005
Tenant: SOUTHGATE MOBILE HOME PARK Issue Date: 01/13/2005
1: ** *BUILDING DEPARTMENT CONDITIONS * **
2: No changes shall be made to the approved plans unless approved by the design professional in responsible charge and the
Building Official.
3: All permits, inspection records, and approved plans shall be at the job site and available to the inspectors prior to
start of any construction. These documents shall be maintained and made available until final inspection approval is
granted.
4: Remove all demolition rubble and loose miscellaneous material from lot or parcel of ground, properly cap the sanitary
sewer connections, and properly fill or otherwise protect all basements, cellars, septic tanks, wells, and other
excavations. Final inspection approval will be determined by the building inspector based on satisfactory completion of
this requirement.
5: All construction noise to be in compliance with Chapter 8.22 of the City of Tukwila Municipal Code. A copy can be
obtained at City Hall in the off=ice of the City Clerk.
6: VALIDITY OF PERMIT: The issuance or granting 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 building code or of any other ordinances of the City of Tukwila. Permits
presuming to give authority to violate or cancel the provisions of the code or other ordinances of the City of Tukwila
shall not be valid. The issuance of a permit based on construction documents and other data shall not prevent the
Building Official from requiring the correction of errors in the construction documents and other data.
7: ** *PUBLIC WORKS DEPARTMENT CONDITIONS * **
8: Contractor shall notify Public Works Utility Inspector Mr. Greg Villanueva at (206)433 -0179 of commencement and
completion of work at least 24 hours in advance.
9: Any material spilled onto any street shall be cleaned up immediately.
10: Temporary erosion control measures shall be implemented as the first order of business to prevent sedimentation
off -site or into existing drainage facilities.
11: The site shall have permanent erosion control measures in place as soon as possible after final grading has been
completed and prior to the Final Inspection.
12: Contact Water District No. 125 @ (206) 242 -9547, regarding any capping of waterlines and /or removal of any water
meters. Provide City of Tukwila, Public Works Department, response in writing from the Water District.
13: Contact Val -Vue San. Sewer Dist. @ (206) 242 -3236, regarding any capping of sanitary sewer lines. Provide City of
Tukwila, Public Works Department, response in writing from the Sanitary Sewer District.
* *continued on next page **
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doc: Conditions D05 -001 Printed: 01 -13 -2005
i9p8 City of Tukwila
Department of Community Development / 6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670
I hereby certify that I have read these conditions and will comply with them as outlined. All provisions of law and ordinances
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 other work or local laws
regulating construction or the performance of work.
Signature: 2ft n.
r
Print Name:
Date:- - 05
i
doc: Conditions D05 -001 Printed: 01 -13 -2005
CITY OF TUsKWILA
Community Development Department
Public Works Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
Applications and plans must be complete in order to be ac.c�epted for Ian review.
t be
Applications wil no accepted through th mailbr by(fax)
* *Please Print **
;SITE I;OCATION •
il_._ fl_ A --- - - - -0- lr-- AT.. . /*- - .2—U / ! W
Site Address o0 1 5 a hcQ
Tenant Name: N A u rt k 4 - t-o
Property Owners Name:
Mailing Address
auaa� vv �ouvaow a aun aw - -
Q Suite Number: Floor:
H i t. `tc(r I"- New Tenant: ❑ ...... Yes No
el i t i i I t n
Wity State Zip
�CT.`PERSON
i
Mailing Address ;_.�SZ,�� l�� +h U 2 (AJ
Day
lcity sate l� Zip C
E�viail Address � 1 N Z D 2 �,� L. � Fax Number. t J �o `I �- J
C: ElaML :CONTRACTOR'INF,ORMATION - (Meclh"lcat`Coirtractor W,6r eiAtlosi eab"—page)
AMH ECT• OF RECORD = All pines must be.wet stamped: by,'Asirikect of Record .
Company Name: 7- �r QY1 �1 tY' -t" i c) r1 —I n l - . Q
Mailing Address �� a F.CU. A
((�� city sate zie
Contact Person Ron � i h �i Day Telephone: {
E -Mail Address A Fax Number: '- :2 -4o 8!7L 17 `--� 4 5
Contractor Registration Number: + on Q A Expiration Date: 1 I ` o 5
* *An original or notarized copy of current Washington State Contractor License must be presented at the time of permit issuance **
Company Name:
Mailing Address
City Sate Zip
Contact Person Day Telephone:
E -Mail Address Fax Number.
