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HomeMy WebLinkAboutPermit MI2000-267 - KURTTI RESIDENCE - FENCECity of Tukwila (206) 431 -3670 Community Development / Public Works • 6300 Southcenter Boulevard, Suite 100 • Tukwila, Washington 98188 Mi'SCELLANEOUS PERMIT WARDING: IF CONSTRUCTION BEGINS BEFORE APPEAL PERIOD EXPIRES. APPLICANT IS PROCEEDING AT THEIR OWN PISS'. Parcel No: 734560 -08125 Address: 12615 37 AV S Suite No: Location: Category: SFR Type: MISCPERM Zoning: LfR Const Type: Gas /Elec.: Units: 001 Setbacks: North: .0 South: .0 E Water: 125 Sewer: VAL VUE Wetlands: Slopes: N. Contractor License No: OCCUPANT OWNER CONTACT KURTTI FENCE 12615 37 AV S, KURTTI JOHN A 12615 37TH AVE • JOHN KURTTI 12615 37 AV S, * ** ** **4 ** *k***4 *4 *kyk *A * *k4.44* Permit Description: CONSTRUCT FENCE 6'3" HIGH RUNN WEST HALF OF THE NORTH PROPERTY LENGTH). **** 4 ** ** **4*** * *•*4A * *k4k* *4Ak44 *k* Permit No: MI2000 -267 Status: I `_SUED Issued: 11/09/2000 Expires: 05/08/2001 Occupancy: UBC: Fire Protection: st: .0 West.: TUKWILA WA 98168 5, SEATTLE WA 981€8 TUKWILA WA 98168 4*# * * * *.4.4 Construction Valuation: $ PUBLIC WORKS PERMITS: ',Nate Curb Cut /Acces /S i dewa 1 k /CSS : Fire Loop Hydrant: Flood Control Zone: Hauling: Land Altering: Landscape Irrigation: Moving Oversized Lord: Sanitary Side Sewer: Sewer Main Extension: 7 r Mete N N N S N N N S N N .0 Streams: Phone: Phone: 206- 244 -4312 4 -4 4 4 4 4 4 4 4 4 4 .4 4 4 4 4 4 4 '* * 4* •k 4 k• 4 4 4* 4* 4 4 :4 4 4 4 4 4 4 4 4 4 * ** ING ALONG THE LINE (]04' IN 4 4* *44.44*4 44 44 *44 44 * *4 *44444 4 k**44 444444 44444* 92.42 r Permits No: tart Time: Cut: tart Time: End Time: No: Private: Public: Listed Separate) Eng. Appr: ize(in) : .00 End Time: Fill: Storm Drainage: N Street Use: N Water Main Extension: N Private: Public: Aik4 *** *4 *4 4444444*4k A* h*** Ak* A*k 444* 4AAk44k4 kx* A4kk44k4A *M frisk bAAA*4A*4Ak44A *4k #A*44A TOTAL DEVELOPMENT PERMIT FEES: t 52.76 ' k * *'* * k * * * * * * 4 * k k k k k * 4 * * * 4 k* * A'* * * * 4 4 * * * A * '4 * * 4 4 4 * 4 * * A * * * *• * * * 4 * * * * * A * * 4 4 * 4 * A 4 4 4 4 A 44 4 * Permit Center Authorized Signature: I hereby certify that I have read in to be true and correct. All provl.i work will be complied with, whether The granting of this permit does not cancel the provision of any other st or the performance of work . I am au development perms Signature: Print Name:__, i /7 / d examined "h1 on3 of law and specified here presume to 9i ate or local 1 thorized to si r 79: 3 permit and now the :ante ordinances governing this in or not. ve authority to violate or aws regulating construction yn for and obtain this Dater: ///4-j?- e) 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 i$ suspended or abandoned for a period of 180 days from the lest inspection. CITY 0P TUKWTLA frwess: 12615 37 AV S Suite Tenant: 'Type: ' ype: titSCPERM Parcel #: 734550 -0825 - k Ab•k•h-k•kk*•k•k* *•AA**** *•kkA *fink **kAA•Ak3 *4** *°k *•AA *•A k* kk** ylrk •k•k ** * *•kk•k•Ak•k *•k•AAAACkkk Perm let: Conditions: 1. No changes will be made to the plans unless approved by the Engineer and the Tukwila Building All construction to be dohe.` in conformansce with approved plans and requirements of the Uniform Building Code (1 997 Edition) as amended, Uniform Mechanical Code (1997 Edition), and Washington St•ate.