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HomeMy WebLinkAboutPermit 5570 - Avent Residence - Remodel and AdditionCITY OF TUKWILA Building Division 6200 Southcenter Boulevard Tukwila, Washington 98188 (206) 433 - 'S4rj BUILDING PERMIT Work to be done le larkih'L ?Y1�_ Site Address 1 05 46TH AVENUE S. Building Use RESIDENTIAL Property Owner BILL AVENT Address 16051 46TH AVENUE S. Contractor CLEMMONS CONSTRUCTION Address 14636 16TH S.W. PERMIT # 557O Control # 89 -038 Suite # Tenant BILL AVENT (RESIDENCE) Assessors Account # 192260- 0080 -0 Phone # 244 -0890 TUKWILA,WA Zip 9R1RR #CLEMMC *147KA Phone # 431 -n1t6 % Zip 98166 / /�i/ DATE: ///1/1(/ 1 SEATTI E WA FOR BUILDING PERMIT ONLY APPROVED FOR ISSUANCE BY: S Ft. Sq. • 'Office Warehous Morehouse Retail Other Occ. Load 1st Fl. 2nd Fl, 3rd Fl. offal _ Fire Protection: ❑ Sprinklers [] Detectors Zoning '--) Type of Construction Special Conditions / Fees sq. ft. @ 1st Fl. $ sq. ft. @ 2nd F1. $ sq. ft. @ other $ sq. ft. @ other $ Total Valuation of Construction $ 6,369.00 Bldg. Permit Fee Plan Check Fee Demolition Surcharges Other Other TOTAL Receipt # c57) j $ Receipt # ROW $ Receipt # $ Receipt # 'i -) $ Receipt # $ Receipt # $ 90.00 59_nn 3.50 152.50 FUR SIGN PERMIT ONLY D Permanent (] Temporary [] Single Face Building face Double Face [] Wall Mounted (] Free Standing J Other Setbacks: Front Side Side Rear Square Footage of each sign face Total square footage of sign Special Conditions THIS PERM!I BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR IF CONSTRUCTION OR WORK 15 SUSPENDED OR ABANDONEU FUR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED. 1 HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK•WILL BE_GOMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLAT Olt CANCEL TyE PR /0yt/$_XONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR T�!EERFORMANCE OF CONSTRUCTION. ( igned�L; F) / ��i !4f��S�'— (�LiiC.L.•f.2.�!��a Date Z L _ ! L 1 hereby affirm that 11 Contractor (signature 1icensed.under pi) LICENSED CONTRACTORS DECLARATION ilp D? the Business and Professions Code, and myLlic license inf uliforce and effect. �%11/trnnY(.ya Date //1-146) �- �- — - -- - OWNER - BUILDER DECLARATION l ) 1, as owner of the property, or my employees, with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ( ) 1, as owner of the property, am exclusively contracting with licensed contractor's to construct the project. Owner (signature) Date CITY OF TUKWILA Building Division 6200 Southcenter Boulevard Tukwila, Washington 98188 (206) 433 -Wg (SP? BUILDING PERMIT Work to be done twiorilelflaciagik77))ti UE SSite Address 15.1 46TH AVE Suite it Tenant_ BILL AVENT (RESIDENCE) Building Use RESIDENTIAL Assessors Account # 192260- 0080 -0 Property Owner BILL AVENT Phone # 244 -0890 Address 16051 46TH AVENUE S. TUKWILA WA ZiP Wm Contractor CLEMMONS CONSTRUCTION #CLEMMC *147KA Phone # 431 -011f Address 14636 16TH S A ` SEATTLE, WA 1 Zip 048166 APPROVED FOR ISSUANCE BY: i iF_ , v DATE, _ FUR BUILDING PERMIT ONLY / u Y -� Yi PERMIT # 55704 Control # 89 -038 S Ft. Sq. Office torage/ e W Sare ho u s Retails Other Occ. Load 1st Fl. 2nd F. 3rd F1., Total _ _ Fire Protection: [] Sprinklers