HomeMy WebLinkAboutPermit M94-0077 - THOMPSON ROBERT• • '"":-,;'?",-!.,X,
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11.1116
I R ()EERY
City o f 7�kwll�-
Community Development / Public Works • 6300 Southcenter Boulevard, Suite 100 • Tukwila, Washington 98188
Address: 3115 S 133 ST
Location:
Parcel #: 734660 -0230
Contractor License No: BRENNHC077NC
TENANT
Permit No: M94 -0077
Type: B -MECH
Category: RES
THOMPSON ROBERT
MECHANICAL PERMIT
OWNER THOMPSEN ROBERT
3115 S 133RD ST, SEATTLE. WA 98168
CONTRACTOR BRENNAN HEATING
4601 S 134 PL, TUKWILA, WA 98168
CONTACT DONNA JACK
4601 S 134 PL, TUKWILA, WA 98168
*************************,****************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
Permit Description:
INSTALL 75,000 BTU FURNACE
INSTALL 70,000 BTU FURNACE
HOT WATER TANK 40,000 X 2 EACH
UMC Edition: 1991 Valuation:
Total Permit Fee:
******************************************** * * * * * * * * * * * * * * * ** * * * * * * * * * **
t Center uth orTze A
Permi a
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 I am authorized to sign for and
obtain this bu c ' permit.
%
Print Name: -1+e _ ' Oy. Title:
Signature:
Suite:
te: c —9c
(206) 431-3670
Status: ISSUED
Issued: 06/02/1994
Expires: 11/29/1994
EXPIRED
Phone: (206)000 -0000
Phone: 206 248 -7900
Phone: 206 248 -7900
4,500.00
38.13
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.
AMOUNT
OWING:
4\(..
.i3
CONTACTED
DATE NOTIFIED
BY:
(init.)
2nd NOTIFICATION
BY:
(init.)
NOTIFICATION
BY:
(init.)
PROJECT NAME
SITE ADDRESS 5 ( ("J e (T3 --,--
SUITE NO.
PLAN CHECK
NUMBER
mq1 -ocy/q
INSTRUCTIONS TO STAFF
• Contacts with applicants or requests for information should be summarized in writing by staff so
that the status of the project may be ascertained at any time.
• Plan corrections shall be completed and approved prior to sending to the next department.
• Any conditions or requirements for the permit shall be noted in the Sierra system or summarized
concisely in the form of a formal letter or memo, which will be attached to the permit.
• Please fill out your section of the tracking chart completely. Where information requested is not
applicable, so note by using "N /A ", date and initial.
DEPARTMENTAL REVIEW
"X" in box indicates which departments need to review the project.
DEPARTMENT:;
A BUILDING -
initial review
O PLANNING
((fif
O 0a1)9
BUILDING -
final review
BUILDING
OFFICIAL
Mechanical Permit Application Tracking
) ATEI I
REVIEW COMPLETED
CITY OF TUK . ".A
Department of Development — Permit &titer
6300 Southcenter Boulevard - #100, Tukwila, WA 98188
(206) 431 -3670
PPROVE
112
_JROUTED_
INIT:
INIT:
INIT:
(2/4y
INIT: 1 C--c z
10/ /
INIT: )
UMC EDITION (year):
(564
FIRE DEPT. LETTER DATED:
SCREENING REQUIRED? 0 Yes 0 No
REFERENCE FILE NOS.:
REQ UIREMEN T
ME
CONSULTANT: Date Sent Date Approved
FIRE PROTECTION: Li Sprinklers ( Detectors ON /A
INSPECTOR:
ZONING: IBAR/LAND USE CONDITIONS? O Yes U
01/07/93
SITE ADDRESS SUITE #
VALUE OF CON TRUCT ON - $
PRQJJEC ' .'rrrFT'- NT
ASSESS•R ACCOUNT #
TYPE OF WORK: 0 New /AddRion 0 Modifications 0 Repair 0 Other: ` _
^
DESCRIBE WORK O E DONE: .
4e� I. el'fer 6/ 74
WA. ST. CONTRACTOR'S LICENSE # !3 C x N I f) e u ? i t C
..: . E >: ..:..::. <: ...., .:::. RA"I'iN IZE; : :. ... : : :. :�; :< > :; :> ' .UF > UNITS : :; :;__
PLAN CHECK FEE
�� T_ ' '•»
OTHER: .;.: !.. .
sif , . - r .