ENGINEER OF.RECORa * AR p" Ian must be'wet stamped by. En&eer'of Record
Company Name: 1\/
Mailing Address
City Sate Zip
Contact Person Day Telephone:
E -Mail Address Fax Number:
*Oicadoodpmnit application (7 -2004)
Pace 1
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!ORt -MON 2061431=3670 t
Valuation of Project (contractor's bid price):
Scope of Work (please provide detailed infot
'D -v" . Existing Building Valuation: $
Will there be new rack storage? ❑ .. Yes X-No If "yes", see Handout No. for requirements.
Provide All Building Areas in Square Footage Below
PLANNING DIVISION:
Single - family building footprint (area of the foundation of all stnxxutres, plus any decks over 18 inches and overhangs greater than 18 inches)
*For an Accessory dwelling, provide the following:
Lot Area (sq ft): Floor area of principal dwelling: Floor area for accessory dwelling:
*Provide documentation that shows that the principal owner lives in one of the dwellings as his or her primary residence.
Number of Parking Stalls Provided: Standard: Compact: Handicap:
Will there be a change in use? ❑ ..... Yes ❑ ..No If "yes ", explain
FIRE PROTECTION/HAZARDOUS MATERIALS:
0 ... Sprinklers ❑..Automatic Fire Alarm ❑..None ... Other (specify)
Will there be storage or use of flammable, combustible or hazardous materials in the building? ❑ ...Yes ❑ ...No
If "yes'; attach list ofmaterials and storage locations on a separate 8-112 x 11 paper indicating quantities and Material Safety Data Sheets.
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Existing
Interior
Remodel
Addition to
Existing
Structure
New
Type of
Construction
2Sr IBC
Type of
Occupancy per
IBC .
1 Floor
Floor
3 Floor
Floors thru
Basement
Accessory Structure*
: Attached Garage
Detached Garage
Attached
Detached Carport
CoveredDeck
Uncovered Deck
PLANNING DIVISION:
Single - family building footprint (area of the foundation of all stnxxutres, plus any decks over 18 inches and overhangs greater than 18 inches)
*For an Accessory dwelling, provide the following:
Lot Area (sq ft): Floor area of principal dwelling: Floor area for accessory dwelling:
*Provide documentation that shows that the principal owner lives in one of the dwellings as his or her primary residence.
Number of Parking Stalls Provided: Standard: Compact: Handicap:
Will there be a change in use? ❑ ..... Yes ❑ ..No If "yes ", explain
FIRE PROTECTION/HAZARDOUS MATERIALS:
0 ... Sprinklers ❑..Automatic Fire Alarm ❑..None ... Other (specify)
Will there be storage or use of flammable, combustible or hazardous materials in the building? ❑ ...Yes ❑ ...No
If "yes'; attach list ofmaterials and storage locations on a separate 8-112 x 11 paper indicating quantities and Material Safety Data Sheets.
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'�BLIC r} VORMTE RNIIT i 'ORMATION ?A6�33-0179
W
Scope of Work (please provide
SG
Please refer to Public Works Bulletin #1 for fees and estimate sheet.
Water District
❑ ... Tukwila Y..WaterDistrict #125 ❑...Highline ❑...Renton
[I ... Water Availability Provided
Sewer District
❑ ... Tukwila Va1Vue ❑... Renton ❑...Seattle
❑ ... Sewer Use Certificate wer Availability Provided ❑... Approved Septic Plans Provided
❑ ... Septic System - For oasite septic system, provide 2 rnples of a current septic design approval by King County Health Department.