> Enerwgy Code .( 1997 Edition). Validity ofPcrrmitt. y. Tho issuance of;,a p,rrbit° or approval of plans, specif icat:ions and computations Shell not be con - strued tc qbe a pert, i t for, or an apprdval of, any ‘v i filet i on. of any , ofr'tha ,.pro► 'slobs o f thin dIbu i l d i ng code or o`F` any othoraor�Ndinance -j of,tire ,iur sdIetl�, No permit 'presuming to give inuithority to lviol,atd .,or cancel the provisions' of fthi'st coded: the l l be ..A11 L �crmi ts' ; inspection records, and approved plans site 1 aysiaSjo at the job .. site prior to the start of any cones These documents, are to be maintained and avai'1� `eb"tt�it until f Ina) inspecti,ow approvals is granted. Permit No: M12000 --257 Status: ISSUED. Applied: 11/03/2000 Issued: 11/09/2000 herebt certify that 1 have read theses conditions and w i 1 1 coin with th4te; as out l thud. Al! provisions of law and ordinances ga this wo kI wilt be ,complied W1 th, whether spec if led herein or no i ; The gr ►r!t `,i,ng. of "this permit does not presume to give authority; violate 'or, canoe the provisions of any other work or local: lawn. reguiatinp:;construction or the performance. of work. CITY OF TI !KWILA Permit Center 6300 Southeenter Boulevard, Suite 100 Tukwila, WA 98188 (206) 431 -3670 FOR SEMI USE ONI Y Project Number. Permit Number: M12�X1 -2A�� 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. Project Name/Tenant: Ku r-j4 i 1,641 Description of work to be done (please be specific): `n S Q / e- woo ad e, d. �,,° &' 3" A //• /DV','ei /elf � We J7.4a/,' o 1 n a r 7L 4 p roped/ /1/14, Will there be storage of flammable/combustible hazardous material in the building? ❑ yes fa no Attach list of materials and store: a location on separate 8 1/2 X 11 )a Jet Indicadn uantities & Material Saki data Sheets Value of Construction?? 9v viz Site Address : /2Ci (5•- 3716 JA„ 1 C City State/Zip: Tax Parcel Number: Phone: (2 0ti) O VV Yd /a. cell - GGY'S7 /Y Property Owner: T O I N )/u r �L / f�f l'� T City / State/Zip: Street Address: /� 9 City State/Zip: Fax If: ( ) Contractor: owne-r Phone: ( ) Street Address: City State/Zip: Fax #: ( ) Architect: 0w e Phone: ( ) Street Address: City State/Zip: Fax #: ( ) Engineer: 0W net Phone: ( ) Street Address: City State/Zip: — Fax #: ( ) Contact Person: n e r Phone: ( ) Street Address: City State/Zip: Fax #: I MISCELLANEOUS PERMIT REVIEW AND APPROVAL RE +UESTED: (TO BE RILED OUT BY APPLICANT) Description of work to be done (please be specific): `n S Q / e- woo ad e, d. �,,° &' 3" A //• /DV','ei /elf � We J7.4a/,' o 1 n a r 7L 4 p roped/ /1/14, Will there be storage of flammable/combustible hazardous material in the building? ❑ yes fa no Attach list of materials and store: a location on separate 8 1/2 X 11 )a Jet Indicadn uantities & Material Saki data Sheets ■ Above Ground Tanks A Antennas/Satellite Dishes Bulkhead /Docks • Commercial Reroof ❑ Demolition Fence ❑ Manufactured Ftousin •Rtplacemerit only ❑ Parkin : Lots Retainln Walls ❑ Tom era Facilities t ra Cum APPLICANT RE UEST roR MISCELLANEOUS PUBLIC WORKS PERMITS - Channollzatlon/Strlping ❑ Flood Control Zone ❑ Landscape Irrigation ❑ Storm Drainage ❑ Water Meter /Exempt #� ❑ Water