BUILi31 G USE (office, warehouse, etc.)
I0`ji <1(
NATUR " OF BUSINESS:
WILL THERE BE A CHANGE IN USE? 0 No 0 Yes IF YES, EXPLAIN:
WILL THERE BE STORAGE OR USE OF FLAMMABLE, COMBUSTIBLE OR HAZARDOUS MATERIALS IN THE BUILDING?
IF YES, EXPLAE1 No 0 Yes
PROPERTY OWNER ( i (i.� 1 ` ")C l�I
PHONE,2�/
PHONE (i
3.. ; C:' 1
ZIP'
(s.-. 7 l
ADDRESS ;31 c' � ' a :z L `
CONTRACTOR . \ t \(i l \ _'1 (c'- -k i ,\ c -
` ,
ADDRESS > ..0 = - ' 01
L �. 1 � I
Zita / .
/S (r S
WA. ST. CONTRACTOR'S LICENSE # !3 C x N I f) e u ? i t C
EXP. DATE c 1/47
::DES.CRIP.TION
:,:::::::AMOUNT.:::::::
RCPT:: •#.
;DATE :::'
BASIC :PERMIT! FEE
$15.00
UNIT(S) FEE
PLAN CHECK FEE
OTHER: .;.: !.. .
:::::TOTAL::::: .
:
U
_lam
CITY OF TUKWILA " le—
Department of Community Development - Building Division
6300 Southcenter Boulevard, Tukwila WA 98188
(206) 431 -3670
.P NUMBER
K ( Oci1
APPLICATION MUST BE FILLED OUT COMPLETELY
HEREBY CERTIFY THAT I HAV :READ AND ,EXAMINED THIS APPLICATION AND KN
D CORRECT AND f AM'AUTHORIZED TO APPLY>FOR THIS PERMI : :..:
BUILDING OWNER
OR
AUTHORIZED
AGENT
SIG TURE
PRINT INA E
CONTACT PERSON \ 1 , \ (
DATE APPLICATION MOE : • e*I WSLA
PERMIT CENTER
C
ADDRESS (A t(•'l `2)
MECHAR,. CAL PERMIT
APPLICATION
Mechanical Fee Worksheet must also be filled out
DAT
and attached to this application.
FEES (for staff use only)
PPLICATION EXPIRES
SAMETCt BE:T
DATE Cj
PHONE (.9 ( 1 5' 7 i C(
CITY/ZIP7 () 576
PHONE ( •
APPLICATION SUBMITTAL In order to ensure that your application is accepted for plan review, please make sure to fill out the
application completely and follow the plan submittal checklist on the reverse side of this form. Application and plans
must be complete in order to be accepted for plan review.
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
app!batior'. ?nc obtain the perm:t will be roqufrcd as part of this cubmf:tz 1.
VALUATION OF CONSTRUCTION The valuation is for the work covered by this permit and must be filled in by the applicant. This
figure is used for budget reporting purposes only and not to calculate your fees.
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 304(d) of the Uniform Mechanical Code (current
edition). No application shall be extended more than once.
If you have any questions about our process or plan submittal requirements,
please contact the Department of Community Development at 431 -3670.
COMMENTS: ' S Ho P
1
P AN/tor cl AR A tJ i .
2
O & t ►.1 "'1...t.—.1 tUCAt like Pt-avAL.- .
_
Specia nstructions:
RO u5c'
am. p.m.
a 67-)a ' fj 6 tecrAl caL - AP e#tovAL .
2J
/1.4s YILL -Slica Ynti"7r4t— S fit G L0 a∎k L u v era,..
- cAIt-tJA c PANb"t_ (1-Cr -A t � e■FdL. 5 pert -.5.
g
C.AUkt -- ALL-- ..p .Jatr1Ts .
4-
1 - 4Su[.ATE L.). Lp '9 frt ThL. CV Cr.
5)
1pIS UtATe pt.t C.1 / ( " /nls Ar/9 Z"
/S /. Chu ( A-) fez_.. UJA • s • e e.G Cato .
rote ) ' lG6,u acee.
