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HomeMy WebLinkAboutPermit M97-0162 - HOME DEPOT - BUILDING 12zcflIO -L&\LL iv • P\q + otikAo City of Tukwila ( Community Development / Public Works • 6300 Southcenter Boulevard, Suite 100 • Tukwila, Washington 98188 Permit No: M97 -0162 Type: B -MECH Category: NRES Address: 360 CORPORATE DR N Location: BUILDING #12 Parcel #: 262304 -9075 Contractor License No: COMFOP *064D2 TENANT HOME DEPOT 360 CORPORATE DR N, TUKWILA WA 98188 OWNER LOWE NORTHWEST INVESTOR 600 UNIVERSITY ST #2820, SEATTLE WA 98101 CONTACT GERALD WARE 6617 S 1.93 PL, KENT WA 98032 CONTRACTOR COMFORT PLUS P.O. BOX 913, KENT:, WA 98035 ******************************************** *** * * * * * * * * * * * * * * * * * * * * * * * * * * ** Permit Description: UMC Edition: 1994 Valuation: 6,000.00 * * * * ** * * * * * * * * * ** *******************,*** * * * * * * * * * * * * * * * * * * * * * ** * * * * * ** INSTALL (1) TWO -.TON SPLIT A/C ONLY FOR ROOM #108. Signatur Print Name: rized Signature Date MECHANICAL PERMIT Total Permit Fee: Date [03.'4 Title: ® ( F to (206) 431 -3670 Status: ISSUED Issued: 10/31/1997 Expires: 04/29/1998 Phone: 206 575 -2120 .Phone: 206 251 -9840 42.81 I hereby certify that I have read and.examined 'this permit and know the same tobe 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 thi uilding -. permit. 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. Project Name/Tenant: 4-E-0 r -t ` o E Q t ti,sz. m ID, Value gf Construction , /, " 4 � �^ Site Address: City State /Zip: Tax Parcel Number: Property Owner: •I,QW >�-- Phone: Phone: Street Address: City State /Zip: Fax #: Contact Person: e tr,_ \- v.--.E'9 Phone: 4 2,5- as 1 - ckg4- Street Address: (� City State /Zip: ._.... Fax It: s - a Contractor: C Z,rr, 6i:)," •? N, \s Phone: 4 a - a5 L - °‘.'8 tt.-'o Fax If: ��5- Q-.51 - `. 1 Phone: Street Address: Lb 52 1 Ste, \_ e\- City State /Zip: . Kkt.SNT ( Wti?,� Architect: ' Street Address: City State /Zip: Fax #: Engineer: Phone: Street Address: City State /Zip: Fax It: MISCELLANEOUS PERMIT REVIEW AND (TO BE FILLED OUT BY APPLICANT) Description of work to be done: jr- STR-x.1 -. a.-- "r'wti SP N. \ T "• 7 b R t-stc a- __,•R Will there be storage of flammable /combustible hazardous material in the building? El yes ❑ no Attach list of materials and stora • e location on se.arate 8 1/2 X 11 aver indicatin • • uantities & Material Safet Data Sheets ■ Above Ground Tanks ■ Antennas /Satellite Dishes ■ Bulkhead /Docks ■ Commercial Reroof ❑ Demolition El Fence ❑ Mechanical ❑ Manufactured Housing- Replacement only El Parking Lots ❑ Retaining Walls El Temporary Pedestrian Protection /Exit Systems ❑ Temporary Facilities El Tree Cutting MONTHLY SERVICE BILLINGS TO: Name: Phone: Address: City /State /Zip: 0 Water 0 Sewer 0 Metro 0 Standby CITY OF TUKWILA Permit Cenk. 6300 Southcenter Boulevard, Suite 100 Tukwila, WA 98188 (206) 