Tj ..Civil Plans (Maximum Paper Size-22" x 34")
❑ ... Technical "rmation Report (Storm Drainage) ❑ ... Geotechnical Report ❑ ...Traffic Impact Analysis
❑...Bond ❑ ... insurance ❑ ...Easement(s) ❑ ... MaintenanceAgreement(s) ❑ ...Hold Harmless
Proposed Activities (mark boxes that apply):
❑ ... Right- of-way Use - Nonprofit for less than 72 hour ❑... Right -of -way Use - Profit for less than 72 hours
[]...Right- of4way Use - No Disturbance ❑... Right- of-way Use — Potential Disturbance
❑ ... Conshuction/Excavation/FM- Right -of way
Non Right -of -way
❑...Total Cut cubic yards
❑ ... Total Fill cubicyards
❑.. ork in Flood Zone
... Storm Drainage
❑ ... Sanitary Side Sewer []...Abandon Septic Tank
❑ ... Cap or Remove Utilities ❑ ...Curb Cut
❑ ... Frontage Improvements ❑ ...Pavement Cut
❑ ... Traffic Control ❑ ...Looped Fire Line
❑... Backflow Prevention - Fire Protection "
Irrigation "
DomestieWater
❑ ... Permanent Water Meter Size... W O#
0—Temporary Water Meter Size.. WO#
❑ ... Water Only Meter Size............ WO#
❑ . . . Sewer Main Extension ............. Public Private
❑ ... Water Main Extension ............. Public Private
❑ ...Grease interceptor
❑ ...Channelization
❑ ...Trench Excavation
❑ ...Utility Undergrounding
❑ ... Deduct Water Meter Size ......... "
Fire Line Sine at Property Line
❑...Water ❑ ... Sewer
Call before you Dig: 1 800424.5555
Number of Public Fire Hydrant(s)
❑ ... Sewage Treatment
Monthly Service Billing to
Name Day Telephone
Mailing Address
City state Zip
Nom Day Telephone
Mailing Address
City State Zip
Vpp1Wow%f m i1 appilouion (7.2004)
Pace 3
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MECHANICAL PERMff TWORMATION 206
MECHANICAL CONTRACTOR INFORMATION
Company Name:
Mailing Address
City State Zip
Contact Person: Day Telephone:
E -Mail Address: Fax Number
Contractor Registration Number. Expiration Date:
**An original or notarized copy of current Washington State Contractor License must be presented at the time of permit issuance**
Valuation of Project (contractor's bid price): $
Scope of Work (please provide detailed information):
11= Residential:
New
.....Q
Replacement ..... ❑
Commercial:
New
.....Q
Replacement ..... El
Fuel Tvne Electric
...... El
Gas ..... [I
Other.
Indicate type of mechanical work being installed and the quantity below:
Ualt e:
Unit. T e:
Qty
Uait T
Boiler/Compressor:
Qty
Furnace<100K BTU
Air Handling Unit >1 0,000
CFM
Fire Damper
0-3 HP/ 100,000 BTU
Furnace>100K BTU
EvaporatorCooler
Diffuser
3 -15 HP /500,000 BTU
Floor Furnace
Ventilation Fan
Thermostat
15-30 HP /1,000 000 BTU
Suspended/Wall/Floor
Mounted Heater
Ventilation System
Wood/Gas Stove
30-50 HP /1,750,000 BTU
Appliance Vent
Hood
Water Heater
50+ HP /1,750 000 BTU
Heat/Refrig/Cooling
System
Incinerator - Domestic
Emergency
Generator
Air Handling Unit
<10 000 CFM I
Incinerator - Comm/Ind
I
Other Mechanical
E ui ment
PERMIT APPLICATION NOTES = Applicable to alI permits in.tltia:application
Valae of Constriction — In all cases, a value of construction amount should be entered by the applicant. This figure will be reviewed and is subject
to possible revision by the Permit Center to comply with current fee schedules.
Expiration of Plan Review — Applications for which no permit is issued within 180 days following the date of application shall expire by limitation.
The Building Official may extend the time for action by the applicant for a period not exceeding 180 days upon written request by the applicant as
defined in Section 107.4 of the Uniform Building Code (current edition). No application shall be extended more than once.
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE UNDER
PENALTY OF PERJURY BY THE LAWS OF THE STATE OF WASHINGTON, AND I AM AUTHORIZED TO APPLY VOR THIS PERMIT.
