HomeMy WebLinkAboutPermit M03-030 - MONEY TREEM03 -030
MONEYTREE
6720 FORT DENT WAY
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City of Tukwila
Department of Community Development / 6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670
Parcel No.: 2954900455
Address: 6720 FORT DENT WY TUKW
Suite No:
Tenant:
Name: MONEYTREE
Address: 6720 FORT DENT WY, TUKWILA WA
MECHANICAL PERMIT
Owner:
Name: JOHN C RADOVICH LLC
Address: 2000 124TH AVE NE #B 103, BELLEVUE WA
Contact Person:
Name: JESSE MONTEZ
Address: MACDONALD MILLER, 7717 DETROIT AV SW
Contractor:
Name: MACDONALD /MILLER FAC SOL INC
Address: PO BOX 47983, SEATTLE, WA
Contractor License No: MACDOFS980RU
DESCRIPTION OF WORK:
RELOCATING 2 DIFFUSERS, AIR BALANCE
Value of Construction: $3,500.00
Type of Fire Protection:
Permit Center Authorized Signature:
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.
L�I�C c ''
M03 -030
Permit Number: M03 -030
Issue Date: 02/27/2003
Permit Expires On: 08/26/2003
Phone:
Phone: 206 - 768 -4288
Phone:
Expiration Date: 12/31/2004
Fees Collected:
Uniform Mechnical Code Edition:
$46.50
1997
Date: ° 43
The granting of this permit does not presumg- tQgive authority to violate or cancel the provisions of any other state or local laws
regulating construction or the performance of ork rl_am authorized to sign and obtain this mechanical permit.
Signature: eRf Date:
,It
Print Name: _�A� `'l"73 •)
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.
Printed: 02 -27 -2003
( 77IX L
ACTIVITY NUMBER: M03 -030 DATE: 02 -21 -03
PROJECT NAME: Moneytree
SITE ADDRESS: 6720 Fort Dent Wy
Original Plan Submittal Response to Incomplete Letter #
Response to Correction Letter # Revision # After Permit Is Issued
DEPARTMENTS:
Building Division
Public Works
DETERMINATION OF COMPLETENESS: (Tues., Thurs.)
Complete
Comments:
TUES/THURS ROUTING:
Please Route
REVIEWER'S INITIALS:
APPROVALS OR CORRECTIONS:
Approved ❑
Notation:
Documents/routing slip.doc
2.21302
PLAN REVIEW /ROUTING SLIP
Fire Prevention
Structural
Incomplete n
Structural Review Required
et.-
Approved with Conditions
r'1
Permit Center Use Only
INCOMPLETE LETTER MAILED: LETTER OF COMPLETENESS MAILED:
Departments determined incomplete: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials:
REVIEWER'S INITIALS: ][/im' D ATE:
Planning Division
Permit Coordinator
DUE DATE: 02-25-03
Not Applicable ❑
No further Review Required
DATE:
DUE DATE: 03-25-03
Not Approved (attach comments) ❑
zg
Permit Center Use Only
CORRECTION LETTER MAILED:
Departments issued corrections: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials:
PERMIT NO.: Mn
MECHANICAL PERMIT APPLICATIONS
INSPECTIONS
0
0
CONDITIONS
0
2 Pre- construction
50 WSEC Residential
60 WA Ventilation/Indoor AQC
610 Chimney Installation/All Types
700 Framing
1080 Woodstove
1090 Smoke Detector Shut Off
1100 Rough -in Mechanical
1101 Mechanical Equipment/Controls
1102 Mechanical Pip/Duct Insul
1105 Underground Mech Rough -in
1115 Motor Inspection
1400 Fire - Final
1800 Mechanical - Final
4015 Special -Smoke Control System
10001 No changes to plans unless approved by Bldg
Div
10002 Plumbing permits shall be obtained through King
Co
10003 Electrical permits obtained through L & I
10005 All permits, insp records & approved plans
available
10014 Readily accessible access to roof mounted
equipment
10016 Exposed insulation backing material
10019 All construction to be done in conformance
w /approved plans
ft 10027 Validity of Permit
10036 Manufacturers installation instructions required
on site
❑ 10041 Ventilation is required for all new rooms &
spaces
❑ 10042 Fuel burning appliances
❑ 10043 Appliances, which generate....
