HomeMy WebLinkAboutPermit D04-279 - EDMONDS PLATT - RESIDENCE DEMOLITIONEDMONDS PLATT
DEMO HOUSE
4220 S 116 ST
D04-279
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City al Tukwila -
Departnient of Community Development
6300 Southcenter Boulevard, Suite #100
Tukwila, Washington 98188
Phone: 206 - 431 -3670
Fax: 206- 431 -3665
Web site: ci.ttd ila.wa.its
DEVELOPMENT PERMIT
Steven M. Mullet, Mayor
Steve Lancaster, Director
Parcel No.: 3347400035 Permit Number: D04-279
Address: 4220 S 116 ST TUKW Issue Date: 09/03/2004
Suite No: Permit Expires On: 03/02/2005
Tenant:
Name: EDMONDS PLATT - DEMO HOUSE
Address: 4220 S 116 ST, TUKWILA WA
Owner:
Name: WGW CONSTRUCTION
Address: 329 NW 2 PL, RENTON WA
Contact Person:
Name: KEITH MENGES
Address: 1615 NE 28 ST, RENTON, WA
Contractor:
Name: CHARLEY'S BACKHOE SERVICE INC
Address: 27714 118 ST SE, MONROE WA
Contractor License No: CHARLBS165QH
Phone:
Phone: 425 246 -0740
Phone: 206 - 510 -9005
Expiration Date: 10 /30/2004
DESCRIPTION OF WORK:
DEMOLITION OF EXISTING SINGLE FAMILY HOUSE; INSTALL SILT FENCING; CUT AND CAP SEWER, WATER, POWER;
HAUL AWAY DEBRIS AND CLEAN SITE.
Value of Construction: $4,000.00 Fees Collected: $203.19
Type of Fire Protection: N/A 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:
Y
Sewer Main Extension:
N
Private:
Public:
Storm Drainage:
N
Street Use:
N
Profit: N
Non - Profit: N
Water Main Extension:
N
Private:
Public:
Water Meter:
Y
doc: IBC- Permit D04 -279 Printed: 09 -03 -2004
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City oj, Tukwi
Steven M. Mullet, Mayor
Department of Community Developmetit
6300 Southcenter Boulevard, Suite #100
Tukwila, Washington 98188
Phone: 206 - 431 -3670
Fax: 206 - 431 -3665
Web site: cOukwilamams
Steve Lancaster, Director
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Print Name: r ��I �V UJ UJ v
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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 Z
suspended or abandoned for a period of 180 days from the last inspection. v co
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doc: IBC - Permit 004 -279 Printed: 09 -03 -2004
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Permit Number D04 -279
Issue Date: 09/03/2004
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Permit Expires On: 03/02/2005
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Permit Center Authorized Signature; Date:
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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
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ordinances governing this work will be complied with, whether specified herein or not.
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The granting of t is permit oes no presume to give authority to violate or cancel the provisions of any other state or local laws
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regulating cons uction or a rf rmance of work. I am authorized to sign and obtain this development permit.
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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 Z
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doc: IBC - Permit 004 -279 Printed: 09 -03 -2004
��.. City of Tukwila
Department of Community Development / 6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670
PERMIT CONDITIONS
Parcel No.: 3347400035 Permit Number D04 -279
Address: 4220 S 116 ST TUKW Status: ISSUED
Suite No: Applied Date: 08/04/2004
Tenant: EDMONDS PLATT - DEMO HOUSE Issue Date: 09/03/2004
1: ** *PUBLIC WORKS DEPARTMENT CONDITIONS * **
2: The applicant must notify the City Utility Inspector at (206)433 -0179 upon commencement and completion of work at least
24 hours in advance. All inspection requests for utility work must also be made 24 hours in advance.
3: Work affecting traffic flows shall be closely coordinated with the City Utilities Inspector. Traffic Control Plans
shall be submitted to the Inspector for prior approval.
4: Any material spilled onto any street shall be cleaned up immediately.
5: Temporary erosion control measures shall be implemented as the first order of business to prevent sedimentation
off -site or into existing drainage facilities.
6: Any septic tanks in the area shall be pumped empty and removed or filled with sand. A copy of the documentation from
the business that performed the pumping shall be provided to the City Utilities Inspector.