BUILDING OVMR OR AUTHORIZED AGENT:
Siwrature: Date: �`1 I aa
Print Name r Day Telephone: a o 9-P�i- -- ��AAO
i �—
Mailing Address a o �� .� 1 0� ►,t o
City State zip
Date Application Accepted: Date Application Expires: Staff Initials:
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BULLETIN A2
TYPE C PERMIT FEE ESTIMATE
PLAN REVIEW AND APPROVAL FEES DUE WITH APPLICATION
PW may adjust estimated fees
PROJECT NAME SOUTH GA 61O814E k o#ME.
PERMIT # D O 5 oo
If you do not provide contractor bids or an engineer's estimate with your permit application,
Public Works will review the cost estimates for reasonableness and may adjust estimates.
1. APPLICATION BASE FEE $250(l)
2. Enter total construction cost for each improvement category:
General '-
Erosion prevention .56 c
Water —
Sewer
Storm water 5e o
Road /Parking /Access
A. Total Improvements /_ O o 0
3. Calculate improvement -based fees:
B. 2.5% of first $100,000 of A. 2
C. 2.0% of amount over $100,000,
but less than $200,000 of A.
D. 1.5% of amount over $200,000 of A.
4. TOTAL PLAN REVIEW FEE (B +C +D) $ Z °_° (4)
5. GRADING Plan Review and Permit Fees $
Enter total excavation volume cubic yards
Enter total fill volume cubic yards
Use the following table to estimate the grading application fee. Use the greater of
thF excavation and fill volumes_
QUANTITY IN CUBIC YARDS
RATE
Up to 50 CY
Free
51-100
$23.50
101-1,000
$37.00
1,001 - 10,000
$49.25
10,001 - 100,000
$49.25 for 1 10,000,
PLUS $24.50 for each additional 10,000 or fraction
thereof.
100,001 - 200,000
$269.75 fort 100,000,
PLUS $13.25 for each additional 10,000 or fraction
thereof.
200,001 or more
$402.25 for 1 200,000,
PLUS $7.25 for each additional 10,000 or fraction thereof.
(5)
TOTAL PLAN REVIEW AND APPROVAL FEE DUE WITH PERMIT APPLICATION
(1+4+5) $ 70 5'
The Plan Review and Approval fees cover TWO reviews: 1) the first review associated with the
submission of the application /plan and 2) a follow -up review associated with a correction letter. Each
additional review, which is attributable to the Applicant's action or inaction shall be charged 25% of the
Total Plan Review Fee.
Approved 09.25.02
Revised 03.18.03
Revised 05.13.03
Revised 06.07.04
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BULLETIN A2
TYPE C PERMIT FEE ESTIMATE
PLAN REVIEW AND APPROVAL FEES DUE WITH APPLICATION
PW may adjust estimated fees
6. Permit Issuance /Inspection Fee (B +C +D) $ (6)
7. Pavement Mitigation Fee $ (7)
The pavement mitigation fee compensates the City for the reduced life span due to removal of
roadway surfaces. The fee is based on the total square feet of impacted pavement per lane and
on the condition of the existing pavement. Use the following table and Bulletin 1 B to estimate
the pavement mitigation fee.
Approx. Remaining
Years
Pavement Overlay and
Repair Rate
(p er SF of lane width
20 -15 100%
$10.00
15-10(75%)
$7.50
10-7(50%)
$5.00
7-5(33%)
$3.30
5-2(25%)
$2.50
2 -1 10%
$1.00
0 -1
$0.00
8. GRADING Permit Review Fee $ (8)
Grading Permit Fees are calculated using the following table. Use
the greater of the excavation and fill volumes from Item 5.
QUANTITY IN CUBIC YARDS
RATE
50 or less
$23.50
51-100
$37.00
101-1,000
$37.00 for 1 s` 100 CY
plus $17.50 for each additional 100 or
fraction thereof.
1,001 - 10,000
$194.50 for 1 1000 CY
plus $14.50 for each additional 1,000 or
fraction thereof.
10,001 - 100,000
$325.00 for the,l 10,000 CY
plus $66.00 for each additional 10,000 or
fra ction thereof
100,001 or more
$919.00 for 1 s` 100,000 CY
plus $36.50 for each additional 10,000 or
fraction thereof.