❑ 10044 Water heater shall be anchored....
Additional Conditions:
TENANT NAME:
FEES
Plan Reviewer:
Permit Tech:
-03
Basic Fee (Y/N)
Supplemental Fee (Y/N)
Nan Check Fee (Y/N)
Fumace/Burner
to 100,000 BTU (qty)
Over 100,000 BTU (qty)
Floor Furnace (qty)
Suspended/WalFloor- mounted Heater (qty)
Appliance Vent (qty)
Heating/Refrig/Cooling Unii/System (qty)
Boiler /Compressor
to 3 HP /100,000 BTU (qty)
to 15 HP /500,000 BTU (qty)
to 30 HP /1,000,000 BTU (qty)
to 50 HP /1,750,000 BTU (qty)
over 50 HP /1,750,000 BTU (qty)
Air Handling Unit
to 10,000 c&n (qty)
over 10,000 cfm (qty)
Evaporative Cooler (qty)
Ventilation Fan (qty)
Ventilation System (qty)
Hood (qty)
Incinerator — Domestic (qty)
Incinerator — Comm/Ind (qty)
Other Mechanical Equipment (qty)
Other Mechanical Fee (enter SS)
Add'l Fees — Work w/o Permit (Y/N)
Insp Outside Normal Hours (hrs)
Reinspections (hrs)
Miscellaneous Inspections (
Add'I Plan Review (hrs)
Date:
Date: 2—"a/
3
ACTIVITY NUMBER: M03 -030 DATE: 02 -21 -03
PROJECT NAME: Moneytree
SITE ADDRESS: 6720 Fort Dent Wy
It Original Plan Submittal Response to Incomplete Letter #
Response to Correction Letter # Revision # After Permit Is Issued
DEPARTMENTS:
Building Division
Public Works
Complete ❑
REVIEWER'S INITIALS:
APPROVALS OR CORRECTIONS:
Documents/routing slip.doc
2-28.02
PLAN REVIEW /ROUTING SLIP
Fire Prevention
Structural
DETERMINATION OF COMPLETENESS: (Tues., Thurs.)
Incomplete ❑
Planning Division
Permit Coordinator
DUE DATE: 02-25-03
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 ROUTING:
Please Route ❑ Structural Review Required ❑ No further Review Required
DATE: 2.1 Z5 �3
DUE DATE: 03 -25 -03
Approved ❑ Approved with Conditions ❑ Not Approved (attach comments) ❑
Notation:
REVIEWER'S INITIALS: D ATE:
Permit Center Use Only
CORRECTION LETTER MAILED:
Departments issued corrections: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials:
Site Address: 6 720 ;D , cf Dena' 1 144
Tenant Name: Mower 7e e e...._
Property Owners Name: —j • c. ,....4.1 e cJ r C.. t. / -
Mailing Address: ZDO d 1z' tt' Au _5g a 4 A - !03 3e-e.Le. Jure..
City
Name:
Mailing Address: 11( 42.6 1 t - Acre .Se&Y �d- ee- Gtr A 4 78/ 0
City State Zip
E -Mail Address: J esSe yu ova z@ fl4'4c 144( . e K: C4.3 x Number: 7o k, - 7 6 ef 7
GENERAL: CONTRACTORINFORMATION
Contact Person:
Company Name:
Contact Person:
E -Mail Address:
Company Name:
Mailing Address:
\appliations\pennit application (1 -2003)
112003
CITY OF TUKWIL4
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 accepted for plan review.
Applications will not be accepted through the mail or by fax.
