HomeMy WebLinkAboutPermit B94-0186 - SOUTHCENTER MALL - REROOFCity of 7iukwil�
(206) 431 -3670
Community Development / Public Works • 6300 Southcenter Boulevard, Suite 100 • Tukwila, Washington 98188
REROOF PERMIT
Permit No: B94 -0186
Type: B- REROOF
Category: NRES
Status: ISSUED
Issued: 05/19/1994
Expires: 11/15/1994
Address: 633 SOUTHCENTER MALL Suite:
Location:
Parcel #: 262304 -9023 Type of Occupancy: 0023
Contractor License No.: CASCARS154L1
TENANT SOUTHCENTER MALL
633 SOUTHCENTER MALL, TUKWILA, WA 98188
OWNER SOUTHCENTER JOINT VENTURE
ATTN: JAMES J GUDIN, . 25425 CENTER R, CLEVELAND OH 44145
CONTRACTOR CASCADE ROOFING &.SHEET METAL Phone: 206 464 -0441
6308 212TH S.W., LYNNWOOD, WA 98036
CONTACT CHRIS L. SMITH Phone: 206 464 -0441
6308 212TH S.W., LYNNWOOD, WA 98036
******************************************** * * ** * * * * * * * * * * * * * * * ** * * * * * * * ***
Permit Description:
REPLACE ,PORTION OF =ROOF WITH'CLASS A ROOF SYSTEM.
Valuation: 218,000.00 ,.
Total Permit Fee: 1,057.00
*****************************.************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
orts‘.2 5Iq-9k
Permit Center Authorized Signature
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 work. I am authorized to sign for and
obtain this building permit.
Date
Signature:
Print Name: Cjjj
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 inspectlon
Date:
.6-/i9 /9y
Title __ ce '
CITY OF TUKWIL 1, � `
Department of C0J'iununity Development — Permit Centei'��
6300 Southcenter Boulevard - #100, Tukwila, WA 98188
(206) 431 -3670
Building Permit Application Tracking
PLAN CHECK
NUMBER
159Li-ovap
PROJECT NAME
UkI-vc_ -Q r k--e r k \
SITE ADDRESS
, Soothc r*-e r rna.0
SUITE NO.
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.
EPARTME.NI
TE
BUILDING -
initial review
5- I1 -ci
APPROVE[
6( '(t4
(ROUTED)
REOUIR.EMENT
)MMENTS
CONSULTANT: Date Sent
Date Approved
O FIRE
INIT:
FIRE PROTECTION: jJ Sprinklers
FIRE DEPT. LETTER DATED:
Detectors
INSPECTOR:
N/A
O PLANNING
ZONING: IBAR/LAND USE CONDITIONS? fYes
0
INIT:
REFERENCE FILE NOS..
MINIMUM SETBACKS: N-
S- E-
O PUBLIC
WORKS
O OTHER
UTILITY PERMITS REQUIRED?
❑
Yes
n
N
INIT:
PUBLIC WORKS LETTER DATED:
BUILDING -
final review
BUILDING
OFFICIAL
INIT:
I ed.1tLA
INIT:
5 / Sl
INIT:
TYPE OF CONSTRUCTION:
- reoC
CERT. OF OCCUPANCY? UBC EDITION (year):
°Yes No (try
REVIEW COMPLETED
AMOUNT
OWING:
# I05 7.OD
CONTACTED
n In
C 1 r
DATE NOTIFIED
5- I %- qt.-1
BY:
....._eg
2nd NOTIFICATION
BY:
(init.)
3RD NOTIFICATION
BY:
(init.)
J
01/08/93
CITY OF TUKWILA
Department of Community Development - Building Division
6300 Southcenter Boulevard, Tukwila WA 98188
(206) 431 -3670
BUILDING: PERMIT
APPLICATION
PLAN CHECK
NUMBER
9L- a
APPLICATION .:MUST BE
Fl! LED O.UT
TEL
(0
DESCRIPTION
AMOUNT.z..