431 -3670 ❑ Channelization /Striping El Flood Control Zone El Landscape Irrigation El Storm Drainage El Water Meter /Exempt It El Water Meter /Permanent # ❑ Water Meter Temp # El Miscellaneous WATER METER DEPOSIT /REFUND BILLING: Name: Address: Date applic ttl eptel 1 • MISCPMT.DOC 7/11/96 Date apitlnsf1 v' • A STAFF USE ONLY Project Number: _ Permit. Number: Miscellaneous 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. APPLICANT REQUEST: FOR MISCELLANEOUS PUBLIC WORKS PERMITS ❑ Curb cut/Access /Sidewalk El Fire Loop /Hydrant (main to vault) #: Size(s): ❑ Land Altering: C) Cut _cubic yards 0 Fill cubic yards 0 sq. ft.grading /clearing ❑ Sanitary Side Sewer It: ❑ Sewer Main Extension 0 Private 0 Public El Street Use El Water Main Extension 0 Private 0 Public 0 Deduct 0 Water Only Size(s): Size(s): Size(s): Est. quantity: gal Schedule: ❑ Moving Oversized Load /Hauling Phone: City /State /Zip: 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. Appli p(initials) BUILDING OWNER OR AUTHORIZED AGENT: SUBMIT APPLICATION AND REQUIRED CHECKLISTS FOR Above Ground Tanks/Water Tanks - Supported directly upon grade exceeding 5,000 gallons and a ratio of height to diameter or width which exceeds 2:1 PERMIT REVIEW Submit checklist No: M - 9 t C Antennas /Satellite Dishes Signature: E Awnings /Canopies - No signage Phone: a:� I City/State/Zip: Date: \' `\ --yR �� Ni-M: 1 ( ��y Fax #: �5 3. 1- q R > I _ l '\.g.. b 'a ` Print name: Cry ~�K�`,CJ ' ca...-i::„... c'1.. P ^ \a Address ....)9,1:t. VA. S`O , \‘„\ r-1 SUBMIT APPLICATION AND REQUIRED CHECKLISTS FOR Above Ground Tanks/Water Tanks - Supported directly upon grade exceeding 5,000 gallons and a ratio of height to diameter or width which exceeds 2:1 PERMIT REVIEW Submit checklist No: M - 9 t C Antennas /Satellite Dishes Submit checklist No: M - 1 E Awnings /Canopies - No signage Commercial,Tenant Improvement . Permit Cl Bulkhead/Dock Submit checklist No: M -10 El Commercial Reroof. checklist . No: M - ' • Demolition ;: Subm {t checklist . No; . M - 3, M -3a 0 Fences - Over 6 feet in Height Submit checklist No: M - 9 E Land Altering/Grading/Preloads Submit checklist No: M - 2 0 Loading Docks Commercial.Tenant Improvement Permit.; Submit.checklist No: H -17 a Mechanical (Residential & Commercial) Submit checklist' : No.: M -B, Residential onl - H =6; H -16 Ell Miscellaneous Public Works Permits Submit checklist : No: H - a Manufactured Housing (RED INSIGNIA ONLY) Submit checklist No: M -5" 7 Moving Oversized Load/Hauling Submit checklist : No' M - • Parking Lots Submit checklist No: M -4 E Residential Reroof - Exempt with following exception: If roof structure to be re•aired or re•laced Residential Building Permit Submit checklist . No: M -6 . 