HomeMy WebLinkAboutPP - 17348 SOUTHCENTER PKWY - UNKNOWN - PERMITS AND PLANS17348 SOUTHCENTER PKWY
ASSOCIATED PERMITS
19-H-226 D19-0201
19-H-225 D19-0198
D19-0255
40W%
CITY OF TUKWILA
FIRE MARSHAL'S OFFICE
206-575-4407
FIRE PROTECTION SYSTEMS PERMIT APPLICATION
Applications and plans must be complete in order to be accepted for plan review.
**PLEASE PRINT**
SITE LOCATION
Site Address: / x'38. 13i1))11 (Py) >>ek-Wer
Tenant Name:
6e ,pokP
King Co. Assessor's Tax No.:
Suite Number: Floor:
New Tenant? - Yes ❑ - No
Property Owner's Name:
Mailing Address:
City
CONTACT PERSON -if there are questions about the submittal.
Name: rievyi Day Telephone: 2..04 22`' 572-1/5
Company Name:Tjr,Qy v
State Zip
Mailing Address: jtle „>r4 -f f ) 'r)) W\\ e114/4"
1 City State Zip
E-mail Address: � SO v A ,CSI f l" c' Fax Number:
Contractor's City of Tukwila
NICET III number: Business License number: , l
Total number of new/relocated devices or sprinkler heads: t'
Valuation of Project (contractor's bid price): $
Scope of Work (please provide detailed information):
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 Fire Marshal to comply with current fee schedules.
Expiration of Plan Review -Every permit issued shall become invalid unless the work on the site authorized by such permit
is commenced within 180 days after its issuance, or if the work authorized on the site by such permit is suspended or
abandoned for a period of 180 days after the time the work is commenced. The Fire Marshal is authorized to grant, m
writing, one or more extensions of time, for periods not more than 180 days each. 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 OR WASHINGTON, AND I AM AUTHORIZED TO APPLY
FOR THIS PERMIT.
BUILDING OWNER OR AUTHORIZED AGENT:
i
Signature:
Print Name: F l'YI of) vi
Date: j/ -o7
Day Telephone: 2e %. 200
Plan Permit App.doc 8/22/14 TFD FP Form 8
SITE LOCATION
CITY OF TUKWILA
FIRE DEPARTMENT
444 Andover Park East
Tukwila, WA 98188
206-575-4407
LQLG Gippii auull
accepted:
FIRE PROTECTION SYSTEMS PERMIT APPLICATION
Applications and plans must be complete in order to be accepted for plan review.
**PLEASE PRINT**
King Co. Assessor's Tax No.:
Site Address: /7 3 4 8 SOU t I# C.e -A- /q(7 Suite Number: Floor:
Tenant Name: A',
/0745
New Tenant? j - Yes ❑ - No
Property Owner's Name:
Mailing Address:
City State Zip
CONTACT PERSON -if there are questions about the submittal.
Name:�i9/44/0
Company Name: C� SC � 479(e- -11 C
Mailing Address: Po s X 7%' 4
Day Telephone: 9 - 7j Z ^ 547
Gut
i2 5¢/2.J D 16Z1,--4C41-41P11144C 7 -cid( /
E-mail Address: � _ Fax Number: � � .6 36Stte C�
Valuation of Project (contractor's bid price): $ /40e
Scope of Work (please provide detailed information):
�(c�t(6 7/ y l� �S
l— de W e_,0045 ‘P{ Y/54/
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 Fire Marshal to comply with current fee schedules.
Expiration of Plan Review -Every permit issued shall become invalid unless the work on the site authorized by such permit
is commenced within 180 days after its issuance, or if the work authorized on the site by such permit is suspended or
abandoned for a period of 180 days after the time the work is commenced. The Fire Marshal is authorized to grant, in
writing, one or more extensions of time, for periods not more than 180 days each. 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 OR WASHINGTON, AND 1 AM AUTHORIZED TO APPLY
FOR THIS PERMI
BUILDING F. NE ' R sfji' ORIZE P GENT:
Signature -
Print Name: )eCe CQ 544,4-2
('0
Plan Permit App.doc
5/14/10
Date: 9 2 7 /
Day Telephone: 0-1
TFD FP Form 8
FIRE DEPARTMENT HOOD SUPPRESSION PLAN REVIEW COMMENTS
Project Name: Go Poke
243 Minkler BI
Permit No.: 19-H-226 C -N "1
Date: November 26, 2019
Aid _ � l
Reviewer: Al Metzler
Fire Protection Project Coordinator
(206) 575-4407 option # 2 (Inspection Requests)
(206) 971-8718 (Plan Review Questions)
• Nozzle heights above appliances to be per manufacturers installation guidelines.