Detectors Zoning fR -1 Type of Construction Special Conditions Fees sq. ft. @ sq. ft. @ sq. ft. @ sq. ft. @ 1st F1. $ 2nd F1. $ other $ other $ Total Valuation of Construction Bldg. Permit Fee Receipt #b5•3 Plan Check Fee Receipt # ROW Demolition Receipt # Surcharges Receipt # Y Other Receipt # Other Receipt # TOTAL $ 6,369.00 $ 90.00 E 59_nn $ 3.50 S E 152.50 FUR SIGN PERMIT ONLY [[ Permanent [] Temporary [] Single Face Q Double Face [] Wall Mounted [] Free Standing [] Other Building face Setbacks: Front Side Side Rear Square Footage of each sign face Total square footage of sign Special Conditions THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR IF CONSTRUCTION OR MURK IS SUSPENDED OR ABANDONEU FUR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED. I HEREBY CERTIFY THAT I NAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERN! G THIS TYPE OF WORK WILL BE,,GOMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLAT U CANCEL_ T E RO DONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR T PtAFORMANCE OF CONSTRUCTION. A'Sligned�} - l -1J.0 t'- / C -ifrL) Date 2.C//4 'yi L LICENSED CONTRACTORS DECLARATION I hereby affirm that I licenseg.undeerr /pr vi pp the Business and Professions Code, and my license is in full Contractor Isignature)� , /✓2'1vl 17.5`4 Date Z_ / //1444_1 � OWNER- BUILDER DECLARATION ( ) 1, as owner of the property, or •y employees. with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale, l ) I. as owner of the property, am exclusively contracting with Licensed contractors to construct the project. Owner (signature) Date force and effect. CITY OF TUKWILA Building Division 6200 Tukwila,,tWashingtonu198188 (206) 433 -1849 Type of Inspection Drli 4ntJ Site Address /4 d i / -1 (oTt' s . INSPE( 'ION RECORD PERMIT # S S 70 Date </ - /y' -�� Date Wanted 74444., V 'o -rc a.m. Yc/ Jc Special Instructions Project Requestor QA4c,A244Ad... Phone # Inspection Results /Comments: 4//7/,/ 'G... , A7i•✓% 7- i=! % CITY OF TUKWILA Building Division 6200 Tukwila,tWa Boulevard shinaton98188 (206) 433 -1849 INSPE " 71ON RECORD PERMIT # S 7 0 Date c- /-- /9 —r9 A l It r ipa ys r.∎ Type of Inspection .1tn Date Wanted a.m. Site Address /60 c / c % 5'_ Project a 41pj f2 Requestor (� Phone # 2 &,/c/ 01,0 Special Instructions Inspection Results /Comments: l a-1//6/ Inspector "1()----"Z— Inspection 2 Date 4- / VS/ CITY OF TUKWILA Building Division 6200 Southcenter Boulevard Tukwila, Washington 98188 (206) 433 -1849 Type of Inspection Site Address Requestor Special Instructions INSPE( ?ION RECORD PERMIT # t 0 Date h/‘ / 7 - /9 1/41/ �--- Date Wanted J (-fP-6-2 t 60S-1 L1 4- Us S . Project Phone #_? /— / a.mj p.m. Inspection Results /Comments: 0�, 7h , 9 7; '4/6- lie, u � �i 2A!- /!/d /�1 *JAW - - /4.0W -- 414- 5 4' ,-;-7,114, %t) « /? ;m GUwi/emTy /141 :re), '4 /i o v✓ 1 Inspector .��/�/.�_ Date 0-71d?4?r�'' THE FOLLOWING COMMENTS APPLY TO AND BECOME PART OF THE APPROVED PLANS UNDER TUKWILA BUILDING PERMIT NUMBER !.5-45-W7 1. No changes will be made to plans unless approved by. Tukwila Building Department. 2. Electrical work to be inspected by State Electrical Inspectors and . all required electrical permits obtained through that agency. 