RC PT
BUILDING PERMIT:FEE :
PLAN .CHECK FEE '>
BUILDING SURCHARGE
OTHER:
TOTAL
1y4 j ): OD
SITE ADDRESS SUITE #
<0 SS jauy-% QK, )r-E z Mc( (l
VALUE OF CONSTRUCTION -
/g C) CO °
ASSESSOR ACCOUNT #
o1Qa 0 - qo
PROJECT NAME/TENANT
Do a c..1J -k -.- & N\c A
�
TY1-5-E-CTF-0 New Building • Addition • Tenant Improvement (commercial) • Demolition (building)
WORK: ❑ Rack Storage ( Reroof ❑ Remodel (residential) ❑ Other
DESCRIBE WORK TO BE DONE:
rR- e OA c-e �Q��.1,a � ---c.) <-1, w \T�, C (ct 5 1- 26 cyc sys4,- .
BUILDING USE (office, warehouse, etc.)
NATURE OF BUSINESS:
WILL THERE BE A CHANGE IN USE? g No ❑ Yes If Yes, new building requirements may need to be met. Please explain:
SQUARE FOOTAGE - Building: Tenant Space: Area of Construction: 4-401)■5'b0
WILL THERE BE STORAGE OR USE OF FLAMMABLE, COMBUSTIBLE OR HAZARDOUS MATERIALS IN THE BUILDING?
Ci No ❑ Yes IF YES, EXPLAIN:
FIRE PROTECTION FEATURES: ❑ Sprinklers ❑ Automatic Fire Alarm System
PROPERTY OWNER 50„ C_,,,,t
u61s,N 0,1,0 ,4.
PHONE
ADDRESS (954105 C- ei\N -cf�
g. Ci- e0elars('
C��1.
ZIPN� /ys
CONTRACTOR C%T �Ac� ��
c h
PHONE Le_, i./ G I/ Ill
ADDRESS 6,368 o? is S w
L yAIN cooc,a
CA-)0
ZIP °/80 3c,
WA. ST. CONTRACTOR'S LICENSE #
EXP. DATE
ARCHITECT _ -
PHONE
ADDRESS --
ZIP
1. HEREBY ;CERTIFY: THAT I RAVE READ AND EXAMINED THIS; APPLICATION;:
BE:'TRUE AND: CORRECT,`! AND: i AM. AUTHO .RIZED:TO.APPLY:FOR;THIS:PER
SIGNATURE
BUILDING OWNER
OR
AUTHORIZED
AGENT
CONTACT PERSON
PRINT NAME CA e
G. '5 At iTL
DATE
%i7 /9Y
ADDRESS Co 308 a 1 ? ?k
Ckr,5
Sw
PHONE 4/c' 4/ p 4 /4/)
CITY/ZIP L yN4U loco
PHONE '7,97 a' /�
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. Handouts are available at
the Building counter which provide more detailed information on application and plan submittal requirements.
Application and plans must be complete in order to be accepted for plan review.
VALUATION OF CONSTRUCTION Valuation for new construction and additions are calculated by the Department of
Community Development prior to application submittal. Contact the Permit Coordinator at 431 -3670 prior to submitting
application. In all cases, a valuation amount should be entered by the applicant. This figure will be reviewed and is
subject to possible revision by the Building Division to comply with current fee schedules.
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 application and obtain the permit will be required as part of this submittal.
EXPIRATION OF PLAN REVIEW Applications for which no permit is issued within 180 days following the date of application shall
expire by limitations. 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 Building 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 Building Division at 431 -3670.
DATE APPLICATION ACCEPTED
5-n- q9
DATE APPLICATION EXPIRES
1 0 22/93
SUBMITTAL CHECKLIST
COMMERCIAL
NEW COMMERCIAL BUILDINGS/ADDITIONS
jCompleted building permit application (one for each structure)
....•■■•••
Assessor AcCOunt Number •
• „
Two sets (2) of the following: :.: •
Specifications: : •
Structural calculations stamped by a Washington State bcenaed
Soils report stamped by a WashingtorState.licenedengin�eiYI.. •:.
