HomeMy WebLinkAboutPermit D04-358 - GODWIN RESIDENCE - DECKGODWIN RESIDENCE
15827 42 AV ST
D04 -358
'
City of Tukwila
Departhneut of Conununity Development
6300 Soutlicenter Boulevard, Suite #100
Tukwila, Washington 98188
Phone: 206 - 431 -3670
Fax: 206 - 431 -3665
Web site: ci.tukwila.wa.its
DEVELOPMENT PERMIT
Steven M. Mullet, Mayor
Steve Lancaster, Director
Parcel No.: 8108600703 Permit Number D04 -358
Address: 15827 42 AV S TUKW Issue Date: 09/27/2004
Suite No: Permit Expires On: 03/26/2005
Tenant:
Name: GODWIN RESIDENCE
Address: 15827 42 AV S, TUKWILA WA
Owner:
Name: GODWIN CLIFFORD P
Address: 2004 HOLIDAY CIR SE, OLYMPIA WA
Contact Person:
Name: CATHY GODWIN OR DAVE OHLSON
Address: 2004 HOLIDAY CIRCLE SE, OLYMPIA, WA
Contractor:
Name: OWNER AFFIDAVIT IN FILE -CLIFF GODWIN
Address: 2004 HOLIDAY CIRCLE SE, OLYMPIA WA
Contractor License No:
Phone:
Phone: 206 604 -3633
Phone: 360 943 -9063
Expiration Date:
DESCRIPTION OF WORK:
REPAIR AND REPLACE EXISTING DECK.
NOTE: ALL FASTENERS TO TREATED WOOD TO BE CORROSION RESISTANT HOT DIPPED GALVANIZED.
Value of Construction: $3,226.25
Type of Fire Protection: N/A
Type of Construction: VB
Public Works Activities:
Channelization / Striping: N
Curb Cut / Access / Sidewalk / CSS: N
Fees Collected: $124.92
International Building Code Edition: 2003
Occupancy per IBC: 0022
Fire Loop Hydrant:
N
Number: 0
Size (Inches): 0
Flood Control Zone:
Hauling:
N
Start Time:
End Time:
Land Altering:
N
Volumes Cut 0 c.y.
Fill 0 c.y.
Landscape Irrigation:
Movie ?,,Oversize Load:
Start Time:
End Time:
Sanitary Side Sewer:
Sewer Main Extension:
Private:
Public:
Storm Drainage:
Street Use:
Profit: N
Non - Profit: N
Water Main Extension:
Private:
Public:
Water Meter:
N
doc: IBC- Permit
D04 -358
Printed: 09 -27 -2004
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1908
City of Tukwila
Department of Comnnittity Developmew
6300 Southcenter Boulevard, Suite #100
Tukwila, Washington 98188
Phone: 206 - 431 -3670
Fax: 206 - 431 -3665
Web site: ci.tulavilama.us
Permit Number:
Issue Date:
Permit Expires On:
Steven M. Mullet, Mayor
Steve Lancaster, Director
D04 -358
09/27/2004
03/26/2005
Permit Center Authorized Signature: 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 . 2elformance of work. I am authorized to sign and obtain this development permit.
Signature:
Print Name:
Date: q —
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.
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A City of Tukwila
Department of Community Development / 6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670
PERMIT CONDITIONS
Parcel No.: 8108600703 Permit Number D04 -358
Address: 15827 42 AV S TUKW Status: ISSUED
Suite No: Applied Date: 09/27/2004
Tenant: GODWIN RESIDENCE Issue Date: 09/27/2004
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: All wood to remain in placed concrete shall be treated wood.
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 office 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.
* *continued on next page **
doc: Conditions D04 -358 Printed: 09 -27 -2004
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g City of Tukwila
race
Department of Community Development / 6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670
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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:
Date: - l ;-� ~6 —Y
Print Name:
doc: Conditions D04 -358 Printed: 09 -27 -2004
tLA, w CITY OF TUKWIL4
Community Development F`° iartment
Public Works Department
X Permit Center
190° 6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
Building Permit -No.
Mechanical permit No.
Public Works Permit No.
Project' No.
or ojjtce use
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
�r� nn King Co Assessor's Tax No.:
O Site Address: �s t \ -L K& � Suite Number: Floor:
Tenant Name: V dWA cez -a 2_ New Tenant: ❑ .... Yes [:]..No
Property
Mailing
CONTACT 'PERSON - I
W!
