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HomeMy WebLinkAboutPermit M02-071 - OLIVIER SHORT PLAT - LOT 2M02 -071 Olivier Short Plat Lot 2 3775 S 150 St Z �.. re H J U. 0 0 0 0. V) W • LL W 0' 3: Z �. Lu 0 O N'. 0 H W UJ U: H O: wZ 0 N. O Parcel No.: Address: Suite No: Tenant: Name: Address: Owner: Name: Address: Contact Person: Name: Signature: e 01Co Print Name: doc: Mech City of Tukwila Department of Community Development / 6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670 0041000550 3775 S 150 ST TUKW OLIVIER SHORT PLAT - LOT 2 3775 S 150 ST, TUKWILA, WA OLIVIER CHRISTOPHER+ EWA B 3805 S 150 ST, TUKWILA WA ERIC HOLMGREN Address: PO BOX 69736, SEATTLE, WA Contractor: Name: OLYMPIC DEVELOPMENT NW INC Address: PO BOX 69736, SEATTLE WA Contractor License No: OLYMPDNO30MQ DESCRIPTION OF WORK: INSTALLATION OF GAS FORCED AIR FURNACE, WATER HEATER, FIREPLACE, RANGE VENT, DRYER VENT, AND 3 BATH FANS. Value of Construction: $4,500.00 Fees Collected: $70.25 Type of Fire Protection: NONE Uniform Mechnical Code Edition: 1997 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. 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 rformance of work. I am authorized to sign and obtain this mechanical permit. i i MECHANICAL PERMIT �i ,(%OA--) Date: O Q MO2 -071 Permit Number: Issue Date: Permit Expires On: Phone: Phone: 206 - 786 -9911 Phone: 206 - 246 -0055 Expiration Date: 07/01/2002 MO2 -071 06/27/2002 12/24/2002 Date: Cj c- 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: 06 -27 -2002 ACTIVITY NUMBER: MO2 -071 PROJECT NAME: Olivier Lot 2 SITE ADDRESS: 3775 S 150 St. DATE: 04 -03 -02 Original Plan Submittal Response to Incomplete Letter # Response to Correction Letter # Revision # After Permit Is Issued DEPARTMENTS: Building Division r NVv 5 Public Works PLAN REVIEW /ROUTING SLIP 1 "' r Prevention ler Structural DETERMINATION OF COMPLETENESS: (Tues., Thurs.) Complete d Incomplete 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 REVIEWER'S INITIALS: DATE: APPROVALS OR CORRECTIONS: Documents/routing slip.doc 2.2802 Planning Division ❑ Permit Coordinator DUE DATE: 05 -02 -02 DUE DATE: 04-04-02 Not Applicable ❑ Approved ❑ Approved with Conditions [ Not Approved (attach comments) n Notation: REVIEWER'S INITIALS: DATE: Permit Center Use Only CORRECTION LETTER MAILED: Departments issued corrections: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials: PERMIT COORD COPY ACTIVITY NUMBER: MO2 -071 PROJECT NAME: Olivier Lot 2 SITE ADDRESS: 3775 S 150 St. DATE: 04 -03 -02 x Original Plan Submittal Response to Incomplete Letter # Response to Correction Letter # Revision # After Permit Is Issued DEPARTMENTS: Building Division Public Works Complete Documents/rout ng slip.doc 2-28-02 c� TUES /THURS ROUTING: APPROVALS OR CORRECTIONS: PLAN REVIEW /ROUTING SLIP Fire Prevention Structural DETERMINATION OF COMPLETENESS: (Tues., Thurs.) Incomplete n Please Route ❑ Structural Review Required n n ❑ Permit Coordinator ❑ Planning Division DUE DATE: 04-04-02 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 21( REVIEWER'S INITIALS: DATE: DUE DATE: 05 -02 -02 Approved n Approved with Conditions Not Approved (attach comments) Notation: REVIEWER'S INITIALS: DATE: Permit Center Use Only CORRECTION LETTER MAILED: Departments issued corrections: Bldg 0 Fire ❑ Ping ❑ PW ❑ Staff Initials: CZ 1 00 to cow J w0 u-Q Z 4— O Z n p V O co o I— w O uj U� PERMIT NO.: Mon - O 7 ( MECHANICAL PERMIT APPLICATIONS INSPECTIONS ❑ 2 [� 50 ❑ 60 0 610 ❑ 700 ❑ 1080 ❑ 1090 . gh— 1100 1101 1102 1105 1115 1400 1800 ❑ 4015 CONDITIONS Pre- construction WSEC Residential WA Ventilation/Indoor AQC Chimney Installation/All Types Framing Woodstove Smoke Detector Shut Off Rough -in Mechanical Mechanical Equipment/Controls Mechanical Pip/Duct Insul Underground Mech Rough -in Motor Inspection Fire - Final Mechanical - Final 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 10027 Validity of Permit 10036 Manufacturers installation instructions required on site ❑ 10041 Ventilation is required for all new rooms & spaces IFS 10042 Fuel burning appliances 10043 Appliances, which generate.... 