10-102026r City of Federal Way
•
Community Development Services
P.O. Box 9718
Lender
Federal Way, WA 98063 -9718
FILE
Ph: (253) 835 -2607 Fax: (253) 835 -2609
Project Name: BELMOR PARK SPACE 315
Project Address: 2101 S 324TH ST Space 315
sz
ilding - Single Family
Perm><t #: 10- 102026 -01 -SF
Inspection Request Line: (253) 835 -3050
Parcel Number: 162104 9037
Project Description: NEW - Installation of manufactured home in accordance with manufacturer's installation
requirements. Includes (2) 34 square foot porches. * ** REVISED TO MOVE THIS HOME
TO LOT #315 (previously on 275) * **
Own r
Applicant
Contractor
Lender
BELMOR MOBILE HOME PARK
BELMOR MOBILE HOME PARK
SKYWAY CUSTOM TRANSPORT
2101 S 324TH CT
2101 S 324TH CT
SKYWACT960CL (3/3/12)
FEDERAL WAY WA 98003
FEDERAL WAY WA 98003
PO BOX 506
Occupancy Load:
RENTON WA 98057
Census Category: 112 - New Manufactured/Factory -Built Home, IN PARK
Includes:
#1
#2
#3
#4
Occupancy Class:
New / Additional Sq. Feet - Other ..........................0
Zoning Designation ................... .............................RM
3600
Construction Type:
Occupancy Load:
Floor Areas . ft.
0
0
1 0
1 0
New/ Additional Sq. Feet - I st Floor ` ................1294
New / Additional Sq. Feet - 3rd Floor ....................0
New / Additional Sq. Feet - Deck ..........................
68
New / Additional Sq. Feet - Other ..........................0
Zoning Designation ................... .............................RM
3600
New / Additional Sq. Feet - Basement ...................0
New / Additional Sq. Feet - Garage .......................0
New / Additional Sq. Feet - Total .......................... 1362
PERMIT EXPIRES Saturday, June 18, 2011
Permit Issued on Monday, December 20, 2010
I hereby certify that the above information is correct and that the construction on the above described property and
the occupancy and the u7-will be in accordance wio the laws, rules and regulations of the State of Washington
nd a ity of Federal Way.
Owner or agent: Date:
F 9 /s /n
CMV OF -
Federal Way
THIS CARD IS TO.REMAIN ON -SITE •
Construction I ection Record
INSPECTION REQ TS: (253) 835 -3050
PERMIT #: 10- 102026 -01 -SF Address: 2101 S 324TH ST Space 315
Project: BELMOR MOBILE HOME PARK FEDERAL WAY, WA 98003
Scheduled inspections may be failed if this card is not on -site. DO NOT LOSE THIS CARD. Inspections are listed as close to sequential order as
possible (read left to right, top to bottom). Please schedule inspections as appropriate. Work must not be covered until it is approved. Check with your
inspector if you are unsure about any of the inspections or the inspection sequence. On -going inspections are logged on the back of this card.
Blocking/Tie Downs (4015) 0 Final Erosion Control (4375) Skirtinoinal (4250)
Approved Approved Approved
By Date _ By Date By Date 8 - 3 f(
SWM Precon Site Mtg (4400)
E]
Initial Erosion Control (4365)
El
Interim Erosion Control (4370)
Approved
By
To be done prior to breaking ground
Approved
By
Date
By
Date
By
Date
Blocking/Tie Downs (4015) 0 Final Erosion Control (4375) Skirtinoinal (4250)
Approved Approved Approved
By Date _ By Date By Date 8 - 3 f(
Rough Electrical
Approved
Final Electrical
Approved
Right of Way
Approved
By
Date
By
Date
By
Date
.�� E*DPZml-A-
MyFderal WayDEC 0 9±
COMMUN5YDEVEIA 253.83 - 260CES APPLICATION
253 - 835 -2607• FAX 253.835 -2609
.�t FY=CF FEDERAL WAY
rr-i-q
Lk -10 -j2sl -01
FMF CO ME PL DE EN FP
02 l 01 5 . ST • :�F- L.. Vt% WA
PROJECT
ZONING
ASSESSOR'S TAX/PARCEL #
/VALUATION
$ IDG'DO.DU
- -- ^ --
TYPE OF PERMIT
UILDING ❑ PLUMBING ❑ MECHANICAL
❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT
(Tenant Namlffomeoumer Last Name)
M
PROJECT DESCRIPTION
Detailed description of work to
g
be included on this permit only
PROPERTY OWNER
NAME wl L l--
- L p -
PRIMARY PRONE
955-955-0!:517
MADdNG ADDRESS -j''
