HomeMy WebLinkAboutPermit D02-261 - SOUTHGATE MOBILE HOME PARK #39 - COMBUSTIBLE MATERIAL REMOVAL AND BARRICADE BROKEN WINDOWSD02-261
SOUTHGATE
MOBILE PARK #39
14005 42nd Ave. So.
EXPIRED
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Department of Community Development / 6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670 '
DEVELOPMENT PERMIT
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Parcel No.: 1610000076 Permit Number: D02 -261 !~ j
Address: 14005 42 AV S TUKW Issue Date: 09/04/2002 6 Q R
Suite No: Permit Expires On: 03/03/2003 J 0
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i Tenant: co ui
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Name: SOUTHGATE MOBILE PARK #39 J H
{ Address: 14005 42 AV S, TUKWILA, WA u) u-
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Owner: 2
Name: ANDERSON CARL AUGUST Phone:
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Address: 10212 NE 43RD, KIRKLAND WA 0 d
Contact Person: z H
Name: CARL A ANDERSON Phone: 206 439 -1055 F- 0
Address: 14005 42 AV S, TUKWILA, WA ` z IH
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Contractor: 0 u
Name: OWNER AFFIDAVIT - CARL ANDERSON Phone: 0 —
i Address: , w ~
Contractor License No: Expiration Date: 0
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DESCRIPTION OF WORK: Z
REMOVE ALL COMBUSTIBLE MATERIAL; BARRICADE BROKEN WINDOWS U 0
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Value of Construction: $100.00 Fees Collected: $28.00
Type of Fire Protection: Uniform Building Code Edition: 1997
Type of Construction: Occupancy per UBC: 0007
Public Works Activities:
Curb Cut/Access /Sidewalk/CSS: N
Fire Loop Hydrant: N Number: 0 Size (Inches): 0
Flood Control Zone: N
Hauling: N Start Time: End Time: .
Land Altering: N Volumes: Cut 0 c.y. Fill 0 c.y.
Landscape Irrigation: N L .: _:
Mo.. ',g Oversize Load: N Start Time End Time: --- ' rr x, - --,
Sanitary Side Sewer: N ,, t'S
Sewer Main Extension: N Private: N Public: N '.
Storm Drainage: N ,
Street Use: N , ;,�� . .' -,
Water Main Extension: N Private: N Public: N �7 ,
Water Meter: i' . x . `
Channelization / Striping: k:l'4,... k
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doc: Devperm D02 -261 Printed: 09 -04 -2002 c , :
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Department of Community Development / 6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670
Permit Center Authorized Signature: ,d7 Date:
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hereby certify that I have read and examined this permit and know the same to be true and correct. All provisions of law and 6 j
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 w 111 •
regulating constructio r he erfo n • if work. I am authorized to sign and obtain this development permit. N I
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Signature: I Date: I
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Print Name: - a
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 z H
suspended or abandoned for a period of 180 days from the last inspection. Z O
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doc: Devperm D02 -261 Printed: 09 -04 -2002
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Department of Community Development / 6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670
PERMIT CONDITIONS z
Parcel No.: 1610000076 Permit Number: D02 -261 ' ~ w
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J%W 4 Np. s . CITY OF TLr`1WILA . OR STAFF USE ONLY
cic( SI Permit Center Protect Number:
' a R 6300 Southcenter Blvd., Suite 100, Tukwila, WA 98188
Xs, (206) 431 -3670 Permit Number: _
Single- Family Residential Permit Applicatio
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/Tenar� 4/#41._4, xri , 3 7 Value of Conr o JJ /
Site Address:
/q00-5 — " - �ti 4/142 /E Cit ry , SM : Tax Parcel Number:
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Property Owne Phone:
Street Address: J! City State /Zip: Fax #:
Contractor: Phone:
Street Address: City State /Zip: Fax #:
Architect: Phone:
Street Address: City State /Zip: Fax #:
Engineer: Phone:
Street Address: City State /Zip: Fax #: q
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Contact Person: e L // _ _ -� 0 Phon q /Os
Street Address: City State /Zip: Fax #: 3
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Description of work to be done: 1 1 Aotea 61-thi aleaticai w
Type of work: ❑ New Single - Family Residence ❑ Addition - Single - Family Residence
❑ Interior Remodel- Single - Family Residence El Residential Accessory Structure* LL.