10044 Water heater shall be anchored.... Additional Conditions: TENANT NAME: D (l V eV t. 0T Z FEES Basic Fee (Y/N) Supplemental Fee (Y/N) Plan Check Fee (Y/N) Furnace/Bumer to 100,000 BTU (qty) Over 100,000 BTU (qty) Floor Furnace (qty) Suspended/Wall/Floor - mounted Heater (qty) Appliance Vent (qty) Heating/Refrig/Cooling Unit/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 cfm (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) Plan Reviewer: Permit Tech: Add'1 Fees — Work w/o Permit (Y/N) Insp Outside Normal Hours (hrs) Reinspections (hrs) Miscellaneous Inspections (hrs) Add'l Plan Review (hrs) Date: 5 b/ b Date: 5 40z DEPARTMENTS: Building Division Public Works Complete n TUES /THURS ROUTING: Please Route Documents/louling slip.doc 2 -28 -02 PLAN REVIEW /ROUTING SLIP ACTIVITY NUMBER: MO2 -071 PROJECT NAME: Olivier Lot 2 SITE ADDRESS: 3775 S 150 St. DATE: 04 -03 -02 3( Original Plan Submittal Response to Incomplete Letter # Response to Correction Letter # Revision # After Permit Is Issued Fire Prevention Structural DETERMINATION OF COMPLETENESS: (Tues., Thurs.) Incomplete n Comments: Permit Center Use Only INCOMPLETE LETTER MAILED: LETTER OF COMPLETENESS MAILED: Departments determined incomplete: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials: APPROVALS OR CORRECTIONS: Structural Review Required Planning Division Permit Coordinator No further Review Required DUE DATE: 04-04-02 Not Applicable ❑ n REVIEWER'S INITIALS: DATE: DUE DATE: 05-02 -02 Approved n Approved with Conditions n Not Approved (attach comments) n Notation: REVIEWER'S INITIALS: DATE: Permit Center Use Only CORRECTION LETTER MAILED: Departments issued corrections: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials: e.. li�x:. i' n: �Cei :'•'. .+. • ~ w U 00 W = -J F- u. w O } . 2 u. co CJ. z � O z w mo o. U 00 01- w 1E0 w 0 i O F " z Project Name/Tenant: • r .. Value i Mechanical Equipment: - srimSqlb. Site Address : City State/Zip: 7. 4. /5 54" _ 116 k :NM (AAA Tax Parcel Number: i(00 - aas C43 Property Owner: Phone: (. ) ' uKo ` 4d 5 'S ayNAPt E-- 1Wt1C(:�/l, :N� ' Street Address: Ark /� /� '�^ ‹b::/41174:-:- w City State/Zip: 1? /. Ark l t Q - 7I , (M4 arhif rr/o. Fax #: ( ) �J /� n ` �y.�7 y C. -9 `r 3 r ' Contractor: C30 bLlEZ•t:PA4C Phone: (i ) (e -onSS Street Addreau City State/Zip: KtED. (c k 4 cl4,te.o Fax #: (j, ) ZSer., -cc Ong ATtZi u.Y1 Contact Person: //--�� Phone: (fit) , , qcv' Street Addr City State/Zip: K ©. I nk Ctr 4731 �r �A`TtZC." . (M q<bleoeb Fax #: (tea, ) - cb633 fitilltrilIMOWNFR OR i U RIZED'?AGENTi). � ''.` . . j � Signature: PK- 4'e Date q _ 3 _ or. q Print name: c ` . 1+4 , Re ` N Phone: (�6) 7��_ � Fax Fax #: (mo ) � o -o3 Address: F0 w )c , z City/State/Zip: GJ�re..C- LSA QS t 0...q CITY OF T . VWILA Permit Center 6300 Southcenter Boulevard, Suite 100 Tukwila, WA 98188 (206) 431 -3670 Mechanical Permit Application Application and plans must be complete in order to be accepted for plan review. Applications will not be accepted through the mail or facsimile. 3HAN�GAL ERMIT;REVIEW AND APPROVAL REQUESTED: (TO BE FILLELt OUT BYAPPLIGANf . Description of work to be done (please be specific): '1 G JI r a. r • _G t -� r Ae.E PAC ll6vT ! 