. .. •
Topographical survey . . • .
•
Energy calculations stamped by a WaiitingtoniStatetkieriSed'
Legal description..":•':':':•,......-.:-................
Working drawinga..starnped by •„ii•;.1:A/ Washington ngt77:...771....7.....,!..1997....,.........,‘.........:::::...............,........................:,:...............,:.
....arch itec.,,,,which..„incl..u:,....d:„..,:e.„. :.„..„::.„..::.........:„.:;;:.:::„:::...:.....,...................,.,..„:;..:::::::::..;:::.........' • Sito plan
' • •
Archi tectural drawings ::::... ........ .:...."::......::::: ••••••,..,.•••:-.:::,'"'„,•„:::::::::::::::::..,::::i:::::,:::1'..•:„.......:::',:•::::.:::::::',A,1••••::::
•• ''.. • Structural drawings .....„:.,:-.•...., -„•:::::::,:.•::::::-.„:.:.:::,:::;.:,....,:::::•;:::::::::.-:,'„:::::•..:....;:::::::::;:::.:::',..:„:::::4„::„..„;',..:::::.::;:::
•••.••
Mechanical drawings:•:-...,....:':',.:...-....:-.•••:-...:..::::::,:::,,?:::„::::::::::::::.:::,:•...:::::..:::::::.:....,...:,..0,:„.........„„•„„i;;;::::::,..:;;
• ''' " ••••:.'Elevati°nP.'• •:''''"''''''''''''''' :::::.:::::''''''::::'.::::."1..::".•'"'":::::::;::::•:.":::::::::::•::•:::::::::::.::::.:„:7:::::::::::::11,•:.::::::,;:„;:::•::::
':',..••••••••••:',;• Civil drewings'i :::•,•::::::::•,:.:::::.:.:•::::••••:•:;;•:::.•:„.•.:.•;::::,::::::::::::::::::.1.:•.:::.cM....:.•;•i%:•:;•::::;:i',:'.'.1.:.:::::::::•:.:.::::::
::••:::::::••
Landscape P!Eir„.!..:::::::::::::-::•::.....::': . :::::,:,•,::::,::::::::.::::::::::::::•::::::::::::•:::::::.,„:.:.::.••••••......:::::1•::;.:;::•'.:.;i'::',•;::::::::.::::::::::;:4:::::,,..::
' ''' •• • . '..... • ta. 'tiCatior((ohe':.for:,:inrprpip....,.....,:....,-,--:::::::::::-......-::::::::
•:ComPleted 'Utilit)iperfr!......,:„.PF'„:::::::„....:::.;„:::::::::::::::::::::::,,!::::::::„::-.,:::::•::::....:::::::„..;:H:;::::::::::;::;•::A::::...:::,::,..,........::
. .. .. ... ; : ': •.' • '••••
Six (6) sets of„civ.t. ..... • „...... : • .• - ...-:::.:.:::::::'.:::::,:::::;:::::::::::::::::::::::::.-...::•:::i..•::::::::i:ii:::::::!•,":', . ::: i:•••••:::::'''.'"''''••::::?::•::::::?:
„...... . , . .. „ ,- . ..... , „:.„.: ...„ . ... ,,..... „ .... . . ...•... :.: ..:...•-:„.,..„....,.:,:....•••..• .. .;.. „ : ..
. • ."......f ''''''.:"."•:.::::)..''....::.-::.•:•:.:::: ::.';'''''........" • llCeridrienCl:ci ieC k 1 I Sr:. idi:•Pifi:ijqlit.•....i.:••••••:-.:-,.:
• NOTE: :„..: See titility.permitppp
• s u b mi tre 1: requirements. : ::::'..::::::: ::::::::: ' • - : .••••' - . .„;::::•:.:."......:::::;:.::',...:::•:.::::• :::::...::-;:::::::i::::::••••::::::::::•:-.::::.:;:-:,,::::.:?::i::.*:::.:...
