HomeMy WebLinkAboutPermit M01-204 - SINGH RESIDENCEM01-204
Singh Residence
14635 46 Av S
V•f,`,.,,,11,:i.,',1,,t4,1,.±:;;If 1., A,
Parcel No.:
Address:
Suite No:
Tenant:
Name:
Address:
Owner:
Name:
Address:
Contact Person:
Name:
Address:
Contractor:
Name:
Address: ,
Contractor License No:
DESCRIPTION OF WORK:
GAS FURNACE FOR NEW SINGLE FAMILY RESIDENCE
Value of Construction: $2,500.00 Fees Collected:
Type of Fire Protection: Uniform Mechnical Code Edition:
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 performan of work. I am authorized to sign and obtain this mechanical permit.
Signature: Date: L1 \\ 1 1
Print Name:
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.
doc: Mech
City of 'i ukwila
Department of Community Development / 6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670
0040000757
14635 46 AV S TUKW
SINGH RESIDENCE
14635 46 AV S, TUKWILA WA
HEMPEL SCOTT
14637 46 AV S, TUKWILA WA
GURDIP SINGH
14635 46 AV S, TUKWILA, WA
MECHANICAL PERMIT
M01 -204
Permit Number:
Issue Date:
Permit Expires On:
Expiration Date:
Phone:
Phone: 206 - 244 -1900
Phone:
M01 -204
12/11/2001
06/09/2002
Date:
$124.63
1997
Printed: 12 -11 -2001
ACTIVITY NUMBER: M01 -204 DATE: 10 -26 -01
PROJECT.NAME: Singh Residence
SITE ADDRESS: 14635 46 Av S SUITE #
Original Plan Submittal Response: to Incomplete Letter #
Response to Correction Letter # Revision # After Permit Is Issued
DEPARTMENTS:
g Division Fire Prevention
1Z - /( - 01
Public Works Structural
PERMIT COORD COPY
PLAN REVIEW /ROUTING SLIP
Complete
DETERMINATION OF COMPLETENESS: (Tues., Thurs.)
Incomplete Li Not Applicable n
Comments:
TUES /THURS ROU ING:
Please Route Structural Review Required
REVIEWER'S INITIALS:
\PRROUTE.DOC
5/99
APPROVALS OR CORRECTIONS: (4 weeks)
Approved C Approved with Conditions
n Planning Division
Permit Coordinator
DUE DATE: 10-30-01
No further Review Required
DUE DATE 11 -27 -01
n
n
DATE:
Not Approved (attach comments) n
REVIEWER'S INITIALS: DATE:
DUE DATE
CORRECTION DETERMINATION:
Approved n Approved with Conditions n Not Approved (attach comments)
REVIEWER'S INITIALS: DATE:
ACTIVITY NUMBER: M01 -204 DATE: 10 -26 -01
PROJECT NAME: Singh Residence
SITE. ADDRESS:. 14635 46 Av S SUITE #
tk 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.) DUE DATE: 10 -30 -01
Complet
[K]
n
Comment';
TUES /THURS ROUTING:
Please Route
REVIEWER'S INITIALS:
PLAN REVIEW /ROUTING SLIP
Fire Prevention
Structural
Incomplete n
Structural Review Required
APPROVALS OR CORRECTIONS: (4 weeks)
Approved n Approved with • di . ns
REVIEWER'S INITIALS:
\PRROUTE.DOC
5/99
Planning Division
Permit Coordinator
Not Applicable n
No further Review equir d
DATE:
DUE DATE 11 -27 -01
Not Approved (attach comments)
DATE: (Z" 1 200
n
n
CORRECTION DETERMINATION: DUE DATE
Approved ( 1 Approved with Conditions n Not Approved (attach comments)
REVIEWER'S INITIALS: DATE:
'oii N:,tii.5k%':..
