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HomeMy WebLinkAbout316 E 10th St - Building :Ag CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION 1 321 EAST 5TH STREET PORT ANGELES, WA 98362 Application Number 11- 00000671 Date 7/01/11 Application pin number 611430 Property Address 316 E 10TH ST ASSESSOR PARCEL NUMBER: 06-30-00-0-3- 3025 -0000- Tenant nbr, name PATRICIA C WILLIAMS REPORT SALES TAX Application type description RE -ROOF Subdivision Name on your state excise tax form Property Use to the City f Port Angeles Property Zoning RS7 RESDNTL SINGLE FAMILY y y Application valuation 4000 (Location Code 0502) Application desc TEAR OFF RE -ROOF THE HOUSE Owner Contractor PATRICIA C WILLIAMS QUALITY PLUS ROOFING LLC 316 E 10TH ST PO BOX 610 PORT ANGELES WA 983627924 SEQUIM WA 98382 (360) 775 -0819 (360) 683 -1483 Structure Information 000 000 RE -ROOF THE HOUSE Permit BUILDING PERMIT NO PR FEE Additional desc RE -ROOF THE HOUSE Permit pin number 188490 Permit Fee 123.75 Plan Check Fee .00 Issue Date 7/01/11 Valuation 4000 Expiration Date 12/28/11 Qty Unit Charge Per Extension BASE FEE 95.75 2.00 14.0000 THOU BL- 2001 -25K (14 PER K) 28.00 Other Fees STATE SURCHARGE 4.50 Fee summary Charged Paid Credited Due Permit Fee Total 123.75 123.75 .00 .00 Plan Check Total .00 .00 .00 .00 Other Fee Total 4.50 4.50 .00 .00 Grand Total 128.25 128.25 .00 .00 Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes null and void if work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned for a period of 180 days after the work has commenced, or if required inspections have not been requested within 180 days from the last inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of construction. /0 .A.. ,ems e� a4z.- Date Print Name Signature of Contractor or Authorized Agent Signature of Owner (if owner is builder) T:Forms /Building Division /Building Permit BUILDING PERMIT INSPECTION RECORD PLEASE PROVIDE A MINIMUM 24 -HOUR NOTICE FOR INSPECTIONS Building Inspections 417 -4815 Electrical Inspections 417 -4735 Public Works Utilities 417 -4831 Backflow Prevention Inspections 417 -4886 IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN CONSPICUOUS LOCATION. KEEP PERMIT AND APPROVED PLANS AT JOB SITE. Inspection Type Date Accepted By Comments FOUNDATION: Footings Stemwall Foundation Drainage Downspouts Piers Post Holes (Pole Bldgs.) PLUMBING: Under Floor Slab Rough -In Water Line (Meter to Bldg) Gas Line Back Flow Water FINAL Date Accepted by AIR SEAL: Walls Ceiling FRAMING: Joists Girders Under Floor Shear Wall Hold Downs Walls Roof Ceiling Drywall (Interior Braced Panel Only) T -Bar INSULATION: Slab Wall Floor Ceiling MECHANICAL: 0 Heat Pump Furnace FAU Ducts Rough -In Gas Line Wood Stove Pellet Chimney Commercial Hood Ducts FINAL Date Accepted by MANUFACTURED HOMES: Footing Slab Blocking Hold Downs Skirting PLANNING DEPT. Separate Permit #s SEPA: Parking Lighting ESA: Landscaping SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE Inspection Type Date Accepted By Electrical 417 -4735 Construction R.W. PW Engineering 417 -4831 Fire 417 -4653 Planning 417 -4750 Building 417 -4815 S T:Forms /Building Division /Building Permit BUILDING PERMIT INSPECTION RECORD PLEASE PROVIDE A MINIMUM 24 -HOUR NOTICE FOR INSPECTIONS Building Inspections 417 4815 Electrical