::„.„ , „:::: „: „. : . : . ,„: . , . „: .. , . ,„ „ „ „.„':„:. :::, ......„:'„' . -I „: .. .:-....; „: „::::.:•:..• :••,.. :::' ...: : ::•::::::::::::::•:•:„.• „•:.::•:•::::,„:•:::::::::::::: ........ ••••••••:::•?:::•-•:::::::::•i;:',:::„..::::::::,::::::••::':::::::::::::,•:::::'
•-:: : .
Completed building permit application
Assessor Account Number
Two (2) seta of Plani;which include: •
Building floor plan showing:,
. • Entire space .where racks Will be located
• Dimensions of all aisles . . ....:
[ Tenant space floor .plan showing rack storage layout aisles end
" • ••
NOTE: include dimensions ofrack
; I Structural Calculations Stamped by a Washington State hconsed
engineer(rack.storage:8'and
RESIDENTIAL
NEW SINGLE-FAMILY DWELLINGS/ADDITIONS
1■■••••••••••••■■•■••■
: • '• " •• • •:.• • ..
:.„ ••:::•••' • :••::••• L TE
tenant)
•
Two (2) sets of construcbon plans, whlch includo
:Of tenant epee:6
parking i•••••••.::-:,,, .
1 1
...................
• Exit doors ogress pattorns
alis, existing wall, an
COnatrtictiefi:•detailt
Cross sectlons showing wall cOrlitritatibri•end method o
.•,<-:.:::iittabhrrlertt for :flocirend
engineer may bo required if structural work is to be done (2 sets)
NOTE (1 any uWity work b0. done .;:. OreO'
ca ri and :PfAns::.:
... . . .............
• • • •
••
' Completed buliding permit applicatlon (one for each striicture
• .. • „.„
. Ai
•. • . • . • •• Account NI . : . . .
',.Narrative describing:existfrig'rooti.::MoterieVbeinEj removed an
material tieing instalied ••
prior':to fine! ,InsOCticiii'end
. . .. . . .
• •
::.CoMPletec
: • • • • • • ••• • appiication
::: • :
Assessor Account Number
• • . .
. • •• • :••• • • •••••::, . . ..•••• •
T*(5 (2) sets of pIans which inolude
..... .
. .
...:064i110...1.iiit#iiinia/04tellite: ph'..Pric1.:.ETiPt004.0f'.840.0t'friOnt•'::::
.„ . ......„..
.:-.StrUctUral.calcOlatiOne:StarnliedbY:li:Waihingten:',Staie:fidense.d
engfnoer may be roquired
. .
• . • ... • :
Completed building permit applidation. (one for each,Structure).....
• : ':•••
Assessor Account Number
Two sets (2) of working drawings which inciude
•• Site :•• •••••• show lryclnyil• Iocatson
Plan' '-----77r..(C?!113 aCC si to bell dl
floor ptari •
• ridieri.gtrt of
Roof pian
Buliding
Building framing ,plans
Washington State Enargy uode data . ... .. "•::.••••:„••••,
.: ... . . . . ... .........„.,....... • ,....,....„:„... . „ . . ... : ...... . ,...... . . . . ..... . .. . . . ....... .•. .. . , ... . , .. .:.,,,, . ,,, . . .. ........,„....„:„: . „ .. ,..,.....,..„,,..„:.„:„.....,:.....„,.....,.....:,
RESIDENTtALREMODELS,:::.:::::::•:• :'",:i•:::.:::::::::::::::.:,.:::::...;::::::•..g.:::,.........::::::::::,:::',•:::::1:i'::::::::::„..!::::::':.q..,:::1!;:::::..,..,..::::::::::.
••.Co rnpleted bb .. ding-0 7riiii!-0piip tion:(7.•...n...•0:.,....Tto...f:•e.,...........ci,...:s.:...6i0 :ie)..:-..i.:::,:',:.::•..-:i.:..;..i...!:,;.
