HomeMy WebLinkAboutPermit M03-193 - GREAT AMERICAN BAGELGREAT AMERICAN
BAGEL
10836 E. MARGINAL
WY SOUTH
M03-193
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City of Tukwila
Department of Community Development / 6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670
Parcel No.: 0323049164
Address: 10836 EAST MARGINAL WY S TUKW
Suite No:
Tenant:
Name:
Address:
Owner:
Name:
Address:
Contact Person:
Name:
Address:
Permit Center Authorized Signature:
Print Name:
doc: Mech
GREAT AMERICAN BAGEL
10836 EAST MARGINAL WY S, TUKWILA WA
E MARGINAL WAY PROPS LLC
3006 NORTHUP WAY STE 101, BELLEVUE WA
MIKE SCHEFFLER
11021 128 PL NE, KIRKLAND WA
Contractor:
Name: METRO AIR INC
Address: 11021 128 PL NE, KIRKLAND, WA
Contractor License No: METROAI995RC
MECHANICAL PERMIT
DESCRIPTION OF WORK:
INSTALLING DUCTS, DIFFUSERS TO EXISTING ROOF TOP UNITS. POSSIBLE INSTALLING
STOVE EXHAUST VENT.
Value of Construction: $3,800.00
Type of Fire Protection:
.✓
M03 -193
Permit Number:
Issue Date:
Permit Expires On:
Phone:
Phone: 425 922 -9198
Phone: 425 889 -8224
Expiration Date:12 /03/2005
M03 -193
12/01/2003
05/29/2004
Fees Collected: $63.63
Uniform Mechnical Code Edition: 1997
Date: %.2 -0/--6(3
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 mechanical permit.
Sig natu \ ` �. a�� , Date�� 1 03
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: 12 -01 -2003
City of Tukwila
Department of Community Development/6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670
PERMIT CONDITIONS
Parcel No.: 0323049164 Permit Number: M03 -193
Address: 10836 EAST MARGINAL WY S TUKW Status: ISSUED
Suite No: Applied Date: 11/10/2003
Tenant: GREAT AMERICAN BAGEL Issue Date: 12/01/2003
1: ** *BUILDING DEPARTMENT CONDITIONS * **
2: No changes will be made to the plans unless approved by the Engineer and the Tukwila Building Division.
3: 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.
4: 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).
5: 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.
6: Manufacturers installation instructions required on site for the building inspectors review.
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:����
Print Name: S
doc: Conditions
M03 -193
Printed: 12 -01 -2003
M King Co Assessor's Tax No.:
Site Address: `Q � \ ` �C G;\�� �+��� . � Suite Number:
Tenant Name: .J C'QS \ bc
Property Owners Name: C L 0 Nt "_ 1
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I City
Mailing Address:
CITY OF TUKWILA
Community Development Department
Public Works Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
Name:CN1 ` A
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 **
CONTACT'PERM)
Mailing Address: \ \ \ \ V (
E -Mail Address: � - n�� : ( \\ , ����� kt 1? k. •
Company Name: CC" S
Mailing Address S■,S■;
Contact Person: 0) LAN 1 ' WC NA)
E -Mail Address: (O('ADN MrNa
Contractor Registration Number:
Contact Person:
E -Mail Address:
Contact Person:
E -Mail Address:
\applicationdpcnnit application (3.2003)
3/2003
Page I
03�3o y �l� V
Floor:
New Tenant: Q .... Yes 0 ..No
State
- Zip
Day Telephone:` S c\ \ CiS
C ■t% f-
City State Zip
Fax Number -;QS
Cit 1 State Zip
Day Telephone * S " � %bS
Fax Number: y — `3 0— DS L
Expiration Date:
* *An original or notarized copy of current Washington State Contractor License must be presented at the time of permit issuance **
Company Name:
Mailing Address:
State
City
Day Telephone:
Fax Number:
State
Zip
, ENGINEER OFRECORD.:= All piing must, be wef stamped biEngineer ol,Record
Company Name:
Mailing Address:
City
Day Telephone:
Fax Number:
Zip
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F -BUILDING . yv.- :k' y�
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Valuation of Project contractor's bid price): $
Scope llObrk,(pl s$, e d eta i led information):
Existing Building Valuation: $
Will there be new rack storage? 0 ..Yes ❑.. No If "yes ", see Handout No. for requirements.
rovide All Building Areas in Square Footage Below,
u : Floor. •
2"a Floor
3 Floor
Floors
Basement : :'
Accessory Structure!