Inspections 417 4735 Public Works Utilities 417 4831 Backflow Prevention Inspections 417 4886 IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN CONSPICUOUS LOCATION. KEEP PERMIT AND APPROVED PLANS AT JOB SITE. Inspection Type Date Accepted By Comments FOUNDATION: Footings Stemwall Foundation Drainage Downspouts Piers Post Holes (Pole Bldgs.) PLUMBING: Under Floor Slab Rough -In Water Line (Meter to Bldg) Gas Line Back Flow Water FINAL Date Accepted by AIR SEAL: Walls I 1 Ceiling �J" FRAMING: Joists Girders Under Floor Shear Wall Hold Downs Walls Roof Ceiling Drywall (Interior Braced Panel Only) (1) T -Bar INSULATION: Slab Wall Floor Ceiling MECHANICAL: 2 Heat Pump Furnace FAU Ducts Rough -In Gas Line Wood Stove Pellet Chimney Commercial Hood Ducts FINAL Date Accepted by I /1 MANUFACTURED HOMES: Footing Slab Blocking Hold Downs Skirting PLANNING DEPT. Separate Permit #s SEPA: Parking Lighting ESA: Landscaping SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE Inspection Type Date Accepted By Electrical 417 -4735 Construction R.W. PW Engineering 417 -4831 Fire 417 -4653 '1 Planning 417 -4750 Building 417 -4815 T:Forms /Building Division /Building Permit PROJECT STATUS UPDATE Permit# !t(�� )(0 1 v" v' Date: 3'/ 3'/? I phoned the: Applicant at Property Owner at Contractor O {a L4A y PI, goo _pi, at 1.0 8 3— 143 3 I (left a phone message, or discussed): The permit (has expired, or will expire soon). What is the status of this project? Please call and schedule a final inspection. Or Submit a "permit extension request" letter. Or Let me know if the project is abandoned. WV Aall 3 w' -'Gi perm' ft T:Forms /Building Division/Project Status Update BUILDING PERMIT APPLICATION Print in ink CITY OF PORT ANGEL For City Use Only: -vN Attn: Building Permit Technician Date Received 1- 321 E. Fifth St., Port Angeles, WA 98362 Permit ta (360) 417 -4815 fax (360) 417 -4711 Date Approved Applicant AA/ Phone Property OWner �i Phone d_ 77s- --©g'j9, Property Owner's Address Contractor `0 Phone �cf Contractor's Ad•' ress P 4 c/� License Expires _E -mail_ PROJECT ADDRESS 4 P. Parcel Number Lot Zoning Project Type Brief Description: residential Multi- family Commercial Industrial Check all that apply New Construction Addition Remodel Repair Demolition e -roof V,Kiguse garage other 'tear off re -roof lay over one layer Heat System Heat pump wood burning stove gas fireplace pellet stove other Other Floor Areas Existing (sq. ft.) Proposed (sq. ft.) Basement per sq. ft. 1 Floor 2nd Floor 3 Floor Garage Carport Covered Porch Deck Shed Other TOTAL VALUATION goe9 Total footprint of structures ft. Lot size sq. ft. Lot coverage Site Coverage the amount of imperviou su ace on a parcel, inclu in.. ructures, paved dri, eways _Idewalks, patios, and other impervious surfaces. (see PA 17.94.135 for exemptio •1 it- overage Max. height of proposed structures Occupa' cy grou• of be'rooms Will a lawn sprinkler system be inst., ed? Occu. -nt load of full b :ths Will a fire sprinkler system be inst -lied? Construction type of half ba s I have read and completed this application and know it to be true and correct. I am authorized to apply for this permit and understand that it is my responsibility to determine what permits are required, and to obtain permits prior to working on projects. /l Print