Meter /Permanent #, ❑ Water Meter Temp #_ ❑ Miscellaneous Ll Curls cu /Access/Sidewalk Fire Looi:/i- 717 (7aln Io vaultIN: Size(s): ❑ Land Altering: 0 Cut cubic yards 0 no cubic yards 0 stl, (t.grading/cioaring ❑ Sanitary Side Sower 0: ❑ Sewer Main Extension 0 Private 0 Public ❑ Street Use ❑ Water Main Extension 0 Private 0 Public 0 Deduct 0 Water Only Sixths): Size(s): Size(s): Est. quantity: gal i Having Oversized Load/Hauling Schedule: MONTHLY SERVICE BILLINGS TO: Name: Phone: Address: City / State/Zip: 0 Water 0 Sewer 0 Metro 0 Standby WATER METER DEPOSIT/REFUND BiLLING: Name: Phone: Address: City /Sta e/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 editioni. No application shall be extended more than once. Date application accepted: 9/9/99 miscpmr.doc Date application expires: Applic • n en by: (initials) ALL MISCELLANEOUS P'RMIT APPLICATIONS MUST BE SUBM 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.) ❑ 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, 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 by the State of Washington, a notarized fetter from tho;property owner authorizing the agent to submit this .permittpplication and obtain the permit,wiil be re utrc� curt 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. BUILDING OWNER O: SIIRMII APP/ I( /TMON AND REQUIRED ( HE( KI ISIS FO 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 , PfRMII REVIEW Submit checklist No: M -9 ❑ , Antennas /Satellite Dishes Submit checklist No: M -1 ❑ Bulkhead /Dock Submit checklist. No: M -10 ❑ Commercial Reroof Submit checklist No: M -6 ❑ Demolition Submit checklist No: M -3 ©.�' Fences - Over 6 feet in Height Submit checklist No: M -9 ❑ Land Altering/GradingiPreloads Submit checklist No: M -2 ❑ 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 Parking lots . Submit checklist No: M-4 Retaining Walls - Over 4 feet In height Submit checklist No: M -1 ❑ Temporary Facilities , Submit checklist No: M -7 ❑ Tree Cutting; Submit checklist No: M -2 ❑ 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, 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 by the State of Washington, a notarized fetter from tho;property owner authorizing the agent to submit this .permittpplication and obtain the permit,wiil be re utrc� curt 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. BUILDING OWNER O: T RIZED AGENT: Print me " ,'" Phone: (0) ,i2 ' it J/ Fax N: ( i Addra><s: 2 (o / 33 _,.._, , S._,r._, ,.., _ 161=e, City/State/Zip: ,, L) ,. 9 �?) j c „ _.._.: , /4 ,y, 9/9/99 fl4LwprfU.doc • 4444*444444 4* * *A ** ***4 4.4 A* 4* 44.4444 * *4 *6 4 *4* AA.4444** *444* E XTY OF TUKHILA, Wry TRANSMIT *4#4*44444+444 *4 *4*4,44,44 4 '� fit" �4a/." c944**444*444444******AkA44 TRANflMIT. Nuntiwr s . R900.0lf8 Amount t' 32.76 1 i /09/00 16,47 I ya►ont Methods CHIC Note l on: LINDA IIUERTtX Inits 71.0 .' • �: 3 . V r H .• -. , « f r I, r r •- on. r 1.. • s • �I r M — M . • M . I • H ♦ i S. M ♦ 1. M .... /. .+ .. • .. L. I . 5 I • • / Y / . • ...... .. M . .. •. J I .a .r Permit` No, MI2000'•267 'typo: Immf3CNIi1t14 I4X 4C t LANt:ntlg I'I HHrt fierce! Na s 724560. 