7Yee. U ? " 3 acria FAA1 Current copy of Washington State Department of Labor and Industries Valid Contractor's License. If not available at the time of application, a copy of this license will be required before the permit is issued OR submit Form H-4, "Affidavit in Lieu of Contractor Registration ". Building.Owner /Authorized Agent: If the applicant is other than the owner, registered architect/engineer, or contractor licensed by the State of Washington, a notarized letter from the property owner authorizing the agent to submit this permit application and obtain the permit will be required as part of this submittal. 1 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. 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 114.4 of the Uniform Mechanical Code (current edition). No application shall be extended more than once. Date application accepted: ii-3-0a_ Date application expires: Application taken by: (initials) (-t(G/y 11/2/99 meth permitdoc ✓ Submittal Requirements Floor plan and system layout Roof plan required to identify individual equipment and the location of each installation (Uniform Mechanical Code 504 (e)) Details and elevations (for roof mounted equipment) and proposed screening Heat Loss Calculations or Washington State Energy Code Form #H -7 H.V.A.C. over 2,000 CFM (approximately 5 ton and larger) must be provided with smoke detection shut- off and will be routed to the Fire Prevention division for additional comments (Uniform Mechanical Code 1009). Specifications must be provided to show that replacement equipment complies with the efficiency ratings and other applicable requirements of the Washington State Nonresidential Energy Code. Structural engineer's analysis is required for new and the replacement of existing roof equipment weighing 400 pounds and greater (Uniform Building Code 1632.1). Structural documentation shall be stamped by a Washington State licensed Structural Engineer. Mechanical Permits A let COMMERCIAL: Two complete sets of drawings and attachments required with application submittal ll/209 miscpmtdoc NOTE: Water heaters and vents are included in the Uniform Mechanical Code — please include any water heaters or vents being installed or replaced. RESIDENTIAL: Two complete sets of attachments required with application submittal Submittal Requirements New Single Family Residence Heat loss calculations or Form H -6. Equipment specifications. Change -out or replacement of existing mechanical equipment Narrative of work to be done including modification to duct work. Installation of Gas Fireplace Narrative with specification of equipment and chimney type. If using existing chimney, provide a letter by a certified chimney sweep stating that the chimney is in safe condition. NOTE: Water heaters and vents are included in the Uniform Mechanical Code — please include any water heaters or vents being installed or replaced. City of Tukwila Department of Community Development / 6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670 Parcel No.: 0041000550 Address: 3775 S 150 ST TUKW Suite No: Tenant: OLIVIER SHORT PLAT - LOT 2 1: ** *BUILDING DEPARTMENT * ** 2: No changes will be made to the plans unless approved by the Engineer and the Tukwila Building Division. 3: Plumbing permits shall be obtained through the Seattle -King County Department of Public Health. Plumbing will be inspected by that agency, including all gas piping (296- 4722). 4: 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). 5: 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. 