Name Q /V-/%/ fI dt -e)l' Signature L,'� °j /�ff, T:Forms /Building Division /Building permit application 4 aP. i tyti: l'4, 6, th .C QUALIPR.9I304 Sequim 360- 683 -1483 Port Townsend 360- 385 -9783 261851 Hwy 101 Silverdale 360- 698 -5500 Sequim, Wa 98382 Po Box 610 Sequim, Wa. 98382 Date: 6 -8 -2011 Proposal To Phone: Cell: Tyler Williams 360- 775 -0819 Street: Work: FAX: 316 East 1 D City: Mailing address: Port Angeles, Washington 98362 Insurance: Phone: Claim Card Exp. Date: Code: Visa Master Card /Discover We hereby submit specifications and estimates below for Remove all existing roofing and haul away all waste materials. Install' new felt vapor barrier to protect your roof deck surface from extreme weather conditions. Install new pipe flashings. Install ridge vent at the peak of your roof for proper attic ventilation. Install IKO lifetime laminated shingles with algae blocker to help prevent moss growth. NOTE: This is a 80 mph wind rated shingle and when we install the new roof we 6 nail the shingles to decrease uplift in high wind conditions. $4,824.61+ Tax Pe'iie eh/4 f V I Y" i? l2 4 fr'> cote, V �o i= t- ,c2 Note: Plywood clause any d yki ng that is bad is n added cost above the contract price if not sorted above. Thmaterial labor Payment to be made as follows: 0 1 2 Down rest-on completion-0 Paid on- completion 0 payment arrangements above D3 or 6 months same as CASH Guarantee: Said roof carries guarantee for years against leaks only. We are not liable for any foot traffic, Wind damage, or acts of God. Not liable for damages work performed by other trades. All materials are guaranteed to be as specified. All work to be completed in a workmanship like manner according to standard practices. Any alterations or deviation from above specifications involving extra costs will be executed upon verbal and written orders, and will become a extra charge over and above the contract. All agreements contingent upon strikes, accidents or delay beyond our control. NOTE: Any emergency roof repairs or repairs have no GUARANTEE UNLESS NOTED ABOVE. Decking Clause: Any plywood or carpentry work will be at a extra charge above the contract, 555.00 per man hour plus materials or other wise specified on the bid involved on your roof project. Plywood replacement will consist of removal ,prep work, sheeting labor to AuthoriZ Si t., install sheeting, and disposal of sheeting for Per sheet. i t i l Acceptance of proposal: The above prices, specifications, and conditions of satisfactory and are hereby accepted. To are authorized to do d r the work as specified. Payment outlined above. In the event that this agreement is not paid as agreed, then the reasonable attorney fees and Note: This proposal may be withdrawn collections costs even though no suit or action is filed or paid. N a suit or action is filed, the amount of such reasonable attorney fees shall be fixed by the courts in which suit or action, including any appeals therein, is tried, heard and decided. If proposal is canceled by home by us if not within Days. owners after acceptance a 25% charge will be made of the contract price. Quality Plus Roofing LLC is not responsible for any debris that accumulates in the an of removal, or damage of vibration. When paid by check the roof is not paid in full -until the funds are available to Quality lus Roofi g LLC. Signature l C t J '.