0!625 E #, Addheet s 12615 : 37 AV 6 Tote! Fester 32..76 32.76 Tot ALL Fntets 52.76 enCeX .00 4* 444** 44#4 44 44* oo d,64dp,1 *o***4*4 * *4A40.'44*44* ilaio:',pNymont; ****11441,,,4*** A* ApcounIt Code 000/3220100 t 00O /iii 6.r )04. hear pt Ion fUXI.;f}xNtt N Il t'C9 Mill, BUILDING DUI CHARGE .. wr F•rn41..•..40M*4f..... w ray..;... a. Amnon t 2U.26 4.550 444""" 4hA* 4�4 hk .�+k4�4 jAPJAA*4 A *4 : A41� /,4 �br 1 44A ** �.� . f `UKM L:A, 144 TPAN9MX 1' 4 i'. #4 * * *4 *A'A,/4*4 *!444!4,4 *4A4..01 *A44 * *4.!4 +T' #I 414',1 *a *;a+'+t#144 * ** P NWT ` Nuob* is 190003(14 Amr =t,rst 4 20.00 11/03100 0806. p;aytranb..:MOthbdt CASH Not1tidnt JOHN I,IJIlffl !nib: OLH •.,,. III •n e,?II .I . wi e, II. w1 AI wo r..... r •..,.., * r. s... I. 7. i. ■..I .e I. W Y. V. I/ /1 • .. I. .• t 05 II ei ., O '.II I: N J. e. Pgrsit Not M12000-267 'fvpa, MISCPEIl i MXO4:CLLANCO is PERMIT Parcid Not 7245 60.0925 t* A d dr v n : 12615 37 ti I) Tot;41 Foos 32•7C This I' &yii int lir X0;00 Tate 1 . ALL Pots: P0.00 tlal ancaa 32.7C A A *44044 0 0 *k * *04.4444044 bA00 44404144 *444 44 *A4 40 +44k4 **0 $ tt<t~aiint Cadiz gasicni pt ion H4t itnk o 0/a416.830 I PLAN ChCCIt NOMPGf 20.00 ;.; «45 so *44 is* ,, *l..., ,........ri ,.,. .,.I, ,41 001. 0.. ,r..s . ... r.w.0 ...as0 „r,y . , ...rw..,.r� INSPECTION RECOR. ' Retain a copy with permit INSPECTION NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd, #100,. Tukwila, WA 98188 PERMIT NO. (206)431 -3670 Prat U III �'Ci"i4C�. Type pfInspe r lion: (d ar. egg' '-, ...7 f,\‘,/ Date called:1 I _CI ` 0 Special instruetlnns: Date wanted: t 1 , I r I too aomm .. ' Requesters "Zap t 2 -' 12.. pproved per appiicable dcs.---- 9-Corfecti s required prior to approval. Insp • vio i 11110MI Date: Q $47.00 REINSPECTION FEE REQUIRED. Prior to inspection, tee must be paid at 6300 Southcenter Blvd„ Suite 100. Call to schedule reins . ectlon •. RECEIVED CITY OF TUKWILA Nov - 3 2000 PERMIT CENTER kit ■��I�01111111111>1■ •11111111111110 A11111111111111111111101R 111111111i1■ ■10111111111111111111A ■11•,111111•11A'■ iti_1111111111111\1■ r►1111111111111111r1111 ■ *I_I■I_ -1 R ■11� �um alw ■11•1111'1• nammummur 11311111111111 11111111111 A1111.1111111111111! mom se i_4 X1111 Blain iniklai 111111111111111111111 111111111•1111 XII NM MI RIM MINIM 111111%1111 II AI Mil MIN!EIII 11'111111111•11111t• 1111 1111113 ■111111111111I111111111. • •AMIMIM►1aIII UMW 11. pe pima le at MOM .•11111111•■ ■11MI 111 MI IMAINUMNOWN ■r11�MINIM II 111ON t1f1.ff■ ■11rk11 ■ ■ OM MR' Ile ■11 NMI 1IME II■ ■Li NM 111 ■A!�1 k • 0MM PM • Orlawkrurl W Cost of Materials Fencing boards (cedar) $435.60 4 in. x 4 In x 8 foot (treated) $89.70 2 in. x 4 in. x 8 foot (treated) $133.56 A KWItA cr Concrete $34.80 Np4 1:006 � Cement block $48.08 parr A Angles $23.52 Screws $29.16 Total $792.42 KL2C00 --2117 THE HOME DEPOT 4705 6810 5.180TH ST. TUKWILA, WA 98188 STORE NOR. NIKE SMITH (206)575A -9200 A, 4705 00010 91495 10/00/00 SALE,I 011 704 06:39 PH INO S 734364500826 10. SCREW 734364508026 10. SCREW SUBTOTAL 7.94 TAX WA 8.600 TOTAL CASH CHANGE OUE 7.94 0.68 $8.62 10.00 1.38 I iuubiW� !i�4���n4�i�piiu�uNiHiii i VISIT OUR TOOL RENTAL CENTER. LET OUR ASSOCIATES SUPPLY YOU WITH THE TOOLS AND ADVICE YOU NEED FOR YOUR NEXT PROJECT. 