7 Retaining Walls - Over 4 feet in height Submit checklist No: M -1 El Temporary Facilities Submit checklist No: • Temporary Pedestrian Protection/Exit Systems Submit checklist No: El Tree Cutting Submit checklist No: ALL MISCELLANEOUS PE',' ' T APPLICATIONS MUST BE SUBMI D WITH THE FOLLOWING: ➢ ALL DRAWINGS SHALL BE AT A LEGIBLE SCALE AND NEATLY DRAWN ➢ BUILDING SITE PLANS AND UTILITY PLANS ARE TO BE COMBINED ➢ ARCHITECTURAL DRAWINGS • REQUIRE STAMP BY WASHINGTON LICENSED ARCHITECT ➢ STRUCTURAL CALCULATIONS AND DRAWINGS REQUIRE STAMP BY WASHINGTON LICENSED STRUCTURAL ENGINEER ➢ CIVIUSITE PLAN DRAWINGS REQUIRE STAMP BY WASHINGTON LICENSED CIVIL ENGINEER (P.E.) 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, unless the homeowner will be the builder OR submit Form H -4, "Affidavit in Lieu of Contractor Registration ". Building Owner /Authorized Agent. If the applicant Is other than the owner, registered architectengineer, 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. MISCPMT.DOC 7/11/96 Address: 360 CORPORATE DR N Suite: Tenant :: HOME DEPOT Type B -MECH Panel #: 262304 -9075 'k 'k •4 'k * - k •k 'k * ' k •k ik k •k * 'k * k k A * * ` k ' k ' k * 4. k ' k 'k * * * * 'k ' k •k ' k k k ' k ' k k k * 'k * 'k k ' A k ' k * * 'k * k * * k ' k * k •k •k k * ' k * * k Permit, Conditions: 1. No changes will be made to the plans unless approved by the Architect or Engineer and the..:'rukwiia.,Building Division. 2 All permits, inspection ,r e`cords, .and approved plans shall . be available at the j;ob site'prior to the ; of,, any con - 'struction. These ; 'docuimen,ts; are to be maintained and avail- able until final inspection approval` is granted. 3 All cor structl,on to _be One in- `conformance. w ith approved . plans and requ i r. eii ents'- of the Uniform Building Code (1994 Edition) a`s Uniform Mechanical ..Code (1994. Edition), and Washington„ State Energy Lode , (1994 Edition) 4 Validity, of Fermi t. The I ss'uance . of a permit or approval of p lans,. ,specifications, and' :computations shall not be :con - strued, to. <be: a permit for , an approval of any violation cif aril of the; pi-ovi s i or s of, the ..building code or of any othe ordinance<,.of the`: - jurisdiction.:: No permit presuming to give violate or.,cancel the provisions of thi code shall be .valid MANUFACTURERS ;`INSTALLATION', INSTRUCTIONS,: REOUIRED ON :SITE FOR` TTHE BU.ILDiNG I•NSPECTORS REVIEW. 6. Electrical per=mits shall be.obtatned through the Washington State Division of : Labor ,an'd,Indus'•tni and ..'all electrical wot k;ywi l l'be i'nspe:cted by that.' ncy (243'- 6630) `'•, Readiiy .accessible access ''to roof Mounted equipment, 'is required. r CITY OF TUKWIL'A Permit No: M97-0162 Status: ISSUED Applied: 10/27/1997 Issued: 10/31/1997 • tor- 4�''Y:fttIt > -, ir..r. :..r�.,.n -ia•. e..<..; Y..n.wt�r r. A�f F.+,:wty »t:tn. +M •e. <e..tw <+.a..aa�wn +..xw.N.�n•.11w v71:'Mhlr,41 gnu• +e.fe•n.+7.rtr•V, Ile! Y. M4• ry+,•i x' 1'•l.