7: ** *BUILDING DEPARTMENT CONDITIONS * **
8: No changes shall be made to the approved plans unless approved by the design professional in responsible charge and the
Building Official.
9: All permits, inspection records, and approved plans shall be at the job site and available to the inspectors prior to
i start of any construction. These documents shall be maintained and made available until final inspection approval is
granted.
10: All construction shall be done in conformance with the approved plans and the requirements of the International
Building Code or International Residential Code, International Mechanical Code, Washington State Energy Code.
11. 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.
12: Removal of septic tanks require approval and compliance with permit and inspection requirements through the
Seattle /King County Department of Public Health (206/296- 4722).
13: 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 office of the City Clerk.
14: 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.
doc: Conditions D04 -279 Printed: 09 -03 -2004
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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 r the perf rmance f work.
Signature: Date:
Print Name:
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doc: Conditions D04 -279 Printed: 09 -03 -2004
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ILA, w , CITY Of TUKWIL
Community Development Department
o Public Works Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
SITE LOCATION
Building Pern,ti,t No.
Mechanical Permit No.
Public Works Permit No.
Project No.
(For office use onl
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 **
King Co Assessor's Tax No.: J--f Y / YU . O der
Site Address: 22 /�� s Suite Number: Floor:
Tenant Name: ll S�yle'1V7_ New Tenant: 09'. Yes R
Property Owners Name: _LL- 00
Mailing Address: 3Z9 NW ZUT _P1. qgd._sz�
City State Zip
CONTACT PERSON
Name: 7, S7 l rr � �o�S � Telephone: �ZJ '
Mailing Address: I L Ls [ :F Z nn 9 s f�•E;J 7VN W a- 9
City state Zip
E -Mail Address: Fax Number: �Z�" Z 7
GENERAL CONTRACTOR INFORMATION - (Mechanical Contractor information on back page)
Company Name: �► ^
. O I � C S�Q-V (Ge �.
Mailing Address: Z-771 l L S .ST�-�T Ste' I ON P-OF WR. / 82
` / I City State Zip
Contact Person: �� y N L l � Day Telephone: 2 O( s/ Q 9 O 4 0
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 **
ARCHITECT OF RECORD — All plans must be wet stamped by Architect of Record
Company Name:
Mailing Address:
City State Zip
Contact Person:
Day Telephone:
E -Mail Address: Fax Number:
ENGINEER OF RECORD - All plans must be wet stamped by Engineer of Record
Company Name:
Mailing Address: 4 3 Z PX .SU // /dZ ��ertf L.�(� . ���.> z—
City State Zip
Contact Person: Day Telephone: 4121
E -Mail Address: Fax Number:
\permits plus \icc changes\permit application (7 -2004)
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.BUILDING PERMIT
- 206 - 431 -3670
A*
do _ ,
Valuation of Project (contractor's bid price). Existing Building Valuation: _ "�J�..
Scope of Work (please provide detailed information): INS'C'i4 S r
Will there be new rack storage? ❑ ..Yes ��. 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 structures 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 PROTECTIONMAZARDOUS MATERIALS:
❑.. 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 of materials and storage locations on a separate 8 -1/2 x I I paper indicating quantities and Material Safety Data Sheets.
\permits plusVcc changes \pennit application (7 -2004)
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Existing
Interior
Remodel
Addition to
Existing
Structure
New
Type of
Construction
per IBC
Type of
Occupancy per
IBC
1" Floor
2 nd Floor
3r Floor
Floors thru
Basement
_
X71 Lf
Accessory Structure*
Attached Garage
Detached Garage
Attached Carport
Detached Carport
Covered Deck
Uncovered Deck
PLANNING DIVISION:
Single- family building footprint (area of the foundation of all structures 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 PROTECTIONMAZARDOUS MATERIALS:
❑.. 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 of materials and storage locations on a separate 8 -1/2 x I I paper indicating quantities and Material Safety Data Sheets.
\permits plusVcc changes \pennit application (7 -2004)
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MECHANICAL PERMIT INFORMATION — 206 - 431 -3670
MECHANICAL CONTRACTOR INFORMATION
Company Name:
Mailing Address:
City
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 preset
Valuation of Project (contractor's bid price): $
Scope of Work (please provide detailed information):
Use: Residential:
New
.... ❑
Replacement.....