PERMIT NO.: MO t ° 2.40
MECHANICAL PERMIT APPLICATIONS
INSPECTIONS
❑ 00002 Pre - construction
❑ 00050 WSEC Residential
❑ 00060 WA VentiIation/Indoor AQC
❑ 00610 Chimney Installation/All Types
❑ 00700 Framing
❑ 01080 Woodstove
❑ 01090 Smoke Detector Shut Off
® 01100 Rough in Mechanical
❑ 01101 Mechanical Equipment/Controls
❑ 01102 Mechanical Pip/Duct Insul
❑ 01105 Underground Mech Rough -in
❑ 01115 Motor Inspection
❑ 1400 Fire Final
IF/ 01800 Final Mechanical
❑ 04015 Special -Smoke Control System
CONDITIONS
• 0001 No changes to plans unless approved by Bldg
Div
0014 Readily accessible access to roof mounted
equipment
0016 Exposed insulation backing material
0019 All construction to be done in conformance
w /approved plans
® 0002 Plumbing permits shall be obtained through King
Co
0027 Validity of Permit
0003 Electrical permits obtained through L & I
0036 Manufacturers installation instructions required
on site
"BTU maximum allowed per 1997 WA State Energy Code"
0041 Ventilation is required for all new rooms &
spaces
❑ "Fuel burning appliances
❑ "Appliances, which generate...."
® "Water heater shall be anchored...."
❑
Additional Conditions:
TENANT NAME:
FEES
Plan Reviewer:
Permit Tech:
Basic Fee (Y/N)
Supplemental Fee (Y/N)
Plan Check Fee (Y/N)
Fumace/Burner
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 cfrn (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)
1
Add'I Fees — Work w/o Permit (Y/N)
Insp Outside Normal Hours (hrs)
Reinspections (hrs)
Miscellaneous Inspections (hrs)
Add'l Plan Review (hrs)
Date: t2_ t I- Z001
Date: f Z - 17 -19
Project Name/Tenant: it R D i p S 4 N
Signature: � t, C.
L ��
Date: /4/43
Print name: t1 Q � ) ` (�
1� ta
Value of Me anicaJ
4.
Site Address :
/y� 3s' �� �,� ,&o
�, City State/Zip:
yak 4, 3 eSq&
Tax Parcel Number:
Property Owner:
AS 6\-i eve..
Phone: (a ) a k tY ^ / el t
Street Address:
City State/Zip:
Fax 11: ( Rel ) i .... } g l'
Contractor:
A A,b �,� f
/
p �,
Phone: ( )
Street Address:
City State/Zip:
Fax #: ( )
Contact Person:
n ,tr _ _
Phone: ( )
Street Address: 141,644
i/ A1/6
City State/Zip:
Fax #: ( )
BUILDING OWNER OR AUTHORIZED AGENT:
Signature: � t, C.
L ��
Date: /4/43
Print name: t1 Q � ) ` (�
1� ta
Phone: ( )`,t'1�, -) evert
1
Fax #: ( ) 4'33 y 7 kit
Address: /y` yf Lfc a
City /State/Zip: - L 4 , / ,_ g yj 4%
CITY OFT(UWILA
Permit Center
6300 Southcenter Boulevard, Suite 100
Tukwila, WA 98188
(206) 431 -3670
fr'" STAFF USE ONLY
Project Number:
Permit Number.
Mot—vx(-
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.
MECHANICAL PERMIT REVIEW AND APPROVAL REQUESTED: (TO BE FILLED OUT BY APPLICANT)
Description of work to be done (please be specific):
Gjas Ewa LA4 te— AttpL11 r )ae_q_
• 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.
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.
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:
11/2/99
=ouch permll.doc
Date application expires:
Applic on =ken by: (initials)
11
✓
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: Two 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
11/2/90
odscpnt.doc
Submittal Requirements
New Single Family Residence
Heat Toss calculations or Form H -6.
Equipment specifications.
Change -out or replacement of existing mechanical equipment
1 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.: 0040000757
Address: 14635 46 AV S TUKW
Suite No:
Tenant: SINGH RESIDENCE
PERMIT CONDITIONS
Permit Number: M01 -204
Status: ISSUED
Applied Date: 10/26/2001
Issue Date: 12/11/2001
1: No changes will be made to the plans unless approved by the Engineer and the Tukwila Building Division.