Approved 09.25.02
Revised 03.18.03
Revised 05.13.03
Revised 06.07.04
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BULLETIN A2
TYPE C PERMIT FEE ESTIMATE
PLAN REVIEW AND APPROVAL FEES DUE WITH APPLICATION
P may adjust estimated fees
9. TOTAL OTHER PERMITS
A.
Water Meter - Deduct ($25)
B.
q
C.
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BULLETIN A2
TYPE C PERMIT FEE ESTIMATE
PLAN REVIEW AND APPROVAL FEES DUE WITH APPLICATION
P may adjust estimated fees
9. TOTAL OTHER PERMITS
A.
Water Meter - Deduct ($25)
B.
Flood Control Zone ($50)
C.
Water Meter - Permanent*
D.
Water Meter - Water only*
E.
Water Meter -Temporary*
* Refer to the Water Meter Fees in Bulletin Al
4
Total A through E $
10.. ADDITIONAL FEES
}� A. Allentown Water (Ordinance 1777) $
1 B. Allentown Sewer (Ordinance 1777) $
C. Ryan Hill Water (Ordinance 1777) $
D. Special Connection (TMC Title 14) $
E. Duwamish $
! F. Storm Drainage Mitigation $
G. Other Fees $
! Total A through G $
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I DUE WHEN PERMIT IS ISSUED (6 +7 +8 +9 +10) $
ESTIMATED TOTAL PERMIT ISSUANCE AND INSPECTION FEE
{
This fee includes two inspection visits per required inspection. Additional inspections (visits)
attributable to the Permittee's action or inaction shall be charged $47.00 per inspection.
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Approved 09.25.02
Revised 03.18.03
Revised 05, 13.03
Revised 06.07.04
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City of Tukwila
6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670
RECEIPT
Parcel No.: 1523049008
Address: 14005 42 AV S TUKW
Suite No:
Applicant: SOUTHGATE MOBILE HOME PARK
Receipt No.: ROS -00049
Initials: SKS
User ID: 1165
f
Permit Number: DOS -001
Status: PENDING
Applied Date: 01/03/2005
Issue Date:
Payment Amount: 300.00
Payment Date: 01/13/2005 01:14 PM
Balance: $0.00
Payee: STEPPING STONE VENTURES,LLC
TRANSACTION LIST:
Type Method Description Amount
---- - - - - -- -- - - - - -- --------------------- - - - - -- ------ - - - - --
Payment Check 5011 300.00
1
. ACCOUNT ITEM LIST:
Description Account Code Current Pmts
------- ---------------- - - - - -- - --------- - - - - -- ------ - - - - --
PW BASE APPLICATION FEE 000/322.100 250.00
PW PERMIT /INSPECTION FEE 000/342.400 25.00
PW PLAN REVIEW 000/345.830 25.00
i
Total: 300.00
doc: Receipt Printed: 01 -13 -2005
City of Tukwila
6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431-3670
RECEIPT
Parcel No.: 1523049008
Address: 14005 42 AV S TUKW
Suite No:
Applicant: SOUTHGATE MOBILE HOME PARK
Permit Number: D05 -001
Status: PENDING
Applied Date: 01/03/2005
Issue Date:
Receipt No.: R05-00002
Initials: SKS
User.ID: 1165
Payment Amount: 539.56
Payment Date: 01/03/2005 04:27 PM
Balance: $0.00
Payee: SOUTHGAE MHP - MONEY ORDER 887498577
TRANSACTION LIST:
Type Method Description Amount
------------
---------- -------- ---------------------------
Payment Mon Ord 88749857 539.56
ACCOUNT ITEM LIST:
Description Account Code Current Pmts
------------------------------ ---------------- ------ - - - - --
BUILDING - NONRES 000/322.100 535.06
STATE BUILDING SURCHARGE 000/386.904 4.50
Total: 539.56
doc: Receipt Printed: 01-03-2005
r. 31 1 1
INSPECTION RECORD
fA .11
005 -001 M
a Retain a copy with permit
INSPECTION NO. PERM
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188 (20,6)431 -3670
t
Project: Type of Inspection:
k Mob 1�hyf2 m.
'Approved per applicable codes. Corrections required prior to approval.