• Fryers shall be installed with at least a 16 inch space between the fryer and
surface flames from adjacent cooking equipment or a minimum 8 inch high steel
or tempered glass baffle plate shall be installed between the appliances.
• Upon activation of the suppression system, the make-up air supply will shut off
and the exhaust will keep running.
• Type 1 hood systems shall be designed and installed to automatically activate
the exhaust system whenever cooking operations occur. The activation of the
exhaust system shall occur through an interlock with the cooking appliances, by
means of heat sensors or by means of other approved methods.
• Activation of the suppression system shall shunt all electrical power under the
hood as well as the gas supply.
• Install a "K" rated portable fire extinguisher within 30 ft. of the cooking equipment.
• The hood suppression system shall be monitored by a U.L. Central Monitoring
Station.
• If code compliant fire alarm notification is not already in place in the kitchen, a
minimum 110 candela horn/strobe shall be installed above the kitchen hood
suppression system manual pull station at a height of 80 inches above the floor.
• A separate fire alarm permit from the Tukwila Fire Department is required for all
fire alarm work.
• The suppression system manual pull station shall be located no closer than 10 ft.
and no farther than 20 ft. from the cooking equipment and be placed at a height
of 42 to 48 inches above the floor.
• The inside lower edge of the hood shall overhang or extend a horizontal distance
of not Tess than 6 inches beyond the edge of the top horizontal surface of the
appliance on all open sides. The vertical distance between the front lower lip of
the hood and such surface shall not exceed 4 feet.
• If cooking appliances are wheeled, the appliance wheels shall be set in tracks
permanently mounted to the floor to ensure appliance is returned to original
location if moved for cleaning or maintenance.
INSPECTION NUMBER
INSPECTION RECORD
Retain a copy with permit
PERMIT NUMBERS
CITY OF TUKWILA FIRE DEPARTMENT
206-575-4407
oL-24-7°
Project: 6.z.ej\ _
Type of Inspection: /74Q L
Address:
Suite #: ����d(
Contact Person: son: fl i„ --
Spec' I Instructions:
3
Phone No.:
Y--2qV
Approved per applicable codes.
I I Corrections required prior to approval.
COMMENTS:
rw(-- Fl�`47
Needs Shift Inspection:
Sprinklers:
Fire Alarm:
Hood & Duct:
Monitor:
Pre -Fire:
Permits: 1 ,
Occupancy Type:
Inspector41\N
jjt,314
Date: Zq x1„4
Hrs.:
$100.00 REINSPECTION FEE REQUIRED. You will receive an invoice from
the City of Tukwila Finance Department. Call to schedule a reinspection.
Billing Address
Attn:
Company Name:
Address:
City:
State:
Zip:
Word/Inspection Record Form.Doc
3/14/14
T.F.D. Form F.P. 113
INSPECTION NUMBER
INSPECTION RECORD
Retain a copy with permit
PERMIT NUMBERS
FANLO
CITY OF TUKWILA FIRE DEPARTMENT
206-575-4407
Project:4.2.‘\
--FOV--
Sprinklers:
Type of Inspection: j
neop ��2,6g'y/c.4
Address:
Suite #:
;
I(4
k
Contact Person:
Special Instru
t
ions:
Phone No.:
2g� - S-09-.
Approved per applicable codes.
Corrections required prior to approval.
COMMENTS:
Af\-2.4
Needs Shift Inspection:
Sprinklers:
Fire Alarm:
Hood & Duct:
Monitor:(1
j
Pre -Fire:
Permits:
(\ (
Occupancy Type:
Inspector:
•
Date: (j P it
ie j
Hrs.:
j
n $100.00 REINSPECTION FEE REQUIRED. You will receive an invoice from
the City of Tukwila Finance Department. Call to schedule a reinspection.
