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HomeMy WebLinkAboutPermit M99-0234 - GRAPHIC SYSTEMSM99 -0234 4493 So. 134 Pl. Graphic Systems City of Tukwila Community Development / Public Works • 6300 Southcenter Boulevard, Suite 100 • Tukwila, Washington 98188 Permit No: M99 -0234 Type: B -MECH Category: NRES Address: 4493 S 134 PL Location: Parcel #: 261320 -0084 Contractor License No: GRAPHS *0350F UMC Edition: 1997 * ** * * ** Signature: 04. Print Name: Tod Lcke.vIS MECHANICAL PERMIT (206) 431 -3670 Status: ISSUED Issued: 12/08/1999 Expires: 06/05/2000 TENANT GRAPHIC SYSTEMS Phone: 4493 S 134 PL, TUKWILA, WA 98168 OWNER NORTHSTREAM PROPERTIES INC Phone: 425- 828 -6300 720 4TH AV, STE 102, KIRKLAND WA 98033 CONTACT TODD LIKENS Phone: 253- 589 -3144 2310 104 ST CT.S, A -3, TACOMA WA 98499 CONTRACTOR GRAPHIC SYSTEMS Phone: 253 - 589 -3144 850 NW 61ST ST, SEATTLE, WA 98107 *'k * * ** * * * **** *** *k * *'k * * * * * *'k * *** * *'k ' k * *'k* ***** A* . ** *'k * * ***** *•k* * * * * * **•k** Permit Description: INSTALLATION OF PRE - FABRICATED PAINT SPRAY BOOTH. Valuation: 7,000.00 Total Permit Fee: 56.00 *� **********************• k************* * * * * * *'k * * * * * * ** * " k* * * * * * * * ** Permit Center Authorized Signature Date 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 for and obtain this building permit. Date: V-- (8±11 Title: 1092-4# 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. Address: 4493 S 134 PL Suite: Tenant: GRAPHIC SYSTEMS Type: B-MECH Parcel #: 261320 -0084 CITY OF TUKWILA Permit No: M99• -0234 Status: ISSUED Applied: 11/22/1999 Issued: 12/08/1999 *• k k*• k'X k**• k**** k•k*• k****** k***** k*************** *•k* * * *** *k* * * ** * *k*** **** *k* Permit Conditions: 1. 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 -6G30) 2. No changes wi 1 l be Made to the plans: unless approved by the Engineer and the Tukwila. Bui 'Wing' Division. 3. All permits, :'inspection' records, and approved plan`s shall be available at the job site prior to the start of any con- ,struction rhese document are to be maintained and avail - , able until final irrspection approval is granted 'All construct ton 'to be done in conformance' with;' approved plans `and requirements of the Uniform Bui lding Code:, (.1997;; Edition) as amended, Uniform Mechanical Code (1997 Edition), and Washington State Energy Code '(1997 Edition)'., S. Validity of Permit.. The issuance of a permit or approval o plans, specifications, and computations shat 1 not be con -: str;ued to be a permi�t..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. G. Manufacturers installation Instructions required on site for. :,the bui 1ding inspectors review, Project Name/Tenant: 6CaPtlt(_. ,SNiSTf -•S 1+ Value of Mechanical Equipment: O '7 boo, po Site Address : `x`{93 S. 134t^ ?t_A -ci. City State/Zip: TUiCwILF} W4 9811A Tax Parcel Number: l -32000 - 'c IO0 .Zeal - Phone: ( `iz S) sib _ C3 00 Property Owner: ►.lo Trl -1 52 - g 6 -11--io 1? R o' Cc K “ INC_ Date: II I2Z l 5? I Street Address: /20 4 ;ye. SurrE_ o City State/Zip: le!RI( LAN w• 980 Fax #: ( ) Contractor: 6ft/1fthc. 616TEAAS INC. Phone: ( 2 r3 ) slag - 3, Street Address: 23to - 104 r CT. 5, A -3 City State/Zi : Tu .M . I 9 •• Fax #: ( 3 ) r81 - 3 /Y.r Contact Person: To Do G, 11.Er.i S `., A- 98y1 9 Phone: ( 23'3 ) S81 - 3 II Y Street Address: 2.310 - lc»( 5T cv 5 . , A- -3 City State/Zip: 14-ct .A t wA- 88 Fax #: (1-3 ) s131 3 iY BUILDING'OWNER OR AUTHORIZED AGENT: Signature: ,::\oc.t,-0._ Date: II