YPe o nspe� /4
_
Specia nstructions:
Date Wanted f Z ? �/
�`�
am. p.m.
Requester:
Phone No.: ( — 5e) 7'7
r .
I SPECTIO O.
❑ Approved per applicable codes.
I Inspector:
INSPECTION RECORD C
Retain a copy with permit
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188
•
Date:
Date:
0677
PERMIT NO.
(206) 431 -3670
&Corrections required prior to approval.
❑ $30.00 REINSPECTION FEE REQUIRED. Prior to reinspection, fee must be paid at
6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
Rece01 No.:
*+*»k+ah**************k**********+**+***++***+****+*+****4*****+
CITY OF TUKWILA, WA TRANSMIT:
********+***********************
TRANSMIT Number: 94000633 Amount: 38,.13 O6.03/9»^ ��
4u�
permit No: M94~0077 Type: B~NECH MECHANICAL 'PERMIT •
Parcel Na: 734660
Site Address: 3115 S 133 ST
Payment Metho6:' CHECK . Notation: oRENNQN HEATING |nit: GLB
+*****
Account Code Description
000/345.838 PLAN CHECK ~ 8EG '
000/322.100 ` MECHANICAL - RES
Total IThis Payment):
Total Fees:
Total. Atl Payments:
' BalanCe:
38.13
38.13
.00
Paid
7.63
30.50
38.13
•
GENERA 38.13
TOTAL 38.13
CHECK ^ ' 38.13
CHANGE D°0D
2422A000 ''09:37
.C •
CITY OF TUKWILA
Address: 3115 S 133 ST Permit No: M94-0077
Suite: •
Tenant : THOMPSON ROBERT Status: ISSUED
Type : B-MECH Applied: 05/23/1994
Parcel #: 734660-0230 Issued: 06/02/1994
**************************************************************************
Permit Conditions:
1. No changes will be made,„,t.o.Oliki:1474:*Jas,approved by the
Architect and the JultWA*Blldlii
2. Plumbing permit stIOVbe obtained through
County Depart ii Pub c,' He 41 t h Plumbing 4A4,10:ke
inspected by., agefic's/A''ocii, udin all p iping
• (296 ; ("„it
3 . bE 1 ectri ca t it' be o d ' ,, the„L'"Wash ii4(t
14( on
‘ ,, \A
State D of Labor d I t,l.clu st ries and all electrical o
work wiifYybe,)-14*App e . eite by th"ekt agency ( 248 - 68qo
4'. 'All pe inspection records, and approved PJaii'e,stfh 1 l'It4
am 1 ntgln'eVava i 1 ab.l'e site pri to the.. ste;kto •4\\
g
any c,onstru.Ot on4, These - docUMents are to be maintained
ava 1 final ,inspectOn I s granted.
5. Any i fe oS e d nsii 1 ati o b a.ok,i)tig ma t,er1 al shall have a Flame
SprO`d Rating of 25 , material shall bearz ident'i-
ficat'ion showing the pe .Irtl.r4, thereof 1V11
6 . A l s t rup t I]ocr be d on eMi,n . 66 nfOrM011: e with app roved
p 1 $ and rements Uniform i„Building Code (1991'
Edition) as amended by4th ngion StateBuilding jY,e,11
Un i\fO'rmtlechani On.).,„ and Wash ington State
En ergy Code'„ (1991 ti ons), . ,' i e)
7. Va 1 )41 ty Of'tPermit. The issuance', 'Of approval of
p anS4:' i t ions and comp u tA noit • b
strued\ permit for, or an /4.1 pr.:6V g1 violation /At
of ank provisions of this jOode or of any other 4M'
ordinance . of j u r i s d i c t i o n . No permit 0-eS1:. to g v ec4
author'it*or '''vJolate:."or cancel the provi sions ••''Of this code
41// • •
shall bi,‘ Aia d
4'
8. MANUFACTURERS INSIALLATION INSTRUCTIONS REQUIRED 'ON S ITE,'.'.'
FOR THE BUILDING 'INSPECTORS' REVIE.W,
9. VENTILATIOW;45REOUIRED FOR ALL ROOMS AND SPACES OF .NEW:'
OR EXISTING BUILDINGS IN CONeORMANCENITH THE UNIFORM''
BUILDING CODE ANDoir,F,i,E,. WASHINGTON :} STATE vENTILAT4ok:p.AND
INDOOR AIR QUALITY -Z:',PQD,E., CHAPTER' 51113' WAC
.• J ". ..iSM� //i /"�,. f
:G ;f-:�1 i. �//�r . .t v y�'q -aNr7
HEAT LOSS ITEM
�1 M!•'Yi'w
.11.7....riyy...
