HomeMy WebLinkAboutPermit EL17-0202 - DAVID'S BRIDAL - RECEPTACLE IN CHANGING ROOM AND HAND DRYERSThis record contains information which is exempt from public disclosure
pursuant to the Washington State Public Records Act, Chapter 42.56 RCW
as identified on the Digital Records Exemption Log shown below.
EL17-0202
DAVID'S BRIDAL
17740 SOUTHCENTER PKWY
RECORDSDIGITAL
D-) EXEMPTION LOG
THE ABOVE MENTIONED PERMIT FILE INCLUDES
THE FOLLOWING REDACTED INFORMATION
Pae # Code Exem floe ,
Bdef x lanat6 Descd floe', statute/Rulle
The Privacy Act of 1974 evinces Congress'
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concern. As such, individuals' social security
Personal Information —
numbers are redacted to protect those
Social Security Numbers
individuals' privacy pursuant to 5 U.S.C. sec.
5 U.S.C. sec.
DR1
Generally — 5 U.S.C. sec.
552(a), and are also exempt from disclosure
552(a); RCW
552(a); RCW
under section 42.56.070(1) of the Washington
42.56.070(1)
42.56.070(1)
State Public Records Act, which exempts under
the PRA records or information exempt or
prohibited from disclosure under any other
statute.
Redactions contain Credit card numbers, debit
card numbers, electronic check numbers, credit
Personal Information —
expiration dates, or bank or other financial
RCW
16
DR2
Financial Information —
account numbers, which are exempt from
42.56.230(5)
RCW 42.56.230(4 5)
disclosure pursuant to RCW 42.56.230(5),
except when disclosure is expressly required by
or governed by other law.
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identity, age, residential address, social security
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number or other personal information required to
& c)
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Redacted content contains a communication
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which protects attorney-client privileged
RCW
42.56.070(1)
communications, and RCW 42.56.070(1), which
42.56.070(1)
protects, under the PRA, information exempt or
prohibited from disclosure under another statute.
DAVID'S BRIDAL
17740 SOUTHCENTER PKWY
EL17-0202
Parcel No:
Address:
City of Tukwila
Department of Community Development
6300 Southcenter Boulevard, Suite #100
Tukwila, Washington 98188
Phone: 206-431-3670
Inspection Request Line: 206-438-9350
Web site: http://www.TukwilaWA.gov
3523049005
ELECTRICAL OTC PERMIT
17740 SOUTHCENTER PKWY
Project Name: DAVID'S BRIDAL
Permit Number: EL17-0202
Issue Date: 4/28/2017
Permit Expires On: 10/25/2017
Owner:
Name:
Address:
Contact Person:
Name:
Address:
Contractor:
Name:
Address:
License No:
Lender:
Name:
Address:
KIR TUKWILA 050 LLC/KIMCO
3333 NEW HYDE PARK STE 100
PROPERTY TAX DEPARTMENT, NEW
HYDE PARK, WA, 11042
PETE MOLNER
7056 S 220 ST , KENT, WA, 98032
SEA TAC ELECTRIC INC
7056 S 220TH ST, KENT, WA, 98032-
1910
SEATAEI077RW
Phone: (253) 872-5553
Phone: (253) 872-5553
Expiration Date: 12/17/2017
DESCRIPTION OF WORK:
ADD GP RECEPTACLE TO CHANGING ROOM. RELOCATE (2) HAND DRYERS IN BATHROOMS. ALTER UP TO (6)
CIRCUITS
Valuation of single family: $0.00
Valuation of mf/comm: $3,000.00
Type of Work: REMODEL
Fees Collected: $150.15
Electrical Service Provided by: PUGEST SOUND ENERGY
Water District: HIGHLINE,TUKWILA
Sewer District: TUKWILA
Current Codes adopted by the City of Tukwila:
International Building Code Edition:
International Residential Code Edition:
International Mechanical Code Edition:
Uniform Plumbing Code Edition:
International Fuel Gas Code:
Permit Center Authorized Signature:
2015
2015
2015
2015
2015
National Electrical Code:
WA Cities Electrical Code:
WAC 296-46B:
WA State Energy Code:
,4)La
2014
2014
2014
2015
Date: Lk 1 f
I hearby 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 and obtain this
development permit a gree to the conditions attached to this permit.
Signature:
Print Na
Date: 414)15YIT
This permit shall become null and void if the work is not commenced within 180 days for the date of issuance, or if
the work is suspended or abandoned for a period of 180 days from the last inspection.