COMMENTS:
47 4 41 4e .�' i•
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Inspector' Date:
V• ti
$58.00 REINSPECTI FEE REQUIRED. Prior to inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to sechedule reinspection.
Receipt No.: Date:
I�
t �
Address: Date Called:
�� X7'7 d am' /vim
Special Instru // ctions: Date Wanted: a.
Requester:
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INSPECTION RECORD
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Retain a copy with permit
INSPECTION NO. PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION i.
6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670 i
Project: ft6le t �vne p�K
Type of Inspecti
Pt I��.Q
Address:
/u �////jjj/ �I/� r-.
/ /`i O � !V`
Date
Date Called:
07 /t-)J
Special Instructions:
a Wanted: ,m.
Da 4( , p.m.
)
Requester: -
Phone N o: ye ^ _5 y a
Approved per applicable codes. O Corrections required prior to approval.
COMMENTS:
Inspector: &A) Date: ^ 0) �-
Receipt No.: Date:
$58.00 REINSPECTION FEE REQUIRED. Prior to inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to sechedule reinspection.
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Retain a copy with permit CIO '
INSPECTION NO. PERMIT
l,• CITY OF TUKWILA BUILDING DIVISION
l 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670
Pro'ect: , G j 1
Type of pection•
Address: V
1y0v5 1 glue' 5
Date Called:
0
/ '
Special Instructions:
1.3 iJ
Date Wanted:
Q I
//
/ 5 p-
Request;
Phone No:
r 9M-
Approved per applicable codes. Corrections required prior to approval.
COMMENTS:
, _ - 0Y - S
-c C I Y P to ki t
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Inspector: Date:
$47.00 REINSPECTION FEE REQUIRED. Prior to inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
Receipt No.: Date:
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INSPECTION NO;., PERMIT NO.
`CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)131 -3670
Pr 'ect:
Le i b, P o e arr"e
Type of Ins ctio
C' � Yrl b
Address: V
v c) .4v? S
Date Calle •
o)
Special Instructions:
Date Wanted: L.
Requester
sckI eL' l.�TVI�S
V, 1 fv�tt,yi�'
+
Phone No:
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Corrections required prior to approval.
El Approved per applicable codes.
COMMENTS:
Inspector: 1 J Date:
Receipt No.: Date:
F] $47.00 REINSPECTION FEE REQUIRED. Prior to inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection
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tile i' ?: �:i. 3i J_:C21jLIC.tr fill .-LJ.
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THIS NOTICE IT IS DUE TO THE QUALITY OF THE DOCUMENT.
0012
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January 3, 2005
Plan mylew approval Is subjed bo ei , tx s and omisslw&
Approval of construction documents does not autltloft
the violation of any adopted code or ordinance. R,eoelpt
of approved Field Copy and oonditl m Is acknowledged:
ey
Dlo:be:
u i a as ington TW
MY Of O
Re: Water & Electrical Plan for Southgate Mobile Home 1WW AWON
City of Tukwila
6300 Southcenter Blvd., Suite 100
T kw'1 W h' 98188
This letter is to be submitted with the application for the removal of 13 used mobile
homes on site at Southgate Mobile Home Park located at; 14005 4V Ave out EVIEWED OF R
Tukwila, Washington 98168 CODE COMPLIANCE
The following units on site are planned to be removed after receiving the
removal permit from the City of Tukwila:
19, 271) 28, 29, 34, 39, 40, 41, 42, 46, 52, 54, 56
No electrical to these units, there are no electrical boxes outside of units.
39 3, 40, 41, 42
These units have no electrical ran to them, and the meters have been
sites.
27
These units will be disconnected before removal process begins.
All the units have had the electrical and.the sewer disconnected from the units with the
exception of the following units:
34, 54 & 56.
The electrical and plumbing that remains will not be removed. They will remain in the
same place for future replacement plans for newer units.
If you have any questions, please contact me at 2 -48 -3840.
Sincerely,
� .
OJO,
Erin O'Leary
Stepping Stone Ventures, LLC.
No +► slas0# be made to the swpe
Of work without prior ap,Wr�,��9 o g
TU' B UIlding Division.