• 4Rtt• f;•01.:f:'- 7rZ teVt .,:e001,- -.G'A"'S'..1 gyp: .y,41 Pernik Carol Cow PLAN REVIEW /ROUTI SLIP ACTIVITY NUMBER M97 -0162 PROJECT NAME HOME DEPOT BLDG. 112 DEPARTMENT: BUIL G DIVISION FIRE PREVENTION E P G DIVISION 0 :TURALERMIT COO • w&gq � \ DETERMINATION OF COMPLETENESS: (T,Th) COMPLETE rg NOT COMPLETE LJ COMMENTS TUES /THURS ROUTING: PLEASE ROUTE fl NO FURTHER REVIEW REQUIRED E ROUTED BY STAFF I I (If routed by staff, make copy to master file & enter Sierra.) REVIEWERS INITIAL DATE APPROVALS OR CORRECTIONS: (ten days) APPROVED El APPROVED W/ CONDITIONS n REVIEWERS INITIAL CORRECTION DETERMINATION: APPROVED Ej APPROVED W/ CONDITIONS REVIEWERS INITIAL C:ROUTE -F DATE DATE DATE 10/27/97 DUEDATE 10/28/97 NOT APPLICABLE 0 DUE DATE 11/11/97 NOT APPROVED (attach comments) Q DUE DATE NOT APPROVED (attach comments) Q (Cetdficadoo of occupancy sequined. ) *' **:4 * * *kkA. * �tk k • ***kAA &4. *.A k •k•k•k*A.*�• ** A•k b•k•4.1•k•t ** L`1TV OF .1'U'KWtL( W T� _ / TRANSMIT h:k *A •k:* •A••1 hk. *A Al Jr% *A !*A•kA * *A: k• * ** c:k'k• * A. *A*A.A:k•A* A*** *:lAP TRANSMIT N b 9 . Numb n: R X700671 Amcau iit ;: 42.81 10/31/97 11 :20 Payment Method CHECK Notation: COMFORT PLUS In i fit: NAB Permit No M97-0162 Type: n -MECH MECHANICAL PERMIT Parcel No 262304-9075 Site Address: 360 CORPORA Yk DR N Location: BUILDING #12 Total Fees: 42.81 This Payment 42.81 Total ALL Pints: 42.01 Balance .00 *YA*AA*AAAA•AAAAAA h* A** kd *** * *AAAI.AA *A *AA• * *A *A*•A**4 A*A * *•.Akdl*• *A*** Account Code 000/345.830 000/322.100 • Project: 0 f Q ' � - J7 ) 4,.. Type of ' pecti9: - Y" Ad r ss ` cgs - C�? a7z . 0. Date calle .. , 7 -, r; a. � x,r?aL Special instructio s: Date wanted: -, p.m. Requester: - Phone No.: INSPECTION RECORD Retain a copy with permit I Approved per applicable codes. COMMENTS: \ ----- Inspector: Date: INSPE ION NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98186 - (206). 431 -3670 PERMIT NO. Corrections required prior to approval. L] $42.: I - INSPEC ION FEE REQUIRED. Prior to inspection, fee ust be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. I Receipt No.: Date: 3 I I understand that the Plan Check approvals are .:f.thject to errors and omissions and approval of i does not authorize the vtuation of any adopted., code or ordinance. Rc(-,‘iot of con- tractor's, opy of approved plans acknovvIedged. I IV SEPARATE PERMIT REQUIRED FOR: O ECI-IANICAL ITWELECTRICAL O PLUMBING • o GAS PIPING • ' TuKwILA ‘..•-Ai.4C+1 MI:ACM 0? IlVtc‘NIA f\ f,PRO`4.0 0 31 1997 BUtL DIVISSON 4 )48 , AD u ,RAs, u Au Ar u _1 ( _t ( FAX ET - - I I A A , ��II �, II 4, II A. 11 II Il I A555T. ASSIST. ASSIST. ASSIST. J wpa zoom L ,RI X■08 4S' ARTIST (G) PPr II 4 II � A551 . T (6� I RECEIVED CITY OF TUKWILA o 2 7 1:197 PEIRMIT CENTER r1Cil•Ot tot •�•nyr- -,.;. a:Y.,SI `iiytix'r�'r� 7 i�'.t ��"., , iH. t C�ifr {fit. �' K30FK t ;. going capacity O0,0001BT EER :' 10.7 rx imensions :66- 5/32. :9;174 ": t iC, r t 7 ':717, 7.17 - . iS`x. e.,t,'wpN "el. r•5'...