PERMIT CONDITIONS:
1: ***ELECTRICAL PERMIT CONDITIONS***
2: A copy of the electrical work permit shall be posted or otherwise made readily accessible to the Electrical
Inspector at each work site.
3: Approved plans shall be maintained at the construction site and shall be readily available to the Electrical
Inspector.
4: All electrical work shall be in accordance with NFPA 70 - NEC, and requirements for electrical installations,
Chapter 296-46B WAC.
5: When any portion of the electrical installation is to be hidden from view by permanent placement of parts
of the building, such equipment shall not be concealed until it has been inspected and approved by the
Electrical Inspector.
6: The issuance of an electrical work permit shall not be construed to be a permit for, or an approval of, any
violation of the provisions of the electrical code or other ordinances of the jurisdiction. Permits or related
documentation that presumes to grant this authority are therefore not valid.
7: Any change in the scope of work described by the electrical work permit shall require additional work
permits. Where approved plans have been issued, revisions to the plans and additional review may be
required.
PERMIT INSPECTIONS REQUIRED
Permit Inspection Line: (206) 438-9350
2100 ELECTRICAL FINAL
7003 ROUGH -IN ELECTRICAL
7002 SERVICE
7001 UNDERGROUND/SLAB
CITY OF TUKWILA
Community Development Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http;//www.TukwilaWA.gov
Electrical Permit No.
Project No.
Date Application Accepted:
Date Application Expires:
(For office use only)
ELECTRICAL PERMIT APPLICATION
Applications and plans must be complete in order to be accepted for plan review.
Applications will not be accepted through the mail or by fax.
**Please Print**
SITE LOCATION
Site Address: 17740 Southcenter Parkway
King Co Assessor's Tax No.:
Suite Number:
New Tenant:
Tenant Name: David's Bridal
PROPERTY OWNER
Name: Peter Molner
Name: David's Bridal
City: Kent State: WA Zip: 98032
Address: 17740 Southcenter Parkway
Email: pete.molner@seatacelectric.com
City: Tukwila State: WA
Zip: 98188
CONTACT PERSON — person receiving all project
communication
Name: Peter Molner
Address: 7056 S. 220th Street
City: Kent State: WA Zip: 98032
Phone: (206) 459-4729 Fax:
Email: pete.molner@seatacelectric.com
Floor.
0 Yes ❑..No
ELECTRICAL CONTRACTOR INFORMATION
Company Name: SeaTac Electric Inc.
Address: 7056 S. 220th Street
City: Kent State: WA Zip: 98032
Phone: (253) 872-5553 Fax: (253) 872-4112
Contr Reg No.: seataei077rw Exp Date: 12/17/2017
Tukwila Business License No.; 0994354
Valuation of Project (contractor's bid price): $ 2,500
Scope of work (please provide detailed information): Disconnect & relocate power to cash wrap and welcome desk.
Add GP receptacle to changing room. Relocate (2) hand dryers in bathrooms. Altering up to (6) circuits.
Will service be altered? 0 Yes m No Adding more than 50 amps? 0 Yes ® No
Type of Use:
Type of work
0 New 0 Addidon 0 Service Change 0 Remodel 0 Tenant improvement
0 Low Voltage 0 Generator 0 Fire Alann 0 Telecommunication ❑ Temporary Service
Property Served bv:
(a Puget Sound Energy ❑ Seattle City Light
W:Weemb C Penni: Appliestion Revised I.417.does
Recheck Aemry 2017
b
Page 1 of 2
RESIDENTIAL
NEW RESIDENTIAL SERVICE
❑ New single family dwellings S 155.91
(including an attached garage)
❑ Garages, pools, spas and outbuildings $83.54 ea
❑ Low voltage systems
(alarm, furnace thermostat) S61.05 ca
RESIDENTIAL REMODEL AND SERVICE CHANGES
❑ Service change or alteration $83.54
(no added/altered circuits)
❑ Service change with added/altered circuits $83.54
number of added circuits $12.00 ca
• Circuits added/altered without service change S55.69
(up to 5 circuits)
Circuits added/altered without scrvicc change S55.69
(6 or more circuits) S7.65 ca
❑ Meterhnast repair 569.62
❑ Low voltage systems $61.05
(alarm, furnace thermostat)
MULTI -FAMILY AND COMMERCIAL
Fees are based on the valuation of the electrical contract.