* *Please Print **
s s e 44,45" f . 2 —
Al44-c L •4-4( m, LLe-✓—
Company Name:
Mailing Address: 7 71 T De. 1 o f 4 - S W
- ■le sse - r12e7vt.
E -Mail Address: jeSse- • - !5u 1 sit_tAkt (1 - 4 - 1 4 - 66Ntocax Number: 20(c- 7608 - 4 1 Z(S1
Contractor Registration Number: Expiration Date: l Z-7• - o /
* *An original or notarized copy of current Washington State Contractor License must be presented at the time of permit issuance **
N A
Mailing Address:
ENGINEER OF:RECORD - All plans must be.wet'stamped by Engineer'of Record
rt-c a - YV., CCe. r
7 (7 ► 1-0 1 f ,fic,rc. Std
Contact Person: J CS' S. 144.0x. t-e z...
E -Mail Address: J e S Se - 1 e ULt a4-cvutto -.
Page 1
King Co Assessor's Tax No.:
Suite Number: tt: t
Day Telephone: Zo 6 - 768 - 1Z g
Se &
City
Day Telephone:
New Tenant: D .... Yes O-No
City
Day Telephone:
Fax Number:
City
Day Telephone:
OW Fax Number:
0 45 90 - 0 15
Floor:
State Zip
j8l0
State Zip
7 - 710 £f-.46a
State
Zip
Ob
State Zip
Z0(, -7C. g -I ?ei(
2.0 6 - 7 t. 17,
Will there be new rack storage? ❑ ... Yes ❑ .. No If "yes', sec Handout No.
iJ.
Existing Building Valuation: $
Valuation of Project t (coots t js b price): $
Scope of Woi provide detailed information):
for requirements.
Provide All Building Areas in Square Footage Below
1" Floor
2 " Floor
3' ° _ Floor
•
Floors thru
•Basement
Accessory Structure
Attached Garage
Detached Garage
Attached Carport
Detached. Carport
Covered Deck,
Uncovered Deck
Existing
Interior
Remodel
Addition to
Existing
Structure
New
Type of
Construction
per UBC
Type of
Occupancy per
UBC
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 PROTECTION/HAZARDOUS 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
1f "yes", attach list of materials and storage locations on a separate 8 -1/2 x 1I paper indicating quantities and Material Safety Data Sheets.
UTILITY DISTRICTS:
Note: If the utility district is not City of Tukwila, you must provide written verification and approval from that utility district at the time of permit
application.
Water
❑ .. City of Tukwila Water District 0.. Water District #l25 0... Highline Water District 0... City of Renton Water District
Sewer
❑ .. City of Tukwila Sewer District 0.. Val Vue Sewer District ❑...City of Renton Sewer District ❑...City of Seattle Sewer District
❑ .. Septic System (If property is served by a septic system, 2 copies of approved septic design from King County Health Department must be
submitted at the time of permit application)
%applicationApermit application (1.2003)
1/2003
Page 2
` P14101c IC ,E RMIT� IN 611-V4#.11
Scope a, "3 J a?%.' IR ;�'� OR �' t+rut., 3: ;St,'•v't• :•i;�Kw °y,.,�>,ix�.�"c`1• • , � t
-li •.��: 41.,. i)::{.4 Y�� �s .: j; {L.11`.� ,. ar, �.Nv�y,..;. ;�'. J, v� .4 . . S f ., {. ^ mot.
Scope of Work (please provide detailed information):
Street Use:
❑ -. Street Use
Land Altering and /or Hauling:
❑ .. Land Altering: ❑...Cut
Water Meter Refund/Billing:
Name:
Mailing Address:
\applicationi\petmil application (1-2003)
1/2003
❑...Channelization /Striping
Storm Drainage:
❑ .. Storm Drainage ❑...Flood Control Zone
Call before you Dig: 1- 800 - 424 -5555
Please refer to Public Works Bulletin #1 for fees and estimate sheet.