2m -(00
j Mailing Address: i?--- S L- - dL ws , 5 U
S City State Zip /
i E -Mail Address: 4cv. cayr\ Fax Number: 0 3 1
IL
GENERAL CONTRACTOR INFORMATION - (Mechanical Contractor information on back page)
Company Name:
j Mailing Address:
City State Zip
Contact Person: Day Telephone:
I 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:
Contact Person:_
E -Mail Address:
City
Day Telephone:
Fax Number:
state Zip
ENGINEER OF RECORD - All plans must be wet stamped by Engineer of Record
Company Name:
Mailing Address
Contact Person:
E -Mail Address:
\perrnits pluslice changes�pertnii application (7.2004)
Page I
City
Day Telephone:
Fax Number:
State Zip
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BUILDING PERMIT INFORMATION - 206 -431 -3670
Valuation of Project (contractor's bid price): $ , �bD 0 1 2 0 0 0 6) Existing Builaing Valuation: $ /5 UQ'D
Scope of Work (please provide detailed information): �I
1rlp 10A I r" A-P )n 1n I' 6 OY' t C-An In /n U P rk- .
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 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:
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Existing
Interior
Remodel
Addition to
Existing
Structure
New
Type of
Construction "
per IBC
Type of
Occupancy per
IBC
V Floor
2 Floor
3` Floor
Floors thru
Basement
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:
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MECHANICAL PERMIT INFOP% "ATION — 206 - 431 -3670
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):
Use: Residential: New .... ❑
Commercial: New .... [] Fuel Tyne Electric .....
❑ Gas .... ❑
Replacement..... ❑
Replacement..... ❑
Other: .
Indicate type of mechanical work being installed and the quantity below:
Unit Type:
Qty
Unit Type:
Qty
Unit Type:
Qty
Boiler/Compressor:
Q
Furnace <IOOK BTU
Air Handling Unit >10,000
Fire Damper
0 -3 HP /100,000 BTU
CFM
Furnace> I OOK BTU
Evaporator Cooler
Diffuser
3 -15 HP /500,000 BTU
Floor Furnace
Ventilation Fan Connected
Thermostat
15 -30 HP /1,000,000 BTU
to Sin le 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
<10,000 CFM
Equipment
PERMIT APPLICATION NOTES — Applicable to all permits in this application
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.
BUILDING OWNER OR AUTHOR
Signature:
Print Name:
Mailing Address:
Day Telephone:
Date: 0 A — ) `o f
Date Application Accepted: Date Application Expires: Staff Initials:
\permits plus %icc chanilcs \permit application (7.2004)
Page 4
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I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO*43E TRUE UNDER
PENALTY OF PERJURY BY THE LAWS OF THE STATE OF WASHINGTON, AND I AM AUTHORIZED TO APPLY FOR THIS PERMIT.
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City of Tukwila
f9C6
6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670
RECEIPT
Parcel No.: 8108600703
Address:
15827 42 AV S TUKW
Suite No:
Applicant:
GODWIN RESIDENCE
Receipt No.:
R04 -01305
Initials:
SKS
User ID:
1165
Payee:
C. GODWIN
Permit Number D04 -358
Status: PENDING
Applied Date: 09/27/2004
Issue Date:
Payment Amount: 124.92
Payment Date: 09/27/2004 09:57 AM
Balance: $0.00
TRANSACTION LIST:
Type Method Description Amount
-- ------ --------------------------- ------ - - - - --
Payment Check 1189 124.92
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ACCOUNT ITEM LIST:
Description Account Code Current Pmts
------------------------ - - - - -- ---------- - - - - -- ------ - - - - --
BUILDING - RES 000/322.100 120.42
STATE BUILDING SURCHARGE 000/386.904 4.50
Total: 124.92
doc: Receipt - Ate -: 09 -27 -2004
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INSPECTION RECORD '
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Retain a co with it S
INSPE ION NO. cop p ermit ' PE
CITY F TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670
Pr t:
Type of Inspection:
Add a s:
Date Called:
S cial Instructions:
Date Wanted:
3a *m.
Requester
P one No:'
i
Approved per applicable codes. Corrections required prior to approval.
COMMENTS:
n le /Y
$ .00 REINSPECTION FE REQUIRED. Prior to inspection, fee must be
aid at 6300 Southcenter Blvd., Suite`100. Call to schedule reinspection.
Receipt No.: Date:
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INSPECTION RECORD.. DV ' • �
Retain a copy with permit
INSPECMeN NO. PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670
PLV ct:
Type of Inspect/
Address.
Date Called:
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Instructions: I
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Date Wanted: a.m.
tj� Requester:
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® Approved per applicable codes. Corrections required prior to approval.
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INSPECTION RECORD _
Retain a copy with permit F92
INSPECTION NO. P RMIT NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670
Projec
Type of Inspection
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Add ess: /
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Date Called:
Special Instructions:
Date Wanted: - _.... -a,
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Requester:
Phone No:
Approved per applicable codes. Corrections required prior to approval.
i
Inspector: '`/ Date:
$47. REINSPECTION FE Ylvid., EQUIRE . Prior to inspection, fee must be
paid at 6300 Southcenter Suite 100. Call to schedule reinspection.