'....iwO;(2) .iOti•Of:Wcirking.dniwInga;':Whictf„.in...u,
Assessor ...::,.,..:.,..,...:....:....,...9plooi.i j.,.".■fc.9:10u.::.ro.iiii..n.,.t:::.,...6.;,..Y.I.:..p.:!...r...1,....,ai..:,..,..r.i.i,...:.,:i'i........:.......,;:i.',.:..i.,:.".,',.,,..,,:.,;.......:.,....:.......,.....•.:1,..•:„:•.:;....;:.....:::,,:...... .....c. 1
.....-:::::-•site:plari:-::::::-.•:::::-;::....:::•-•::::,:::;•;::::::::::::::::::::::-::•::::,:::::::i.:•::.',-,::',••••• •••••••:'•••••''
:...-•::::-.:::Buildin ...................................
FFrou9nrC"iPalOti97P[1:;:::.::::::::•::::.....:::::::.:::.':';:::',..:::::::::'.::'.:..i":::::::::::::.::.::
.„,:::•.:':.:Beilding':.eleVaition;S,(0## .,..,.
NOTE:•:ifiiiiiiiiy.,*iik:i4]iii;•0e:'00010:1:ClYtitfP.?!.::1..7!,t..,'.
4iri.d...ileriS'-ii.r.cier. be SiipiTiitto4:::::::00:::::::::::'.:.'".:::::;q::::::::..;
• • •
::Con11616‘01?0110169:Po711!ai)Plioti?9,..9114:::. for eeCh'-.0.*:4*ire
Assessor Account Number
......................................................................................... iihet
Narrative deadribIng;eXIStiR9 root . .. .
- matoria! being installed
otter isieijoir'eci to final p: slgn
clf: pl the pormlt "" .
*/ ********************************* *** **•kk *** *k **k *k**** ** *****M*
CITY OF TUKWILA, WA TRANSMIT
******** k** k**•********• k************ * * *•k* * *k * * * * *** * *•k**k** *****k
TRANSMIT Number: 94000569 Amount: 1,057,00 05/19/94 08:22
Permit No: 894 - -0186 Type: 8-REROOF REROOF PERMIT
Parcel No: 26,2304 -9023 05/19/94
Site Address: 633 SOUTHCENTER MALL
Payment Method: CHECK Notation: CASCADE ROOFING Init: SLB
**** k****-*• k********* k******** ** *k *** **k* * *•k * * *.**A*h*kk*** * * *k**
Account Code Description Paid
000/322.100 BUILDING M NONRES 1,052.50 •.
000/386.904 STATE BU1:LDINO SURCHARGE 4.50
Total (This Payment >: 19037.00
Total Fees:
Total All Payments:
Balance:
1,0;7.00
1,0;7.00
.00
GENERA 1052.50
GENERA 4.50.:
TOTAL 1057.00
CHECF, 1057.00
CHANGE 0.00
2072A000 09 :19
ih it11FY �iie+t�S t4wYt�s?5 ui:'.i,�srs} lr. a rx
�+-- CITY OF TUKWILA
REROOF CONDITIONS
Permit No: 894 -0186
Project Name: SOUTHCENTER MALL
Address: 633 SOUTHCENTER MALL
Suite:
************ * * * * * * * * * *1kNllk0*4 *ilrk* *,*** **,* *'kk•kAryir:k,***** * *fir * *k•hAr*** *
•
THE FOLLOWING CONDITIONS WILL APPLY TO RE- ROOF '$`P.ERMITS:
All re-'- �r�oofting projects will Abe accomplished ?in Compl°ii;nce with
Apperid i x Chapter 32" of th'eA�.U' ' _ _
'.1 r.,.Sp'ect;lons:
ew. ,:roof coverings shall not .be. applied without `fjxst
,'obtain;ing' a pre- 4-oo.f inginspection from the Bui ldi,ng_,,
Divis'i'on;-and written ap,pr-oval,;'from:.te Building Inspector .
€ The pre - roofing 'inspection ;.sh'e,'il pay. articular att'entionto
evidence of .acoumulat`'i'gn of `;w'a'ter;. Where extens iVe yponding
of,water is apparent, an analysis of the roof structure {.f:or�
comp:i 'i ance with ,Section 3207 , UBC., ' shal l be made and
carnectlave measures,' such.,as..r�eiocatlon of roof. drains or~'
scuppers, resiopinq ',. of the`',roofr.