'U' OR 'F'
VALUE
, ti'r+'�.'-7'f'.r
�/liht�E.7
HEAT LOSS
FACTOR
(46° A TI
; y2y
"� J�.•:K.'3.�: �rdV�iG.�r�4r.'.'�•.9�•l:
SQ. FT. (SF)
LINEAR FT. (LF)
CUBIC FT. (CF)
'h'S .,` t 4'�Sta ,
HEAT LOSS
(STU /HR)
f vr.� , .
:. !'.w '•'�'J 1��
.• �"Ve
HEAT LOSS ITEM
: . 344 . x " .;
r ri1nl�
'U' OR 'F'
VALUE
-Cep.4
..�r1ti.4iL.l:.a.4.•1J'Jd4��.
HEAT LOSS
/ACTOR
(46• a TI
* p er .
SQ. FT. (Sr)
LINEAR FT. (IF)
CUBIC FT. (CF)
ryr"
++.iw� -
HEAT LOSS
(STU /HR)
Windows Skylights & Doors
1 200
PI ., r (Continued)
Single Pane
• sr
Concrete Slab
Double Pane
(Per Ft. of Perimeter)
_r
.730
33.6
Metal Frame
.900
41.4
St
On Grade - No Insulation
LP
Wood or Vinyl trams
.750
34.5
SF
On Grade • R•5 Perimeter
.500
26.7
LF
_
Wood Dr. I )'i" Solid Cum
.330
,.2
Sr
On Grade • R -10 Perimeter
.540
24,0
_ _
LF
Wood Dr. 1b'" W./Panels
Metal Dr. W.'O Ther Break
.570
.400
Of 6,2
Etargiagre
Below Grade - UnInsulated
,530
24,4
r F
Other
MAW- K'
u
I
L
!wr
S 4fY 'rt
Other.
'• - ',' :, ' 'j�' ='�' -:., ",; ; `-',r
.,5.10
li ":
11 t, s �r.
�', fi i '(
I nIIIIratIon Per Cu.Ft of Volume)
�t�
r
Walls (Net Arta) .r
Pre 1900 1.2 ACM
.022
1,0
• r cr
_
-
Wood Studs • Above Grade
.250
.103
.088
r'
r 11.5
4,0
IM SF
SF
/ .
yaw w
�
, Pos11900 .6 ACH
.011
.5
C't
No Insulation
' {d'."
R•i
�
pip, ' *.�� ' ii ?t∎' �F4'.:47...i..:
r.a. c a,... P.. .. � "'.�t:w.irl'''' �tr
' 1 .. • "
SF
R
A) Total Structural Heat Lost /
DTUiHR
R - 10
.062
2.9
sr
� 7a
(Add all btu/hr from sections 1 •5,i
Concrete - Above Grade
II) Duct Lots Line A x =
Hru,HR
for DuCts within Heated Space 0%.
a
LG
No Institution
.752
34,6
SF
R =11 Furred in
105
4.11
SF
For Ducts In Unheated Spaces:
Concrete Block • Above Grade
UnInsulated Ducts '20%
No Insulation
.549
25.3
SF
Insulated to R - 5 or Less 10%
' Insulated to R•6 or More 5%
Filled with Insulation
,450
20,7
Sr
R -11 Fused In
.091
4,2
• st
For Ductc Buried In Slab 25%
Concrete - Below Grade
F ur DuC)S kxposed Directly to Outdoors, a 5% to
Unheated Spaces Factors
No Insulation
.278
12.8
SF
R -11 Furred In
,062
2.9
Sr
C) 46" A T Design Heating Load
,, DTU/IiR
R -19 Furred In
.041
1.9
SF
(Line A i' I)) P,
��•w
i li
R -10 Rigid Evterio:
.064
2.9
SF
D) Correction for Other Design Temperahrre
Other
R 7 ,�.