Commercial:
New
.... ❑
Replaceme .... ❑
State
Zip
j
Qty
Unit Type:
Q
Boiler/Compress—
Q
Furnace<IOOK BTU
Air H dling Unit >10,000
Fire Damper
0 -3 HP /100,000 BTU
time of permit issuance **
Fuel Type Electric ..... ❑ Gas .... ❑
i
Indicate type of mechanical work being installed•and the quantity below:
Unit Type:
Qty
Unit T
Qty
Unit Type:
Q
Boiler/Compress—
Q
Furnace<IOOK BTU
Air H dling Unit >10,000
Fire Damper
0 -3 HP /100,000 BTU
CF
Furnace>IOOK BTU
Xvaporator Cooler
Diffuser -
3 -15 HP /500,000 BTU
Floor Furnace
Ventilation Fan Connected
Thermostat
15 -30 HP /1,000,000 BTU
to Single Duct
Suspended/Wall/Floor
Ventilation System
Wood /Gas Stove
30 -50 HP /1,750,000 BTU
Mounted Heater
Appliance Vent
Hood and Duct
Water Heater
50+ HP /1,750,000 BTU
Repair or Addition to„
Incinerator - Domestic
Emergency
Heat/Refrig/Cooling
Generator
System
Air Handling Unit
Incinerator — Comm/Ind
Other Mechanical
<I0,000 CFM
Equipment
PERMIT APPLICATION NOTES — Applicable to all permits in this application
Date Application Accepted: Date Application Expires: I Staff Initials:
Value of Construction — 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 CERTI HAT I H READ D EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE UNDER
PENALTY OF P RY BY TH HE STATE OF WASHINGTON, AND I AM AUTHORIZED TO APPLY FOR THIS PERMIT.
BUILDING O R OR U H ENT: 9 .
Signature: Date:
Print Name: 1c�// �� Day Telephone: % 2 4:f — .-Z / — / "71_/ v
Mailing Address: �G, Z� A � 29 �d/ 7 iK41k ��
t City — State Zip
\permits plus \icc changes \permit application (7 -2004)
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�� City of Tukwila
6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 (206) 431-3670
RECEIPT
Parcel No.: 3347400035
Address: 4220 S 116 ST TUKW
Suite No:
Applicant: EDMONDS PLATT - DEMO HOUSE
Permit Number:
Status:
Applied Date:
Issue Date:
D04-279
PENDING
08/04/2004
Receipt No.: R04-01013
Payment Amount:
203.19
Initials: SKS
Payment Date:
08/04/2004 01:31 PM
User ID: 1165
Balance:
$0.00
Payee: CHRISTELLE, INC.
TRANSACTION LIST:
Type Method Description
Amount
------- -------- ---------------------------
---
Payment Check 5670
------ ------
203.19
ACCOUNT ITEM LIST:
Description Account Code
Current Pmts
------------------------------ ----------------
BUILDING - NONRES 000/322.100
------ - - - - --
120.42
PLAN CHECK - NONRES 000/345.830
78.27
STATE BUILDING SURCHARGE 000/386.904
4.50
Total: 203.19
-3525 013/05 9716 TOTAL 377.74
doc: Receipt Printed: 08-04-2004
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INSPECTION RECORD �y
' Retain a copy with permit `
INSPECTION N0. PERMIT
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670
Project: ;��
IVI
Type of Insp ion:'
Addresss: Y fJ n� '�^
6 12G V Ci // G� r ( CST12ee /
Date Called
Speaa Instructions:
Date Wanted* a.m.
Request e I i
Phone o:
LZ� Approvecl per applicable codes. Corrections required prior to approval.
COMMENTS:
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Inspector: Date
0$47.00 REINSPECTION FEE REQUIRED. Prior to inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Cali to schedule reinspection.
Receipt No.: 7 ate:
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INSPECTION NO. PERMIT ,
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188 (2 1• 670
Project:
drnonc6 Ra - etno Ao
Type of Inspection:
se �e m o
Address:
_ Z20 S 1I6 St
Date Called:
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Special Instructions:
Date Wanted: m.