MISCELLANEOUS FEES
❑ Temporary scrvicc (residential) $66.30
❑ Temporary scrvicc (generator) $82.52
❑ Manufactured/mobile home service $87.98
(excluding garage or outbuilding)
❑ Carnivals $82.21
Number of concessions $11.02 ca
Each ride and generator truck $11.02 ea
***EFFECTIVE JANUARY 1, 2014 EACH
PERMIT WILL BE ASSESSED A 5%
TECHNOLOGY FEE***
PERMIT APPLICATION NOTES -
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 fcc schedules.
Expiration of Plan Review — Applications for which no pennit is issued within 180 days following the date of application shall expire by limitation.
The Building Official may grant one extension of time for an additional period not to exceed 90 days. The extension shall be requested in writing
and justifiable cause demonstrated.
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 OR ELECTRICAL CONTRACTOR:
Signature. Date:
Print Name: E�ony 0 eill Day Telephone: (253) 872-5553
Mailing Address:
7056 S. 220th Street
Kent WA
98032
City
W:\PCmtit Center\Applicaxau-14vniLMs\Permit Applications\PDFs\Electrical remit Application Revised I-1-17.doc,
Revised: January 2017
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State Zip
Page 2 of 2
CITY OF TUKWILA
Community Development Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http://www.TukwilaWA.gov
Electrical Permit No.arfro,,,,()„..
Project No.
Date Application Accepted: /r/ I
Date Application Expires: 1 14
(For office u e ail )
ELECTRICAL PERMIT APPLICATION
Applications and plans must be complete in order to be accepted for plan review.
Applications will not be accepted through the mail or by fax.
**Please Print**
SITE LOCATION
King Co Assessor's Tax No.: 2623049079
Site Address: 17740 Southcenter Pkwy., Tukwila, WA 98188 Suite Number: Floor: 1
Tenant Name: David's Bridal
PROPERTY OWNER
Name: Jason Kirby
Address: 176 E Highland Ave.
Name: David's Bridal
Phone: (407) 469-5599 Fax: (407) 469-3499
Email: jason.kirby@expeditepermit.com
Address: 1001 Washington St.
City: Conshohocken State: pA
Zip:
19428
CONTACT PERSON — person receiving all project
communication
Name: Jason Kirby
Address: 176 E Highland Ave.
City: Clermotn State: FL Zip: 34711
Phone: (407) 469-5599 Fax: (407) 469-3499
Email: jason.kirby@expeditepermit.com
New Tenant: ❑ Yes ..No
ELECTRICAL CONTRACTOR INFORMATION
Company Name: TBD
Address:
City:
State:
Zip:
Phone:
Fax:
Contr Reg No.:
Exp Date:
Tukwila Business License No.;
Valuation of Project (contractor's bid price): $ 3,000
Scope of Work (please provide detailed information): Remove power and data outlets from existing cashwrap and
welcome podium. Re -install in new cashwrap and welcome desk. Install 5 power and date outlets
Will service be altered? ❑ Yes m No Adding more than 50 amps? ❑ Yes I23 No
Type of Use: Mercantile - Retail Sales
Type of work:
❑ New ❑ Addition 111 Service Change ® Remodel ® Tenant Improvement
• Low Voltage 0 'Generator 0 Fire Alarm 0 Telecommunication 0 Temporary Service
Property Served by:
O Puget Sound Energy ❑ Seattle City Light
W:\Permit Center\Applications-Handouts\Pemtit Applications\PDFs\Glectrical Permit Application Revised I-l-17.docx
Revised: January 2017
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Page 1 of 2
RESIDENTIAL
NEW RESIDENTIAL SERVICE
❑ New single family dwellings $155.91
(including an attached garage)
❑ Garages, pools, spas and outbuildings $83.54 ea
❑ Low voltage systems
(alarm, furnace thermostat) $61.05 ea
RESIDENTIAL REMODEL AND SERVICE CHANGES
❑ Service change or alteration $83.54
(no added/altered circuits)
❑ Service change with added/altered circuits $83.54
number of added circuits $12.00 ea
❑ Circuits added/altered without service change $55.69
(up to 5 circuits)
❑ Circuits added/altered without service change $55.69
(6 or more circuits) $7.65 ea
❑ Meter/mast repair $69.62
❑ Low voltage systems $61.05
(alarm, furnace thermostat)
MULTI -FAMILY AND COMMERCIAL
Fees are based on the valuation of the electrical contract.
