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HomeMy WebLinkAboutPermit D02-263 - SOUTHGATE MOBILE HOME PARK #42 - COMBUSTIBLE MATERIAL REMOVAL AND BARRICADE BROKEN WINDOWSSOUTHGATE MOBILE PARK -SPACE 42 14005 42 AV S D02 -263 �- - .. .. ... �N1U1 k, �. . City of Tukwila Department of Community Development / 6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670 DEVELOPMENT PERMIT Z Parcel No.: 1610000076 Permit Number: D02 -263 , F- w l . ee Address: 14005 42 AV S TUKW Issue Date: 09/04/2002 QQ r . • • . 1/40 `Th C ity of Tukwila Department of Community Development / 6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670 • Z Permit Center Authorized Signature: � ° Date: `i`f'"'v z z 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 ordinances governing this work will be complied with, whether specified herein or not. U O o . 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.' regulating constructs. - ' - r the erf work. I am authorized to sign and obtain this development permit. N LL s . — D p-z w O . Signature: I 1 Date: F- g Print Name: = d w . . 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 inspection. z O 0 O— C3 i.- ww u U = . oI • - -�.�/ t , * 1 J ^ � w ..... ,--, c 4 ) Cit of 1 ukwlla Department of Community Development/6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670 , PERMIT CONDITIONS z . Pa rcel No.: 16 10000076 Pe rmit Number: D0 -263 ' H z Address: 14005 42 AV S TUKW Status: ISSUED Q • Suite No: Applied Date: 08/21/2002 6 U Tenant: SOUTHGATE MOBILE PARK #42 Issue Date: 09/04/2002 V 0 co 0 W= 1 1: ** *BUILDING DEPARTMENT * ** w u. u. 2: No changes will be made to the plans unless approved by the Engineer and the Tukwila Building Division. w 0 3: All permits, inspection records, and approved plans shall be available at the job site prior to the start of any construction. These 2 27 documents are to be g --r maintained and available until final inspection approval is granted. N D '. 4: All construction to be done in conformance with approved plans and requirements of the Uniform Building Code (1997 Edition) as z w amended, Uniform Mechanical Code Z m (1997 Edition), and Washington State Energy Code (1997 Edition). 5: Validity of Permit. The issuance of a permit or approval of plans, specifications, and computations shall not be construed to be a u O uj permit for, or an approval 2 } of, any violation of any of the provisions of the building code or of any other ordinance of the jurisdiction. No permit presuming to n Q i give authority to violate p — co or cancel the provisions of this code shall be valid. o F_ ww • � -- u-p I hereby certify that 1 have read these conditions and will comply with them as outlined. All provisions of law and ordinances iii governing this work will be complied with, whether specified herein or not. U = O The granting of this permit does not presume to give authority to violate or cancel the provision of any other work or local laws Z . regulating construction or the perf. an 1.f work. / 9 .....04_0z. Signature: Date: . i Print Name: i + t F�....1 a ;t -,v '� T t ar y Ry { 17,5NR V: doc: Conditions D02 -263 Printed: 09 -04 -2002 €. , u x c, ./.F .. , �, .. ,i.,..: ,.'.,,',:. ,. ,..a�:e- �,.U.r.,:W,<rt.r�,nr.d. ..,..v1;,..L..... :.v .. �•.....,. ...,. ».,,,w.....,.» ..,.«....M,. ,.,,r,+.. „ I . ..........■•.•..•—.....• ti -'"""•'' • CITY OF TI1'-WILA - OR STAFF USE ONLY r g cM ,0 0 . 