:. o:structural change's, sh4'11
be, accomp }i ished. An inspe`c'tlon _�cover:ing the above, l i'ste;d;`
topics prepared by a qualified 'special inspector , as'
etermfined, by the Building 'Ofticial',. may;;be accepted in lieu
the 'pre- lnspection by the Biri l,ding..Inspeci -._
B.
A,:rf,inal ;inspection and approval'" shal.;l;. >be';,.obtained fruni��' the •
4 _'
B'u'i:ldingr,Dit:,v,isi`on. when the` 're- roofing i.s comp:Jete, %.;As a
conii�j',tion-°o:i. the final inspection far roofs that require a
fire. r,e.tardan't roof cover l ng;.. under " the provi`sionsof Table
32 -A,` 1988 UBC, the roof installer shall provi,di':the
inspector;; with a written statement indicating.:0e following
(or something -,simi 1ar); -c
I HAVE INSTALLED A ROOF 'ME`MBR,ANE ASSEMBLY, INCLUDING INSULATION IF
APPLICABLE, CONSISTING OF (MANUFACTURE—PECIFICATION # , DATA
SHEET ENCLOSED, WHICH MEETS OR EXCEEDS THE REQUIREMENTS FOR CLASS A
OR CLASS B ROOFS. THIS ROOF WAS INSTALLED AT (ADDRESS), UNDER CITY
OF TUKWILA PERMIT NO.
(The statement shall include the name of the roofing company that
installed the roof, signature of installer and date.)
INSPECTION RECORD
Retain a copy with permit
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188
206) 431-3670
•ro 7,1744 my.
ype o ns on:
it
-
teC• :.
0 01
ppaI In ruct , ns:
/ .
Date Wanted: 0 //
a. p.m.
Requester: I ,
Phone No.: ,27..e.
(6-ca..,
&Approved per applicable codes.
ID Corrections required prior to approval.
COMMENTS: '
cz9 .7-T; Fi"
Inspector:
A
41111ffli444
$30.00 REINSPECTION FE REQUIRED. Prior to reinspection, fee must be paid at
6300 Southcenter Blvd., Suite 100. 9aI1 to schedule reinspection.
Date:
SPEOTION RECORD
Retain a copy with permit
PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION V
6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206) 431 -3670
Prof
e 4,
T ype of In
ion: /
i
A d r e
� � y
Calk:
- ) 6 0 -
i,,,
Spedal nstnxt
Date W
_
®.m.
Requester.
•--
Phone No.:
, /
k Approved per applicable codes.
❑ Corrections required prior to approval.
COMMENTS:
•t..A:;�, 3 5=x1..1
IInspector:
Die: s / )/54
❑ $30.00 REINSPECTION FEE REQUIRED. Prior to reinspection, fee must be paid at
6300 Southcenter Blvd., Suite 100. CaII to schedule reinspection.
ReceQt No.:
'"_�ni',�` #': "yi!M q�Ey+' �` ^•+.". �"+It+'Y!'�"�.ii'�v^4�FttiY+'.;
Date:
CASCADE ROOFING FAX 206 - 464 -0415
FjEGI$TEREB AS PROMO D 8Y. LAW AS A:
CONtr.' CO, T $PEC i LTV
. • REGISTRATION NUMBER
C•3 • • C d1St;.A E�S 15 k L i
' E'F;k.G•TI V!' 1/:0 �.
EXPIRATION PATE
1t //94,
CA•SC.AD'E,:E {F. ' .' Stir t r►FTt,L 1fit.
u308 212TH ST S
LY NNWO OD WA 9f“)36
SIGNATURE
ISSUE
PARTMENT OF LABOR AND INDUSTRIES
PAGE 01
RECEIVED
CITY OF TUKWILA
MAY 1 7 1994
PERMIT CENTER