Billing Address
Attn:
Company Name:
Address:
City:
State:
Zip:
Word/Inspection Record Form.Doc
3/14/14
T.F.D. Form F.P. 113
INSPECTION NUMBER
INSPECTION RECORD
Retain a copy with permit
PERMIT NUMBERS
CITY OF TUKWILA FIRE DEPARTMENT
206-575-4407
Project:1��,' _
w` -CJ 4A ci.(S
Sprinklers:
Type of Inspection:
Sc.rniaigoia f dj
uitess: �„
Suite #: �—
,
Pre -Fire:
Permits: II
Contact Person: �'A
('`-
Special Instructions:
r _ 243
M.We -av
Phone No.:
20 (e V -- rs-
Approved per applicable codes.
Corrections required prior to approval.
COMMENTS:
gircet h)rvAille6'p„,
Needs Shift Inspection:
Sprinklers:
Fire Alarm:
Hood & Duct:
Monitor:
Pre -Fire:
Permits: II
Occupancy Type:
$100.00 REINSPECTION FEE REQUIRED. You will receive an invoice from
the City of Tukwila Finance Department. Call to schedule a reinspection.
Billing Address
Attn:
Company Name:
Address:
City:
State:
Zip:
Word/Inspection Record Form.Doc
3/14/14
T.F.D. Form F.P. 113
INSPECTION NUMBER
INSPECTION RECORD
Retain a copy with permit
PERMIT NUMBERS
CITY OF TUKWILA FIRE DEPARTMENT
206-575-4407
Project:
"
Fire Alarm:
Type of Inspection: 140_6
(
Address:
Suite #:
-
Occupancy Type:
Contact Person:
'''CAL
Special Instructions:
..A. 3 "
Phone No.:
' %q- �z
I I Approved per applicable codes.
Corrections required prior to approval.
COMMENTS:
akwh44“0.1 eTUCeVAse C 1/1<<atc a✓�X
01 tic. �� AV
ix° ?t atP a($iMi4f cLe 450
�►�,
Cc( -1 44(45
llsyJ�G(gp Tv
4-7/.7,9144( g.i3c7"149--
Needs Shift Inspectio .
Sprinklers:
Fire Alarm:
Hood & Duct:
Monitor:
Pre -Fire:
Permits:
Occupancy Type:
Inspector:
il V
'7p7(/
Date: i ie/0e*
Hrs.: /
I�;EINSPECTION FEE REQUIRED. You will receive an invoice from
ty of Tukwila Finance Department. Call to schedule a reinspection.
Billing Address
Attn:
Company Name:
Address:
City:
State:
Zip:
Word/Inspection Record Form.Doc
3/14/14
T.F.D. Form F.P. 113
J
INSPECTION NUMBER
INSPECTION RECORD
Retain a copy with permit
`-P1l7 -OZC3
PERMIT NUMBERS
CITY OF TUKWILA FIRE DEPARTMENT
206-575-4407
Project: LI
161* ,45>A(r01
Type of Inspection Y7
-tlfZ
Address:
Suite #:�/�
� SQ��Contact
Person:
Special Instructions:
1
Phone No.:
1°Q So `f - �- Z?
Approved per applicable codes.
nCorrections required prior to approval.
COMMENTS:
Needs Shift Insp ion:
Sprinklers:
Fire Alarm:
Hood & Duct:
Monitor:
Pre -Fire:
Permits:
Occupancy Type:
Inspector:
I\ k 4
ZA`1
Date: 7010-1'2.-Hrs.: %
$1.00.0b REINSPECTION FEE REQUIRED. You will receive an invoice from
the City of Tukwila Finance Department. Call to schedule a reinspection.
Billin4 Address
Attn:
Company Name:
Address:
City:
State:
Zip:
Word/Inspection Record Form.Doc
3/14/14
T.F.D. Form F.P. 113
INSPECTION NUMBER
INSPECTION RECORD
Retain a copy with permit
PERMIT NUMBERS
CITY OF TUKWILA FIRE DEPARTMENT
206-575-4407
Project:
ection:
Type of Inspection:,..-7,rd� 4
c-ro ��-
t'
Address:\
1
Contact Persons
�,�1 �n
Suite #: 0
&� (
Special Instructions:
l t
Occupancy Type:
Phone No.:
sOiCk0 /- 7ifo?'