2: All permits, inspection records, and approved plans shall be available at the job site prior to the start of any con- struction. These
documents are to be
maintained and avail- able until final inspection approval is granted.
3: 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).
4: Validity of Permit. The issuance of a permit or approval of plans, specifications, and computations shall not be con- strued 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.
5: Manufacturers installation instructions required on site for the building inspectors review.
6: 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).
7: Electrical permits shall be obtained through the Washington State Division of Labor and Industries and all electrical work will be
inspected by that agency
(248- 6630).
8: 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.
Signature:
Print Name:
doc: Conditions
M01 -204
Date: � L I l k k)
Printed: 12 -11 -2001
: iSFiW.:'• ?v .iiilk ". ?..ry .. ..r.
•
eaft
City of Tukwila
RECEIPT
Parcel No.: 0040000757 Permit Number: M01 -204 2 :
Address: 14635 46 AV S TUKW Status: APPROVED o O ;
Suite No: Applied Date: 10/26/2001 W 0
Applicant: SINGH RESIDENCE Issue Date:
to O
ul
Receipt No.: R010001530 Payment Amount: 124.63 2
q �.
Initials: SKS Payment Date: 12/11/2001 12:05 PM u_ 4C:
:
User ID: 1165 Balance: $0.00 N o :
u
Z
•O
TRANSACTION LIST: 8 w
Type Method Description 101-'s
Amount W W
VC
Payment Check 1956 124.63 u..�
2'
p CD
Payee: GURDIP SINGH
ACCOUNT ITEM LIST:
doc: Receipt
6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670
Current Pmts
MECHANICAL - RES
PLAN CHECK - RES
Description Account Code
000/322.100 99.70
000/345.830 24.93
Total: 124.63
1�Zi ,2 016 TOTAL 2180.94
Printed: 12 -11 -2001
r
- INSPECTION RECORD
Retain a copy with permit
INSPECTIO NO:
7 ;CITY,OF.TIACWILA BUILDING DIVISION
6300 Southcehter 1310, #100, Tukwila, WA 98188
AipioVedpir codes.
PERMIT NO.
(206)431-3670
; ./.?esieerk
. Al t„.
Special: instrudions : '
Type of Inspection:
,
Date cAlled:/'
6:
Date w4nte4f
717.?
Ph Zo&
Remt;r:
•
El Coir - e - Ciions required prior to approval.
$47. 0 - EINSPECT EEE REQUIRED. Prior to inspection, fee must be paid
' at:6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
liecjeipt NO:'
Date:
e.44
* CY .
INSPECTION RECORD'
Retain a copy with perm;
ION NO. • .
C1:1* OF4UK1VIIA BUILDING DIVISION
6300 Soutikentei #100, Tukwila, WA 981 8
M DI - 2C1/
PERMIT NO.
(206)431-3670
1'0
es vi r n
‘.
Specia!instructi�ns:
v
Typof•Inspecti9n:
t_ /r)/ /
Date7ledy
Date za r
Rea ester:
rnelp-P19-1?co
Apprtived;per..ariPlicable codes. Corrections required prior to approval.
1.,1"1-4 742
•
EISJSPECTION REQUIRED. Prior to inspection, fee must be paid
,
!!'.'at 6300 outhcenter 13Ivd.,'Suite 100. Call to schedule reinspection.
Date:
41 -
INSPECTION RECOR
Retain a copy with permit
INSPECTION NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd, #100, Tukwila, WA 98188
i Approved per applicable codes.
(206)431 -3670
Prcl e Y'i revAcmc
Addrecs:
c 4(0 .5/
Special instrudions:
Date wante
,Requester:
P,Ko . 0
Corrections required . prior to: approval.
COMMENTS:
/1/2 ciiiirtrcJ
Y7 doW P
4 '
I spect /
% 47.00 REINSPECTION J
at 6300 Southcenter Blvd.