❑...Curb cut/Access/Sidewalk
cubic yards 0... Fill cubic yards ❑ .. Hauling
Sewer Information:
❑ .. City of Tukwila Sewer District ❑.. Val Vue Sewer District ❑...City of Renton Sewer District ❑ ..City of Seattle Sewer District
❑.. Sanitary Side Sewer ❑.- Sewer Main Extension ❑ .. Private 0.. Public
Water Information:
❑ .. City of Tukwila Water District ❑.. Water District # 125 ❑... Highline Water District 0... City of Renton Water District
❑ .. Water Main Extension ❑ -- Private 0... Public
❑ .. Water Meter/Exempt: Size(s): ❑ .. Deduct ❑...Water Only
❑ .. Water Meter Permanent #: Size(s):
❑ .. Water Meter Temporary #: Size(s): ❑ .. Est. Quantity: gallons
❑ .. Fire Loop/Hydrant (main to vault) #: Size(s): ❑ .. Landscaping Irrigation
❑ .. Miscellaneous:
Monthly Service Billing to:
Name: Day Telephone:
Mailing Address:
City State Zip
Water ... ❑ Sewer ... ❑ Sewage Treatment ❑ Fire Line .... ❑
Page 3
Day Telephone:
City
State Zip
Unit Type:
Qty
Unit Type:
Qty
Unit Type:
Qty .
Boiler /Compressor:
Qty
Furnace <I00K BTU
Air Handling Unit
>= 10,000 CFM
Other Mechanical
Equipment
0 -3 HP /100,000 BTU
Furnace> 100K BTU
Evaporator Cooler
3 -15 HP /500,000 BTU
Floor Fumace
Ventilation Fan
15 -30 HP/I,000,000 BTU
Suspended/Wall/Floor
Mounted Heater
Ventilation System
30 -50 HP/I,750,000 BTU
Appliance Vent
Hood
50+ HP /1,750,000 BTU
Heat/Refrig/Cooling
System
S
Incinerator - Domestic
Air Handling Unit
<= 10,000 CFM
Incinerator — Comm/Ind .
WCHANICAI: PERITTINFORMATION = 20.6= 431=367
MECHANICAL CONTRACTOR INFORMATION
Company Name:
Mailing Address:
/'l/l�ee t-yt a�Cd i41t LL -d"
Contact Person: G SS e. 'Mtn& � Z—
E -Mail Address: jcSSe • s Akeryt f - 04#4C.. -1-0-1 COw1
Contractor Registration Number:
* *An original or notarized copy of current Washington
Use: Residential: New .... ❑ Replacement ....
Commercial: New ....E Replacement .... 0
Fuel Type: Electric Gas....D Other: /tilt
Indicate type of mechanical work being installed and the quantity below:
Date Application Accepted:
A- I.O 3
tapplicaliona\pcnnit application (1 -2003)
1/2003
.e -L « k 4 l so
City State Zip
Day Telephone: '70 6 Z fe ie
Fax Number: Z oc„ — 74 r1' — Ii e. .,
Expiration Date: 1 Z —S ( —o 1
State Contractor License must be presented at the time of permit issuance **
Valuation of Project (contractor's bid price): $ 3S d
Scope of Work (please provide detailed information): r-e_ Ls c,,.."_ 2 eica.a_S - cL1`7 A r e-
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.
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 FOR THIS PERMIT.
BUILDING OWNE - R AUTHORIZED AGENT:
Signature:
Print Name: e-SS e- Tit 0-1,A 4'e Day Telephone: - 2..(D C — r, & - `r Z
Mailing Address: 7 7 !-7 -h2� r� x g e Scc) - A- 9 O 6
City State Zip
Date Application Expires:
g.a -o
Page 4
Date: 2 Z / — e , 1
Staff Initials:
1
iR 'rioi ' •' at3::tir:5 �.ct - n.,
Project:
0y,eL Tree
Type of 1 spection:
ern /
Address: i
( c - 70 ( c - 70 fi -Er
en+
r te
Da Called•
1 -5 _ 03
Special Instructions:
Date W ed /�
yarn.
