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HomeMy WebLinkAboutPermit M96-0142 - LATTIMAR BOBLAU" MAK, 1303 Mq(0.-•011-1-4. City of Tukwila { - Community Development / Public Works • 6300 Southcenter Boulevard, Suite 100 • Tukwila, Washington 98188 Address: 13615 52 AV S St: 01 Location: Parcel #: 000300 -0102 Contractor License No: ELECTI *233NE TENANT LATTIMAR BOB Phone: 206 251 -8547 13615 52 AV S, TUKWILA WA 98188 OWNER LATTIMAR ROBERT 29849 9TH AVE SW, FEDERAL WAY WA 98023 CONTACT SHAUN CLANCY Phone: 206 624 -3370 ELECTRONIC SALES AND SERVICE, 800 MERCER STREET, SEATTLE WA 9810 CONTRACTOR ELECTROMATIC SALES /SERVICE INC. Phone: 206 624 -3370 800 MERCER STREET, SEATTLE, WA 98109 ******************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Permit Description: UMC.Edition: 1994 Valuation: Total Permit Fee: ****** ********************************* ***** * * * * * * * * * * * * * * • * * * * * * * * * * * * * * ** Permit No: M96 -0142 Type: B -MECH Category: MECHANICAL PERMIT CHANGE OUT OF AN EXISTING BROKEN 4 TON FURNACE' WITH A DUPLICATE. • J . �cdvv to _as qh (206) 431 -3670 Status: ISSUED Issued: 10/28/1996 Expires: 04/26/1997 2,000.00 44.06 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 buildl perm i Signature: Date: f'©„, 0' Print Name: ✓Ij y,�2 Title: „; s^ 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: L ? �n 19r" la Value of Construction: 'A ciao . ea Site Address: City State/Zip: / ?? is s'allfre .s , TA,A . W4 9g/ 8'$ Tax Parcel Number: 0003 0) - • 0 / Oa Property Owner: -- (/ • 4/!L q vt,. Phone: Phone: AS"/ - D p U S T 7 Fax #: Street Address: City State /Zip: Contact Person: S/ i u� C /u� �y Phone: 69- s/- 33 70 Street Address: City State /Zip: $13J /erne, - // (4/4 '80- Fax #: 6a - - 6Y6O Contractor: c c eenyA c. S� /S ,4- so,-viLe Phone: 6a /- 3f70 Street Address: c City State/Zip: Fax #: Architect: Phone: Street Address: City State/Zip: Fax #: Engineer: Phone: Street Address: City State /Zip: Fax #: MISCELLANEOUS .PERMIT . REVIEW AND APPROVAL REQUESTED: (TO BE. FILLED OUT BY APPLICANT) Description of work to be done: fro d^ ) )� .4 . • • . _ ../ - i r% As • Wi d .,/i c Will there be storage of flammable /combustible hazardous material in the building? ❑ yes ® no Attach list of materials and st e location on se ap rate 8 1/2 X 11 Ever indicating quantities & Material Safety Data Sheets ■ Above Ground Tanks U Antennas /Satellite Dishes ❑ Bulkhead/Docks ❑ Commercial Reroof ❑ Demolition ❑ Fence IA Mechanical ❑ Manufactured Housing - Replacement only ❑ Parking Lots ❑ Retaining Walls ❑ Temporary Pedestrian Protection /Exit Systems Er Temporary Facilities ❑ Tree Cutting MONTHLY SERVICE BILLINGS TO:.:. RECEIVED Name: • Phone: CrrY OF TUKWILA Address: City /State /Zip: f i 7 1996 0 Water 0 Sewer 0 Metro 0 StandeyP CENTER CITY OF 'TUKWILA Permit Center 6300 Southcenter Boulevard, Suite 100 Tukwila, WA 98188 (206) 431 -3670 FIR STAFF USE ONLY Project Number: Permit Number: l!Ig6 ©I► } Z. Miscellaneous Permit Application Application and plans must be complete in order to be accepted for plan review. Applications will not be accepted through the mall or facsimile. • ,APPLICANTi..REQUEST.FOR MISCELLANEOUS PUBLIC WORKS PERMITS ❑ Channelization/Striping ■ Curb cut/Access /Sidewalk ■ Fire Loop /Hydrant (main to vault) #: Size(s): ❑ Flood Control Zone ❑ Land Altering: 0 Cut cubic yards 0 Fill cubic yards 0 sq. ft.grading /clearing ❑ Landscape Irrigation ❑ Sanitary Side Sewer #: in Sewer Main Extension 0 Private 0 Public ❑ Storm Drainage ❑ Street Use ❑ Water Main Extension 0 Private 0 Public ❑ Water Meter /Exempt # Size(s): 0 Deduct 0 Water Only ❑ Water Meter /Permanent # Size(s): ❑ Water Meter Temp # Size(s : Est. quantity: gal Schedule: ❑ Miscellaneous LJ Moving Oversized Load/Hauling WATER METER DEPOSIT /REFUND BiLLING: Name: Address: 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. Date application accepted: MISCPMT.DOC 7/11/96 /o /a//96 Date application expires: APP =il_. it, 'MI Application taken by: (initials) t-i `)J BUILDING OWNER O AUTHORIZED GENT: Signature: Date: /o z 9.G Print name: _ S 414/7 C�� G Phone:0_y 3 ).,. ax #: 6_3 .674 0 Address: City /State /Zip: 5e: i iil 75 oi,' in 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 . i n Antennas /Satellite Dishes Submit checklist ` No: M-1 ' . ❑ Awnings /Canopies: - No signage Commercial Tenant Improvement Permit ❑ Bulkhead/Dock ;Submit . checklist .: No: " M,10:. ‘. ❑ Commercial : Reroof. Submit checklist No: M 6 ❑ Demolition :: Submit checklis No :: M -3;' M-3a; i n Fences - Over 6 feet:in'Height Submit checklist No: "' M -9 • ❑ Land Altering/Grading/Preloads. Submit checklist : No: M -2 ❑ Loading Docks :Commercial Tenant Improvement: Permit.. Submit checklist No: H -17 in Mechanical (Residential & Commercial) Submit checklist No. M-8,: Residential only ;. H-6, 6 H -16 Miscellaneous Public Works. Permits Submit checklist ' No: H -9 ❑ Manufactured Housing RED` INSIGNIA ONLY) Submit checklist No: M - 5 ❑ Moving Oversized Load/Hauling Submit checklist . No: M - 5 El Parking Lots Submit checklist No: M -4. ❑ Residential Reroof - Exempt with following exception :ilf roof structure to be repaired or replaced Residential Building Permit Submit checklist No:. M -6 in Retaining Walls - Over 4 feet in height Submit checklist No: , M -1. , ❑ Temporary Facilities Submit checklist No: M -7 Temporary Pedestrian `Protection /Exit Systems Submit checklist . No: M - 4 ❑ Tree Cutting. Submit checklist No: M •2 ALL MISCELLANEOUS PE ' T APPLICATIONS MUST BE SUBM. D WITH THE FOLLOWING: • ALL DRAWINGS SHALL Bt 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 • CIVIL/SITE 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 architect/engineer,or, contractor licensed b y 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 CIT RECEIVED KWILA OCT 2 2 1996 PERMIT CENTER CITY OF TUF'WILA Address: 13615 52 AV St 01 Suite; Ten ant :.:L.ATTIMAR BOB Status: ISSUED Type: B..-MECH Applied: 10/22/1996 Parcel #: 000300 -0102 Issued: 10/28/1996 k****•k k•kk k k• k*' k**• k• kA• A k*****• k*• k***• k• k• k k*• k•k kk*kkk•kkkkk kkk k* *k *k*k *•4•k•k•k•.44 Permit Conditions: 1. No changes will be made to the plans unless approved by the Architect or Engineer and ,the;.,Tukwi,.la Division. 2. All permits, inspection r ecor ds, ani approved plans shall be available at the j ,ob site prior to thest'ar�t,: of any con- struction. These' docUments'aee to 'be maintained and avail- able until fin'al approval is granted. 3. All construction to be done in conformance :with approved plans and requirements. of the Uniform Bu'iiding,•Code'.( 1994 Edition),.asYamended Uniform Mechanical Code (1994 Edition), and Washington State Energy Code (1994 Edition) 4, Validit . of Permit.. The issuance,of a permit or approval of plan specifications, and computations shall 'not be con- strued to` " be a permit for, or an ,approval of, any violation of any of " the p r o v i s i o n s of the b u i l d i n g ng code or of any other , or ~dinance of the. jurisdiction. No permit peesuning to, give authority ' to violate or cancel the provisions of this code,'shal l be valid, MANUFACTURERS; INSTALLATION INSTRUCTIONS.. REQUIRED ON, SITE FOR(`THE BUILDING INSPECTORS ` REVIEW. 