17:1 Remodel /Addition to Accessory Structure El Garage(s) - 0
Al Deck(s) - Covered & Uncovered In Residential Reroof Z =
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Is this site served by: ❑ Sewer ❑ Septic (King County Health Dept. approval required - 296 - 4722) Z 0
Existing Square Footage for Structure: sq, ft. Dwelling sq. ft. Covered Deck(s) W
sq. ft. Garage /Carport sq. ft. Accessory Structure(s) sq. ft. Uncovered Deck U C3
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Proposed New Square Footage: sq. ft. Dwelling sq. ft. Covered Deck(s) p 1.-.
sq. ft. Garage /Carport sq. ft. Accessory Structure(s) sq. ft. Uncovered Deck W • W
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Floor Area Ratio: (total floor area of all structures divided by the area of the lot) u_ ~O
*For an Accessory dwelling, provide the following: LLj Z
Lot area Floor area of principal dwelling Floor area of accessory dwelling I-7 _
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Provide documentation that shows the principal owner lives in one of the dwellings as his or her primary residence. Z '
APPLICANT REQUEST FOR PUBLIC WORKS SITE/CIVIL PLAN REVIEW OF THE FOLLOWING:
(Additional reviews shall be determined by the Public Works Department) _ ;
❑ Channelization /Striping ❑ Curb cut/Access /Sidewalk ❑ Fire Loop /Hydrant (main to vault) #: Size(s):
❑ Flood Control Zone ❑ Hauling ❑ Land Altering: 0 Cut cubic yds. 0 Fill cubic yds.
❑ Moving an Oversized Load: Start Time: End Time: '
❑ Sanitary Side Sewer #: ❑ Sewer Main Extension 0 Private 0 Public
❑ Storm Drainage ❑ Street Use ❑ Water Main Extension 0 Private 0 Public
❑ Water Meter /Permanent # Size(s):
❑ Water Meter Temp # Size(s): Est. quantity: gal Schedule:
❑ Miscellaneous ter•,
Value of Construction - In all cases, a value of construction amount should be entered by the applicant. This figure will be re- ' :
viewed 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 ex- I 1
pire 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 edition). No application shall -
be extended more than once. As: N
Date application accepted: - Date application expires: Application taken by: (initials) `eam
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PLEASE SIGN BACK OF APPLICATION FORM P•�:,►...�
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SFPERMIT.DOC 2/13/97 tema ak
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ALL SINGLE - FAMILY RESIDENTIAI PERMIT APPLICATIONS MUST BE '^:MITTED WITH THE FOLLOWING:
➢ DRAWINGS PREPARED BY i . ∎EGISTERED ARCHITECT OR PROFt4SIONAL ENGINEER MAY RE
REQUIRE9AY,'HE 'HE/WILDING OFFICIAL II
)> ALL DR l ike-ALL BE AT A LEGIBLE SCALE AND NEATLY DRAWN
➢ BUILDING SITE PLANS AND UTILITY PLANS ARE TO BE COMBINED
N/A SUBMITTED
❑ ❑ Copy of recorded Legal Description from King County
❑ ❑ Certificate of water /fire flow availability (Form H -11 a). Contact the Public Works Department
(206) 433 -0179 for servicing district.
❑ Certificate of sewer availability (Form H -11). Contact the Public Works Department (206) 433-
0179 for servicing district.
❑ ❑ Metro: Residential Sewer Certification (if Tukwila Sewer District) (Form H -12)
❑ ❑ King County Health Department approval for septic - 296 -4722
Four (4) sets of working drawings, which include:
❑ ❑ Site Plan (see example Form H -16)
1. Existing fire hydrant location(s).
2. Proposed access road.
3. Driveway location- driveway shall be 10' wide minimum and 20' wide maximum. If driveway is over
150' long, driveway shall be 20' wide and have an approved turnaround (City Ordinance 1741).
4. North arrow and scale.
5. Building setback from property lines. Any proposed or existing easements must be shown on plan.
. 6. Public Works review requires the following on site plan: driveway location (10' min., 20' max. width), z
show proposed and existing power, water and sewer lines, existing storm drainage system, . z 1-