NOTE: Revisions will require a new plan submittal
and may indude addltlOnal plan review fem
Irma wrr
009
Fell mid,"",% VC WOW, I - I
IV Mechanical
J1 Electrical
Plumbing
Gas Piping
City Of Yukvvlia
BUILDING DIVISIO
SEPARATE PERMIT
REQUIRED FOR:
iARPROVED
JAN - 7 2005
CIO Of Tukwila
BUILDING DIVISION
RECEIVED
CITY O TUKWILA
JAN 0 3 2005
PERMIT CENTER
DOS
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- 0 j'" c� Ci �1 , Bard . eptance is subject to error and
D ;� omi ions do not authon a violations of }
adopt ands or ordinances. The responsibil'ty
'� rn a �,...A i r the ua of the des' r
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F de,' er. ditions, dele ' s or v ions to these
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Final acceptance is subject to field inspd%io ,
o � -nO lIL a I the Public Works utilities inspector. ��
i m cis �eT ai Date: BY=
NOTICE: IF THE DOCUMENT IN THIS FRAME IS LESS CLEAR THAN
THIS NOTICE,IT IS DUE TO THE QUALITY OF THE DOCUMENT.
ILA,
f •
r• Ci t y o f Tukwila
Steven M. Mullet, Mayor
N f' Department of Community Development Steve Lancaster, Director
..... '
06 -07 -2005
ERIN O'LEARY
20303 10 AV W
LYNNWOOD, WA 98036
RE: Permit No OS -001
14005 42 AV�rMW
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 Permit Center at 206 - 431 -3670 to arrange 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 a one -time extension up to 180 days.
Extension requests must be in writing 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 07/13/2005, 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;
Stefania Spencer,
Permit Technician
xc: Permit File No. D05 -001
Bob Benedicto, Building Official
6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • Phone: 206 - 431 -3670 • Fax, 206- 431 -3665
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To: Stefania Spencer From: Erin O'Leary
Fam 206 - 431 -3665 Pages: 2
Phone: Date: 1/12/2005
Re: Southgate Mobile Home Park Permit D05 001CC:
D Urgent D For Review 0 Please Carnam. 0 Please Reply E3 Please Recycle
Stefania,
I believe I finally got what the City of Tukwila requires from me to pick up a permit I
have already paid for.
Please review the following page it is a notarized copy of current Washington State
Contractor License. Note the number for ESE Construction Inc. is ESECOI*OOORA
and the expiration date is 12101/05.
Please call me at 206 - 4843840, to confirm with me that it is the correct document that
the city requires. I will be heading down to the city in the morning.
Thank you again for your help with this matter.
Thank you,
Erin O'Leary
Cell 206 - 484-3840
Fax 425 - 778 -2035
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PERMIT OOORD OOP's
PLAN REVIEW /ROUTING SLIP
ACTIVITY NUMBER: D05 -001 DATE: 01 -03 -05
PROJECT NAME: SOUTHGATE MOBILE HOME PARK - DEMO
SITE ADDRESS: 1400542 ND AVENUE SOUTH
X Original Plan Submittal Response to Incomplete Letter #
Response to Correction Letter # Revision #after /before permit is issued
DEPARTMENTS:
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Building ivision Fire Prevention Planning Division
Public Wgrlcs a � Structural ❑ Permit Coordinator M
DETERMINATION OF COMPLETENESS: (Tues., Thurs.) DUE DATE: 01 -04 -05
Complete Incomplete ❑ Not Applicable ❑
Comments:
Permit Center Use Only
INCOMPLETE LETTER MAILED: LETTER OF COMPLETENESS MAILED:
Departments determined incomplete: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials:
TUES /THURS RO TING:
Please Route Structural Review Required
REVIEWER'S INITIALS:
APPROVALS OR CORRECTIONS:
Approved ❑ Approved with Conditions
Notation:
REVIEWER'S INITIALS:
C
DUE DATE: 02 -01 -05
Not Approved (attach comments) ❑
DATE:
Permit Center Use Only
CORRECTION LETTER MAILED:
Departments issued corrections: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials:
Documents /routing sllp,doc
2 -28.02
PERMIT COORD COPY
❑ No further Review Required
DATE:
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