S. �a3� Sr.
E-
ki A
SWA
ZIP 1 �O( D �D-3
SK T
PHONE
MAILING ADDRESS
• D'
E-�L
CONTRACTOR
CITY
aTA
ZIP
S
FAX
WA STATE CO R'S LICENSE #
EXPIRATION DATE
=23 1A0
FEDERAL WAY BUSINESS LICENSE #
NAME
P
PHONE
MAILING ADDRESS
E-MAIL
APPLICANT
CITY
8TATE
ZIP
FAX
PROJECT CONTACT
(The individual to receive and
respond to all correspondence
concerning this application)
N j
L L — �`�
PHONE
a 1 ADDRE88 . e,;% 4+h ST. (0 FF I L.e
i 10 hilne 11
cm
STA
np
go
FAX gag - $'(�S
CONTACT NAME:
PHONE
EMAIL
PROJECT FINANCING
NAME
OWNER - FINANCED
Required value of $5.000 or more
(RCW 19.27.095)
MAIIANG ADDRESS, CITY, STATE, ZIP
PHONE
I cerft under penally of perjury that 1 am the property owner or authorised agent of the property ourrler. I certVy that to the best
of my knowledge, the irtformatlon submitted in support of this permit application is true and correct. 1 certify that 1 Will comply with
all applicable City of Federal Way regulations pertaining to the work authorized by the issuance of a permit. I understand that the
issuance of this permit does not remove the owner's responsibility for compliance with local, state, or federal lams regulating
construction or environmental laws.
1 further agree to hold harmless the City of Federal Way as to any claim (including costs. eupenses, and attorneys' fees incurred in
the investigation and defense of such claim), which may be made by any person. including the undersigned, and filed against the city,
but only where such claim arises out qr the reliance of the city, including its o- Oficers and employees, upon the accuracy Of the
injbrmation supplied to the city as a of this application.
SIGNATURE: LA6�k DATE 10�
PRINT NAME ; a '
Bulletin #100 - April 14, 2010 Page I of 3 k:\Handouts\Pernrit Application
turn I
Pt
yarn
0 •
GENERAL INFORMATION
CRITICAL AREAS ON PROPERTY? WATER PURVEYOR BSWER PURVEYOR VALUE OF EXISTING DIPROVEIMMI'1'B
EXISTING /PREVIOUS USE LOT SIZE (In Square Feet) EXISTING FIRE SPRDYELER SYSTEIK? PROPOSED FIRE SUPPRESSION SYSTEM?
❑ Yes ❑ No ❑ Yes ❑ No
ftsw nAL . NEW OR ADDITION
MECRANICAL FUMRES
VALUE OF AWCH ICAL WARS $
(a con q bid or estimate must be rouided)
Indicate how many o each gVe o
e to be installed or relocated as part o this project Do not Includeexistirigft4ures to remain.
AIR HANDLING UNITS
FANS GAS PIPE OUTLETS OTHER (Describe)
AIR CONDITIONER
FIREPLACE INSERTS HOODS (Commerria )
BOILERS
FURNACES HOT WATER TANKS (ca.)