d and foundation drains, and where drains tie -in. CC
7. Parking plan.
8. Lowest building elevation (if in Flood Control Zone). v o
9. Estimated /proposed topography at 2' intervals and proposed elevation of lowest floor level. ug °
10. Identify location of sensitive areas slopes 20% or greater, wetlands, watercourses and their buffers. w i
11. Identify location and size of significant trees that are located in sensitive areas and buffers or the u)
shoreline zone. Of those, identify which are to be removed (Title 18, City of Tukwila Zoning Code). w 0
12. Identify location of high water mark of the Green /Duwamish River if site is located within 200' of the 2
high water mark. g a
13. See Public Works Checklist for detailed site plan information required for Public Works Review (Form u)
H -9). 1- w
❑ ❑ Foundation plan and details z I
❑ ❑ Floor plan w o
❑ ❑ Roof plan ? o
❑ ❑ Building elevations (all views) o w
❑ ❑ Building height °
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❑ ❑ Building cross - section i v
El Structural framing plans and details necessary to completely describe construction u- z
❑ ❑ Washington State Energy Code Data (Gas/Electric /Oil /Propane /Heat Pump) Form H -15 available v c
at Permit Center OR Prescriptive Heating System Sizing Chap 9 Form H -6. 0 H
0 71 Complete Land Use Applications if not previously submitted (i.e., Reasonable Use Exception,
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Variance, Shoreline or Tree Permit).
❑ ❑ Attach plans, reports or other documentation required to comply with Sensitive Area Ordinance }
and other land use or SEPA decisions.
❑ ❑ If dwelling has a septic tank, and a bedroom or bathroom are added, provide written approval ,
from the King County Health Department or the Tukwila Public Works Department prior to
submittal of permit application.
❑ ❑ 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
b , he State: of Washington, a notarized letter from the property owner authorizing the agent to submit this permit application and � �
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obtain the permit will be required as part of this submittal. 1: ;
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE UNDER PENALTY OF tk '
PERJURY BY THE LAWS OF THE STATE OF WASHINGTON, AND I AM AUTHORIZED TO APPLY FOR THIS PERMIT. !' � �
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BUILDING OWNR OR A H ZED AGENT:
Signature: // � x2;UJ Date: Q �D � ` _0 z- i i ! J
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Print name: Phone: Fax #: i u
Address: City /State /Zip:
SFPERMIT.DOC 2/13/97 p.-`,
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doc: Receipt Printed: 09 -04 -2002 .,, . +1 4
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❑ 4001 Special-Bolts in Concrete ❑ 10039 Final approval for all T1 w /in the limits of the SC Mall
❑ 4001 Special - Mom/Resist Conc Frame
❑ 4003 Special -Reinf Steel Prestress ' • ❑ 10040 All construction noise to be in compliance with 8.2 TMC
❑ 4004 Special- Welding ❑ 10041 Ventilation is required for all new rooms & spaces
❑ 4005 Special- High - Strength Bolting
❑ 4006 Special - Structural Masonry ❑ 10042 Fuel burning appliances
❑ 4007 Special -Reinf Gypsum Concrete ❑ 10043 Appliances, which generate ' '',,''
4008 Special-Insulating Conc Fill ❑ 10044 Water heater shall be anchored
❑ - , sj ,V }.
4009 Special -Spray Fireproofing ❑ 10045 Reroof " "` "
0 4010 Special- Piling, Piers, Caissons "Anchoring — All new construct and substantial • x,,
❑ 4011 Special- Shotcrete improvement shall be anchored to prevent flotation p,.,;: +-4 ).
❑ 4012 Special - Grading, Excav/Fill ,,
❑ 4013 Special- Retaining Wall .
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• 4014 Special-Panels Plan Reviewer h— Date: ! (2Z.I[e"Z `'
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❑ 4015 Special -Smoke Control System , 44
Permit Tech: Date: S' Z Z' ` � z
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Retain a copy wits, permit � 1't1L (- n (n 1.- w )
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= INSPECTION NO. PER . T N i — O
CITY OF TUKWILA BUILDINC DIVISION '•( • ,
6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670 g -�
Pr 'ec Typ` a �spectio
A dr s s- i7� Date � to � Z
Special Instructions: Date Wa t : i - .m. Z
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Req ester: (l
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Approved per applicable codes. Corrections required prior to approval. u ~O
COMMENTS: Ljj z
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Inspector: Date. 1. ' /12 y t
$47A0 REINSPECT E E REQUIRED. Prior to inspection, fee must be ° ALI
paid at 1300 Southcenter Blvd., Suite 100. Cali to schedule reinspection. f�;x
Receipt No.: Date: A., apt
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'l'° Department o Community Development Steve Lancaster Director
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March 10, 2003
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Carl A. Anderson J 0
14005 42nd Avenue South 0 0
Tukwila, WA 98168 N
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RE: Permit Application No. D02- 261 —1 F .