Requester:
J esse,
Phone No:
X0(0 ' 7(06
INSPECTION RECORD
Retain a copy with permit
INSPECTION NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188
M C3 -
(206)431 -3670
•
Approved per applicable codes. El Corrections required prior to approval.
COMMENTS:
1-PV"W\ (- OMB 4
'4-r) ► hot l
Inspector: AA. J�1'
Date: ( 0
$47.00 REINSPECTION FEE REQUIRED. Prior to inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. CaII to schedule reinspection.
Receipt No.:
Date:
Project:
Tddr ony - ee.
Type of Inspection:
('cvc,�
ess:
(07x90 •,1 �' D'i�* w �
Date Calle
:J
Special Instructions:
Date Wanted:
3-4/- 03
p.m.
Requester:
/rf
Phone No:
.=20(0 - 5 7/ -
3 33 1
INSPECTION RECORD
Retain a copy with permit
INSPECTION NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188
/V t3^ 030
(206)431 -3670
Approved per applicable codes. Corrections required prior to approval.
COMMENTS:
of p p itove
Inspector(
Date: d — S
El $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:
Signature:
Print Name:
doc: Conditions
City of Tukwila
Department of Community Development / 6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670
Parcel No.: 2954900455
Address: 6720 FORT DENT WY TUKW
Suite No:
Tenant: MONEYTREE
U IJ IF-7_ —
PERMIT CONDITIONS
Permit Number: M03 -030
Status: ISSUED
Applied Date: 02/21/2003
Issue Date: 02/27/2003
1: ** *BUILDING DEPARTMENT CONDITIONS * **
2: No changes will be made to the plans unless approved by the Engineer and the Tukwila Building Division.
3: Electrical permits shall be obtained through the Washington State Division of Labor and Industries and all electrical
work will be inspected by that agency (206- 835 - 1111).
4: All permits, inspection records, and approved plans shall be available at the job site prior to the start of any
construction. These documents are to be maintained and available until final inspection approval is granted.
5: All construction to be done in conformance with approved plans and requirements of the Uniform Building Code (1997
Edition) as amended, Uniform Mechanical Code (1997 Edition), and Washington State Energy Code (1997 Edition).
6: Validity of Permit. The issuance of a permit or approval of plans, specifications, and computations 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 ordinance of the jurisdiction. No permit presuming to give authority to violate or cancel the provisions of this
code shall be valid.
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.
M03 -030
Date: 7 - —0 '3
Printed: 02 -27 -2003
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F625-052403 (NM)
F62S-1152-0
DEPARTMENT OF LABOR AND INDUSTRIES
REGISTERED AS PROVIDED BY LAW AS
CONST CONT GENERAL
..; - .
00
'EF7PPTIvg*I ''" • ..1 •
JIACDONALD/MILLER FAC.SOL INC:
PO.BOX."479 — •-• • — • "
SEATTLE WA .98106
Detach And Display Certificate
REGISTERED'AS.PROVIDED BY LAW AS.