84 Permit Center Project Number: 6300 Southcenter Blvd., Suite 100, Tukwila, WA 98188 %i hi lls ' ! (206) 431 - 3670 Permit Number: telt Single - Family Residential Permit Application Application and plans must be complete in order to be accepted for plan review. Applications will ,� not 1 be accepted through the mail or facsimile. Project Name/Tenar� a , �� r " 0..e NAI V alue of /OO ucti n: �,JJ 7y Wiz' Site Address: /4/00s _ zia2 Cit S to / Tax Parcel Number: d . ©. � i p 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 H ~ Z tit Contact Person: C_ _ 7 , C /%_ _ Phone _ q -- /O3 - W Street Address: C �G /� �) City State /Zip: Fax #: 'Cr�l� — y3 9- /3s 0 o U) ill Description of work to be d ne: -J H / kai W ay( G � 1 O Type of work: L_.1 New Single Family Residence ❑ Addition - Single - Family Residence ❑ Interior Remodel- Single- Family Residence ❑ Residential Accessory Structure* u_ ❑ Remodel /Addition to Accessory Structure ❑ Garage(s) A 1 l Deck(s) - Covered & Uncovered 711 Residential Reroof I ' _ Z 1-- Is this site served by: ❑ Sewer ❑ Septic (King County Health Dept. approval required - 296 -4722) Z O Existing Square Footage for Structure: sq. ft. Dwelling sq. ft. Covered Deck(s) sq. ft. Garage /Carport sq. ft. Accessory Structure(s) sq. ft. Uncovered Deck D o Proposed New Square Footage: sq. ft. Dwelling sq. ft. Covered Deck(s) Q F- sq. ft. Garage /Carport sq. ft. Accessory Structure(s) sq. ft. Uncovered Deck = w I- _ ~ Floor Area Ratio: (total floor area of all structures divided by the area of the lot) L P *For an Accessory dwelling, provide the following: u,j N Lot area Floor area of principal dwelling Floor area of accessory dwelling U = 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 I ❑ 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 Value of Construction - In all cases, a value of construction amount should be entered by the applicant. This figure will be re- 1- ri. „„,,,,, s ,„. .* ,:• _' viewed and is subject to possible revision by the Permit Center to comply with current fee schedules. i i Expiration of Plan Review - Applications for which no permit is issued within 180 days following the date of application shall ex- in of icial extend the time for action b the a licant fora p 9 eriod not exceedin 180 days upon � CI by limitation. The building f may by applicant written request by the applicant as defined in Section 107.4 of the Uniform Building Code (current edition). No application shall ' 1 be extended more than once. Date application accepted: Date application expires: Application by: (initials) I '_, 6'- cr --c1rZ :- 2/-o 1 l ; IOW 111•■ PLEASE SIGN BACK OF APPLICATION FORM EL: I 41 'NM SFPERMIT.DOC 2/13/97 Aft /11116 •� , r r u , a +fir srarix; rjtl 4 1 . 1K;" 1,35 1,3 'V.4:J; ne1r' 7. ry1,7{: �'�L,,, . Kati' ��� y' �nVll'd"tSf#i��fi.�l£P;A31'K,kfY . Mil$:" r+` i.,' f! Tn�' �', �' F>" r",.', �4t1�?. c% 7:•:." t'( A^ mST; ts�+' �". fiREBf,* bN�R•^.? � .^,l't?,��1'hw�.L".3_.i''.Li " ,. r .�s u . RS' i_ , : !" ?" :`'ai:s`::T ;Ti�,.� ��j _ ;, - .C - .a.Y"Lri'y.3 ■ ■ - _r ALL SINGLE- FAMILY RESIDENTI4/• • ERMIT APPLICATIONS MUST BE • MITTED WITH THE FOLLOWING: • DRAWINGS PREPARED BY ti .tEGISTERED ARCHITECT OR PROFtSSIONAL ENGINEER MAY BE REQUI , 9.pV4 UILDING OFFICIAL • ALL D t liAS'SHALL 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 -11a). 