3. All construction to be done in conformance with approved plans and requirements of the Uniform Building Code (1985 Edition), Uniform Mechanical Code (1985 Edition), Washington State Energy Code (1986 Edition), and Washington State Regulations for Barrier Free Facility (1986 Edition). Any exposed insulation backing material to have Flame Spread Rating of 25 or less. 5. A11•permits to be.posted at job site prior to start of any construc- tion. CITY OF T116WiLA APPROVED :MAR 1989' /l^ 0,..7 &,C1�,�( .,�� RECEIVED CITY OF TUKWILA MAP, • 3 1999. f$u1LDINoa Uawr. TO: FROM: DATE: SUBJECT: ( (- City of Tukwila 6200 Southcenter Boulevard Tukwila Washington 98188 12061433 -1800 Gary L. VanDusen, Mayor MEMORANDUM �'a0-Cr anwdAS 3/27/g9 Ga.Q.P ,0urn/t l�zucua Cl2uw+urtta Agtr,46(u.D 242-4035i CQ.o..lA U_D ILOv&vcr z, ciAA IQ _ @glotrt. , 04-- 6P— 19 ctiztituld 4i, by cLu. at.., „ttL .4,_&_to 0A,mvt ciAA KAA,e-c6- {Uorr •. 4/17/61 . tip -N N is C GSMONS Came IN WA-PPP-001S.D 1 —ette -I r of _P1,4 146 73 '-D I5 E Fok. ENEC t/ GoPE 4011944(1146E ^ -? )C,4t4 k Pia) Agg4 P /• ;/W • Z a +o /U i 4[(a GZ o OJf/I iW5 .1 5D r64 uJS[ft R• . 30 (10 /T2.MEMO) City of Tukwila PLUMING DIPAIIIMOrt 62T sot lnc.nto BoiJr cyd - Tukwila, WoW peon 9e188 GOI) 413.1119 t Date: "3-S-89 File: # S9 -O S Sheet t of 1 ORDINANCE COMPLIANCE CHECKLIST Uniform Buildin Code, 195E5 Edition. PROJECT. 15IL.L AO .NT -- ADDITION 1. OCCUPANCY GROUP • / LJ 2. TYPE OF CONSTRUCTION• Vi4 E]/3. LOCATION ON PROPERTY: AUDITION LOCATION Er4. tNi/c> N/t- o,K. EA WC. BLDG. HT./ NO of STORIES• FLOOR AREA • - t - O?OtED AtiD iTIUk.J = V2Q 3+ OCCUPANT LOAD• kt,6' -1:71-n= -17) AG t -rkot Er/T,. EXITING REQMTS. Q (� DETAILED REQUIREMENTS OCCUPANCY • Er-9. TYPE OF CONSTRUCTION• \44 ET10. ENGINEERING REGS. & REQMTS• emu/. C'ortg742.'DeC'AA1.S c<.— F.;11:1„1. COMPLIANCE w/ W S E C 12. COMPLIANCE w/ Chapter 51 -10 W A C • .5C t I.,A.Z.1 tAq O, A .. . City Of Tukwlla iu,n,acrAfrMIM �°D70i1__ _°'ENO'° UNIFORM BUILDING CODE, 195Edition - AArb.Mertr{�►a�AtM 4311'11/0 PLAN CHECK Grew vuovts Coin -, TO: - %y��ll Cw►w�oyts -- 41.1-011(0 FROM: OCR `i' EN tc.� / GttAn' G-Gk Gr- DATE: et kr L F/ k c( B°( PROJECT: Sheet 2.of The following corrections and /or clarifications are required to complete the plan review. ∎(; $t 1 OV\ S Q;k- Lf v± r� IGJ rte • r � ! ©.. � IA A cVli\GV\St0 •- IS 2, u) li\a+ is c6asaln 1 ti Q- Z)cy- VOW it/Z 0± - .--"' 4r O (at'-14 WALL, . ► F S E A M / `C4 -ac3 (jJ L 4.) 1(--1- ceea tit PE- ria.klog ktoln, eR= 5,4 ‘,_■ASvk0.4-1;k ;/ 66414ci Cov>ti 1 0 V _j_ a /0.6ke kg2A m3e-- v(z0vDeege Oinak rProene.:64 witAc6i-) Olnefe, Tara_ .46% 6- (exe acte, v e ' L./ CO' Ce 1 t stn Oj �� c� c YecACIA — SG, (ND(-(-)(/‘ Building 0lvlslon gf 1 _DING PERMIT APPLE. ATION 6200 Southcenter Boulevard Tukwila, Meshington 98188 Control # jq-05? (206) -433 -1849 Site Address /6/2 1, / 6/6 nOe Project Name /Tenant l Suite# Floor# Valuation of Construction" .3,`,- ;';, 0 Assessors Account# 19,2, (,O ` (?C Q'0 Property Owner . il/ Alo p,, f Phone Address /GCS- / e/G' ,Ike -5C, / 71tAtiffi(Q( 211)4 Zip q S Applicant Cif, 01 491 s- Clew rdff-u.ctcc, Phone 1/;, / — 01 /K Address //4/4W /e2 -_ /6/ . u ' : ( 7-a Zip '/ ‘ Architect /Engineer Phone Address Zip Contractor (;be‹,/c14,:77;;; License# L� /f/'fC ` / /7 ( Phone Z 4/3/ - Address /4/63e' /‘74 ((4 Zip Class of Work: [] New ❑ Addition 0 Tenant Improvement ,'Remodel (residential) ❑ Reroof ❑ Demolition ❑ Interior Demolition ❑ Other Describe work to be done /0X/2 az GCCr/ Pa i c:n* Type of Const. (UBC) Occ. Group (UBC) Square foo age of entire building //96'c; Square footage of tenant space Building Use f-u _;; , re °,4 112 / Will there be a change of use? ❑ Yes ® No If yes, describe change of use, including square footages of changed areas Will there be storage or use of flammable, combustible or hazardous materials on the premise or area of construction? [] Yes ErNo If yes, explain I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT AND THAT I HAVE THE PROPERTY OWNER'S AUTHORIZZATION TO DO THIS WORK. c� Applicant /Authorized Agent (si gnature),In / /,- r�;?�r.d Date 3 /K:4 / (print name) Del /iv' Lc). C/Fapfsrni-p -! Contact Person (please print) .1,1ti;,- Le C/' t4 /I,61,,,.c Phone /3 / -O//6' OFFICE USE ONLY FEES: Building Permit Fee (000/322.100) $ R'D,Q o Receipt# Date Paid Plan Check Fee (000/345.830) .5c;(.040 Receipt# rO 92 A4 Date Paid % Bldg Code Sur Charge (000/386.904) 3.50 Receipt# Date Paid Energy Sur Charge* (000/386.907) Receipt# Date Paid Other ( ) Receipt# Date Paid *New construction only TOTAL /5c2.50 (OWES: $ 473.50 ) SQUARE FOOTAGE /BUILDING USE INFORMATION Square Foota•e of Entir- B i din.: FLOOR USE /Occ Type SQ.FT. o LOAD USE /Occ Type, SQ.FT. o LOAD, USE /Ocg TYD: SOFT. OCC lnAn S AL SQ.FT. I ' OCC. TOTAL TRACKING DEPT. DATE IN DATE OUT COMMENTS/ BLDG 0 -7-Sel Approved for Issuance Type of Const. _ To Mahan: Date Approved: 1 14R/81 Approved (Initials) Per letter dated FIRE Fire Protection: ❑ Sprinklers ❑Detectors PLNG 3-9-fn 3/441 Approved (Initials) $V ❑ BAR ❑ LAND USE/SEPA CONDITIONS Zoning Setbacks: N S E W Parking stalls required for: Site Tenant Space Parking stalls provided: Site Tenant Space ADDITIONAL PARKING STALLS REQUIRED: 1.119 ratr s PWD Approved (Initials) Per letter /plans dated sti'" M.M'rwe�rt.JC -a: f,}7rYtii..ac vvt i �i+i:sMVti °.a 1 tlnderatand that the P1,--.n Chock approvals are sth,itxt;to Crr -s a':. C' : ca: n end espy: -Cowl of t)tb Es dos rot v,ol ^n of any o�uQr"}i� =1 Cod(? ''fi centi'ac or'$ Copy of & y.t.r, 'J f Date..: 5� r Permit No c"GFa:lw - 1 11111111111f 11 1 11111P1i11111111111111 2 �xrr 4 m r LZ s?r 5L *i : •' £Z mill rI iodini�ii��lin ±�ii��l�� ess 14 rz ar ±tha this tai: original documont ` v,i ....4-' t 1 11111110 111111111 111111111 1 . ,. ix 1111lun 11111111 /.,,,4a" 111111 111111111111111 1111) l 1�1 10 11 NAptiNGEPYAf:Y 12 9 5 h f Z R ww U i1lni)ii1,liiiii Indio! �ii� rifili litin191t1 }x ?��rM, /.0 J }�.'^.�' .�.�-'h.. ; �;�,�.r.•'� `nJS':f.'' T t:14�., "...SJ. :'ti"v: . laSSEDMON c% 1 I TABLE NO. 25-0--NA1UNG SCHEDULE CONNECTION NAILING, 1. Joi2 to sill or girder. toenail 3-8d _ ..