.CONSTc.ICONT.*::•.GENERAL :•. •• • .„ a •
REGIST. # ••;;EXP .• DE
MACDCIFS980121J. .1V31/20014,
yE : DATE : . /.200 • •
MACDONA'.fliti71ILLER • FAC SOL 'INC
PO BOX •47§83...,• • •
SEATTLE • '
Signature
issued by DEPARTMENT OR LABOR AND INDUSTRIES
Please Remove
And Sign
Identification
Card Before
Placing In
Billfold
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F625- 052.0()3 (1197)
F625-052-0
DEPARTMENT OF LABOR AND INDUSTRIES
REGISTERED AS PROVIDED BY LAW AS
CONST CONT. _ GENERAL
OEB9'$ Of Ti . •12'/31 12.OD4
'EFFECTT `'DATE'' • ' 12 f 31/2002 •
hCDONALD%MIL FAC INC
PO,•BOX • 47983 •
SEATTLE WA .98106
Detach And Display Certificate
REGISTERED•'AS .PROVIDED BY LAW AS •
'CDANST;.:CP T•` :•GENEIAL • :'• • _ •
•r •
:
::EXP .• DAE
fO U ,1;l1•• MACDQFS980RLi, .3./31/21:10.4. 1 ,;*
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MACDONAL f II LER • FAC : sot •INC :
U
PO BOX •47953, . ,• • • ; :,•
SEATTLE •• �810.�t r ••
Signature
Issued by DEPARTMENT ()RUMOR AND INDUSTRIES
Please Remove
And Sign
Identification
Card Before
Placing In
Billfold
.01111111st 1 ,_
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4: : ovei %
ACTIVITY NUMBER: M03 -030
PROJECT NAME: Moneytree
SITE ADDRESS: 6720 Fort Dent Wy
Original Plan Submittal
Response to Correction Letter #
DATE: 02 -21 -03
Response to Incomplete Letter #
Revision # After Permit Is Issued
DEPARTMENTS:
Ke{/1
Building Division
Public Works
Complete
0
TUES/THURS ROUTING:
Please Route d Structural Review Required
APPROVALS OR CORRECTIONS:
PLAN REVIEW /ROUTING SLIP
M51 i
Fire Prevention
Structural
DETERMINATION OF COMPLETENESS: (Tues., Thurs.)
Incomplete ❑
a
Planning Division
Permit Coordinator
DUE DATE: 02-25-03
Not Applicable n
Comments:
Permit Center Use Only
INCOMPLETE LETTER MAILED: LETTER OF COMPLETENESS MAILED:
Departments determined incomplete: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials:
No further Review Required
REVIEWER'S INITIALS: DATE:
DUE DATE: 03-25 -03
Approved ❑ Approved with Conditions Not Approved (attach comments) ❑
Notation:
REVIEWER'S INITIALS: D ATE:
Permit Center Use Only
CORRECTION LETTER MAILED:
Departments issued corrections: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials:
Documents/routing stip.doc
2.28.02
Payment Check 9256
ACCOUNT ITEM LIST:
Description
doc: Receipt
City of Tukwila
6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670
MECHANICAL - NONRES
PLAN CHECK - NONRES
RECEIPT
Parcel No.: 2954900455 Permit Number: M03 -030
Address: 6720 FORT DENT WY TUKW Status: APPROVED
Suite No: Applied Date: 02/21/2003
Applicant: MONEYTREE Issue Date:
Receipt No.: R03 -00245 Payment Amount: 46.50
Initials: SKS Payment Date: 02/27/2003 04:12 PM
User ID: 1165 Balance: $0.00
Payee: MACDONALD- MILLER FACILITY SOLUTIONS INC
TRANSACTION LIST:
Type Method Description Amount
46.50
Account Code Current Pmts
000/322.100 37.20
000/345.830 9.30
Total: 46.50
:;D,f ;;! 03/03 9716 TOTAL. 46
Printed: 02 -27 -2003
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1 und'rs'and tr -at the Plan Check aprr:)vaIs are
SJhLct '.c 1 rrcrs and omissi .- a - id approval of
Wails :4 not actho the viacton of any
adopt? code Reel; t of con-
tractor's copy of app::v^d pear.: nowledged.
By
Date _
Perml(No. _if
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PERMIT
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CITY OF TUKWILA
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CITY OF
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PERMIT CENTER
MD?o3o
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MacDonald Miller
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T'^ D.ty at
Seattle, *a 98? :6 -1,91.?
P'icns: (2cE' 7E3-940C
Roc (206; 7 E7- 3773
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:4AF ER: QLi jl ;ap REFERENCE:
I ,
UE CATE: , i ^ 11WING NUMBER:
4/4/93 j % OGG 2 4004
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