MISCELLANEOUS FEES
O Temporary service (residential) $66.30
❑ Temporary service (generator) $82.52
❑ Manufactured/mobile home service $87.98
(excluding garage or outbuilding)
O Carnivals $82.21
Number of concessions $11.02 ea •
Each ride and generator truck $11.02 ea
***EFFECTIVE JANUARY 1, 2014 EACH
PERMIT WILL BE ASSESSED A 5%
TECHNOLOGY FEE***
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 grant one extension of time for an additional period not to exceed 90 days. The extension shall be requested in writing
and justifiable cause demonstrated.
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 ELEC)YRICAL CONTRACTOR:
Signature: Date: 03/07/2017
Print Name' Jason Kirby '
Day Telephone: (407) 469-5599
Mailing Address: 176 E Highland Ave., Clermont, FL 34711
City State Zip
W:'Permit Center\Applications-nandouts\Permit Applications \PDF's\Electrical Permit Application Revised 1-1-17.docx
Revised: January 2017
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Page 2 of 2
Cash Register Receipt
City of Tukwila
DESCRIPTIONS ACCOUNT
PermitTRAK
QUANTITY
PAID
$404.92
D17-0052 Address: 17740 SOUTHCENTER PKWY Apn: 3523049005
$254.77
DEVELOPMENT
$254.77
PLAN CHECK FEE R000.345.830.00.00
0.00
$254.77
EL17-0202 Address: 17740 SOUTHCENTER PKWY Apn: 3523049005
$150.15
ELECTRICAL
$143.00
PERMIT FEE MULTI-FAM/COMM 1 R000.322.101.00.00 I
0.00
I
$143.00
TECHNOLOGY FEE
$7.15
TECHNOLOGY FEE R000.322.900.04.00
TOTAL FEES PAID BY RECEIPT: R11075
0.00
$7.15
$404.92
Date Paid: Tuesday, March 14, 2017
Paid By: TEAM K5 CONSTRUCTION
Pay Method: CHECK 16251
Printed: Tuesday, March 14, 2017 12:23 PM 1 of 1
CRSYSTEMS
INSPECTION RECORD
Retain a copy with permit
INSPEC ION NO. PRMIT NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-367
Permit Inspection Request Line (206) 438-9350
Project: CO 5 g OA's/
Approved per applicable codes.
Corrections required prior to approval.
COMMENTS:
614,krio•j5 rlAP e
llc AC
Inspector/��
Date:
0
7
REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
Type o 4 e orn 1�f 94-t,Addres�Date
177 oc.5.. �a P1.
Called.vt
Special tnstructio�s:
Date Wanted:
60
a.m
m.
Requester:
Phone No:
Approved per applicable codes.
Corrections required prior to approval.
COMMENTS:
614,krio•j5 rlAP e
llc AC
Inspector/��
Date:
0
7
REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
3
INSPECTION NO.
INSPECTION RECORD
Retain a copy with permit
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-3670
Permit Inspection Request Line (206) 438-9350
Project: NifckbType
of Inspection:
Address:
j aN... • pt.
Date Called:
Special Instructions:
Date Wanted:
I (a
.
p.m.
Requester:
Phone No:
nApproved per applicable codes.
Corrections required prior to approval.
COMMENTS:
PI?4f&oJ,5 epi?iteriorbiit
Os iSoe
o Jtte,�
Inspector:
Date: 0C116/17
REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be
paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection.
INSPECTION NO.
INSPECTION RECORD
Retain a copy with permit
PE MIT NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-3670
Permit Inspection Request Line (206) 438-9350
Project: AA/t D !S geLA6A,___
Type of Inspection:A'�.�
Address: 77 jO s'cr n•
�" �^
Date Called:
Special Instructions:
Date Wanted:
a. .m.
Requester:
Phone No:
ElApproved per applicable codes. LJ Corrections required prior to approval.
COMMENTS:
(24,61,L9
Inspector:
Date:
REINSPECTION PEE REQUIRED. Prior to next inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
INSPECTION RECORD
Retain a copy with permit 0202_
INSPECTION NO. P MIT NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-3670
Permit Inspection Request Line (206) 438-9350
Project: b `I Y5 gRA
�.j,�® iYl
J,��
Type of Inspection,(9 4- 1
,iyl ( �
Address: 7
/7 L� 5.�.
�!
Date Called:
Special Instructions:
Date Wanted:
00:.