Attached Garage •
Detached :Garage
Attached Carport
Detached,Carpo
Covered Deck
Uncovered Deck
:: Addition`to
Existing
•
Structure
: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:
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 of materials and storage locations on a separate 8 -1/2 x 11 paper indicating quantities and Material Safety Data Sheets.
uapplicationa \permit application (3.2003)
3/2003
Page 2
Water District
❑ ...Tukwila ❑... Water District #125
❑...Water Availability Provided
Sewer District
❑...Tukwila ❑ ... ValVue ❑ .. Renton ❑ ...Seattle
❑ ...Sewer Use Certificate 0... Sewer Availability Provided ❑ .. Approved Septic Plans Provided
❑ ...Septic System - For onsite septic system, provide 2 copies of a current septic design approval by King County Health Department.
Submitted with Application (mark boxes which apply):
❑ ...Civil Plans (Maximum Paper Size — 22" x 34 ")
❑ ...Technical Information Report (Storm Drainage)
❑ ...Bond ❑ .. Insurance ❑ .. Easement(s)
Proposed Activities (mark boxes that apply):
❑ ...Right -of -way Use - Nonprofit for less than 72 hours
❑...Right -of -way Use - No Disturbance
❑ ...Construction/Excavation/Fill - Right -of -way
Non Right -of -way
❑ ... Total Cut
❑ ...Total Fill
Please ;refer ; to Public Works Bulletin #1 for tees and estimatesheet.
cubic yards
cubic yards
❑ ...Sanitary Side Sewer 0 .. Abandon Septic Tank
0 ...Cap or Remove Utilities ❑ .. Curb Cut
❑...Frontage Improvements ❑ .. Pavement Cut
❑ ...Traffic Control ❑ .. Looped Fire Line
❑ ...Backflow Prevention - Fire Protection
Irrigation
Domestic Water
❑ ...Permanent Water Meter Size...
❑..,Temporary Water Meter Size..
❑ ...Water Only Meter Size
❑ ...Sewer Main Extension Public _
0 ...Water Main Extension Public _
4pplication\permit application (3.2003)
3/2003
„
Call before you Dig: 1-800-424-5555
WO#
WO#
WO#
Private
Private
Page 3
❑ .. Highline
❑ .. Geotechnical Report ❑...Traffic Impact Analysis
❑ .. Maintenance Agreement(s) ❑...Hold Harmless
❑ .. Right -of -way Use - Profit for less than 72 hours
❑ .. Right -of -way Use — Potential Disturbance
❑ .. Work in Flood Zone
❑ .. Storm Drainage
❑ ...Renton
❑ .. Grease Interceptor
❑ .. Channelization
❑ .. Trench Excavation
❑ .. Utility Undergrounding
❑...Deduct Water Meter Size
f,
FINANCE INFORMATION
Fire Line Size at Property Line Number of Public Fire Hydrant(s)
❑ ...Water ❑ ...Sewer ❑ ...Sewage Treatment
Monthly Service Billing to:
Name:
Mailing Address:
Day Telephone:
City
Water Meter Refund/Billing:
Name:
Mailing Address:
Day Telephone:
City
State
State
Zip
Zip
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Unit Type:'
Qty
; Unit Type:
Qty "
Unit Type:
Qty
_Boiler /Compressor :.' ;
Qty
Furnace <100K 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 Furnace
Ventilation Fan
15 -30 HP /1,000,000 BTU
Suspended/Wall/Floor
Mounted Heater
Ventilation System
30 -50 HP /1,750,000 BTU
Appliance Vent
--
Hood
50+ HP /1,750,000 BTU
Heat/Refrig/Cooling
System
Incinerator - Domestic
Air Handling Unit
<= 10,000 CFM
Incinerator - Comm/Ind
'1ViECIIANICALPERMIT INFOi iATIOls.1; 106;431 =367,
. �� nF i.�i 'S t.,� < :3:t . �� k "c5'eti ";•3e'. �+� t ti t t
MECHANICAL CONTRACTOR INFORMATION
Company Name Q C icz i .-X.N N�
Mailing AddressN \L1 9\- �+
Contact Person
E -Mail Address" ' Q,p , Q vU" \ ��^,ro , r' Fax Number: k-- --��� — a
Contractor Registration Number (Z�a� QL 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): $
(t , r
Scope of Work (please provide detailed information) �5� c:\\ C?, v. C��,i'tN\r t
a p u tj e TS , Q6SS tu, S\ tx. , Qc vq\ V kiN
Use: Residential: New ....0 Replacement ....❑
Commercial: New ....[] Replacement ....❑
Fuel Type: Electric 0 Gas' Other:
Indicate type of mechanical work being installed and the quantity below:
ERMITAPPLICATIQN`NQTE
•
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 OWNER OR AUTHORIZED AGENT:
Signatu
a applicationatpermit application (3 -2003)
3/2003
Print Name"
Mailing Address \. \ a p
Date Application Accepted:
Date Application Expires:
Page 4
V`\ \ c ,Vr5 3
City S Zip
Day Telephone L 5 `, d — \7;8
Date:
Day Telephone] ^ 19
\N.1 C AVR
City Stale Zip
Staff Initials:
.. .. ..