6. E l.ec.tri ca l:, permai is - shal 1 be: obtained through the Washington Sta,t'e Division of Labor and and all electri`cal word }will`'be t ins pect.ed:by (248-6630). ,, 7. Plumbing , mi is shill be obtained through the Seattle -Ki:no County Department of Public Health.,.. Plumbing wi 11 be inspected, by, that agency, including all gas piping (296~,4722)'.; Permit No: M96- 0142 +•a ►• k k** A**: 4* d• k**h kA*+*+• kk k khkA *k * **hA *kk*Vh*;.4hkk /A *khk ** A** * ** " . TRANSMIT k *Le k*A{eh***kkk4kA ** k* 44.06 10/2E1/96 11.:00 CITY OF TLIKWILA. 4 A (� ` (n (1 L.1 •h *k* *A *A*Ak•A** ***/Ak- **4*'* `+r'* _�c TRANSMIT Number: 89600502 'Amount: Payment Method: CHECK Notation': ELECTROMATIC Init: SLR Permit No: M96 -0142 Type: S -M4:CH MECHANICAL PERMIT Parcel No: 000300-0102 Site Address: 13615 52 AV S St: 01 Fl: Um: Total Fees: 44.06 This Payment 44.06 Total ALL Pmts: 44.06 Balance: .00 ** k*** AA +AA ***:d **Ak* *k*A *isA * * *: *k* ** * **4** *k* *k*k * *A *AAAA•h* Account Code Description Amount 000/345.830 PLAN CHOCK - NUNPES 000/322.100 MECHANICAL -- NONRES 0.81 35.25 4361 10/29 9617 TOTAL 4446 :k14.*****kh*XW*11k * *kk*k , kkhh*hhk. k *'a4,�S** *k *khk &khkkh ITY OF. TUKWILA. NA � _ Oi L`J- TRANMIT chkk *k *k *.k * * * * * * *hkkk A• Mkk ***k* • h• k+ 4hkk ***tc *fr**Ah•kkkh +Akieki TRANSMIT Number: 89600516 Amount: 42.00 12/03/96 09:17 Payment Method: CHECK Notation: ELECTROMATIC SLS Init: 3MC • __. Permit No: M96-0142 Type: H -MECH MECHANICAL PERMIT Parcel No: 000300 -0102 • Site Address: 13615 52 AU S St: 01 Fl: Um: Total Fees: B6.06 This Payment 42.00 Total ALL Pmts: 86. ' Balance:. .00 ***• A• A*************************** i<.** * ** *** * *•k * * ** * * ***•k * * * ** * *** Account Code • Description Amount 000/322400. MECHANICAL -. NONRES 42.00 R.e. n5pfic.�on 53:12 12/03.9617 TOTAL 42.00 Project: -e,\,, Type of inspect rr _ ,..---- Date Address: called:"—.- Special instructions: Date wanted: 2- V ( 5' Requester: Phone No.: INSP C I NO. -- CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 pproved per applicable codes. INSPECTION RECORD Retain a copy with permit, ■111 ckat PERMIT NO. (206) 431-3670 Corrections required prior to approval. $42.00 REINSPECTION EE REQUIRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. I Receipt No.: Date: K Project f 6.-x-tiek T of inspection j Date called: Date wanted: fn. Address: Special instructions: Requester: Phone No.: ..,.....,........... �.... e,..... �-.».......—. �,.+.«. r.,.....«............. n.. n,». � ....Mwxwe+ux�xr�nvmnee+�G'A�'�! Retain a copy with RECORD ,._. R/1? /%' L efain a c with �.1 INSPECTIO N9. PERMIT NO. • CITY TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 Approved per applicable codes. COMMENTS: Inspector: Corrections required prior to approval. Date: (206) 431 -3670 El $42,00 REINSPECTION FEE REQUIRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinsplion. Receipt No.: Date: 3 di OMMENTS: Type of insp c on: ^ / rAS i / e- / e_._ _ d2 g 71- ,^ C./ l 'J /. Gi ef .e Date called: /.60 uVu Pte, t' rr � 4‘ e. / Date wanted: /f i c Requester: n a 7 ci Micci t_;/ /c-'ef liv c--i.-7 c}- rte- -, cvs ,� cr ,, "97 S l'ii--7 tel/'? 2) ��/- ums A_ l /70 '7--7 A ,2 €! s c...,4, .e..f f e/ 4.7 6/A __• .., • s ,��r :. _ Project: 6 . 