Approved per applicable codes.
Corrections required prior to approval.
COMMENTS:
ection:
Sprinklers:
---241AokfiliPtit -49
i51/ 4
TA -t vill (4- A c. 'jsit " o. -ii
iti&C Ut1i Tau_ _51_516_4i�
iyJ -
-•-goc woc(_I,E,. yr R' oFrA,r`v17
dN-lit er rz�►� isIr',
��
Occupancy Type:
7\Nikk
cv
Needs Shift I
ection:
Sprinklers:
Fire Alarm:
Hood & Duct:
Monitor:
Pre -Fire:
Permits:
��
Occupancy Type:
Inspector: J,)\ N___401,,,,,, ---fl
Date:SaPH
Hrs.:
si .o16 REINSPECTION FEE REQUIRED. You will receive an invoice from
the City of Tukwila Finance Department. Call to schedule a reinspection.
Billing Address
Attn:
Company Name:
Address:
City:
State:
Zip:
Word/Inspection Record Form.Doc
3/14/14
T.F.D. Form F.P. 113
NOZZLE HEIGHT 42 IN
PIP SIZE . 3/8
total flow point 9
hood 10
go poke
17384 southcenter parkw
tukwilla wa 98188
Amerex kp Kp3.75 fire suppression system uI
DUCT 14x14
FUSIBLE LINKS 450
Amerex
KP 3.75
maximum flow
point 11
MFCHANICAI. GAS VALVES
16416 16416
t 1 ,
"'i 11982
6"
W
W
it
LO
X
CO
24x24
RANGE
W
W
>-
t4.
MANUAL PULL 48"
HEIGHT
All cooking equipment undder the hood shll shut DOWN when system is actuated & make up air unit K CLASS FIRE EXTI
and gas shut valve to.fire suppression system shall be connected to the fire alarm system
FRYERE NOZZL HEIGHT 36 TO 48
RANGE NOZZL HEIGHT 18 TO 50
BRILLER NOZZL HEIGHT 18 TO 48
GRIDDLE NOZZL HEIGHT 40T050 IN
Installed by Frank fire portection inc 206 229 5245
syestem install to NFPA 96 AND 17 A
A
0)
N
t\
o
c-
r-
M
�_
...
r- I
6"
W
W
it
LO
X
CO
24x24
RANGE
W
W
>-
t4.
MANUAL PULL 48"
HEIGHT
All cooking equipment undder the hood shll shut DOWN when system is actuated & make up air unit K CLASS FIRE EXTI
and gas shut valve to.fire suppression system shall be connected to the fire alarm system
FRYERE NOZZL HEIGHT 36 TO 48
RANGE NOZZL HEIGHT 18 TO 50
BRILLER NOZZL HEIGHT 18 TO 48
GRIDDLE NOZZL HEIGHT 40T050 IN
Installed by Frank fire portection inc 206 229 5245
syestem install to NFPA 96 AND 17 A
es
—
(Zs
KP DISTRIBUTION PIPING
DESIGN LIMITS FOR ALL CYLINDER SIZES
When designing a KP system to protect a kitchen containing a Fryer, Wok or Range, the following
MINIMUM TOTAL SYSTEM PIPING must be used in accordance with the chart below:
\Il. \ ti
MiNIMUPr1 pit?iiEt_�I ;eet �l. MINIMUM FLOW
APPLIANCE LINEAR FEET EQUIVALENT FEET POINTS PER SYSTEM
1 Fryer
Wok
Its
SUPPLY LINE LIMITATIONS:
6.5
10
9
22.1
7
16,4
disklbutor biodc or:the. disc han a fitfinq to the first tee.
'CYLINDER MAXlf> UM LINEAR MAX. QTY. MAX CITY. MAX. QTY.