I2Z l 5? Print name: •1—a °I a L. I�e✓ts Phone: ( ZS3 ) 58q _ 3 i �iy Fax #: (� ) $89 , /.7,4. Address: 2310 - I0`4 ' � 5•f: Cf. S f}- -3 City / Statep: /Zi. c, , `., A- 98y1 9 CITY OF ('IKWILA 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. MECHANIQAL;P.ERMIT;REVIEW AND APPROVAL'REQUESTED: (TO REFILLED OUT BY APPLICANT) Description of work to be done (please be specific): INS TA LL -676J Ot= ?RE - Pi4-3R: GfvrEt t�fr R Ay 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 "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 ap lication accepted: Date application expires: S M a a, -ocio 1 1/1/9 9 Application taken by: (initials) ✓ 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 11/2/99 miscpml,doc 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 I 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. Account Code 000/345.830 000/122,100, .. ,, a.. y. ; {. ; ".'V•MN3'YPT; r;.7r; ^ w 4— t •I 1?e9cr•ipt;ian PLAN CHECK -. t!rai RE1,3 MECHANICAL •- 1>!QrN321ia :s >t �+: si. � sl �S Sk f• sk :k 'ts A •h. >'r sk •k fi. k st k 1; sk •k h• A >t• A * A W sk k h * ; 4 A i' s4 •k A .A. *>4 arc st sk >k .t A A •k sk /::s•.• k lk it * .t CT•fY OF TUKWtI.A. WA f j Qc)- TRANSMIT ik•k *slsk**Aik*A *AA A *A*A *a khik44 <sk kA•As ><' sSS Fhsl-WA*11**skssslA•A;b*k*kAAAslk TRANSMIT Number: I29800201 •l4:r oun 56.00,12t08/99: /O9 12.411 P vment: .Met;hrtdt C( 3H Motvtic;r'i: C•RAPHI:C''.t'r's31r ifi I:r',itt NCR Per'•nS it; Not M99-6234 Type: l3•••MECFi MECHANtCAI. PERMIT P rr.e1 3dut 261:120-0084 ;iit€ Addr''Wsr~t 44933 .3 134 PL TQt;ai t fh i :s Payment '36.00 1 c:t:<<3 ALL Pmts 13:n1GinCe A• *A* Ask• AslAA• k***• k: t. A As4: AA• Aitit 1 *:• k• AAid :Ai4 *A* *itsks4?r**i•sl *•A'AA•A *AhAAf,A•A•*.*atis , k .,0177 Fir, r: gtlA;.4; -igr itlI rg .wr���y.�, =r,•r fit; '36.00 `:rl.CO „00 Amount t.I,.20 44.80 Project;,— / Type of Ins cti n: A dress 1 Date called: Special instructions: Date wanted Requester: `I'L ...V Phone: 206.-.. 0_3s . el INSPECTION RECORD Retain a copy with permit INSPECTION NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd, #100, Tukwila, WA 981 Sr. ;*7vll: cts ^rc >. ,;yxznA PERMIT NO. , J206 431 36 0 Approved per applicable codes. ❑ Corrections required prior to approval. COMMENTS: $47.00 REINSPECTIO !FEE REQUIRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. Receipt No: Date: P ject: Type of Inspection s � � . �� /31/Opt Date led: /6775 /00 Special instructions: Date wanted: y e9.69 / 00 a.m. p.m. Requester: ,-g Phone 333 o 4 0 CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd, #100, Tukwila WA 9818 INSPECTION NO. e 2±1 INSPECTION RECORD R a copy with permit PERMIT NO, (206)431 -3670 Approved per applicable codes. El Corrections required prior to approval. COMMENTS: $47.00 REINSPECTIOI(V*EE REQUIRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. Receipt No: Date: P of ct:. Type of Insp ction: A dr \ Date called: Special %. instructions: L T v.0 S t. Date wanted: - y a.m. qatOaa, P LP '7,4 '7 q Lp Approved per applicable codes. INSPECTION RECORD Retain a copy with'permit INSPECTION NO. CITY OF TUKWILA BUILDING DIVISION - 6300 Southcenter Blvd, #100, Tukwila, WA 98188 PERMIT NO. (206)431 -3670 COMMENTS: , f 4 O • Z�,/ a< /` 1 ti / GEC% t. y Corrections required prior to approval. $47.00 REINSPECTIO E REQUIRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. Receipt No: Date: O City of Tukwila Fire Department Project Name r ; / 1 i ,C 3. Address `'/ (/ `% 3 ..S /3 y PL TURWILA.FIRE:DEPARTMENT FINAL APPROVAL FORM Retain current inspection schedule Needs shift inspection < Approved without correction notice Approved with correction notice issued pr4 6031 pY : Fire Alarm: A/ Hood & Duct: '. Halon: ■/ Monitor: �.