6: Any exposed insulations backing material shall have a Flame Spread Rating of 25 or less, and material shall bear identification showing the fire performance rating thereof. 7: 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). 8: 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. 9: Fuel burning appliances may not be installed in sleeping rooms, U.M.C. 304.5. 10: Water heater shall be anchored to resist earthquake (U.P.C. 510.5). 11: Appliances which generate flame, spark or glowing ignition, shall be elevated 18 inches above the floor (U.M.C. 303.1.3.). 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: -- -� &___ 6 {61 2 doc: Conditions PERMIT CONDITIONS Permit Number: MO2 -071 Status: ISSUED Applied Date: 04/03/2002 Issue Date: 06/27/2002 Date:J -? 7-eDz_ MO2 -071 Printed: 06 -27 -2002 Parcel No.: 0041000550 Permit Number: MO2 -071 Address: 3775 S 150 ST TUKW Status: PENDING Suite No: Applied Date: 04/03/2002 Applicant: OLIVIER SHORT PLAT - LOT 2 Issue Date: Receipt No.: R020000889 Payment Amount: 70.25 Initials: KAS Payment Date: 06/27/2002 04:18 PM User ID: 1684 Balance: $0.00 Payee: OLYMPIC DEVELOPMENT TRANSACTION UST: doc: Receipt ��eaaeiu. 4 City of Z ukwila 6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670 Amount Payment Check 2681 ACCOUNT ITEM UST: Current Pmts MECHANICAL - RES PLAN CHECK - RES Type RECEIPT Method Description 70.25 Description Account Code 000/322.100 56.20 000/345.830 14.05 Total: 70.25 AL. Printed: 06 -27 -2002 — V co V)W == . W O. J ; W z t- 0 z N: W ui O; U O N; 0H W W . F' Z • U N O � Protect:, IvtPt' S)v � Tyy r pe of Inspection: 1 G t ra Address: ?;17 5 5 LSO St Date Called: D--- 1 3 `v Special Instructions: Date Wanted: 7 L -11 _ Oa am. Y•rli Requester: . , Crlc. Phone No: zO (o 83 - 22.1 INSPECTION NO. INSPECTION RECCE''") M� Retain a copy with permit PERM CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (2 $47.00 REINSPECTION FEE REQI4IRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. -3670 EZ Approved per applicable codes. El Corrections required prior to approval. COMMENTS: A?eirv►ni -\- C n yv1 tf i-e `4 Inspect Date: I r. 6_0? 1 Receipt No.: !Date: INSPECTION REC Retain a copy with permit ; „INSPECTION NO. : :' PERMIT NO. ITY OF;- TUKWILA BUILDING DIVISION 300;Southcenter.: Blvd „ #100, Tukwila, WA 98188 (206)431 -3670 Project:. - O ,qr A /7 ddresss ::'. am�j J'/"5 •s, Special Instructions: 4 1 j0/2 Type of Inspection: P7A',41- 11-(E , Date Called: � - /C OD, Date Wanted: Requester: / / �/ � ^^ 0cL p.m. Ph ne No: • Approved, per' applicable codes. COMMENTS \ :+✓? V f v\4 r v = 10-„9 vc' C4 "IA E (-PC Ca j th^ s re+ ka 90 rci. � , P . nspecto • $47.00 REINSPECTION FEE REQUIRED. Prior to inspection, fee must be paid'at t300'Southcenter Blvd., Suite 100. CaII to schedule reinspection. El - Corrections required prior to approval. cMn Jr . r ., I Date: Cc),:` .7+ S''a;L:!`S4'i a'.�'ri1•.��'. «'. %�....w .;,�::,. J1�it Pro ct::c-,` _ . ': -::: ',..W ' ' /C✓7/ FS Typagf Inspection: � J n1t6�} —14 Ad res' s• ...:': ,. �`- D to led: r Special Instructions:.; 7 2, 14 Date Wanted: a l --OG� p.m. Requester: 6 e7. P No' hone No: (c € eP — ,99// IN REC Retain a copy with permit INSPECTION NO. :O F.TUKWILA BUILDING DIVISION _6300.Southcenter, v #10 Tukwila, WA 98188 Approved per applicable codes. /31a2 -vi (206)431 -3670 COMMENTS: , Corrections required prior to approval. $47.00 REINSPECTION"FEE REQUIRED. Prior to inspection, fee must be �., paid at.b300 Southcenter Blvd., Suite 100. Cali to schedule reinspection. 1 RecelptNo.: 'Date: i�tl.si37i::s,#�:Y' `�2�":�'.'`'S."::.�'Y'"'-. . :, ,, 1'`" "''' •i!.�•:: Approved per applicable codes. r INSPECTION REC Retain a copy with permit INSPECTION•NO. ITY°:OF•TUKWILA BUILDING DIVISIO 300 Southcenter:Blvd.; #100, Tukwila, WA 98188 NO. (206)431 -3670 ; • Address: - Special Instructions: Type of Inspection: Date Called: 9 - -dz Date Want d: a.m. Requester* Phone No: 7-s='6 -9 9ii Corrections required prior to approval. NTS; t:• �•..� �.i.� 'P41(q 1#1 \Jet/1'i-- r� 4 \ —e _ c1rr' led arV`'P ( 10(1(1,1r ) tt c)aS c p i 1 rv 4 c J \'ury ai r doc fir) 1 try ` ca Y'r.� y .P' ' c -94 r4. 1(e `1, -f- f /lit ` 1 ip•N i e t y- -to o tr l c l ea YCC v. e .P (rv\ G I r (tuck- 1 �, - P VIA S nt'Art C, 11 C Inspector: • (Date 9 ` 9 D 2 $ 47.00 REINSPECTION FEE REQUIRED. Prior to inspection, fee must be paid at.t300 Southcenter Blvd., Suite 100. CaII to schedule reinspection. • ., ; ak „,.. COMMENTS: 8 -) --- ryr (Au A- skei Ile livve4c4 I I et v cl kci 0-e .c win2-1k UpA C, 5('))-i n . 3 0 %/NA 1 1 ) ,Skit r\C>11$2.- rk \e) n( \4- (Ar44 r Ciy■A k r \ 0 - 1 - s r f en r.d p-P -- ,:- - Um c___ sy»4 3.. 1 Lk sl. . , vnev‘r, trnevkic, n . ..;,.. ,,, -. , t 4.: i • • • q._ 2 INSPECTION RECO Retain a copy with perm; • NSPECTION NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd, #100, Tukwila, WA 98188 prolt: Address: , 3 -1 ' 777 Spe la! instructions: Type of Inspectionr l'OUr fin h Date called: Date wanted: a.m. P.m. Requester: Phone: El Approved per applicable codes. Corrections required prior to approval. S REIN CTI Sout Receipt No: Dat: kgE,QuI fp. Prior_to.in fee must be paid ' 1Od Call to schedule reinipection. Date.tt 1\ (206)431-3670 hap.A4147M.i.A.st 00 cn 0 co LU ijE uj 0 2 g u_ — W . 0. 2 D 0 0 — C) ILI Ili =() u. . z 0 — • LICENSE DETAIL INFORMATION Form THE RESULT OF YOUR INQUIRY FOR LICENSE NUMBER SELECTED IS: LICENSE DETAIL INFORMATION Current Filter: None * * * * STATE OF WASHINGTON DEPARTMENT OF LABOR AND INDUSTRIES Specialty Compliance Services Division P. O. Box 44000 Olympia, WA 98504 -4000 Registration# or License OLYMPDNO30MQ Name OLYMPIC DEVELOPMENT N W INC Address P 0 BOX 69736 Address City SEATTLE State WA Zip 981688736 Phone Number 2062460055 Effective Date 7/18/1997 Expiration Date 7/1/2003 Registration Status ACTIVE Type CONSTRUCTION CONTRACTOR Entity CORPORATION Specialty Code GENERAL Other Specialties UBI Number 601800704 * * *VIEW CROSS REFERENCE FILE FOR THIS LICENSE* * * * * *VIEW PRINCIPAL OWNER(S) FOR THIS LICENSE* * * * * *VIEW CONTRACTOR BOND /SAVINGS INFORMATION * * * *CHECK INQUIRY FOR SUMMONS AND COMPLAINTS* * * * VIEW CONTRACTOR INSURANCE INFORMATION * * * https : / /wws2.wa.gov /lni/bbip /TF2Form .asp ?license= OLYMPDNO30MQ Page 1 of 1 MC New inquiry by CITY, NAME, PRINCIPAL OWNER NAME, NUMBER, UBI NUMBER or return to the L &1 Construction Compliance Horne Page 06/27/2002 REGISTERED AS PROVIDED BY LAW AS CONST CONT GENERAL .. REGIST. # EXP. DATE CCO1.:...OLYMPDNO30MQ 07/01/2002 EFFECTIVE DATE 07/18/1997 OLYMP.I C." DEVELOPMENT N W. INC • P O: BOX. 69736 . ' SEATTLE 98168 -8736 Signature Issued by DEPARTM' OF LABOR ND INDUSTRIES RECEIVED , CITY OF MAR LP 2002 BMIT CENTER RECEIVED CITY OF TUKWILA APR 0 3 200Z PERMIT CENTER MO o71 l:.�r..a' -:�:tl' �ao-v: :1•:zi•.= L.n'V'..�f:��l.b`.x.L' it *,. .... F.. .v. >.•.r:.:t Yii ? : :•:k:::':::: {:5::.:::{G .: .. ::::::::.•.•}.:.+.? vv:::..::. v: n: r:} r v: r :::.::: x v+ . .............:.w:. `:ti i } . r r:. ....... r: }:: ::: •::.,.:.v. +.•. �FFi•: +t >.:FF:4i ...v: :•r• ? { • i ? {v: ••: .....: :: is rtiF•i•:. {�:, 5- 9 -DA i 7 811 ciq 11 Balance Due: $ /0 Need Current Contractor Registration Card: 'j Yes ❑ No Need to Enter. Contractor Information in Sierra: 134 Yes ❑ No