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 downspouts and foundation drains, and where drains tie -in. 7. Parking plan. 8. Lowest building elevation (if in Flood Control Zone). - 0 9. Estimated /proposed topography at 2' intervals and proposed elevation of lowest floor level. N o 10. Identify location of sensitive areas slopes 20% or greater, wetlands, watercourses and their buffers. J 11.. Identify location and size of significant trees that are located in sensitive areas and buffers or the shoreline zone. Of those, identify which are to be removed (Title 18, City of Tukwila Zoning Code). w 0 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 5 13. See Public Works Checklist for detailed site plan information required for Public Works Review (Form , H -9). z I- ❑ ❑ Foundation plan and details ❑ ❑ Floor plan z o ❑ ❑ Roof plan ❑ ❑ : Building elevations (all views) o _ ❑ : . ❑ • Building height o I-- ❑ ❑ Building cross - section o ❑' ❑ Structural framing plans and details necessary to completely describe construction p 171 ❑ Washington State Energy Code Data (Gas /Electric /Oil /Propane /Heat Pump) Form H -15 available co at Permit Center OR Prescriptive Heating System Sizing Chap 9 Form H -6. i ❑ ❑ Complete Land Use Applications if not previously submitted (i.e., Reasonable Use Exception, z 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 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. ;r4111. I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE UNDER PENALTY OF Amon PERJURY BY THE LAWS OF THE STATE OF WASHINGTON, AND I AM AUTHORIZED TO APPLY FOR THIS PERMIT. rAasffi BUILDING OWNS nature: R A THO ZE AGENT: • ti `` Si P Date: O � •� Signature: J . `' mot : Print name: Phone: Fax #: Address: City /State /Zip: ilia 1 SFPERMIT.DOC 2/13/97 . ` __-c- r • . , \ ~toy N --., I. 40 Cit of " ukwila r 6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670 z RECEIPT ; 1Z oc w . Parcel No.: 1610000076 Permit Number: D02 -263 J U Address: 14005 42 AV S TUKW Status: APPROVED . u) O p `. i Suite No: Applied Date: 08/21/2002 N W • Applicant: SOUTHGATE MOBILE PARK #42 Issue Date: -' H N u- wo ' Receipt No.: R020001300 Payment Amount: 28.00 2 } g ~ l u- Initials: KAS Payment Date: 09/04/2002 09:33 AM N d User ID: 1684 Balance: $0.00 H W . zH t- O Payee: CARL ANDERSON w w U o TRANSACTION LIST: 0 Type Method Description w Amount F = - U iH Payment Check 2411 28.00 ;111 = ' • O t- ACCOUNT ITEM LIST: z Description Account Code Current Pmts • BUILDING - RES 000/322.100 23.50 • \:,. STATE BUILDING SURCHARGE 000/386.904 4.50 . Total: 28.00 - r „I;r si yr "�*ter:i �l ' > } of; ti 4 t ..k1 t likctiq I doc: Receipt Printed: 09 -04 -2002 ' ,.'... • ,.«sm. .- , - -- -i r7" --- ‘'.1 1 ..- -- ••:\ . ] ) • Z . < • I I F- Z , re w . _ , 6 D - —1 0 . 00 .1 , ,' i ,.., • ' ' . .") --- INSPECTION RECORD ' ' k . (0 111 • -'. , • . 4. Retain a copy with permit - D 0 c - 0 w —I 1.- '' INSPECTION NO. PERMIT NO. ,, (0 LI. uj 0 :- CITY OF TUKWILA BUILDING DIVISION %,;: : 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431-3670 g :3 '....,,-,..: . i Pro'ect:. Type of Inspection: , u_ < i'. 59/./T/1 cey-it /Po 1 t. F 7 441 - a 1 Address: , ; f Date CAIed: a 1- : : / 1 / , ' 7.= 4/IC / - 0,02 .. . I Z 1.- Special Instructions: Date yanted: l aAr y i i ) I- 0 Z F- ).:':'-':'•": .. - . .. ‘ - 1 1 9 -0 ?' " ( ,. , LI uj 2 .. , 9 2 ....._ Requester: 2__/),40-2-- ? 2 n M 0 Pone N: 0 - 0 . . lli Ui . ''! .s ' APproved per applicable codes. 0 Corrections required prior to approval. ,,‘,..,...'-'... : .. . ' K , i . , . ., _ po L- 0 .,, :-..,:,. :. COMMENTS: .. " z Lu u) i.,, . .,, -. .. : ... .. . g i = I- 1-- f z 'i..".,..,...r: . y , • . i 4:..* •'. ! • ‘ j ,; . , • i , . 4 , . 1 . ; _ _ ' ., 11:4 • .44.1 o , r i tr..7.73- • , zi:esAio;;;:::.. L ,11.0.--44,-kil i i 1 .• cr4p 4) Date: 2 • . t 14 : ' , inspector , ,.. 