�.�. A ln. ,•. Pre-Fire: 5 � I �� Permits: Authorized Signature Permit No. Date FINALAPP.FRM T.F.D. Form F.P. 85 `'j - o), . `/ John 'W Rants, Mayor Thomas P. Keefe, Fin? Chief. Suite # Headquarters Station: 444 Andover Park East • Tukwila. Washirwton 08188 • Phone: 12061 575 41)4 • Far 12(M) VS :44W .PARATCi PERNirr lilt :QUiRE° FOR.: r►�{tECHAt`�IICAL )ELECTRICAL ❑ PLUMBING a GAS PIPING CITY OF I,i ?'11:;99..A BUILDING DIVISION C.. FI�C CQPY —�I understand that the Plan Check approvals are ;:.ohiect to errors and omissions and approval of any 01.:sns does not authorize the Receipt on - :0: code or ordt ed. tractor's copy of a pproved plans acknowledg Is3 P R OF p DE,C 1 1999 Ityek F31Jiw' ING DIVISION L CONCRETE I AGE. 1thFS= Tii.F.FFNERS Wii kL L� :A1 *CT 0008 OPFNIhG 9'- G' X 7 - 0� 2i' -O SIDE VIEW L i SPRA:' ENCLOSURE TECHNOLOGIES E 1 1C0 - A EAST MAIN STREET ONTARIO, CA_IFORN;A 91761 ELECTRICAL REQUIREMENTS �; swam EQUIP. VOLTS FULL LOAD AMPS i l ",10 : (tot! —TUBE L1Gs+T FrX URES %20 V AMPS PER FL�� ;ft: i (7] 7 44 7 FAQ: 3. OiC�t 3 PH 1 206 - 240 / 50 J E.6 a 4/. AMPS ACCESS I.00R - PRODUCT ENTRANCE DOORS WITH (20) 20' x 20' INTAKE FILTERS 30' DIAMETER TUBE-AXIAL FAN MIN NON - SPARKING 8L D A.)LC.A CERTIFIED POWERED BY A 214P 3 PHASE AT .2 STATIC PR CI M. FRONT VIEW BACK VIEW FRONT FLOW AUTOMOTIVE SPRAY BOOTH MODEL: ST91 4.24Fr M 99•D SPECIFICATIONS • ALL PANEL FLANGES CUTSI!)E OF THE i1Nr. • ALL PANELS CONSTRUCTED WITH 18 GAUGE GALV. STEEL • BASE OF UNIT MOUNTED ON GALVANIZED FLOOR RAPS • ACCESS DOOR CAN BE LOCATED i}N EITHER SIDE OF THE UNfT • INSIDE PANEL SEAMS ARE SMOOTH • BASE OF DOORS SEALED WITH NEOPRENE STRIPS. • LIGHT FIXTURES MOUNTED ON CLEAR TEMPERED GLASS • BRIXON LATCHES ON ODORS • 16 CELL ARRESTOR C- 1418F EACH CELL 20 X 20 X 2 • UNIT FACTORY BUILT TO MELT' OR EXCEED BOCA. OSHA, ac NFPA — 3:3 . JOB NAME t DATE tf'Y OF TUJMJEL .3V 22 PERter CENTER 6/10 duct t aue galv. N existing wood composition roof 1 ' • • • 1" gap between carnbus able roof material and ti re wrap inaulated fire — wrap, 20 ,ga . with inon insulaLion, SMALLER CRIMPED END =Ems INTO UN-BEADED ENT AND IS TER SCREWED TOGETHER USE :1/8" BOLTS PROVIDED TO BOLT COMPANION FLANGE TO TOP of PAN. DRILL TOP OF BOOTH OR FAN WONTING BASE WITH 3/8" liOtES AND MOUNV IN A SIMILAR FASHION iliCLOSURE IECFNOLOGIES ! 1 04-i EAST II,M3 STREET OKRRIO, CALIFOKNIA 91761 4- 0 6 FAN BASE DUCT DETAI L i WITH BUTTERFLY CAP BUTTERFLY VALVE EXHAUST AND RAIN CAP counter ashng cable ties 3/16" wire cable mounted La 1" eye bolts typ of 4 (recommended, not aupplizd ) DUCT DETAIL COMPLIES WITH UNIFORM MECHANICAL CODE SECTION 1107 UNIFORM FIRE CODE SECTION 45-206 NFPA-33 & 91 File:DUCTDET3 JOB NAME DATE ClIfUleN AV'P DEC 1999 --- b 90 -0" 35 -0" WORKBENCH SHOP U 0 O wz J Q a � ACCESS POOR WORKBENCH WORKBENCH WORKBENCH WORKBENCH 27 0" MAIN ENTRANCE �-- 14' -0" C EXHAUST INSTALLATION AREA Building Plans biA aaIr ,C _ EXHIBIT A FLOOR PLAN O U c11‘( aV a E p APP R. DEC ? 1999 BUILDING DIVISION • c LEGAL DESCRIPTION AND SITE PLAN Lot 1 of Short Plat No. 79- 26 -SS, according to the Short Plat survey recorded under King County Recording No. 8004240503, and as amended by boundary line agreement recorded under King County Recording No. 8210010941; TOGETHER WITH AN easement for ingress, egress and utilities as set forth in Short Plat No. 79- 26 -SS; Situate in the County of King, State of Washington. EXHIBIT B • • Hi Ken, • • • • • A1 0234 ,,o,,..