t ar >w
t
v, ,,
Ati G'• r t ,k',,
A T = 7 ° - Outd
0 (Outdoor Desi gn Temp) 10-_ a —�.
t ` t'r "fil' 1 '
' '• . ` ., �' ?::
'� r;•
- pp��
•�` :r •:'1'.1(7 ::gt �: ;y!, ., ::: 1�:�'''''fi
Corre.tlun rue for = a T + 46° = _ � + 46 a
Ceiling (Net Area)
E) Design Heating Load (DHL)
STU /HR
.400
1
46° A T DHL x Correction Factor
Ni) Insulation
.114
Mil
0 4 'w sr
��' v
(LIne C x Line D)
R•7
R• 1'I
091
4,2
Sr
F) Minimum Recommended Furnace Output
FTt .'HF
R•19
. 049
2,3
Sf
OHL Plus 10%Oversix(ng I'uetur
T _
``
R -30
036
1,7
SF
(Line E x 1.1)
�•••••-"'
R -30
.011
1.4
St
C) Maximum Allowed Furnace Output
DTUrHR
DHL Plus 50% Overs)dng Factor
•
Other
r line Es 1.3)
���/• -may �n.�
•-
(Cathedral > - add 20+:, arc.rr �a
�r
Floor
.134
�6.2
( e sr
J
l 4
Recommended Furnace
�� (Model 4)I
ood )mist ON Crawl
Wood
No Insulation
13.11
.056
2.6
SF
Furnace Outputs
oTU /11R
P. - 19
.041
1.9
9
R - 30
. 029
1.3
st
RESIDENTIAL HEATING LOAD CALCULATION
WES 704 /93)
Style House 0 CD C7 ' -----
RECEIVED
Heated 5t>K 00143kll(Wf , - —��
MAY 2 3 1994
PERMIT CENTER
■
BLOWER SIZING (Air Flow 75 --100 CFM per register):
Cubic r.intsnts x 33 Al Changes + 60 Minutes L
Cubic Contents x .5 Air Changes + 60 Minutes IN __
No, w/a registurr x 75 —100 - T o
Min, C.F.M.
Max. C,F,M,
C.F.M. Rug.
January 27, 1997
Donna Jack
Brennan Heating
4601 S 134 PL
Tukwila, WA 98168
RE: Robert Thompson
Dear Permit Holder :
Sincerely,
kt°1/4_,(50
Kelcie Peterson
Permit Coordinator
Sent Certified Mail #P 112 198 169
City of Tukwila
Department of Community Development
FILE c
On April 6, 1995, you were notified your permit number M94= 0077 expire on May
27, 1995. Since April 6, 1995 our records indicate that no inspection or extension
requests were made.
Due to the expiration of your permit, as of January 27, 1997 this permit is now closed
without the benefit of a final inspection. Any further work on the project will require a
new permit application submittal and additional fees. Any new submittal will require
compliance with the current edition of the Uniform Building Code.
If your project has been completed please contact the permit center for proper closure
procedures. A final inspection and approval will be required. If you have any questions
or need further assistance please contact Kelcie Peterson at the City of Tukwila Permit
Center at (206) 431 -3672
Py
John W. Rants, Mayor
Steve Lancaster, Director
■
Apr 06, 1995
DONNA JACK
4601 S 134 PL
TUKWILA, WA
98168
RE: THOMPSON ROBERT
Dear Permit Holder:
Our records indicate that on May 27, 1995 one hundred and eighty days will
have passed with no inspections having been called for under Tukwila
Mechnical Permit Number419 -0077. Unless you call for an
inspection, or obtain a written extension from the Tukwila Building
Official prior to that date, your above referenced permit will become null
and void on May 27, 1995.
If your project is complete please call for'final inspection. If you are
actively working on your project please contact our office.
If you have any questions or need further information to obtain an
extension on your permit please call the Tukwila Building Divison at
431 -3670.