043,97 THE HOME DEPOT 4705 6810 S.180TH ST. TUKWILA, WA 90188 STORE NOR. MIKE SMITH (206)575A -9200 4705 00004 24226 09/23/00 SALE 61 889 03106 PM 676000122172 4X4XGTREAT 13.000 0 $5.98 076000003112 2X4.8 LP22 24.000 0 $3.18 SUBTOTAL 154.06 TAX WA 8.600 TOTAL CHECK 2341509624 AUTH CODE 664711 13.23 $167.29 167.29 4705 04 24226 09/23/00 1775 VISIT OUR TOOL RENTAL CENTER. LET OUR ASSOCIATES SUPPLY YOU WITH THE TOOLS AND ADVICE YOU NEED FOR YOUR NEXT PROJECT. a /5"-Y, 0 I eheot %3 OS'boI It 1 6.„.4-114.4 r ,, - ;AO 61 J0U*UN1r1 16y5b X,4. d2 jUd 11. i i1L: id) Jodi 1 1trr I 410 1UIHL1 �fsxl92. v:10 b. ufLHH4% 11UL1 toILL6 1 b'li. ji4U ti4iiJ8i 01146 .14 rUn �11U.i L(iti 6JwL';? it tif'k IHk Lt,W01 r'h4a:4r 01AWIE0 ti NU. i 1N1% ii I.IJW i Nh1a III 64 .dt111 t1 10 10, !AE ar,Ait r%H 1iLi�ill5. ;o .5 e'22.. 0 05. /'2 3 Ya3 THE HOME DEPOT 4705 6810 S.180TH ST. TUKWILA, WA 98188 STORE NOR. MIKE SMITH (206)575 4705 00015 27811 09/23/00 SALE 22 424 11158 PM 099826000141 3/4X6-6 CD 196.000 8 $1.98 400020020093 BLOCK 72.000 R $0.64 SUBTOTAL 434.16 TAX WA 8.600 TOTAL CHECK 2341509624 AUTH CODE 775272 37.29 $471.45 471.45 h IINIVIINIIIqIl� qI�N�INlllll N VgIIYi�,,V VISIT OUR TOOL RENTAL CENTER. LET OUR ASSOCIATES SUPPLY YOU WITH THE TOOLS ANO ADVICE YOU NEED FOR YOUR NEXT PROJECT. L°T 0037114 THE HOME DEPOT 4705 8810 5.180TH ST. TUKWILA, WA 98188 STORE NOR. MIKE SMITH (206)575A -9200 SALE 4705 00004 24291 09/23/00 61 889 03124 PM 400020021984 60LB CONCR 20.000 8 $1.74 ITEM CORRECTION 400020021984 60L0 CONCR 400020014856 8016 CONCR 20.000 O $1.95 ITEM CORRECTION 400020014856 80LB CONCR 400020021984 60L5 CONCR 20.000 0 $1.74 SUBTOTAL 34.80 TAX WA 0.600 TOTAL CHECK 2341509624 AUTH CODE 674383 34.00 -34.80 39.00 -39.00 2.99 $37.79 37.79 IINI III IAIIIIIIIINIIIINI I IIUIIIIIIIIIIII II 47 5 04 24291 09/23/00 1775 VISIT OUR TOOL RENTAL CENTER. LET OUR ASSOCIATES SUPPLY YOU WITH THE TOOLS AND ADVICE YOU NEED FOR YOUR NEXT PROJECT. 3 9- THE HOME DEPOT 4705 6810 S.180TH ST. TUKWILA, WA 98188 STORE NOR. NIKE SMITH (206)575A -9200 SALE 4705 00005 72453 11 628 4) I*426 0 039961000026 TANK VALVE 076000122172 4X4XOTREAT 076000122172 4X4XOTREAT 076000003112 2X4.8 LP22 10.000 0 $3.18 044315823305 ANGLE 36.000 8 $0.28 099026000141 3/4X6-6 CO 24.000 8 $1.98 SUBTOTAL 131.74 TAX WA 8.600 TOTAL CHECK 2341509624 AUTH CODE 382670 10/04/00 09156 PH 11.32 $143.06 143.06 II IIII II VII IIIIIMI III IIIIIBBI I�I II��I VISIT OUR TOOL RENTAL CENTER. LET OUR ASSOCIATES SUPPLY YOU WITH THE TOOLS AND ADVICE YOU NEED FOR YOUR NEXT PROJECT. a'' PERMIT COORD COPY PLAN REVIEW /ROUTING SLIP ACTIVITY NUMBER :MI2000 -267 PROJECT NAME: KURTTI FENCE SITE ADDRESS: 12615 37 AV S Original Plan Submittal Response to Correction Letter it __ _ DATE: 11-3-2000 SUITE NO: to Incomplete Letter # _Revision # ...__ After Permit Is Issued DEPARTMENTS: Buil�Dlvision 1 L (f-1 -ov i W ks 0 DETERMINATION OF COMPLETENESS: (Tues., Thurs.) Fire Prevention h4L I(4' Structural Complete Comments: Incomplete ❑ PlanninDivision 0.47 'CO Permit Coordinator DUE DATE :A 1- 7 -2OQQ Not Applicable El TOES /THURS ROUTING: Please Route Structural Review Required REVIEWER'S INITIALS: ❑ No further Review Required DATE: APPROVALS OR CORRECTION': (ten days) Approved ❑ Approved with Conditions REVIEWER'S INITIALS: DUE DATE, 12- -2000 Not Approved (attach comments) ❑ DATE: CO CT O ON: Approved El Approved with Conditions REVIEWER'S INITIALS: DUE DATE Not Approved (attach comments) E DATE: