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HomeMy WebLinkAboutPermit M02-083 - DOAK HOMES - PARCEL AM02-083 Doak Homes Parcel A 12269 43 Av S City of Tukwila Department of Community Development / 6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670 Parcel No.: 0179000142 Address: 12269 43 AV S TUKW Suite No: Tenant: Name: DOAK HOMES - PARCEL A Address: 12269 43 AV S, TUKWILA WA MECHANICAL PERMIT Owner: Name: DOAK HOMES INC Phone: Address: 11917 4 AV SW, SEATTLE WA Contact Person: Name: DARRYL DOAK Phone: 206 - 571 -2280 Address: 11917 4TH AVE SW, TUKWILA, WA Contractor: Name: DOAK HOMES INC. Address: 11917 4TH AVENUE S.W., SEATTLE, WA Contractor License No: DOAKHI *092NZ DESCRIPTION OF WORK: INSTALL NEW FURNACE & DUCT WORK & EXHAUST FANS AS NEED BY CODE. NEW SFR Value of Construction: $4,000.00 Type of Fire Protection: Permit Center Authorized Signature: Signature: doc: Mech Fees Collected: Uniform Mechnical Code Edition: MO2 -083 Permit Number: MO2 -083 Issue Date: 06/07/2002 Permit Expires On: 12/04/2002 Phone: 206 246 -6587 Expiration Date: 08/01/2003 Date: 61 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. Date: 6 —1 ` $70.25 1997 Print Name: : `J�/ / r ✓c9i -/� �� , T 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 -07 -2002 DEPARTMENTS: Building Division Public Works Complete d ACTIVITY NUMBER: MO2 -083 PROJECT NAME: Doak Homes Lot B SITE ADDRESS: XXXXX 43 Av S X Original Plan Submittal Response to Correction Letter # DATE: 04 -11 -02 Response to Incomplete Letter # Revision # After Permit Is Issued DETERMINATION OF COMPLETENESS: (Tues., Thurs.) APPROVALS OR CORRECTIONS: Documents/routing slIp.doc 2.28 -02 PLAN REVIEW /ROUTING SLIP Fire Pr vg ention Structural Incomplete n 1 Planning Division Permit Coordinator DUE DATE: 04-1 6-02 DUE DATE: 05 -14 -02 n Not Applicable n 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: Approved n 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: re u to w 2 u_ ? F- 0 Z F— w w U D ON 0 F— w W r= 1 'O ii i Z O Z ACTIVITY NUMBER: MO2 -083 DATE: 04 -11 -02 PROJECT NAME: Doak Homes Lot B SITE ADDRESS: XXXXX 43 Av S X Original Plan Submittal Response to Incomplete Letter # Response to Correction Letter # Revision # After Permit Is Issued DEPARTMENTS: Building Division Public Works Complete l PLAN REVIEW /ROUTING SLIP DETERMINATION OF COMPLETENESS: (Tues., Thurs.) 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 Re iew Required n No further Review Required REVIEWER'S INITIALS: DATE: APPROVALS OR CORRECTIONS: Approved ❑ Approved with Conditions Not Approved (attach comments) n Notation: REVIEWER'S INITIALS: Documents/routing slip.doc 2 -28 -02 Fire Prevention Structural Incomplete n n ,o■rdt Planning Division n ❑ Permit Coordinator ❑ DUE DATE: 04-16-02 Not Applicable ❑ DATE: / L / DUE DATE: 05 -14 -02 Permit Center Use Only CORRECTION LETTER MAILED: Departments issued corrections: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials: 1 00 0 W w J co LI_ w 0 Q . z ' I—O z � w w 0 D o ff w u. O Iii Z 0 0 ~ 2 } PERMIT NO.: N\o'2 08 MECHANICAL PERMIT APPLICATIONS