`E'`.i. _ }! p1 "Cn;li " k �• tt � . c'. �,.....;y.y- ,td! �.Cool'iig " ^18000�BTU% r aSEER ` 1� t ' x "' rFa H eating "capaci ti :1 8,600; BTU %ti, (25,1 W 55.0/8" D :9 =1/4" PK ? ..;:,r'r�"� ? •.,. ,:.� ooling' capacity;: 24000s,8TUl SEER` 10:2!'x,. Heating'capacity 2$,000 BTU /h (3i ,500; w/ aux ';HSPF ' W :55= 1/8 ". - 1/4" PKH3OFK. Cooling'. c ;000,43,T, B • a t , Heating capacity ., ,`; . :33,000;BTU/,4 (40,500* /,faux HSPF 71 t ' 4 f .; Dime'nsions ,: W :66= 5/32 " /: D:9 -1 ;C capacity:, SEER::.10.5. r ; •:'' ',Heating capacity: 3 8 ;000iBTU /h (45,500tw %auk: booster' mension '' „ W:66-5/327, D:9 -1/4 H :13'73/8" Simplified Installation beneath the base. This easy - access design lets you arrange and install a number of units in a small area. Mr. Slim's streamlined design makes indoor units adaptable to an almost infinite variety of room configurations. They're simple to mount, and they require a minimum of wiring. Naturally they're not only efficient but also whisper- quiet. You'll hardly hear them running, Refrigerant lines may be connected to the outdoor unit from the front, rear, or side, or 13 In °' 0( (0 Warranty Mitsubishi is so confident of the reliability of Mr. Slim® Systems that we offer a six year warranty on the compressor and a one year warranty on all other parts. ( EM ::`' 'MODEL: PK12FK PK18FK PK24FK PK3OFK PK36FK` 'PKH18FK PKH24FK' PKH3OFK PKH36FK Capacity Cooling '1 BTU /h 12,500 18,500 24,000 30,000 34,200 18,000 24,000 30,000 34,200 Heating '1 BTU /h - - - - - 18,600124,10085,1001 ?5,000(30,500131,5001 33,000(39,100/40,500) 38.00)(44,10345,500( Heating '2 BTU /h - - -- - - 10,700(16200117 2001 1 4,700(2020021 . 200) 9.000125.10N6,5001 9,600(25.70317.1001 Power Consumption Cooling '1 W 1.2 1.75 2.34 3.06 3.47 1.79 2.36 3:12 3.44 Heating '1 W . - - - - - 1.56(3.16/3.46) 2.37(3.97/4.27' 3.02(4.82/5.22) 3.54(5.34/5.74 2.65(4.45/4.85; 9.9 Heating '2 W - - - - - 1.34(2.94/3.24) 1.92(3.52/3.82 2.48(4.28/4.68) EER Cooling 10.3 10.6 10.3 9.8 9.9 10.1 10.2 9.6 SEER 11.5 11.3 10.6 10.7 10.2 11.1 10.2 .�- 10.6 10.5 HSPF - - - - - 7.2 6.8 7.1 6.9 COP '1 W - - - - 3.5 3.1 3.2 3.1 I Heating Heating '2 W 2.3 2.2 2.2 2.2 INDOOR .UNIT ,;: t: ,::; ,; :.: • .; •; PK12FK PK18EK PK24FK ,PK3OFK • PK36FK.• 1PKH18FK • • .PKH24FK, i.PKH3OFK PKH36FK External Finish Munsell 3.4Y7.7/0.8 Power Supply V, phase, Hz 115, 1, 60 208/230, 1, 60 Max. Fuse Size time dela A 15 15 15 15 15 15 L 15 15 15 Min. Ampacit _ 1 1 1 2 2 12 12 13 13 Fan Motor FLA 0.7 0.7 0.7 1.0 1.0 0.5 0.5 0.6 0.6 Auxiliary Heater ) - - - - - 7.6/8.4(1.6/1.9) 7.6/8.4(1.6/1.9) 8.7/9.6(1.8/2.2 3.7/9.6(1.8/2.21 Airflow Hi -Lo Dr CFM 490-350 710.530 710.530 990 -780 990 -780 710 -530 710 -530 990.780 990-780 Wet CFM 440 -320 640 -480 640 -480 890 -700 890 -700 640 -480 640 -480 890 -700 890 -700 Moisture Removal Pints /h 3.8 5.3 7.2 9.6 10.5 5.3 7.0 9.1 10.5 Sound Pressure Level HI -Lo dB(A 45-38 43 -35 43 -35 46-41 46 -41 43-35 43-35 ... 