Parcel No.: 0323049164 Permit Number: M03 -193
Address: 10836 EAST MARGINAL WY S TUKW Status: APPROVED
Suite No: Applied Date: 11/10/2003
Applicant: GREAT AMERICAN BAGEL Issue Date:
Receipt No.: R03 -01430 Payment Amount: 63.63
Initials: SKS Payment Date: 12/01/2003 09:21 AM
User ID: 1165 Balance: $0.00
Payee: METRO AIR INC
TRANSACTION LIST:
Type Method Description Amount
doc: Receipt
City of Tukwila
6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670
Payment Check 1551
ACCOUNT ITEM LIST:
Description
MECHANICAL - NONRES
PLAN CHECK - NONRES
RECEIPT
63.63
Account Code Current Pmts
000/322.100 50.90
000/345.830 12.73
Total: 63.63
St 73 1242 9716 TOTAL 63.63
Printed: 12 -01 -2003
Projel
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Address:_
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Special Instruct
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Requester:
Phone No:
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INSPECTION RECORD
Retain a copy with permit M4-1
INSPECTION NO. PERMIT J O.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188 (2
6)431 -3670
i.
Approved per applicable codes. 0Corrections required prior to approval.
COMMENTS:
/4=-2)24
$4 REINSPECTION F4EQUIRED. Prior to inspection, fee must be
paid at 6300 Southcenter lvd., Suite 100. Call to schedule reinspection.
1 Receipt No.:
'Date:
Praject:
'.� :, . c
Typ �flnsp•ction• ��
. _' � L
Address:
;� DR3t? e- . (I
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"Date Called:
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Special Instructions:
Da a Wanted: ( 7/ D y'
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INSPECTION NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188
M Approved per applicable codes.
INSPECTION RECORD
Retain a copy with permit
PER
(206)431 -3670
Corrections required prior to approval.
COMMENTS:
C i ) CO 0_ %/1
3 -(, ust-c)
ector:
Date:
k ca-.) I - Z - °L y
7.00 REINSPECTI N FEE REQUIRE. Prior to inspection, fee must be
aid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
r eceipt No.:
Date:
COMMENTS:
T pe of spection: 7
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Date Wanted: ' /�
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Phone No:
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INSPECTION NO.
INSPECTION RECORD
Retain a copy with permit
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188 (2 i 6)431 -3670
st opproved per applicable codes.
PERMIT
R Corrections required prior to approval.
$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:
SAP
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Type of 1 ection:
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INSPECTION RECORD
Retain a copy with permit
INSPECTION 0. PERMIT
CITY OF UKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670
COMMENTS:
❑ Approved per applicable codes. Corrections required prior to approval.
El $47.00 REINSPECTION FEE REQUIRED. Prior to inspection, fee must ' e
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
(Receipt No.:
Date:
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Date: 2..0 ..... ,
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670
INSPECTION RECORD
Retain a copy with permit
INSPECTION NO. PERMIT
pproved per applicable code
- vt3
Corrections required prior to approval.
47.00 REINSPECTION FEE REQUIRED. P rior to inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
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Requester:
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Phone No:
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INSPECTION RECORD
Retain a copy with permit
INSPECTION NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188
f 1°3
P E T N
(206)431 -3670
Approved per applicable codes.
Corrections required prior to approval.
COMMENTS:
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Inspector:'
Ro?„„,,Q,N
Date: w_ (J�
n $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:
Pr ect:
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Type spection: •
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COMMENTS:
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INSPECTION RECORD
Retain a copy with permit
INSPECTION NO. PERMIT N
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670
'Corrections required prior to approval.
Date:
1 2. - ft3
ctor:
7.00 REINSPECTIO FEE REQUIREDfPrior to inspection, fee must be ; .r
aid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspectlon.
Receipt No.:
'Date:
Pr 11� S /q /14.1 le& &Mt
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to Called:
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Special nstructions: I
Date Wanted: {{ a !m.