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Requester: Ra 11er
M ier
Phone No: 20 —5IO—qDO�
Fi Approved per applicable codes. Corrections required prior to approval.
Inspecto ' �>o Date:
` • $47.00 REINSPECTION FEE REQUIRED. Prior to inspection, fee must be
paid at 6300 Southcenter B lvd., Suite 100. Call to schedule reinspection.
ceipt No.: Date:
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INSPECTION RECORD
Retain a copy with permit
INSPECTION NO. PER
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188 ( 06431-3670
Prct:
Type,6f Inspe ion:
AAd ss:
Date Called:
-X-T ey
S ecial Instructions:
0 4 &-644 e
f!/ p M.
Date Want d: � a _ / m.
Requester:
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a AApproved per applicable codes. Corrections required prior to approval.
COMMENTS:
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Inspector: Date:
Receipt No.: Date: I
$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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INSPECTION RECORD
Retain a copy with permit
INSPECTION NO. PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670
Pro a t:
Type ot Inspec
'on
Moxd�
-
L Cnt l r
Ad resso�O U� S+
Date Ca led:
Special Instructions:
Date Wante
2 `mil m.
m.
V
Requester:
Pho a No:
❑ Approved per applicable codes.
Corrections required prior to approval.
COMMENTS:
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$47.00 REINSPECT1 N FEE REQUIRED. Prior to inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
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INSPECTION RECORD
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INSPECTION NO. PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670 I
Project:
Type of Inspection:
Address:
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Date Called:
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Special Instructions:
R? MARA
Date Wanted:
t I 14 a.m.
p.m.
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Phone No:
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M Approved per applicable codes. El Corrections required prior to approval.
COMMENTS:
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R? MARA
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{ Inspector: 1 Date: q
$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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These plans have been reviewed by the Public
Works Department for conformance with current
City standards. Acceptance is subject to errors and
omissions which do not authorize violations of
adopted standards or ordinances. The responsibility
for the adequacy of the design rests totally with the
designer. Additions, deletions or revisions to these
drawings after this date NN-ill void tWs acceptance
and will require a resubmittal of rVised drawings -
aptance is subject to 4
utilities i .
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PLAN REVIEW /ROUTING SLIP
ACTIVITY NUMBER: D04 -279 DATE: 08 -04 -04
PROJECT NAME: EDMONDS PLATT LLC - DEMO HOUSE
SITE ADDRESS: 4220 SOUTH 116 STREET
X Original Plan Submittal
Response to Incomplete Letter #
Response to Correction Letter # Revision # after /before permit is issued
DEPARTMENT : V
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Structural ❑
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Planning Division
Permit Coordinator
DETERMINATION OF COMPLETENESS (Tues., Thurs.)
Complete [ Incomplete ❑
Comments:
Not Applicable ❑
Permit Center Use Only
INCOMPLETE LETTER MAILED: LETTER OF COMPLETENESS MAILED:
Departments determined incomplete: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials:
TOES /THURS R ZING:
Please Route , Structural Review Required
REVIEWER'S INITIALS:
APPROVALS OR CORRECTIONS
Approved ❑ Approved with Conditions [j/
Notation:
REVIEWER'S INITIALS:
DUE DATE: 08 -05 -04
DATE:
Permit Center Use Only
CORRECTION LETTER MAILED:
Departments issued corrections: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials:
PERMIT COORD COPY
Documents/roudn0 sllp.doc
2 -28 -02
❑ No further Review Required
DATE:
DUE DATE: 09 -02 -04
Not Approved (attach comments) ❑
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STATE OF
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REGISTRATIONS AND LICENSES;
UNIFIED BUSINESS ID #: 600 553 402
BUSINESS ID #: 001
UMUMN14MILUN TYPE EXPIRES 09-30-2004
DOMESTIC PROFIT CORPORATION
CHARLEY'S BACKHOE SERVICE, INC.
27714 118TH ST SE
MONROE WA 98272
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DOMESTIC PROFIT CORPORATION
RENEWED BY AUTHORITY OF SECRETARY OF.STATE,
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MONROE* WA',','. 98272
F-625-052-OW (8/97)
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