-- 2. Bridging to joist. toenail each end 2-8d 3. r 6* subfloor or less to each joist. face nail 244 4. Wider than I* x 6" subfloor to tech joist. face nail 3-84 5, 2* subflocit to joist ot girdtr. blind and face nail 2- I 6d 6. Sole plate to joist or blocking. face nail 16d at lb" o.c. 7. Top plate to stud. end nail 2.16d 8. Stud to sok plate 4-8, tocnr il or 2-16d, end nail 9. Double studs. face nail 16d at 24" o.c. 10. Doubled top plates. face nail I 6d at le o.c. 11. Top plates. laps and itersections; face nail 2.16d 12. Continuous header. two pieces 164 at !box. along each edge --,..-- 13. Ceiling joists to plate. toenail 3.84 14. Continuous header to stud. toenail 4-11d 15. Ceiling joists, laps over partitions, face nail 3.164 16. Ceiling joists to parallel rafters. face nail 3-164 17. Rafter to plate. toenail .....---...... 3.8d 18. I' brace to each snsd and plate, face nail 2.8d 19. 1" x 8' sheathing or less to erh bearing, face nail 2-84 20. Wider than i" It r sheathing to each bearing, face mil 344 21. Built.up MIK r studs I64 at 24" o.e. 22 Iluitt-up girder arid beams 204 at 32* o.c. at top and bottom and staggered 2.204 at ends and at each splice (Continued) CONNECTION 23. r planks 24. Plywood and partkleboard:5 Subfloor, roof and wall sheathing (10 trundag) and less 19152.4/4" w..........,•••••■■•■•■......1 lir. ve 1...1.11•••••••■•■■■•■••••■■■•.01111•1111110•4. Combination Subfloor.underlayment frantingh tie and less 6d RIlsalm....••••■•••••■■•■• 843 or 641 342 10d3 or &I4 844 25. Panel Siding to fraWlingt: 1/2" or less 5 re 6d6 'Common or box nails may be used except where otherwise stated. 2Common or deformed shank. 3Common. 4Defortued shank. 5Nails spaced at 6 inches on center at edges; 12 inches :1 intermediate supports (10 inches at intermediate supports for floors). except 6 inches at all suppot as wIsere spans are 4a inches or More. For imams of plywood and panicleboard diaphragms and shear walls, tete? to Section 2513 (c). Nails for wall sheathing may be common box or casing. 4Coitosion-resir---- ' - 1. 7Fastenerispared 3 inches on center at exit rior edges and 6 inches on center at intermediate supports. 1Corrosion-resistant roofing nails with 7116.inch-diameter bead and 1112-ineh length for 112 . inch sheathing and 13/4.ittch length for 2S/32 inch sheathing conforming to the require- ments of Section 2516 (j) 1. 9Corrosion-resistant staples with nominal Wis-inch crown and Ilia.inch length for 112.1rtch sheathing and ltn.inch length for 25/32`.inch ibrathing conforming to the requirements of Section 2516 (j) 1. L Fos s roc. C,..own.t clot- I. IT Kitt e fie LZ 9Z GZ imdinilidAY16161011016i44101A11601 1111111111111111111111111 1111T171111111Thilfill[11 111,111111[1111111111 111111 ubiant'Aa-", less clear than - thf,A due ;'` to t he:Anal the; oriLn*U doonraen 6:eat,"alr"."V"IrA*Illt "17 , #4fhloNltadlohololdim161414014111611111110161m1dini 01,474q00AtgtaililliM4VCgAVAINIORACAV2 11[1111111711111111 1111111111111111111111111111111111 9 1.0 11 ',ADU1 GFANIAIN 12 IL 9 g 47 I . ...,-. nillinI11111111111111111111111111111:11(killiti 16. I 'II ill! 1111 4 i'iS50:..?]Vli'6'74Aeg;4".je,4;.:ilfgF411.i:.;tir.'h'f..fi''! See. 3204. The use of combustible roof insulation shall be permitted, provided it is covered with approved roof covering applied directly thereto. For foam . plastic, see Section 1712. Insulation than be of a rigid type suitable