7kNi a ee 1 '', , S47 . O EINSPECTION F REQUIRED. Prior to inspection, fee must be • , .. . paid at b300 Southcenter Blvd., Suite 100. Call to schedule reinspection. . 1 tram 1 1 Receipt No Date: —Y---.14 , wymk ! . . „ .. , , ______ _ _ ._ , •'• r. 41 A e ' .,' ''L. ' A: 4 1k , ..1, ,.''`...';,:, Ai .1 4 4P ' ' ' '4 kv..t • i . 1 ' . - ; • ,......— • • INSPECTION REPORT City of Tukwila Building Division Project: Southgate Mobile Home Park Address: 14005 — 42 ❑d Avenue South Tukwila, WA 98168 Date: July 5, 2002 Trailer # 42 Findings: This trailer was not listed as vacant (by the park management) however, it appears to be vacant at this time. It does not have a foundation, anchorage or skirting as prescribed in WAC296- 150 -0610. There is no evidence of a power supply. Primary and secondary entries do not have egress facilities (stairs, landings, handrails or guardrails) per U.B.C. Sections 1003.3.3 & 1003.3.3.6. In the present condition, this trailer cannot be used for its intended purpose. Corrections required for compliance: Any building which has any or all of the conditions or defects described is deemed to be a dangerous building in accordance with the Uniform Code for the Abatement of Dangerous Buildings. Consequently, this trailer must be abated by one of the following: 1. The trailer shall be repaired in accordance with the current building code or other current code applicable to the type of substandard conditions requiring repair 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. FILE COPY I understand that the Plan Check approvals are subject to errors and omissions and approval of plans does not authorize the violation of any adopted code or ordinance. Receipt of con - tractor's $. of a pro I pl. acknowledged. By Date q—y—c. Permit NoT + 3 RECEIVED CITY OF TUKWILA AUG 21 2002 PERMIT CENTER CITY Of 1111001.1k WPROYE0 pu 26 ti: a2 tbC4Z- r.sror,47.;t +.1tw151.T* Y6k•?f4n z HZ' rew QQ� JU 00 WI • �u. wo 2 1Q Wd =w z� o Z~ Li,' 0 o - O I-- wW • o caw 0 z 1 - .-- �'ERMIT C � 4� � COORD COPY PLAN REVIEW /ROUTING SLIP i ACTIVITY NUMBER: D02 -261 DATE: 08 -21 -02 PROJECT NAME: SOUTHGATE MHP — SPACE #42 z SITE ADDRESS: 14005 42 AVENUE SOUTH z g X Original Plan Submittal Response to Incomplete Letter # v v 0 i to 0 I Response to Correction Letter # Revision # _ After Permit Is Issued W J 1- • w 1 CO LL W O 2 DEPARTMENTS: .� °.;")Z u_ Building Division Q Fire Prevention ❑ Planning Division ❑ N C! = w Public Works ❑ Structural ❑ Permit Coordinator Z H I— O Z I— W DETERMINATION OF COMPLETENESS: (Tues., Thurs.) DUE DATE: 08-22 -02 2 • 0 Complete L Incomplete ❑ Not Applicable ❑ O N O H Comments: = W • I-- H tL O Permit Center Use Only Z ll! U) INCOMPLETE LETTER MAILED:. LETTER OF COMPLETENESS MAILED: U = ~ O F" Departments determined incomplete: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials: Z TUES /THURS ROUTING: i . ; . Please Route [ ' Structural Review Required ❑ No further Review Required ❑ REVIEWER'S INITIALS: DATE: ■ i APPROVALS OR CORRECTIONS: DUE DATE: 09 -19 -02 Approved ❑ Approved with Conditions [ Not Approved (attach comments) ❑ Notation: 4 ,. A '" REVIEWER'S INITIALS: DATE: L . . Permit Center Use Only k. CORRECTION LETTER MAILED 0 t ? Departments issued corrections: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials: ;,t ; "i tx' =i4 PERMIT C ', a < ,f e Documents/routing slip.doc 2.28.02 d t y §, .s.. i ry't, ,° .hna S ,.. ,..c.,, is F y. a..lv.:uw:,+.c.a:.v .• '. ...a.+.� im> N.� ........................... ..........,.._.. ... ..,._... _....- .. 1 . • PERMIT NO.: Do 2. 