INSPECTIONS 2 Pre- construction 50 WSEC Residential 60 WA Ventilation/Indoor AQC 610 Chin ney Installation/All Types 0 700 Framing 0 080 Woodstove 090 Smoke Detector Shut Off 100 Rough -in Mechanical 101 Mechanical Equipment/Controls 102 Mechanical Pip/Duct Insul 105 Underground Mech Rough -in 115 Motor Inspection 400 Fire - Final 800 Mechanical - Final 4015 Special -Smoke Control System CONDITIONS 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 0 10014 Readily accessible access to roof mounted equipment co 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 10042 Fuel burning appliances 10043 Appliances, which generate.... 10044 Water heater shall be anchored.... Additional Conditions: TENANT NAME: k v6 (IS � 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/Refi 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 cfin (qty) over 10,000 cfin (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'1 Fees — Work w/o Permit (Y/N) Insp Outside Normal Hours (hrs) Reinspections ()rs) Miscellaneous Inspections (hrs) Add'l Plan Review (hrs) Plan Reviewer: Permit Tech: J( rC1 Date: �" Date: lY' (r c 2 0 O co co w co w g? to 3 3 O uj 2 U 0 — ww tii OF- Project Name/Tenant: ` / l /j _' /�J { ^ y / CPC ',-I "� / )0((xy A 3,4 A.0 5, Value of Mech Equipment: Site Address : ,-- a(cel A y3rok c l ukw i lr it Stale /Zip: rn/c� Ta f a r ce N o � i ioa of Li 2- Property Owner: ` 1 ' , k S , (49, DA Phone: ( ZC- , T, ) 71 ZZY) Street Address: 1 1 q � � l,v .t f� S t t Zip: ��' Fax #: ( 2 ) 2.466 Sir Contractor: �a9 � Doak .fir: ei./ fl Ph one: ( ) 2 S7( Z Street Address: 1 N /r4-j', r ‘ ,0 ( s r 1 4 k 5 Fax #: ( ) Contact Person: `� 1 1::. ` S oak -. Sr. Address: Phone: ( ) 2(- S s 2,2X0 Street Address: 1 -7 Att-Ski ` a -( eilla � f Zip: Fax #: ( 206 1 2- BUILDING OW R OR THORIZZEDAGENT: Signature: (49, DA Dater � D Z Print name: l ei./ fl �/^ e Phone: (2c6 ) 5 -. Fax #: Address: ` 7 City/ to /Zip CITY OF T KWI LA Permit Center 6300 Southrenter Boulevard, Suite 100 Tukwila, WA 98188 (206) 431 -3670 Project Number: Permit Nutnher. Application and plans must be complete in order to be accepted for plan review. Applications will not be accepted through the mail or facsimile. JA,A0 -OR3 Mechanical Permit Application MECHANICAL PERMIT REVIEW AND APPROVAL REQUESTED: (TO BE FILLED OUT BY APPLICANT) Description of work t e done (please b } pecific): /� V )4 Olt sr' k9 7"uh,y,9_c'.t' 7 4-9 c i 2�= bri /1 -u.(7 4 t o j cep— 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 PER JURY 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: :--- Date application expires: JO Application taken by: (initials) 11/2/99 meth permit doc 4. Z W Ce J U 00 U) W = w Q = d W Z = F 0 w ~ • W U � O - O I— l W 1— U -O tit Z U � _ O ~ Z ✓ 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 COMMERCIAL: Tivo complete sets of drawings and attachments required with application submittal 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. 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. 