„„,,.,,t,,,,,,.5..,,y. ., t ji To: Ken Nelson Company: From: Todd Likens RE: • • • • Fax: 206 - 431 -3665 Date: 12/23/99 Pages: 3 • (I . 1 BOX 98498 La kewood, WA 98498 -0498 Phone — (253 )-589 -3144 Fax — (253) -589 -3145 • O Urgent ❑ For Review ❑ Please Comment 0 Please Reply 0 Please Recycle • • As discussed, I am attaching a brief explanation of our plan to put up sheetrock, along with,the original drawing from our Permit application (Permit Number M99- 0234). Please let me know if you have any questions or need anything further. Thank you. Id WdSt':titi 6 £Z 'oaa 6289 S£8 90Z : '0N 9•0Hd DEC 2 3 1999 COM MUNITY DEVE LOPMEN'T •oui 'swal.sAS a lyde.a9 :.Woad FROM : Graphic Systems, Inc, PHONE NO. 206 835 6829 �:v..r�. t l•. I •• r 1 BONYJ.N3 NiV N HON39* OM HON9eHUOM L _-_, �N3liNdOM HoN38XdOM V Oo Q C O w dOHS Dec. 23 1999 11:46AM P2 0 0 m HON39)iNOM ,.0•ss ..0.06 Graphic Systems, Inc. Permit Number. M99 -0234 At the location shown on the attached drawing (see *) we intend to attach two layers of Type X, 5/8" sheetrock to the plywood wall (staggered) to insulate it from the paint booth, which shall be located not less than 18" from the wall. The sheetrock will be attached at least 3 feet above and to each side of the paint booth. £d Wd9b:titi 666ti £Z '° a 6Z89 S£8 . 90Z : ON BNOHd, 't t !Du/ / ' •sw2 ;sFis Q p . de -tJ :: W021.d PERMIT COORD COPY PLAN REVIEW /ROUTING SLIP ACTIVITY NUMBER: M99 -0234 DATE: 11 -22 -99 PROJECT NAME: GRAPHIC SYSTEMS INC. XX Original Plan Submittal Response. to Incomplete' Letter. # Response to Correction Letter # , Revision # _After Permit Is Issued DEPARTMENTS: Building Division III Fire Prevention 11 /floc 1 - `fig Public Works n Structural n DETERMINATION OF COMPLETENESS: (Tues., Thurs.) Complete U Incomplete Comments: TUES /THURS ROUTING: Please Route Structural Review Required No further Review'Required n REVIEWER'S INITIALS: DATE: APPROVALS OR CORRECTIONS: (ten days) Approved n Approved with Conditions \PRROUTE.DOC 5/99 Planning Division Permit Coordinator 4;(�.- .,�:, �. ... .ry1�ir� %j 5.W°f, �;f +''.�f ftt #�+'+X2- ii ?��::s7,} n ■ DUE DATE: 11-23-99 Not Applicable n DUE DATE 12 -21-99 Not Approved (attach comments) 17 REVIEWER'S INITIALS: DATE: CORRECTION DETERMINATION: DUE DATE Approved n Approved with Conditions ❑ Not Approved (attach comments) n REVIEWER'S INITIALS: DATE: Fire Department Review Control #M99 -0234 (511) Dear Sir: City of Tukwila Fire Department December 1, 1999 Re: Graphic systems, Inc. - 4493 South 134th Place Thomas P. Keefe, Fine Chtef The attached set of building plans have been reviewed by The Fire Prevention Bureau and are acceptable with the following concerns: 1. Extend sprinkler protection to the spray booth including plenum and duct. 2. Water supply to spray booth sprinklers shall be controlled by a sectional control valve. 3. All valves controlling the water supply for automatic sprinkler systems and waterflow switches on all sprinkler systems shall be electrically supervised. (City Ordinance #1742) 4. All new sprinkler systems and all modifications to existing sprinkler systems shall have fire department review and approval of drawings prior to installation or modification. New sprinkler systems and all modifications to sprinkler systems involving more than 50 heads shall have the written approval of the W.S.R.B., Factory Mutual, Industrial Risk Insurers, Kemper