Requester:
Phone No:
575, 9517 7shi0
ElApproved per applicable codes.
COMMENTS:
orrections required prior to approval.
DOI 1 CIL,46 g&19
7A-T6ket-T6c
tie- i4 64, c
P tr
Inspector:
J,��
r IG&
Date: O(/®
t7
REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be
paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection.
I
INSPECTION RECORD
Retain a copy with permit
INSPECTION NO. PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-3670
Permit Inspection Request Line (206) 438-9350
647-022,
Project: DA1 D c., S D M
Type of Inspection:.1 /
v/
Address:py.
Date Called:
/
Special Instructions:
Date Wanted:
70
Wim„
p.m.
Requester:
Phone No:
,O5 93f
ElApproved per applicable codes. Corrections required prior to approval.
COMMENTS:
5 Co Do 13Z
LfrAxr to'a(iMJe hi
4,:ach•Jp460 cpm QF
iirr
Date: 91 t7
JyJ4zEA/ iri
REINSPECTIOFEE REQUIRED.' Prior to next inspection, fee ust be
paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection.
Inspector:
SEA TAC ELECTRIC INC
1-lome Espanol Contact
Safety & Health Claims & Insurance
Washington State Department of
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Workplace Rights Trades & Licensing
SEA TAC ELECTRIC INC
Owner or tradesperson
Principals
HARGREAVES, TOM, PRESIDENT
JORDAN, TOM, VICE PRESIDENT
BEAN, ERIC, SECRETARY
BEAN, ERIC, TREASURER
HARGREAVES, TOM, AGENT
HARGREAVES, KATHERINE, SECRETARY
(End: 12/10/2008)
BURKS, ROY, VICE PRESIDENT
(End: 12/15/1995)
Doing business as
SEA TAC ELECTRIC INC
WA UBI No.
601 510 212
7056 S 220TH ST
KENT, WA 98032
253-872-5553
KING County
Business type
Corporation
Governing persons
KATHERINE
M
HARGREAVES
THOMAS R HARGREAVES;
TOM JORDAN;
License
Verify the contractor's active registration / license / certification (depending on trade) and any past violations.
Electrical Contractor
License specialties
GENERAL
License no.
SEATAEI077RW
Effective — expiration
12/16/1993-12/17/2017
Designated administrator
.................
Jordan, Thomas
License type
Master Electrician
Bond
.................
DEVELOPERS SURETY & INDEM CO
Bond account no.
798649C
Active.
Meets current requirements.
Active.
Meets current requirements.
License no.
JORDAT*914LR
$4,000.00
Received by L&I Effective date
12/03/2008 12/16/2008
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SEA TAC ELECTRIC INC Page 2 of 6
Expiration date
Until Canceled
Savings
.................
(in lieu of bond) $4,000.00
Received by L&I Effective date
12/16/1993
Release date Impaired date
N/A N/A
Savings account ID
License Violations
Infraction no.
ECHAP01667
Issue date
11/03/2014
Violation city
KENT
Type of violation
ELECTRICAL CITATION
Description
Failing to request an inspection within 3
business days after completion of the
installation or 1 business day after energizing,
whichever occurs first as referenced in WAC
296-46B-901.
Infraction no.
EW HA000205
Issue date
04/23/2014
Violation city
KENT
Type of violation
ELECTRICAL CITATION
Description
Failing to get an inspection or obtain an
electrical/telecommunications work permit or
post a provisional electrical work permit prior
to beginning the electrical/telecommunication
installation or alteration as referenced in WAC
296-46B-901.
Infraction no.
ELYOD00293
Issue date
12/24/2013
Violation city
KENT
Type of violation
ELECTRICAL CITATION
Description
Failing to get an inspection or obtain an
electrical/telecommunications work permit or
post a provisional electrical work permit prior
to beginning the electrical/telecommunication
installation or alteration as referenced in WAC
296-46B-901.
Infraction no.
EROBA00797
Issue date
07/24/2012
Violation city
KENT
Type of violation
Satisfied
.................. _.......
RCW/WAC
19.28.101 RCW
Violation amount
$250.00
Satisfied
...........................
RCW/WAC
19.28.101 RCW
Violation amount
$1,250.00
Satisfied
.........................
RCW/WAC
19.28.101 RCW
Violation amount
$2,000.00
Satisfied
......................
RCW/WAC
19.28.101 RCW
Violation amount
$1,000.00
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