11/2/99 ndscpmi.doc Change -out or replacement of existing mechanical equipment 1 Narrative of work to be done, including modification to duct work. Installation. of Gas Fireplace 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.: 0179000142 Address: 12269 43 AV S TUKW Suite No: Tenant: DOAK HOMES - PARCEL A Signature: Print Name: doc: Conditions PERMIT CONDITIONS Permit Number: MO2 -083 Status: ISSUED Applied Date: 04/11/2002 Issue Date: 06/07/2002 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: Manufacturers installation instructions required on site for the building inspectors review. 10: Ventilation is required for all new rooms and spaces of new or existing buildings in conformance with the Uniform Building Code and the Washington State Ventilation and Indoor Quality Code, Chapter 51 -13 WAC. 11: Fuel burning appliances may not be installed in sleeping rooms, U.M.C. 304.5. 12: Appliances which generate flame, spark or glowing ignition, shall be elevated 18 inches above the floor (U.M.C. 303.1.3.). 13: Water heater shall be anchored to resist earthquake (U.P.C. 510.5). 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. Date: v 7 `C MO2 -083 Printed: 06 -07 -2002 TRANSACTION LIST: ACCOUNT ITEM LIST: City of'Iukwila Payee: DOAK HOMES 6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670 Parcel No.: 0179000142 Permit Number: MO2 -083 Address: 12269 43 AV S TUKW Status: APPROVED Suite No: Applied Date: 04/11/2002 Applicant: DOAK HOMES - PARCEL A Issue Date: Receipt No.: R020000760 Payment Amount: 70.25 Initials: KAS Payment Date: 06/07/2002 04:16 PM User ID: 1684 Balance: $0.00 Amount Payment Check 1800 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 doc: Receipt Printed: 06 -07 -2002 Proje, v A L�Orrls Type of Inspection: `/A/a4- / Address: /22&9 y,S 'lag So Date Called: / -- 2Z -o Special Instructions: Date Wanted: / 1 3--03 a.m. p.m. Req ter: NO )4 r ie // Phqne No: (a 06)372.- 2 O . ii��..n..:'e:i::Ln �hi.4., ;.:as •_ .=;iii' �.4 %i.,.rJ�.... � ..a INSPECTION RECORD Retain a copy with p. .nit INSPECTION NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 A pproved per applicable codes. Corrections required prior to approval. COMMENTS: 0 y3e'i.71 ( ? Q1 /E CSX 7-0 ,z /4./ p • tor 1 l 47.00 REINSPECTIO� FEE REQ ED. Prior to inspection, fee must be paid at 6300 Southce ter Blvd., uite 100. Call to schedule reinspection. (Receipt No.: 'Date: PERM! 431 -3670 Pr ct: , K Mel ) — A Type of In: /ction( Af • 4,.9 3 S Date Ca 11 ed — 7 - 03 pedal Instructions. /if* I ( Date Wan d: �� a : m m. Reque er: / � G+ Phone No: (2 - 37 / INSPECTION REC r Retain a copy with perfnit INS CTION NO. PERMIT NO. -CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -36 0 Na- 033 \ JKI a Approved per applicable codes. Corrections required prior to approval. COMMENTS: AID P if 2 7 M, i . ateer/ro•, 2 ,842-9--/ Inspeytor: Date: 4.4 ifl i 'i,- �.� d 1 « 03 $47.00'REINSPECTION FEE EQUIRED. Pr o inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. all to schedule reinspection. 1 ReceiptNo.: 'Date: .;mow :Ai iiG;,.3. Project: /, : `::: ."� Tvrpe of Inspection: , Address:•. .`':r :. ;.::. ,- . 7 ;: � ... �� S Date Called: ' i/' - 4/- o � Special instructions: .. Date Wanted: r(J - i y -O z (a.m. p.m. Requester: te Phone No: .—‘6 , ?:- - _ ='F/ T INSPECTION REC Retain a copy with permit INSPECTION NO. ITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd:, #100, Tukwila, WA 98188 Approved per applicable codes. Inspector It\ El Corrections required prior to approval. COMMENTS: \nit\ S "' r'fi $47.00 REINSPECTION FEE REQUIRED. Prior to inspection, fee must be ..paid at t300 Southcenter Blvd., Suite 100. CaII to schedule reinspection. COMMENTS: I i&.).4-f r) V O v/ e 1 1" r L.\ rova v (M r- 2-,) 11Apv 1 4e, i . , ve k (.6 ■ nr. (1 --it a n s \, 41-\,s, el " ri ate Called: . ..._ D . # . f° ,..- _ i ) 1 1 r_ 0 v‘r v ..1 1. ("rt N r‘ s.--1 a t VC) i ) , 1 f u Li.-- S■ if ■0\•1 Reque: V 6LAA--(4(( Obca Rhone No:\ - S7 - a ND 0% 5 kkr`P cip,c evyts 3.) L i . ‘ ,s4 -e or ncic-e --c kev- okr c .9 .SS 7 . Pr5ject: 4.0)11) _ AT pe of InsctIon: -17) k e) ( ' Ads 1 (6 04:14) ••• ate Called: . ..._ D . # . f° ,..- 5ecial Instrlio s: Date Wanted: /P / OA p.m. Reque: V 6LAA--(4(( Obca Rhone No:\ - S7 - a ND El Approved per applicable codes. INSPECTION REC Retain a copy with permit INSPECTION NO. PERMIT CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 981 88 (206)431-3670 torrections'required prior to approval. Date: 1 0.2 0 $47.00 REINSPECTION FEE REQUIRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. Receipt No.: IDate: LIIMMENBRISTOMMESINSMIEBERIONSSISM LICENSE DETAIL INFORMATION Form Page 1 of 1 * * * * STATE OF WASHINGTON DEPARTMENT OF LABOR AND INDUSTRIES Specialty Compliance Services Division P. O. Box 44000 Olympia, WA 98504 -4000 THE RESULT OF YOUR INQUIRY FOR LICENSE NUMBER SELECTED IS: LICENSE DETAIL INFORMATION Current Filter: None Registration# or License DOAKHI *092NZ Name DOAK HOMES INC Address 11917 4TH AVE SW Address City SEATTLE State WA Zip 98146 Phone Number 2062466587 Effective Date 8/9/91 Expiration Date 8/1/03 Registration Status ACTIVE Type CONSTRUCTION CONTRACTOR Entity CORPORATION Specialty Code GENERAL Other Specialties UBI Number 601329337 * * *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 * * * New inquiry by CITY, NAME, PRINCIPAL OWNER NAME, NUMBER, UBI NUMBER or return to the L &I Construction Compliance Home Page https : / /wws2.wa.gov /lni/bbip /TF2Form .asp ?License= DOAKHI *092NZ 06/07/2002 O Q co W co u_ w 0 < Z O W uj D Cr O N . 0 I- w w , v Z 0— O� z EXPIRATION DATE 12 -31 -2002 DATE ISSUED 12/28/2001 LICENSE NUMBER 02 -393 FEE PAID $50.00 SALES TAX CODE No. 1729 e. &%d4 CITY CLERK • TELEPHONE NATURE OF BUSINESS LICENSEE AGREES TO COMPLY WITH ALL THE REQUIREMENTS OF CITY ORDI- NANCES AND STATE LAWS APPLICABLE TO THE BUSINESS ACTIVITY LICENSED HEREUNDER. Doak Homes Inc 11917 4th Ave SW Seattle WA 98146 -2904 Please note 1. the following guidelines in the operation of your business: City off lbkwila Washington l� UVINESS 11.1]CENSi 246 -6587 Construction of new homes This license is to be displayed conspicuously at the location of business and is not transferable or assignable. It Is necessary to contact the City Clerk's Office at 433 -1800 in the event your business: • Moves within the city limits of Tukwila • Moves outside the city limits • Ceases operation • Changes ownership • Changes use or type of operation • Will be having a special event (such as a tent sale, parking lot sale or any other event) outside its routine operation. 