(a 12/02
Requester:
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Phone No:
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9
INSPECTION RECORD
Retain a copy with permit
INSPECTION NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188
PER
(206)431 -3670
Approved per applicable codes. Corrections required prior to approval.
COMMENTS:
(
r,,.j )(4
Date: i
El $47.00 REINSPECTION FEE REQUIRED. Prior to inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
(Receipt No.:
'Date:
ACTIVITY NUMBER: M03 -193 DATE: 11 -10 -03
PROJECT NAME: GREAT AMERICAN BAGEL
SITE ADDRESS: 10836 EAST MARGINAL WAY SOUTH
X Original Plan Submittal
Response to Incomplete Letter #
Response to Correction Letter # Revision # /before permit is issued
DEPARTMENTS:
6 /....11
Building Division
Public Works ❑
DETERMINA ON OF COMPLETENESS: (Tues., Thurs.) DUE DATE: 11 -13 -03
Complete Incomplete ❑
Comments:
Permit Center Use Only
INCOMPLETE LETTER MAILED: LETTER OF COMPLETENESS MAILED:
Departments determined incomplete: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials:
TUES /THURS R9OTING:
Please Route , LJ ( Structural Review Required
REVIEWER'S INITIALS:
Documents /routing slIp.doc
2 -28 -02
PERMIT COORD COPY
PLAN REVIEW /ROUTING SLIP
cl&
Fire Prevention 0 Planning Division
Structural ❑ Permit Coordinator
❑ No further Review Required
PERMIT COORD COPY
Not Applicable El
REVIEWER'S INITIALS: DATE:
DUE DATE: 12 -11 -03
APPROVALS OR CORRECTIONS:
Approved ❑ Approved with Conditions [ Not Approved (attach comments) ❑
Notation:
DATE:
Permit Center Use Only
CORRECTION LETTER MAILED:
Departments issued corrections: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials:
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PROPERTY ,TAX ACCOUNT NUMBER
032J04- 9184 -OD
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BUILDING: 1 SITE STATISTICS
81111 AMA
LOT r.MTIMuTar MAO •
OUILDINd AREA
TOTAL IBUILDN541,340 •
PAIUG •III STALLS
ZCN164 MIC,M
Mt CP CCNSTIIUCTICk Y•N
OCCUPANCY GROUP& e,1$•I
OULDIM CODE* WI MC
CM= • 1
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HOUSE 14545 •
TOTAL6164LS
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FILE COPY
I understand that the Plan Check approvals are
subject to errors and orni=:s!ons and approval of
plans does nct a:att•~ •the vilation of ally,
adopted code or c is 7:an,:e. Receipt of con- •
tractor's copy of app-oIed plans acknowledged..__
By . - v�•
Date`
Permit No.
•. ••fir.+ ' ` FAUST �
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us own Lints Or SAID SECTION 3. SAUO min $sIM$ 311.710
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TEiMC! MANS SAID $OIMDARY ON INS SRe Or A CODE TO TMs
main MAVIMC A RADIUS Or 21114.113 Mt AND TM LIMO CUORD Or
MICR DEARS NORM 111•3$.3$• VU?. AM ARC DISTANCE or GOO •
TM'. NOBS OR I. '1O TM MOW 163318 or A TRACE
Iai 1OU1f TIoN or CONTlAcr =mow MOM RECOR01MS 110.
1114113114 i SAID POEMS SAO RAMS TM MORTE LZM! Or A$ =MN.
PRITAT'i MOMS
T1I M $ •OIIi'E 1!•13.30• Milt MAIM SAID DO MERLE MI 233
MT. lull OR MS. TO TUE SOUTIMMILE CORNER or A TRAM
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110. 1330111 at .
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EXCEPT me room =Ss rOLLCOOS
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INTERSECTS ZIR SOIr l loom or AIM! Or SAID SECTION 3
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LUIS 102.$2! r!!� i
narci OIR'E S 1!•37•3•• !AST 232.103 Fill' TO A POINT 70 rut
DISTANCE MMON TM CENTER LIME Or SIGUTIi
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TO SAID omit LIME. TIM BONS =OM OF MCP ARC UAW 110m
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THENCE weft S0•27•30• MUST AIMS WE $OI!'!'t DOUNDAR! LD! O!
A =arum Mo:! *DAD 243.410 Plef TO m MACS Or
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TM TM POINT OF DEGIM1INO8
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SAID LINT.
SEPARATE PERMIT
REQUIRED FOR:
O liECHANICAL
'
fiePLUEING
3AS PIPING
CITY OF TUKWILA
BUILE.7 -r:i DIVISION
DESCRIPTIONS
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NOV 1 0 2003
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