or any other representative designated and /or recognized by The City of Tukwila, prior to submittal to the Tukwila Fire Prevention Bureau. No sprinkler work shall commence without approved drawings. (City Ordinance #1742) All sprinkler system plans, calculations and the contractors Materials and Test Certificates submitted to The Tukwila Fire Prevention Bureau must be stamped with the appropriate level of competency seal. (WAC 212 -80) John W. Rants, Mayor U ..,InunwFnrY. CfnNnn. AAA Anrinunw D9cG L'nct . T,dnlilh WichInatnn O11112R • Dhiursa. 19M1 C7s.AAfA • Paw. 12M1 S7S.4A1O Page number 2 City of Tukwila Fire Department Thomas P. Keefe, Fire Chief 5. All new fire alarm systems or modifications to existing systems shall have the written approval of The Tukwila Fire Prevention Bureau. No work shall commence until a fire department permit has been obtained. (City Ordinance #1742) (UFC 1001.3) 6. Spray equipment shall be interlocked with spray booth ventilation equipment. 7. Air movement shall be a minimum of 100 lfp. 8. Provide a minimum 4A 40BC extinguisher within 30' of your spray booth. (UFC standard 10 -1) Portable fire extinguishers shall be securely installed on the hanger or in the bracket supplied, placed in cabinets or wall recesses. The hanger or bracket shall be securely and properly anchored to the mounting surface in accordance with the manufacturer's instructions. The extinguisher shall be installed so that the top of the extinguisher is not more than 5 feet above the floor and the clearance between the bottom of the extinguisher and the floor shall not be less than 4 inches. Extinguishers shall be located so as to be in plain view (if at all possible), or if not in plain view, they shall be identified with a sign stating, "Fire Extinguisher ", with an arrow pointing to the unit. (NFPA 10, 1 -6.3) (UFC Standard 10 -1) Clear access to fire extinguishers is required at all times. They may not be hidden or obstructed. (NFPA 10, 1 -6.5) 9. An electrical permit from L & I is required. 10. A notice of construction permit must be obtained from the Puget Sound Air Pollution Control Agency prior to the installation of the spray booth. The permit shall be posted at the jobsite. John W. Rants, Mayor ue��r,. u�rFnrc cF�Nnn. AAA A nrinvnr r • ! . ' , c t • TuLur112 Wachlnotnn O J U R R • Phnno• S7cd4Ad • I . 12(M) S7S44.30 Yours truly, CM City of Tukwila Fire Department Page number 3 Contact The Tukwila Fire Prevention Bureau to witness all required inspections and tests. (UFC 10.503) (City Ordinance #1742) Any overlooked hazardous condition and /or violation of the adopted Fire or Building Codes does not imply approval of such condition or violation. The Tukwila Fire Prevention Bureau cc: TFD file ncd John W. Rants, Mayor Thomas P. Keefe, Fire Chief Headauarters Station: 444 Andover Park East • Tukwila. Washlnkton 08188 • Phone 1206) 575-4404 • Fax• 1206) 575-4430 P625-052-000 (8/97) DEPARTMENT OF LABOR AND INDUSTRIES. REGISTERED AS PROVIDED BY LAW AS CONST CONT GENERAL REGIST., EXP.. DATE CCO1 ;GRAPHS *035QF 11/01/2000 ;EFFECTIVE-DATE= 11/06/199 GRAPHIC SYSTEMS 850 NW 61ST ST SEATTLE WA 98107 1 :n25 -052 -11111 11■171 - -- Detach And Display Certificate REGISTERED AS PROVIDED BY LAW AS CONST CONT GENERAL REGIST. # EXP. DATE CCO1 GRAPHS *035QF 11/01/2000 EFFECTIVE DATE 11/06/1997 GRAPHIC SYSTEMS 850 NW 61ST ST SEATTLE WA 98107 Signature Issued by DEPARTMENT OI LABOR AND INDUSTRIES Please Remove And Sign ` Identification Card Before Placing In 13illl'old •