7,48.24.s.. Type of insp c on: ^ ! Address : Date called: Special instructions: Date wanted: d ; Requester: Phone No.: INSPECTION Na CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 9818 Approved per applicable codes. J J Corrections required prior to approval. inspector: I1 INSPECTION RECORD Retain a copy with permit,,,,.. (206) 431 -3670 1/4:;;Ij Date: $42.00 REINSPECTION FEE REQUIRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. 1 Receipt No.: Date: COMMENTS: No li.: you -- f jZ Swo-4 22.- E U►n" r or— 4 0‘ A )(4 - H./ tti t+FA: vre D-01: / str Ttoz.. , r ,J4--t1c o to s PE o L ro ,9 -7..q /G kID 0r- 0(44-id . 71/t,s co .jD) r: Vh Ai (M-v -- r3e� ) ef-i s7 6 to vv - i . - 2 1 c - - s A Po 11 o,-L.. P/416 r4. Of-- w n,- t� ,ofv, C, i F 11 s ) c.0 6 LAW a FF . PLA '` ) uvti m s<c�. 1 6. ice - ,)z 1 s 3-‘,.., LA Cc 1 , r rnA-1 ,iiv £14e— t"rc`D , Au .5 t) 1 uS to li/0 e,t)t. . Special instructions: �(L17` Project: `h Type of i pection: Address: 1 t, 5 ,52 Au .5 called: 1 3-98 Special instructions: �(L17` Date wanted: i _, Le 98 . p.m. Reques j Phone LI(, .3L16, INSPECTION RECORD Retain a copy with perm INSPECTION NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206) 431 -3670 Approved per applicable codes. (Corrections required prior to approval. Date:, / J/ up ( ( $42.00 REINSPECTION FEE REQUIRED. Prior to i nspection, fee must be paid at 6300 Southcenter Blvd., Suite 100, Call to schedule reinspection. I Receipt No.: Inspector: Date: 'Project: 1 ' .4-fr . . -� �,t.l� -n1&z . ( Type of Inspection: r A .1", Address: 1'6W 5.) AO.c. Date called: III#OP . r . Special instructions: C �� 1 Date wanted: a.m. Requester: Phone No.: COMMENTS: III#OP . r . ' ice. ")e e4 / a r, / GQ1 / 4- 1"2.24 1 - Cm Ail I rx.,"4 , ¢si.f / if / 1) 6,0-2.2., (e..,er Inspector: /i ` Date: / 2' i3 FEE REQUIRED. Prior to inspection, fee must 1 1 $42.'' -EINSPECTI IN SPEC ION NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 Approved per applicable codes. I Receipt No.: INSPECTION RECORD Retain a copy with perm (206) 431 -3670 Corrections required prior to approval. be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. Date: It (', � �� Project: b prril Type of inspection: :roi-• 1 1 Address' !,i 341s .52 & Date called: Special instructions: Date wanted: a p q D ( a.m'. p.m. Requester: Phone No.: INSPECTION RECORD Retain a copy with perm INSPECTION NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 OMMENTS: I lnspector: c Date: I a T I Approved per applicable codes. (206) 431 -3670 Corrections required prior to approval. $42.00 REINSPECTION FEE REQUIRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspectlon. roj t f� Ty l: •f_ins!ect •n: le- .�. !!� -. ^err )� ) v i t ze .,, ,.t A , • s Date called: • Special instructions: wanted: �� �— e r ester: (':6 Q .- 3411 4. :f INSPECTION NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 Approved per applicable codes. COMMENTS: Inspector: Receipt No.: INSPECTION RECORD Retain a copy with perm PERMIT NO. Corrections required prior to approval. CA) �v1 �� rit t t -' S Date: q Date: (206) 431 -3670 ti $42,00 REINSPECTION FEE REQUIRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. w.a.ea..owr�rsa.r.�xt . Fq 3 Ii COMMENTS:,\ Q LAI VI D E 1 �" rr .J Ai.... v,I.M ' 6 1 v� • 2 -! f kW V► I N S u ua-" !o 0 4 t"►L / n1 A,-T1 c . SI) 1""-^ ` VA Silt) C ` WI TA- VOA p-+J p S N lPLl 144 /L-- S l v 1.00 CAF . 5...4-m49. L\) hop C- A-0 1b, 9.4.61s. St'C U6.,�'. 1 ' p, i . phi N1s. 3 g 6 (tov+of- v To 6\00E. / Requester: Co (coimic_. x�a4 4- 4 (►J or --et 1.0 ....-4\ Project: / '� r � Type ;� spe ti•n: Addr: S Date called , -07 5 - 97 .