Sincerely
City of Tukwila la John W. Rants, Mayor
Department of Community Development Steve Lancaster, Director
S �� , is Osby
Ac ing Permit Coordinator
Department of Community Development
6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • (206) 4313670 . Fax (206) 431
■
Oct 03, 1994
DONNA JACK
4601 S 134 PL
TUKWILA, WA
98168
RE: THOMPSON ROBERT
Dear Permit Holder:
City of Tukwila
Sh lie Bates /Sylvia Osby
Permit Technicians
Department of Community Development
John W Rants, Mayor
Department of Community Development Rick Beeler, Director
Our records indicate that on Nov 29, 1994 one hundred and eighty days will
have passed with no inspections having been called for under Tukwila
Mechnical Permit Number M94 -0077. Unless you call for an
inspection, or obtain a written extension from the Tukwila Building
Official prior to that date, your above referenced permit will become null
and void on Nov 29, 1994.
If your project is complete please call for final inspection. If you are
actively working on your project please contact our office.
If you have any questions or need further information to obtain an
extension on your permit please call the Tukwila Building Divison at
431 -3670.
6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • (206) 431-3670 • Fax (206) 431-3665
n ynra.�:fl a:
,,FROM BRENNAN HEATING
NNATINa COMPANY iNO.
LIC - BRENNHC077NC
TO WHOM IT MAY CONCERN
We want to revise our pennit submitted for the residence at:
Carol Thompson
3115 S. 133rd St.
Plan Check liM94 -0077
We would like it to read, one furnace and two water heaters. One furnace
and water tank to go in residence and other water tank to go in new structure.
Thank you,
Jam ‘ , idly
362 -7665 . 248 -7900 ! 1400- 400 -2914
4601 South 134th Place • Tukwila, WA 98168
6. 2.1994 10:12
June 1, 1994
June 1, 1994
Donna Jack
Brennan Heating
4601 S. 134th PI.
Tukwila, WA 98168
Dear Ms. Jack:
Sincerely,
Ken Nelsen
Plans Examiner
J'fcAvN .\'Ve°Ctti v..5
FAX M:. t4 . $
City of Tukwila
Department of Community Development
RE: Robert Thompson Mechanical Permit Application.
Plan check number M94 -0077
FROM: Ke 1 `S V1. .. _... DATE: , . �..I . / 41
AGS NCL 4/ u ow()
� V( P
w; rV►C�, ._V ....,..... THIS E PA ., .
FAX k: '13 I - 3 b� PHONE N:,.. 36'7n.. I . z.
John W Rants, Mayor
Rick Beeler, Director
After the initial review of the subject application, specific details on scope of work are
unclear to this department as follows.
City records indicates there are three structures on the Thompson's lot, this requires that
each appliance must be identified for it's proposed location. Please note, only the actual
single family residence may be heated unless it can be demonstrated that either of the
of the accessory structure comply to the Washington State Energy Code.
To confirm you have received these comments contact this office or submit revisions
within ten working days. Feel free to call me if there are any questions at 431 -3670, 8:30
a.m. to 5:00 p.m..
6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • (206) 431-3670 • Fax (206) 4313665
a5n ncL. dick-
Si ten ,5 I yt i t
.......?
Postage
$ . 3 •D
Cm heed Fee
1 ' I
Special Delivery Fee
Restricted Delivery Fee
Return Receipt Showing '
to Whom & Date Delivered
Return Receipt Showing to Whom,
Date, and Addressee's Address
.
. ". Q 7 S "..." :,
9:1
(fa
•
TOTAL Postage
. :lark or Date . 0:=)".2--
L rn.a.%
m69-0o
as
0
co
E
8
u .
P 112 198 169
Receipt far
Certified Mail
11 V
,. No Insurance Coverage Provided
/
. Do not use for International Mail
(See Reverse)
We)
REGISTRATION NUMBER P'`•.
' EXPIRATION DATE '
''
f.:;-13RENNHC077NQ_
EFFECTZ.VE:. DATE
•Q4/12,49.5
'08/Q3/93
' REGISTERED AS PROVIDED BY LAW, AS A:
1.
PLEASE DETACH AND SIGN
CERTIFICATE BEFORE PLACING
IN BILLFOLD
�; I3 ENNAN. °.HEATING ,. CD INC.
460 s 134TF{ PL
' TUKWILA WA 98168
SIGNATURE ' / 6
ISSUE` Y DEPARTMENT OF LABOIIAND INDUSTRIES
F625.052.00013•021
RECEIVED
Clay QF TUKWILA
M Y 2 3 1994 .,
':PERMIT CENTER