2. Additional licenses are required if your business has live music/entertainment, tow trucks, amusement devices, solicitors /peddlers, or adult entertainment. 3. Any retail sales tax generated in Tukwila needs to be reported to the Washington State Department of Revenue, under sales tax code #1729. 4. Tukwila business license renewals are mailed to all licensed businesses around December 15th of each year. RECEIVED CITY OF TUKWILA PERMIT CENTER I'J'o Q% z 1 re w QQ � - J 0 0 CO N w g LL ? . SP_ O 0 • - 0 I— wW • O w z 0 z 1° 0004213 AT ORGANIZATION TYPE DOMESTIC PROFIT CORPORATION DOAK HOMES, INC. 11917 4TH AVE SW SEATTLE WA 98146 DOMESTIC PROFIT CORPORATION RENEWED BY AUTHORITY OF SECRETARY OF STATE REGISTERED TRADE NAMES: NAPS (NORTHWEST AIR PURIFICATION SYSTEMS) ° tyt ' . :• " ` ; 10 , 6c. . .y4T+�.. . -,...� ..:.. t entity has been issued the business registratbns Or Ilcenses listed r NT. ARTIOE.Oft NO, 6USINESS & PROFESSIONS OM r,..; a • c. • k w.,. a :R rxr !:. EXPIRES : 07 -31 -2002 UNIFIED BUSINESS ID #: 801 329 337 BUSINESS ID is 001 i�r' �e^ c�cs� �- �nrr> L�..�^- �." Z4 "r�t�`s^��x:�•^n::?'�srr�L�P�; ;:--3::Drr`L�... � . �:; x::A+l�.�, 004440W w .. .... C': t� �. � Ni �} MASTER LICENSE S ; F.fA'��"Fii, '6� k`}T K:�. $�: k: rd` �':. �' T:.° 9 ..+.r'b�ia��'iF- (Yi1- Ht�idifr:` �': ES REGISTRATIONS AND LICENS ..1 RECEIVED Y OF TUKWILA APR 1 "I 2002 PERMIT CENTER 1 § LAW L NWm � ciw •- or .c....".".. ...;......'6'L"teitaMM"'"..".y"cwarnrs 0.Ww+>,n. wwxrat .ev, liras Z 0 0 1 - 1 5 1 N � W g Q N3 F- O Z I- W W O- O F- W W LL H2 W Z U N O •Sa.a 4. . .: :.'. .. 1. s ii*R...:.:. # "ry4irsi M ni•.: . I .: ? ;fi f y �c 7 fr .... tai .. i .:. .., • . .f ......'..: : :. ..; :`.. ,.' ?, , ,, ..r.; :. _ :;. ..* / .. :as, : ;..,., s •. ,......,..?:...e.,....,........,,,,..,•,.,.,. .. , ; f fg .:. : :.: a : :•: ? „ . : :a3 a < ,.: ,: v . t.. .. , . sa : ) :: :: .::. . gii. :• .. : • •a rn'ka'�i : c�I. rr.; s.:: �:;.;:: x: r:• +.:.: r....... r..:,.:• r.,:,.:::. : :� + <.:: :. /�/ A r .. .... DtiA ..r �v` 0Otdc� ::x:n ...,,v� .T:n•v.n ^: niv:•. #...x.• • •: { 2 <•r •:,;s: ' s•`. { {::.:t: } • <:: .. , ?r r:r:: >s.r <c...:: :s< , . Vi :< .' <..;•• —• :'.r :” •, ,x: : :.;t.. . ; .., f :r:<:..:::.� r ... a:: :'f. •$.... r .......rn...., ......'.. (0 -O X :: %1 : : ,..T "' ' :: : : : • «: .::r : •. : *.it:F{L ?x::,. n. n.,: . <..r,..r. <. : . :'., 4 r.:: •:. >::;. . :• :, >::..5 : l a s:<: { . ...; . • :: n.�r: r.'.:. :.:.:. >::::j�'; I.n.. ...:: r... F,..:.. Yii: .x... r..:riY ......:..... C(14-- n V • a hk- S71 -Zg 0 Balance Due: $ 1.0( 26 Need Current Contractor Registration Card: gYes ❑ No Need to Enter Contractor Information in Sierra: Yes ❑ No i I Qp .earn ck cm,c0 Lyd tocA, rri, t) Ug W fLJ O!'YV app. l ebou