(4/ Date 'Z3 f I l Clallam County Assessor Treasurer Property Details 59322 PATRICIA C WILLIA... Page 1 of 4 Clallam County Assessor Treasurer Property Search Results 59322 PATRICIA C WILLIAMS for Year 2011 2012 Property Account Property ID: 59322 Legal Description: LOT 6 BLOCK 330 Geographic ID: 0630000330250000 Agent Code: Type: Real j Tax Area: 0010 PA 121 PORT ST CNTY H2 L WMP Land Use Code 11 Open Space: N DFL N Historic Property: N Remodel Property: N Multi Family Redevelopment: N Township: Section: lir Range: Location Address: 316 E TENTH ST Mapsco: ./:>7. PORT ANGELES, WA Neighborhood: Cycle 5 Res Map ID: 2 Neighborhood CD: 10955130 Owner j ej Name: PATRICIA C WILLIAMS Owner ID: 59936 Mailing Address: 316 E 10TH ST Ownership: 100.0000000000% PORT ANGELES, WA 98362 -7924 Exemptions: Taxes and Assessment Details Property Tax Information as of 07/01/2011 Amount Due if Paid on: NOTE: If you plan to submit payment on a future date, make sure you enter the date and click RECALCULATE to obtain the correct total amount due. i First Second Half Half 'Base iBase Year Statement ID Taxing Jurisdiction Amt. I Amt. Penalty (Interest .l Base Paid Amount Due 2011 153936 ST SCH STATE SCHOOL $152.97 $152.96 $0.00 $0.00 $152.97 $152.96' 2011 153936 CC -GEN COUNTY CLALLAM $84.45 $84.43 $0.00 $0.00 $84.45 $84.431 2011 153936 SD #121 SCHOOL DISTRICT #121 $199.95 $199.94 $0.00 $0.00 $199.95 $199.94 2011 153936 CITY PORT ANG CITY OF PORT ANGELES $194.95 $194.93 $0.00 $0.00 $194.95 $194.93 2011 153936 PORT PORT OF PORT ANGELES $11.89 $11.88 $0.00 $0.00 $11.89 $11.88 2011 153936 NTH OLY LIB NORTH OLYMPIC LIBRARY $35.42 $35.41 $0.00 $0.00 $35.42 $35.41: 2011 153936 HOSP #2 HOSPITAL #2 $34.67 $34.66 $0.00 $0.00 $34.67 $34.66', 1 2011 153936 WSMET PK DIST WILLIAM SHORE MET PARK DIST $10.54 $10.53 $0.00 $0.00 $10.54 510.53. 2011 153936 CITY_STORMWATER CITY STORMWATER $36.00 $36.00 $0.00 $0.00 $36.00 $36.00' ;2011 153936 WEED_CONTROL WEED CONTROL $0.82 $0.81 $0.00 $0.00 $0.82 $0.81 2011 153936 TOTAL: $761.66 $761.55 $0.00 $0.00 $761.66 $761.55 2010 42221 ST SCH STATE SCHOOL $151.43 $151.43 $0.00 $0.00 $302.86 $O 2010 42221 CC -GEN COUNTY CLALLAM $80.59 $80.58 $0.00 $0.00 $161.17 $0.00 2010 42221 SD #121 SCHOOL DISTRICT #121 5196.15 $196.14 $0.00 $0.00 $392.29 $0.00 2010 42221 CITY PORT ANG CITY OF PORT ANGELES $186.58 $186.59 $0.00 $0.00 $373.17 $0.00 2010 42221 PORT PORT OF PORT ANGELES $11.32 $11.33 $0.00 $0.00 $22.65 $0.00 2010 42221 NTH OLY LIB NORTH OLYMPIC LIBRARY $23.42 $23.41 $0.00 $0.00 $46.83 $0.00 2010 42221 HOSP #2 HOSPITAL #2 $33.06 $33.06 $0.00 $0.00 $66.12 $0.00 2010 42221 WSMET PK DIST WILLIAM SHORE MET PARK DIST $10.52 $10.52 $0.00 $0.00 $21.04 $0.00 i 2010 42221 CITY_STORMWATER CITY STORMWATER $36.00 $36.00 $0.00 $0.00 $72.00 $0.00 12010 42221 WEED_CONTROL WEED CONTROL $0.82 $0.81 $0.00 $0.00 $1.63 $0.00 2010 42221 TOTAL: $729.89 $729.87 $0.00 $0.00 $1459.76 $0.00 Values Improvement Homesite Value: N/A Improvement Non Homesite Value: N/A Land Homesite Value: N/A Land Non- Homesite Value: N/A Ag Timber Use Value Curr Use (HS): N/A N/A http: /websrv8.clallam. net propertyaccess /Property.aspx ?cid =0 &year =2011 &prop_id= 59322. 