FLOW POINTS PIPE SIZE FEET OF PIPE TEES ELBOWS BUSHINGS
KP275 - 8
3/8
20
1
5
0
KP375 - 11
3i OR 1/2
25
1
5
1
KP475 - 14
1/2
25
1
5
2
KP600 - 18
1/2
25
1
5
2
2-KP375 - 22 1/2
30
2
7
2
NOTE: 1. Use 3/8" supply line only when alt piping is to be 318" pipe.
2. The suppty `: ^ve has a maximw mal rise abrsve the dstcibutot of ft) fes.
SUPPLY BRANCH LINE (including last nozzle branch) LIMITATIONS:
All pipe and fittings leaving the first splitting tee in the system and ending with the Last nozzle in the last branch line.
While the last nozzle branch is included in the piping limitations for the supply branch line, the limitation (pipe size and
maximum length) for nozzle branch lines apply to this portion of the supply branch line.
C YiNDER
FLOW
•
PIPE SIZE
MAX. FEE! OF
PIPE STRAIGHT `v1:&.X. FEET OF
PIPE SPLIT
QTY.
TEES
MAX. MAX. Q.T`'
QTY. REDUCING
ELBOWS BUSHINGS
KP275 - 8
3/8
20
25
7
8
0
KP375 - 11
3/8 OR 1/2
27
30
10
8
2
KP475 - 1.4
31&
2.7
3t1
'b2
8
' 2 1
KP600 - 18
.
AS NOTED
35' OF 3/8" OR 1/2'
50' 318" PIPE ONLY
14
8
2
2-KP375-22
AS NOTED
40' OF Ys"
('30' OF 318")
45 OF W
(*30' OF 3/8")
18
8
0
NOTE: 1. In a single 3.75 Gallon Straight Pipe System, 5' of pipe may be transferred from the supply line to the sapply
branch line.
"2. The use of 318" pipe with two manifold KP375s is onty permitted' when the supply Line length is equal to or
less than 20 feet.
NOZZLE BRANCH LINE LIMITATIONS:
All pipe and fittings leading from the supply branch tee to a system nozzle.
CYLINDER
'FLOW PO 1Ty
9IPE SIZE
TOTAL LINEAR MAX. QTY. MAX. QTY.
i-
In TEES FL..±:30 sv
r A.A
MAX. QTY.
s'3i.7 S'- NGS
nrGio - o 37a
oc
•Y
KP375 - 11
318 OR 112
32 1 8
12
11
KP475 - 14
3/8
32 L 10
15
0
KP600 - 18
3/8
321. 11
18
15
2-KP375 - 22. , . 3/8.
32. is
18
2O
MAX. PER NOZZLE BRANCH
7 L. 3
6
4
GENERAL SYSTEM LIMITATIONS:
1. No 1/2" pipe nozzle branches shorter than 12" long..
October 2003
FRYER PROTECTION (FULL VAT) .
TWO FLOW POINT NOZZLE (P/N 13729) -
MAXIMUM AREA: 19'% in. (50 cm) x 25-3/8 in. (65 cm) including drainboard interlace area
19% in. (50 cm) x 19 In. (48 cm) not including drainboard Interface area
The Amerex fryer no¢e (P/N 13729) uses two Sow points and will
full vat fryer. If the fryer does not Include a drafnboartlthe Maximum protect a
dimensions
s for single nozzle coverage are 19' x 1SW (48 x 50 an) tithe
Protected area le 2.53 ft2 (2350 cm2). if the arta the
drainboard the maximum fryer dimensions for single none fryer
conta25-
in 2 e
3/8' x 194' (65x48 cm) and the maximum protected area a 3.44 f
(3195 cm2), v
rix 5_. o.cg1. The nozzle must be located along or
protected area. Nozzle heights must be witInches hin1.44
the
— 121.92 cm) above the appliance surface and aimed to the center of the.
hazard area of the appliance.