COMPRESSORS
GAS LOG SETS REFRIGERATION SYST
DUCTING
GAS PIPING WOODSTOVES
GENERAL INFORMATION
CRITICAL AREAS ON PROPERTY? WATER PURVEYOR BSWER PURVEYOR VALUE OF EXISTING DIPROVEIMMI'1'B
EXISTING /PREVIOUS USE LOT SIZE (In Square Feet) EXISTING FIRE SPRDYELER SYSTEIK? PROPOSED FIRE SUPPRESSION SYSTEM?
❑ Yes ❑ No ❑ Yes ❑ No
ftsw nAL . NEW OR ADDITION
PLUM MNC FucTLws
Indicate how many of each type of fixture to be installed or relocated as part of this project. Do not include existing jUtures to remain.
BATHTUBS (or TUb /shower Combo)
LAYS (Hand Sink.) TOILETS WATER PIPING
DISHWASHERS
RAINWATER SYSTEMS URINALS OTHER (Describe)
DRAINS
SHOWERS VACUUM BREAKERS
DRINKING FOUNTAINS
SINKS (Mchen /Utility) WATER HEATERS W-trM)
HOSE BIBBS
SUMPS WASHING MACHINES TOTAL PECrURMS
GENERAL INFORMATION
CRITICAL AREAS ON PROPERTY? WATER PURVEYOR BSWER PURVEYOR VALUE OF EXISTING DIPROVEIMMI'1'B
EXISTING /PREVIOUS USE LOT SIZE (In Square Feet) EXISTING FIRE SPRDYELER SYSTEIK? PROPOSED FIRE SUPPRESSION SYSTEM?
❑ Yes ❑ No ❑ Yes ❑ No
ftsw nAL . NEW OR ADDITION
AREA DESCRIPTION
AREA DESCRIPTION (in square feet)
EXISTING
PROPOSED
TOTAL
FOR OFFICE USE
BASEMENT
FIRST FLOOR (or Mobile Nome)
ADDITION
SECOND FLOOR
Q0w f RC[AL - REWDUMNAW TM OVEMENU
AREA DESCRIPTION
COVERED ENTRY
Occupancy Group(s)
Construction
stories # Of
_ ......................... _..__._ ..... .......... _. _. ..._. _._..._.._.._..__.._��..�.._...
DECK
GARAGE ❑ CARPORT ❑
TENANT AREA ONLY
OTHER (describe)
PROJACT AREA ONLY
Area Totals
TOTAL
„NEW xot(rss olMI^**
ESTIMATED SELLING PRICE $
# OF BEDROOMS
COlV mRCIAL - NEW %ADDmON
AREA DESCRIPTION
Aare Feet
Occupancy Group(s)
Construction
Stories
Additional Information
NE1P'DUnA INO
ADDITION
Q0w f RC[AL - REWDUMNAW TM OVEMENU
AREA DESCRIPTION
Aare Feet
Occupancy Group(s)
Construction
stories # Of
Additional Information
TOTAL
TENANT AREA ONLY
PROJACT AREA ONLY
Bulletin #100- April 14, 2010 Page 2 of 3 k:\Handouts\PetnRit Application
- o
1 ca,,,, : ._ v • PERMIT — - 1 0 (�
Federal WaeCE1 MF CO ME PL DE EN FP
COMM(iNITY DEVELOPMENT.SERVICES p1 k% P P L I C A T I O N
2.53-835-2607•FAX 253-83.5-2609 �0�
,1•tA.rf'•; IJr;,7,11-^--rt:Ll•U COM Vim`j.Se
Cliff3
SITE ADDRESS / C �`- /yr f:;47,4,-4,/4.14e,/..
f''����j���+,.� //�//' /,l/,yr/�.
2/0 ! V . V ; t /-'t-- [1'' /% . I Fce)3 SUITE/UNIT
PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL# /'G�-yJ•
$ / 62- / 0X - 9037 �
TYPE OF PERMIT ❑ BUILDING PLUMBING ❑ MECHANICAL ' n P('l
❑ DEMOLITION El ENGINEERING ❑ FIRE PREVENTION 4Y
NAME OF PROJECT
('tenant Name/Homeowner Last Name) `� ,•.