Receipt No.: Date:
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INSPECTION RECORD /L
INSPECTION N o. Retain a copy with permit �d`T PERM N O.
CITY OF TUKWILA BUILDING DIVISION'
6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670
Project:
Type of Inspection:
Addres .
Xft S
Date Called:
/0-i
Special Instructions:
Date Wanted:
/b _ m:
1 U�
Requester:
Phone No� r � ^� riz
F] Approved per applicable codes. P Corrections required prior to approval.
Receipt No.: Date:
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L__1 paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
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CITY OF "MWILA
Permit Center
6300 Sou,thcenter Boulevard, Suite 100
Tukwila, WA 98188
(206) 431 -3670
r ,4 4- AP' /2y. F
Application #
ALTERNATE PLAN SUBMITTAL AUTHORIZATION
FOR LIMITED SCOPE OF WORK
U.B.C. Section 106.3.2 exception
Project name
r
Description of • ^ �►�tfl+": .:i. art"' MkItAn ►,Q b
Related reference number
The above project permit applicant, due to the limited scope of work is authorized to submit reduced plan
requirements describe as noted below.
1. Complete permit application required: ( Note, all.a ication must include; 1) property assessor
number, 2) copy of contractors license or complete owner waiver orm. )
Building Mechanical Other
2. Minimum plan and/or specification requirement:
Site plan .EJcer plan Elevations Foundation
Cross sections V/ Roof plan W.S.E.C. compliance Narrative
Structural calculations ( stamped by Washington State licensed engineer )
Specific required information
3. Other special instructions: � �� NStP /L�t 1 1 t4t�t , I -..
Authorization by,
TBD3 /96 -form 12
Date
( Authorization void 30 days after he date 'sued. )
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Proi ect Cost Estimate
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Demolition: z
15 hours labor = $150.00
5 loads to dump @ $15.25 /per = $76.25 rpC��- 36 33 D
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Total= $ 226.25 o
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Construction: N
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Materials: about $1800.00
Labor: 120 hours = $1200.00 CO) D;
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Total cost: $3226.25 D o:
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03 -31 -2005
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City of Tukwila Steven M. Mullet, Mayor
Department of Community Development Steve Lancaster, Director
CATHY GODWIN OR DAVE OHLSON
2004 HOLIDAY CIRCLE SE
OLYMPIA, WA 98501
RE: Permit No. D04 -358
15827 42 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 'l'ukwila 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; orif
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 05/14/2005, 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. D04 -358
Bob Benedicto, Building Official
6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 * Phone: 206- 431 -3670 • Fax: 206 - 431 -3665
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SEP 24 '04 09:26AM TUKWILA DCD /PW
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P. 2/3
CITY OF TUKWI A Permit Center/Building Division:
Community Develop rent Department 206 -431 -3670
Permit Center Public Works Department:
6300 Southcenter Blvd., Suite 100 206- 433 -0179
Tukwila, WA 98188 Planning Division:
206431 -3670
AFFIDAVIT IN LIEU OF CONTRACTOR REGISTRATION
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STATE OF WASHINGTON)
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COUNTY OF KING
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1. 1 have made application for a building permit from the City of Tukwila, Washington.
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2. 1 understand that state law requires that all building construction contractors be registered with the State of
Washington. The exceptions to this requirement are stated under Section 18.27.090 of the Revised Code of
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Washington, a copy of which is printed on the reverse side of this Affidavit. I have read or am familiar with RCW
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18,27.090.
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3. 1 understand that prior to issuance of a building permit b► work which is to be done by any contractor, the City of
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Tukwila must verify either that the contractor is registered by the State of Washington, or that one of the exemptions
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stated under RCW 18.27.090 applies.
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4. In order to provide verification to the City of Tukwila of my compliance with this requirement, I hereby attest that
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after reading the exemptions from the registration requirement of RCW 18.27.090, 1 consider the work authorized
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under this building permit to be exempt under No and will therefore not be performed by a registered
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contractor.
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I understand that I may be waiving certain rights that I might otherwise have under state law in any decision to engage an
unregistered contractor to perform construction work.
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\applications\W004 affidavit in lieu of contractor registration
CP u + V\ day of c 5-e-62 ' 5. , 20 6) 1 (
NOTARY PUBLIC in and
Residing at :±h J-V -")— -v-v2s County.
Name as commissioned: _ a e f m. Of u, r - i ee r
My commission expires: `r " 'a-1- O "1
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Signed and swom to before me this