46 -41 46-41 Cond. Drain Connection OD In. , 1 1 1 1 1 _ 1 1 1 1 Dimensions W In 49 -7/32 55 -1/8 55 -1/8 66-5/32 66 -5/32 55 -1/8 55 -1/8 66 5/32 66 5/32 D in. 7 -7/8 9 -1/4 9 -1/4 9-1/4 9-1/4 9 -1/4 9-1/4 9-1/4 9 1!4 H in. 11 -13/16 13 3/8 13-3/8 13-3/8 13 318 13 3!8 13 3/8 13-3/8 13.3/8 Weight 37 53 53 62 62 57 57 66 66 OUTDOOR UNIT.;+ °:,;:, =Y : ':, ' PU12EK PU18EK PU24EK PU30EK t PU36EK:: Munsell 5Y 7/1 f PUH18E( .PUH24EK 'PUH3OEK PUH36EK External Finish Sound Pressure Level dB A 50 53 55 55 55 53 55 55 55 Power Supply V, phase, Hz 208/230, 1, 60 Max. Fuse Size time delay) A 15 t 20 20 30 30 20 20 30 30 Min. Ampacity F.L.A. 11 J 0.65 16 0.75 16 0.65 +0.65 20 0.65 +0.65 22 0.75 +0.75 16 0.75 16 0.65 +0.65 20 0.75 +0.75 22 0.75 +0.75 Fan Motor Compressor Model (Type) RH167NAB RH247NAB NH33NBD NH41NAD NH47NAD RH247NA8 NH33N8D NH41NAD NH47NAD R.L.A. 8.9 12 11.5 14 17.5 12 11.5 14 17.5 L.R.A. 29 37 54 73 87 37 54 73 87 Crankcase Heater A W) 0.11/0.12(231281 0.11/0.12(23/261 0.16/0.17(331391 0.160.17(33/39) 0.16/0.17(33/391 0.1110.12(231281 0.1610.17(33/39) 0.16/0,17(331391 0.16/0.17(33/39) Refrigerant Control - Capillary Tube D efrost method - Reverse Cycle 38 -3/16 Dimensions W In. 34 -1/4 34 -1/4 34-1/4 34 -1/4 ' 38 -3/16 34 -1/4 34 -1/4 38 -3/16 D in. 11 -5/8 11 -5/8 11 -5/8 11 -5/8 13 -9/16 11 -5/8 11 -5/8 13 -9/16 13 -9/16 H in. 25 -9/16 33 -1 /2 49 -9/16 49 -9/16 49-9/16 33 -1/2 49 -9/16 49 -9/16 49 -9/16 Weight lbs. 105 154 207 208 220 131 unit 5:1,< >r'' t.,. 202 ... 245 246 . . REMOTE CONTROLLER :, +,at:!4 4:',`,•-:: ...` <':: t . t . . . . ' VVith:indoor C ontrolVolta,e b built -In transformer); 4 , ,t.. n•oor.untt - out • oor -unit:_DC 12 :rz ,1 :.. „ / ',.. . .• REFRIGERANT/ PIPING SIZE `: ': <: ;;.;: '. ' :'.. ••-:,. 3/8x5/8 '' :,.':,, ; ,1 /2x3 /4Wiar ,. .1.:-3/ 8x5 /8. -' : '.; ..: , ." : 7 - °. • *1 Rating conditions (cooling): Indoor: 80 °F DB, 67 °F WB 95 °F DB, 75 °F WB, (heating) - indoor: 70° DB, 60 °F WB Outdoor: 47 °F DB, 43 °F WB *2 Rating conditions (heating): Indoor: 70 °F DB, 60 °F WB 47 °F DB, 43 °F WB *3 Heating capacity and power consumption in () include auxiliary electric heater operation at 208/230v. Figures in parentheses include auxiliary heat. * For 208 volt applications refer to Technical And Service Manual for ratings. Specifications are subject to change without notice. 14 �`f% / / / /l /J { JJ%/ J/ Y% f/////J/////!///// JJ/J V(l//.J / / /J //// / / /Iljl / /,! / /I /% l/.( J' f//IJfl fl JlJ /% /(' f//// lf%J/ If/ / //%J//; / /fJ // //If//J�. / / %// DEPARTMENT OF LABOR AND INDUSTRIES PHIS yBTIF THE S.THAT ON NAMED HEREON `�, IS REGISTERED AS PROVIDED BY LAW AS A .. "n1' ,, . , . . PERSON ( f � .jt .Jr�yt�.,ti T'�' J,. v.r �a �LY • � 7;: ... I, ?? ' f } '�'.,' "1 Jai e ryiy'c.= C A 1 , " s'1�1:i :a� "U -0•� fji. /.vi ri /iifiiii J �iiiiiii� /iii i /i iii i /fill•fill ."!��- .-,-... L DETACH TO DISPLAY CERTIFICATE CITY O T KWILA OCT 2 ?1997 PERMIT CENTER