2&3 - , , TENANT NAME:SOU drAni M LIZ • BUILDING PERMITS INSPECTIONS CONDITIONS ❑ 1 Progress Inspection Status II 10001 No changes will be made to the plans unless approved ❑ 2 Pre- construction by the Engineer and the Tukwila Building Division ❑ 3 Investigation ❑ 10002 Plumbing permits shall be obtained through King Co 4 OK to Occupy ❑ 10003 Electrical permits obtained through L & I ❑ 4001 Special -Bolts in Concrete ❑ 10039 Final approval for all 11 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 1 ❑ 4005 Special - High - Strength Bolting ,,.-,-,...,..i....:..14,41,„ ;- ❑ 4006 Special - Structural Masonry ❑ 10042 Fuel burning appliances ❑ 4007 Special -Reinf Gypsum Concrete ❑ 10043 Appliances, which generate ` " "0 n ❑ 4008 Special- Insulating Conc Fill ❑ 10044 .Water heater shall be anchored •. ' ' Z,s 0 4009 Special -Spray Fireproofing 0 10045 Reroof ❑ 4010 Special- Piling, Piers, Caissons ❑ "Anchoring - All new construct and substantial �'` r "�:rt ❑ 4011 Special- Shotcrete improvement shall be anchored to prevent flotation" f g g='1, ❑ 4012 Special - Grading, Excav/Fill • ?: ,, . ❑ 4013 Special - Retaining Wall 8 ,. i t;i4'1 11 ;*' : 4014 Special- Panels Plan Reviewer: Date CJ Z" tt, ,, ❑ 4015 Special -Smoke Control System r , flk Da te: Permit Tech: .E. , ;% fi4 , fir+- 4,:1511 � + 2 ;,g' •+.v 4 . i' . . imn ,, • ..- „,4,.MW,w4A.'I•„,41,..,4,Avt, wvQ:oj mtvgleen ' _., -- i t • -'.4. V PLAN REVIEW /ROUTING SLIP , ACTIVITY NUMBER: D02 -263 DATE: 08 -21 -02 PROJECT NAME: SOUTHGATE MHP - SPACE #42 Z H . W SITE ADDRESS: 14005 42 ND AVENUE SOUTH re ? --- -- -- . '.. • 4.0 h. J _ .. id, CITY OF TUKWILA R . II.. 4 ,.. i Permit Center • •- t 9 i 6300 Southcenter Boulevard, Suite 100, Tukwila, WA 98188 . ' s 0 Telephone: (206) 431 -3670 1 90E AFFIDAVIT IN LIEU OF CONTRACTOR REGISTRATION ` Z. STATE OF WASHINGTON ) ' 1 z ) ss. re COUNTY OF KING ) � v 00 f <<,¢ - 1E4 At 4 /VDt /zoo W = • , s t a t es as follows: CO LL. 0 j 1. 1 have made application for a building permit from the City of Tukwila, Washington. 2 s Q LLQ 2. I understand that state law requires that all building construction contractors be registered with the a State of Washington. The exceptions to this requirement are stated under Section 18.27.090 of the W Revised Code Washington, a copy of which is printed on the reverse side of this Affidavit. I have Z x read or am familiar with RCW 18.27.090. w� 3. I understand that prior to issuance of a building permit for work which is to be done by any 2 D contractor, the City of Tukwila must verify either that the contractor is registered by the State of o w . Washington, or that one of the exemptions stated under RCW 18.27.090 applies. o i w W , 4. In order to provide verification to the City of Tukwila of my compliance with this requirement, I hereby '� o F attest that after reading the exemptions from the registration requirement of RCW 18.27.090, 1 o consider the work authorized under this building permit to be exempt under No. , and Cu . will therefore not be performed by a registered contractor. 1-: x Z , I understand that I may by waiving certain rights that I might otherwise have under state law in any decision to . engage an unregistered contractor to perform constructio w• . G t -' .ide ;z4a? /L PLICANT L.AD,4,v Signed and sworn to before me this d P ` � �`'� F - day of , 20 O Z - I N PuooG c e t,6 ..O q ,�� NOTARY PUBLIC in and for the State of Washington, ' yf g I C'LA . residing at County. Name as commissioned: 6Mt.- r 'P i' . n e �( A : 1 ,,: . . My commission expires: > - < - 0 (o ' ‘ it e AFFCONT 1/13/00 -- ma il