14005 42nd Avenue South N u-
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Dear Permit Holder:
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In reviewing our current records the above noted permit has not received a final inspection by the City of Tukwila N D
Building Division. Per the Uniform Building Code and /or Uniform Mechanical Code, every permit issued by the = C7
Building Official under the provisions of this code shall expire by limitation and become null and void if the I— W
building or work authorized by such permit is not commenced within 180 days from the date of such permit, or if Z'---
the building or work authorized by such permit is suspended or abandoned at any time after the work is i- 0
commenced fora period of 180 days. Z
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Based on the above, you are hereby advised to: U 0'
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• Call the City Of Tukwila Permit Center at (206) 431 -3670 to arrange for the next or final 0 I—
inspection. w W. •
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This inspection is intended to determine if substantial work has been accomplished since issuance of the permit 0
{ or last inspection; or if the project should be considered abandoned. — Z
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If such determination is made, the Building Code does allow the Building Official to approve a one -time U = :
extension up to 180 days. Extension requests must be in writing and provide satisfactory reasons why 0 I--
circumstances beyond the applicants control have prevented action from being taken. Z
In the event you do not call for the above inspection or request and receive an extension prior to April 7, 2003 \,
your permit will become null and void and any further work on the project will require a new permit and '
associated fees. 1
Thank you for your cooperation in this matter.
{ Sincerely,
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Stefania Spencer
Permit Technician
Xc: Permit File No. D02 -261 irk =� Y t
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Bob Benedicto, Building Official A:IF
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6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • Phone: 206 -431 -3670 • Fax: 206 - 431 3665rr�,.:
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INSPECTION REPORT , � ,?
City of Tukwila Building Division . ��W 4,:n 1 Pro ect: S u ate 'A t�,,, `t ,, C , • ` ` li , .. ..-
j o thg Mobile Home P ark r r ` . �.
I Address: 14005 - 42 Avenue South � y � � ' r ■ ve t / '-
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Tukwila, WA 98168 -,,,'' c Y , = `, ` „ �`e TOO * vv.- Q
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1 Date: July 5, 2002 r° � ' - `� �r. RECEIVED
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Trailer # 39 . t. g U O
c���� ° ° AUG 21 2002 W w •
Findings: N LL
PERMIT CENTER O
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This trailer was listed as vacant by the park management. It does not have a foundation, 2
anchorage or skirting as prescribed in WAC296- 150 -0610. There is no evidence of a
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power supply. Primary and secondary entries do not have egress facilities (stairs, W D
landings, handrails or guardrails) per U.B.C. Sections 1003.3.3 & 1003.3.3.6. In the F- =
present condition, this trailer cannot be used for its intended purpose. z i-
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Corrections required for compliance: 2 uj
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Any building which has any or all of the conditions or defects described is deemed to be o H
a dangerous building in accordance with the Uniform Code for the Abatement of W W
} Dangerous Buildings. Consequently, this trailer must be abated by one of the following: F-
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I 1. The trailer shall be repaired in accordance with the current building code or other ti.ii N
current code applicable to the type of substandard conditions requiring repair P H
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2. The trailer shall be demolished at the option of the building owner. .
3. All combustible materials shall be removed from the trailer and grounds around and
under the trailer. The trailer shall be securely locked and (any) broken windows shall .
be barricaded to prevent entry by unauthorized persons.
1 FILE. C�oF`t f
1 I understand that the Plan Check approvals are
subject to errors and omissions and approval of ' 1 \v '
plans does not authorize the violation of any C d
I adopted code or ordinance. Receipt of con - 6 019
tractor's copy of approved •tans acknowledged. ys
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PERMIT
PLAN REVIEW/ 1NG SLIP
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ACTIVITY NUMBER: D02 -261 DATE: 08 -21 -02
.PROJECT NAME: SOUTHGATE MHP — SPACE #39 z •
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S ADDRESS: 14005 42 AVENUE SOUTH r w
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� �0� 4,4 CITY OF TUKWILA
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�_ � Permit Centel N
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` � j ∎ 'VA : 0 6300 Southcenter Boulevard, Suite 100, Tukwila, WA 98188
k %. - � '' - ** r Telephone: (206) 431 -3670 •
1908
AFFIDAVIT IN LIEU OF CONTRACTOR REGISTRATION
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STATE OF WASHINGTON ) ~ w
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CPPLICANT
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.• Signed and sworn to before me this
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til '.° P U DOC , a‘, iril
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;,\' NOTARY PUBLIC in and for the State of Washington, T 1
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residing at l i CCL4 County.
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Name as commissioned: �C\IL- '
My commission expires: 4 "' -0 (c.) `"l'''''' A
AFFCONT 1/13/00 E * `'
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