7/1/2011 CITY OF PORT ANGELES PUBLIC WORKS UTILITIES DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 98362 Application Number 06 00000829 Application pin number 521447 Property Address 316 E 10TH ST ASSESSOR PARCEL NUMBER 06 30 00 0 3 3025 0000 Application type description PUBLIC WORKS UTILITES Subdivision Name Property Use Property Zoning RS7 RESDNTL SINGLE FAMILY Application valuation 0 Owner Contractor WILLIAMS PATRICIA C 316 E 10TH ST PORT ANGELES T•\Policies \I 102.15R 11/05] WA 983627924 OWNER Date 7/31/06 Permit RIGHT OF WAY Additional desc POUR CONCRETE BACK OF SIDEWALK Permit pin number 83683 Permit Fee 00 Plan Check Fee 00 Issue Date 7/31/06 Valuation 0 Expiration Date 1/27/07 Qty Unit Charge Per Extension 1 00 0000 ECH RIGHT OF WAY PERMIT 00 Fee summary Charged Paid Credited Due Permit Fee Total 00 00 00 00 Plan Check Total 00 00 00 00 Grand Total 00 00 00 00 Separate Permits are required for electrical work, SEPA, Shoreline,ESA, utilities, private and public improvements. This permit becomes null and void if work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned for a period of 180 days after the work as commenced, or if required inspections have not been requested within 180 days from the last inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of construction. Signature of Contractor or Authorized Agent Date Signature of Owner (if owner is builder) Date CALL 417 -4807 FOR UTILITY INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION. PW UTILITIES (Engineering Division) WATERLINE METER SEWER CONNECTION SANITARY STORM SITE DRAINAGE SITE EROSION CONTROL PARKING SIDEWALK CURB GUTTER DRIVEWAY APPROACH BACK -FLOW DEVICE CONSTRUCTION R.W PW/ 417 4807 ENGINEERING FIRE 417 -4653 PLANNING DEPT 417 -4750 BUILDING 417 -4815 T•\Policies \1102.15R 11 /05] RESIDENTIAL PERMIT INSPECTION RECORD KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE DATE ACCEPTED COMMENTS YES NO 1 I 1 I 1 1 1 I 1 1 I I I 1 1 1 1 1 1 1 1 .1 I I 1 1 1 I 1 I 1 1 1 1 1 1 1 1 1 1 I I 1 1 1 1I I 1 1 1 1 1 1 .1 I I 1 1 1 1 1 I 1 1 1 1 FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE DATE YES NO COMMERCIAL DATE ACCEPTED YES I NO I 1 1 1 I 1 I CONSTRUCTION R.W PW ENGINEERING FIRE DEPT 1 PLANNING DEPT BUILDING . CITY OF PORT ANGELES LIGHT DEPARTMENT ELECTRICAL PERMIT PERMIT NO. /5' 7 Y 3 - Y '--rJ' DATE Site Address' o READY FOR INSPECTION WILL CALL FOR INSPECTION Installed By: ~ Owner/Business Address: Sq. Ft. 000 ~ Residential .....-: Heat KW J~ ~ Baseboard 0 Furnace/Boiler o Heatpump 0 Other o Commercial/Industrial load Total Connected load (attach breakdown) Total Motor load . (attach breakdown) o Add/alter circuits o Auxiliary power (list below) o Special equipment (list below) M Overhead o Underground Voltage 01003.0 Service size ~t1 o Temporary ~ New Construction 'd Remodei o Service update/alter/repair Amps .y; .SO /2.A-"~ "'ZA/ . - ~efChU G,", I "1 M-LA Ql fW !Iou S E) ~"(>> ( 00 vJ 'f--htJ .IU,,/4w>.. Detai I slDescri pt ion: . W.S. No. Service Capacity: 0 O.K. 0 Not O.K. o Ditch inspection O.K. 1f,~\. 