for application of a roof covering. Where fire - retardant roof coverings are required, insulations shall be a type approved for the type of deck and the built -up roofing applied. Where built-up roofing is to be applied, vapor barriers shall be installed between the deck and the insulation where the average January temperature is below 45'j or where excessive moisture conditions are anticipated within the building. Attica: Access, Draft Stops and Ventilation Sec, 3205. (a) Access. M attic access opening shall be provided in the ceiling of the top floor of buildings with combustible ceiling or roof construction. The oPeningshall be located in a corridor or hallway of buildings of three or more stories in height and readily accessible in buildings of any height. The opening shall be not less than 22 inches by 30 inches. Thirty -inch minimum clear head room shall be provided above the access opening. Attics with a maximum vertical clear height of less than 30 inches need not be provided with access openings. (b) Draft Stops. Attics, mansards, overhangs and other concealed roof spaces formed of combustible constructiotr shall be draft stopped as specified in Section 2516 (f)• (c) Ventilation Where determined necessary by ;he building official due to atmospheric or climatic conditions, enclosed attics and enclosed rafter spaces formed where ceilings are applied direct to the underside of roof rafters shall have cross ventilation for each separate space by ventilating openings protected against the entrance of fin and snow. The net free ventilating area shall be not less than to so of the area of the space ventilated, except that the area may be Woo provided at least 50 percent of the required ventilating area is provided by ventilators located In the upper portion .:f the'spare to be ventilated at least 3 feet above cave or comice vents with the balance of the required ventilation provided by cave or cornice vents. 'The openings shall be covered with con osion•resistantmetal mesh with mesh openings of ill heals in dimension. Smoke and 0•taatveattng See. 3206. (a) When Required. Smoke and heat vents shall be installed in accordance with the provisions of this section as follows: 1 • In single -story Group B, Divisions 2 and 4 Occupancies having over 50,000 square feet in undivirted area. EiCCEPTIONSr 1. Office buildings and retail sates areas. 2. Group B Division 4 Occupancies used for bulk Ileum food storage when the building is protected by a complete automatic' sprinkler system. z OL G144' G X (11,- t.1.) (�U 111IDC(.C7 RCU1'MtI�S, - Dw6L.E GL&tt c, -rbvpicu Pt EA, b Gi_ zA F_XC,F D 2, o OF P./._00. A 'A V2.K■rj X 1t 1t.AT( t,1 i O 174 °ci wt LIVY or (JPWtLN APPROVED MAC 1 198 SA 1W BOIL tN 7 1 SION Plc, TREATED 1,0 COD, o ectt Mill, c d( CC, .r_ To SEGO 1AeSG, -5E1251(P RECEIVED try OF l'Utt*WSLA MAR 3 196 INALDItal 10 INS INCH Ii 11111 I 11111111111111111111 11111 1III'��1. i1�' 11 11 9 easclear "Chan thJs origin do ument. Li L 9 S r 1111 i? n#nn: l01111111011ulllliiliiniliriH1 '111in l)Jil►iinf 1111111illiailliillii Iii • f36 LZ 9i' SL hZ £Z 111"111611111111111111111111 ii01111l z iFr; i 1011111111111 III;_ 11 MADE IH FR„n.,r 12 •