". r�
Receipt No:
.'Date
e - 2Z -D
EE REQUIRE p. Prior to inspection, fee must be paid
, Suite 100. Call to schedule reinspection.
Date:
aiy :44,1, - >w-vt.M7eti:: iJ.7<1
1
INSPECTION NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd, #100, Tukwila, WA 981
Approved per applicable codes. -
INSPECTION RECOR
Retain a copy with perm;
PERMIT NO.:
Pject:
/ r
f
l/ 5 L A )
Special instructions:
Phone:
(206)431-3670 '
Correctionso'required prior to approval.
COMMENTS:
•
7 1 27/ /A1fr9 .e• ,4)4 _ / `7` i //. (
a ,.;) (' ,f,
/ .q *,/7?7s
`3? Z.) 1 -7' -ao /» /hi'49z0 -
r,-,04 veer _41 24.e--/„0.44
specter:
7.00 REINSPECTIO
at 6300 Southcenter BIv
Receipt No:
a
FEE REQUIRE ' . Prior to inspection,:fee must be paid.
l., Suite 10 CaII to schedule reinspection.
Date:
0 4 ', r;
Project Name: �f q� J - .,.,
C�1 o, J //l� I ; ;1� C, , 4'' 1.
Address: A/O s , , , 6I 1 A w l4. �t A_ 9 w 6g -
Residential Building Permit Number.
1. Prescriptive Option W.S.E.C. Chapter 6, (check building permit option used):
❑ i. t .II ❑ ill. ❑ IV. ❑ V. ❑ Vi. ❑ VII, ❑ VIII.
2. House Square Footage (HSqFt) 319s 3,44.
3. Heating System installed, (check system type below): CIT OF�TUK
❑ a. Electric Resistance /21 BTU/h per sq. ft. OCT 2;5 Z001
❑ b. Electric (forced air) /24 BTU/h per sq. ft. PERMIT CENTER
c. Other Fuels (gas, heat pump) /27 BTU/h per sq. ft.
4. Equipment:
a. Make g7 coyN % cc
b. Model -- 3 - 7S - CP V45(.0
c. Size in BTU's 3 (.4 o K - - - 'u■
,
5. Calculation/(HSgFt)_ '3'31 S(see line 2 above)
BTU /h X (see line 3 a, b, or c above)
BTU Equipment Maximum Size
T •
Prescriptive Heating System Sizing for
Single Family Homes - New Construction
Washington State Energy Code Chapter 9, Climate Zone 1
FILE COPY
PERMIT APPLICATION ti:
CITY OF TUKWILA
Permit Center
6300 Southcenter Boulevard, Suite 100, Tukwila, WA 98168
Telephone: (206) 431-3670
Applicant's Signature:
7/9/96
8848 -C6.0
A.,/c.
mo I' azq
Dote:
Outs diprn0
H -6
I understand that the Flan Chock approvals .: �, a of are
QOO:TT TO 20 4
ki ?Sq.✓.j k>� L?'art7 ' }'w lS
AFFIDAVIT IN LIEU OF CONTRACTOR REGISTRATION
STATE OF WASHINGTON
COUNTY OF KING
CITY OF TCWILA
Permit Center
6300 Southcenter Boulevard, Suite 100, Tukwila, WA 98188
Telephone: (206) 431 -3670
ss.
u (p ,crt , states as follows:
1. I have made application for a building permit from the City of Tukwila, Washington.
2. I 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 Washington, a copy of which is printed on the reverse side of this Affidavit. I have
read or am familiar with RCW 18.27.090.
3. 1 understand that prior to issuance of a building permit for work which is to be done by any
contractor, the City of Tukwila must verify either that the contractor is registered by the State of
Washington, or that one of the exemptions stated under RCW 18.27.090 applies.
4. In order to provide verification to the City of Tukwila of my compliance with this requirement, I hereby
attest that after reading the exemptions from the registration requirement of RCW 18.27.090, I
consider the work authorized under this building permit to be exempt under No. /2-- , and
will therefore not be performed by a registered contractor.
1 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.