'W Rough-in/cover O.K. ~ O.K. to connect service ~r~Final O.K. 1--7--1'7 Size ~ 0:;; .y''''' Co me11ts Date Hold for: 0 Easement 0 Letter o Signed up for service/meter o Meter Department notified for installation o Fire Department notified of inspection o Plan Review approved/pendi ng Site Address: . LL Notify the Department 01 City Light by Street Address and Permit Number when ready lor inspection. Work must not be covered or electrically energized before inspection and O.K. for covering or service has been given by the Inspector in Writing on the Wiring Report or the Building Permit. PHONE 457.0411, EXT. 158 or EXT. 224. j;! j--- NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT '30 tyO / Inspector Amount paid WHITE - file by address YELLOW - file by number PINK - Top: Eng, Bottom: Customer GREEN - Top: Inspector, Bottom: City Hall ~/io t. /074 Permit/Receipt No. Installer: -d'7 ~ OLYMPIC PRI....TERS. INC. '- , . " " . ! , , ~ ! . . .'.'.' t. '. ! ' . t.-_, . I) ()J A 1"'iIL l+tA-1"vt... ;;,AA;-J 'U '\ ~:"Y"- f I' l't .'-' To:. .,J I , I\.- c T G (u, v f'J]) lO . :2) U'TiU'f11.j CLon, ~ f"'C..,I....J,p~"'~"""/ .FC?'/U'<..i 0-...1 Svt<.rA<.."-. v-;.'Tr\11V' (f" 1fc#.'2-.~'7'A't... LI/'-'l 'DF n/"'c...F / )) 'i.v> J'1ln" 1# Z .)-'!I tZ$I ! f' j) I!l. Il./c... n '( It!h J'L '$ . (J. H '<A 7Vl . , " 1 " " t. i, , ,- /'" \ .,". . '. ,'. oY ~ORT -40\'0 ...:~~~ u~"'ilt. L -==.::III ;~'\ Iry LIe." -' CITY OF PORT ANGELES LIGHT DEPARTMENT PERMIT No-./S3..:<.. DATE .:::;< /l//r!:? / ELECTRICAL PERMIT '-' Site Address; Installed By: 3((, F /0 f!-f-/>11.1i-/c hi/,V READY FOR INSPECTION License Number: [1 WILL CALL FOR INSPECTION Phone: Owner/Business: Phone: Owner/Business Address: Sq. FI. o Residential Heat KW o Baseboard 0 Furnace/Boiler o Heatpump 0 Other o Commercial/Industrial load Total Connected load (attach breakdown) Total Motor load (attach breakdown) o New Construction o Remodel o Service update/alter/repair o Overhead o Underground Voltage 01.0' 03.0 Service size o Temporary o Add/alter circuits o Auxiliary power (list below) o Special equipment (list below) Amps Detai Is/Descri ption: J W.S. No. Service Capacity: 0 O.K. 0 Not O.K. o Ditch inspection O.K. o Rough.in/cover O.K. ~ 1[1 O.K. to connect service ';;P Final O.K. .-I\'tt Size Comments Date Hold for: 0 Easement 0 Letter o Signed up for service/meter o Meter Department notified for installation o Fire Department notified of inspection o Plan Review approved/pending Site Add3~? c!.. / 0 ~ Installer: It-H'Ifv\,-I, c- Permit/Receipt No. /S3Z- !E-J New Meters f J Notify the Department of City Light by Street Address and Permit Number when ready for inspection. Work must not be covered or eiectrically energized before inspection and O.K. for covering or service has been given by th~tor in Writing on the Wiring Report or the Buiiding Permit PHONE 457.0411, EXT. 158 or EXT. 224. . J UJI1. NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT I t ~ ---1- Inspector Amount paid PINK - Top. Eng, Bottom cu.~tomer GREEN - Top. Inspector, BOHom. CIty Hall WHITE - file by address YELLOW - file by number .-- --~....._--- -~. ELECTRICAL INSPECTION WIRING REPORT 457-0411 Ex!. 158 APPROVED NOT APPROVED o ................... DITCH ................... 0 o .............. ROUGH IN/COVER..... .... ..... 0 0.................. SERVICE .................~ o .................... FINAL.. .. .. .. .. .. .. .. . '" 0 CORRECTIONS NEEDED: C!) f/~~ <:::;~1IClpT- stckl, /ko/ll E,t' a~ ) /f j iMi-~ . NOTIFY INSPE TOR WHEN CORRECTIONS ARE COM lETED WITHIN 15 DAYS OLYMPIC PRINTERS, INC. 1206J452.1381 NOT REMOVE _ ,\ '. /---- , ......,. : ""-,, r', , . ',-,' \ .