—. Date wanted:.�a(o _? 7 ca Specia instructions: / Requester: Co r . Phone No.; / L / ' &SOD INSPECTION RECORD Retain a copy with perm INSPECTION NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 PERMIT NO. (206) 431 -3670 Approved per applicable codes. (.Corrections required prior to approval. $42.00 REINSPECTION FEE REQUIRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100.. Call to schedule reinspection. {_Receipt No.: Inspector: I Date: Date: P° 9 act : (,, :b 1...0, ^� / { . � m tio T of ipac meo C'_.f'LCP CL n: j e AcJdP: , �(„ fSate called: , , S/ cia(i str ctions t � . e— - �,-_ u t }� C� r . , _,, .4. I ^q 1 0 r Date wantted: l . / a .. / 4� Pmte` t � r oZ / Re '.0 R bU (s ho��nee Np,� 44.7 INSPECTIO NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 n . Approved per applicable codes. COMMENTS: Inspector: Receipt No.: INSPECTION RECORD Retain a copy with permit PERMIT NO, (206) 431 -3670 Corrections required prior to approval• T Date: Adak r $42.00 REINSPECTI • N FEE REQUIRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100, Call to schedule reinspection. Date: la_ tio&m,1 Ivicor te_51c1>4 ,�8i t.�An�eetzi'�t.0 Add a L'A 1 s: 1s-S� t . Date cal cart 1 1 SpeciaLinstructlons : "' Date w rt rZ) / c doe ,■ 6 Phone N .: 2 INSPECTION NO, CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 Approved per applicable codes, COMMENTS: 2- 3 4 / Inspector: INSPECTION RECORD Retain a copy with permit Corrections required prior to approval. ova /ato PERMIT NO. (206) 431 -3670 Date: 22„9 $42.00 REINSPECT N FEE REQUIRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd„ Suite 100. Cali to schedule reinspection. Receipt No.: Date: COMMENTS: �. r in il C 4' S 7L' U' t / S_pe instructions: ` ;(f0 �VV ,3.2- Requester5 W] e A rl Phone No.: �N 3 (0t tf h LL u/hkar" e /!1j ,r-c, A h S ) q J, _ A Pr jp a �. Type of inspection:t! , x in 1 P�ld e s2 A Date called: ' r 1 1_ 1( 0 S_pe instructions: ` ;(f0 �VV Date wanted: ... 11 II Zz- '�i(oq" Requester5 W] e A rl Phone No.: �N 3 (0t 7.41VS:=T4ALW.e iAVAd+M una.m.. a w..........—...— ....... HUwn. ln+ rv..+.....n..,.•rw*w..arts+v 1.11ft 5RON IKNOMPOSMA!6''.lJil7gL': t , INSPECTION RECORD Retain a copy with permit INSPECT ,• NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila,, WA 98188 P RMIT NO. (206) 431 -3670 Approved per applicable codes. Inspector: Corrections required prior to approval. i t,betu( t Date: /, cfc $42.00 REINSPE ON FEE - REQUIRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. Receipt No.: Date: P or j�ct: j'Y1 A e, Type of inspeetfo -• N AL }- Address: � 1IS S2- _1V 5 Date called: I1 1'9(0 pecial instructions: _ Date wanted: - c Requester ,50Wij (ILAN Phone No.: UrXX INSPECTION RECORD Retain a copy with permit INSPECTIO NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 Approved per applicable codes. Corrections required prior to approval. COMMENTS: Inspector 0 d 7o- e 4 , �-i 3 La_6 7 g 4, Date: / / / v $42.00 'REINSPECTION F REQUIRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100, Call to schedule reinspection. I Receipt No.: Date: t It SIGNATURE REGISTRATION NUMBER` i';: I' ;'E%PIRATIOd,DATE; {, • 4_1 M Th'drip ;'C 1 1: sAL.FEi!•6thi V 1 {)1 ki►Q miEetc sizA T1 LE VIA 70109 ISSUED BY DEPARTMENT OF LABOR AND INDUSTRIES unaltered copy of the original certificate. TIC SALES & ,G. q, -994 .• •.i�� S10N F *10\ ' o op s and sworn beta® �i!'s ilyf'4 x • Notary P+blics ��� i� i _i7• �� . %(/.I�1=: _ • C,iLe" My Commision Expires: �i� � �� h,. ` �' ?• .� p wAs�6%,..