A FFCONT 1/13/00
APPLICANT
Signed and sworn to before me this
/ /i-ti day of December
H -4
,20 .
NOTARY PUBLIC in ari'd for the State of Washington,
residing at K hq County.
Name as commissioned: Alice A. Deacy
My commission expires: 6 "16 -061
r,
18.27.090 Exemptions. This chapter sj not apply to:
1. An authorized representative of the United States
Government, the State of Washington, or any
incorporated city, town, county, township, irrigation
district, reclamation district, or other municipal or
political corporation or subdivision of this state;
2. Officers of a court when they are acting within the
scope of their office;
3. Public utilities operating under the regulations of the
utilities and transportation commission in
construction, maintenance, or development work
incidental to their own business;
4. Any construction, repair, or operation incidental to the
discovering or producing of petroleum or gas, or the
drilling, testing, abandoning, or other operation of any
petroleum or gas well or any surface or underground
mine or mineral deposit when performed by an owner
or lessee;
5. The sale or installation of any finished products,
materials, or articles of merchandise which are not
actually fabricated into and do not become a
permanent fixed part of a structure;
6. Any construction, alteration, improvement, or repair
of personal property, except this chapter shall apply
to all mobile /manufactured housing. A
mobile /manufactured home may be installed, set up,
or repaired by the registered or legal owner, by a
contractor licensed under this chapter, or by a
mobile /manufactured home retail dealer or
manufacturer licensed under chapter 46.70 RCW;
7. Any construction, alteration, improvement, or repair
carried on within the limits and boundaries of any site
or reservation under the legal jurisdiction of the
federal government;
8. Any person who only furnished materials, supplies, or
equipment without fabricating them into, or
consuming them in the performance of, the work of
the contractor;
9. Any work or operation on one undertaking or project
by one or more contracts, the aggregate contract
price of which for labor and materials and all other
items is less than $500, such work, or operations
being considered as of a casual, minor, or
inconsequential nature. The exemption prescribed in
this subsection does not apply in any instance
wherein the work or construction is only a part of a
larger or major operation, whether undertaken by the
same or a different contractor, or in which a division
AFFCONT 1/13/00
of the operation is made into contracts of amounts
less than $500 for the purpose of evasion of this
chapter or otherwise. The exemption prescribed in
this subsection does not apply to a person who
advertises or puts out any sign or card or other
device which might indicate to the public that he is a
contractor, or that he is qualified to engage in the
business of contractor;
10. Any construction or operation incidental to the
construction and repair of irrigation and drainage
ditches of regularly constituted irrigation districts or
reclamation districts; or to farming, dairying,
agriculture, viticulture, horticulture, or stock or poultry
raising; or to clearing or other work upon land in rural
districts for fire prevention purposes; except when
any of the above work is performed by a registered
contractor;
11. An owner who contracts for a project with a
registered contractor;
12. Any person working on his own property, whether
occupied by him or not, and any person working on
his residence, whether owned by him or not but this
exemption shall not apply to any person otherwise
covered by this chapter who constructs an
improvement on his own property with the intention
and for the purpose of selling the improved property;
13. Owners of commercial properties who use their own
employees to do maintenance, repair, and alteration
work in or upon their own properties;
14. A licensed architect or civil or professional engineer
acting solely in his professional capacity, an
electrician licensed under the laws of the state of
Washington, or a plumber licensed under the laws of
the state of Washington while operating within the
boundaries of such political subdivision. The
exemption provided in this subsection is applicable
only when the licensee is operating within the scope
of his license;
15. Any person who engages in the activities herein
regulated as an employee of a registered contractor
with wages as his sole compensation;
16. Contractors on highway projects who have been
prequalified as required by chapter 13 of the Laws of
1961, RCW 47.28.070 with the department of
transportation to perform highway construction,
reconstruction, or maintenance work.
4 Ahiak.i.;r.
JM
Balance Due: $ . ay.43
FP
Need. Current Contractor Registration Card: Yes ❑ No
Need to Enter Contractor Information in Sierra: ❑ Yes [No
Ngtrfie l Co Pers
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