Section.Oesiggn
:Aitj`tirez Page
.58
L. matt. abaSailwee
POSPIT
icateso CIF ULU.= ANA)
LOW PROXIMITY APPLICATION
FRYER PROTECTION (FUU.. VAT)
TWO (2) SINGLE FLOW POINT NOZZLE (P/N 11982)
MAXIMUM AREA: 19% In. (50 crn) X 25 3/8 in. (65 cm) (Inctudln
19% In. (50 cm) x 19 In. (48 cm) (not tncfudirc
A pair of Antares( single flow pmt no es
(PIN 11982) will protect a futi vat fryer. The
nozzles must be used In pairs focaated on tate
perimeter of the appliance, W back from the
inside edge of the appliance and within e
zone extending 6" in both of the
center of the hazard. The nozzles are to be
located 180' apart (directly across from one
another). They are to be &mad ata point 3"
glow the top of the appliance and duecitty,
below the opposing nozzle. If the fryer does
not include a drainboard. the maximum fryer ,, r
dimensions ere 19W x 19' (50 x 48 cm) and
the maximum protected area Is 2.53 ft2 (2530
cm'). If the fryer does contain a drainboard,
the maximum fryer dimensions are 25 318"x
19 W (65 x 50 cm) and the maximum
protected area is 3.44 ft2 (3195 cm2).
However, the maximum hazard area must
not exceed 19 34 " x 19" (50 x 48 axn). The
nozzle's height must be within 1734" to 36'
(45 - 92 cm) above the appliance surface.
Ma xlnwi & Imam= heights tatted be
• item pea/cagy from the 6p of `
he top 011ie .
g drainboard Interface area)
8 drafnboard Interface area)
FULL. VAT FRYER
WITH DRAnkta0ARD
December 2008 Section 3 KP Design
Arrterex Restaurant Fire Suppression System
FOUR (4) BURNER RANGE PROTECTION
TWO (2) FLOW POINT NOZZLE ,(P/N14i7S)
The Arnerex 4 burner range nozzle (PIN 14178) has two (2) flow
points and will protect a range Surface area of 24' x 24" (61 x 61 cm).
The center to center distance between burners must not exceed 12
inches. The nozzle must be located 18 — 50" (46 — 127 cm) abode
the range surface and centered between the burners. The nozzle is
aimed straight down at the center of the appliance.
NOTE: Maximum and minimum heights
must be measured from the tip of
nozzle to the surface of the appliance.
RANGE PROTECTION -
MULTIPLE NOZZLES (PIN 14178)
For ranges that have a surface area exceeding the
capabilities of a single nozzle, multiple nozzles must be
used provided that the surface area of the range is
divided into equally sized modules. Each module must
be equal to or iess than 24" x 24' (61 x 61 crn).
NOTE: When using this nozzle to protect a two
(2) burner range the aiming point is where an
8-50" radius from the center of each burner
crosses one another
0
WOK PROTECTION -
SINGLE FLOW POINT NOZZLE (P/N 11982)
The xnerex appliance plenur'i nozzle (PIN 11382'i
has ore flow point and Mil protect a wok with
dirnersior.s berweer a minimum diameter of 14' ,;3a
crr) anal a maximum diameter of 24" (61 c*^
inclusive. T•'e woic rust h.a'ie a height dimensior
berwrleer, . « ,ni/;"•(,;rn .�! :: . .rni a^d ? maximum c?
t.' r' .. i i e The rozze mus De car ad
V"' ii�4��.�: J
the :enter C -t t'! woic a'd locate: et a neig `i
oe1ti'et.' cr..: art: 5. ;;2; frc.:rr, t~2
Cvitcr. .i vvcx eras erred 3T the
oar ze' ::. t^.e
SC
r
7
J� .4.
2
!`•,. .
1 yam- +t,
` / N
..e.'"'
•
Mtn. SI=
{' mkt.
`V
4_ l 'C° max .
aceErreo
O Without Comments
O As Noted in Red
lit Per The Attached Letter
These plans have been reviewed by The Tukwila Fire
'revention Bureau for Conformance with current City
•'andards. Acceptance is subject to errors and
.nissions which do not authorize violations of adopted
andards and ordinances. The responsibility for the
dequacy of design rests totally with the designer.
Additions, deletions or revisions to these drawings after
this date will void this acceptance and will require a
resubmittal of revised drawings for subsequent approval.
Final acceptance is subject to field test and inspection by
The Tukwila Fire Prevention Bureau.
Date: / 17) G': y By: s ,
Fire Permit Number
To schedule inspecflons
coil 206-575-4407
741