PROJECT DESCRIPTION Zit 6 r k J, I V i-4.4-,, �0/" K'r 5 T /43 i ti-eA C (yeci
Detailed description of work to e 5 es S 'I X fit'/ /a/ ,s-i .3.2[/�� c/
be included on this permit only Si ace 4 /5, F-- .jet_ / 47. I6,14 7te, ', 3
NPRIMARY PHONE
PROPERTY OWNER ,,, /2-0A) 40'Ida- )e >‘,29,84 I ...,1 ,--/7
MAILING ADDRESS` LE-MAIL
-. "14/ , d )c7 {
,..J i ` '11"ry2 h. PHONE -3a —
mAzING ADDRE S
f E-MAIL
CONTRACTOR S 00!'410
Cr) S //1�Ty$�--
' u /t Z FAX
C . 1 ��c` 1 w 7,,c— Cdr
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
.5"/4 F'%'d/i i '4)71,1c) 02--i) 7 / '
N,7
-eild r°- �� fj c. PHONE
-Fes=E'1 s 7
APPLICANT MAILING ADDRES E-MAIL
CITL...
} FAX
e t�� }c i" Z 0 3 25 -P2 ‘e
PROJECT CONTACT NAIY PHONE �/ _
(The individual to receive and /�(/ }w ���'�-'{ � ,g""U (..0S / 7
respond to all correspondence MAILING ADDRESS ��` 6T
e11,
this application) z-/d i S . 30 t6 o'2bl Pk 1 coh‘.
Ofrr-e� 1-�/ ! Z���dv3 FAX
Zs 3 -838-66(0
ALTS -ATE CONTACT NAME: PHOT �
) f I 2-53-r,3(' .�/.5 f ''q i'? ' . l 'L. 1
PROJECT FINANCING NAME /
l' OWNER-FINANCED
Required value of$5.000 or more `.
(RCW 1927.095) MAILING ADDRESS,CITY,STATE,ZIP PHONE
I certify under penalty of perjury that I am the property owner or authorized agent of the property owner. I certify that to the best
of my knowledge, the information submitted in support of this permit application is true and correct. I certify that I will comply with
all applicable City of Federal Way regulations pertaining to the work authorized by the issuance of a permit. I understand that the
issuance of this permit does not remove the owner's responsibility for compliance with local, state, or federal laws regulating
construction or environmental laws.
I further agree to hold harmless the City of Federal Way as to any claim(including costs, expenses, and attorneys'fees incurred in
the investigation and defense of such claim), which may be made by any person, including the undersigned, and filed against the city,
but only where such claim arises out of the reliance of the city, including its officers and employees, upon the accuracy of the
information supplied to the city as a part of tris application.
SIGNATURE:
Al DATE ` Ae)1//
PRINT NAME: l�'' 0 y'�/ A
Bulletin/4100—April 14,2010 Page 1 of 3 k:AHandouts vPermit Application
40 al k
............
k.) 0....5z._ es t 6-m,,.e • ,,fir
VALUE OF MECHANICAL WORK $ (a copy ojVid or estimate must be provided)
Indicate how many of each type of fixture to be installed or relocated as part of this project. Do not include existing fixtures to remain.
AIR HANDLING UNITS FANS GAS PIPE OUTLETS OTHER(Describe)
AIR CONDITIONER FIREPLACE INSERTS HOODS(commercie]),
BOILERSFURNACES HOT WATER TANKS(Gas) --
COMPRESSORS GAS LOG SETS REFRIGERATION SYST
DUCTINGGAS PIPING WOODSTOVES
:::::.;.:.;.;.;.;.;;;;.;;.;.;.;.:.;;>'<i:ii:i:i::i::ii:ii:i i:i:.i 2::::;:.<::.:::::.2:.:::.::. ::.:.::;:%'.:::::.::.::.?•i':. ::%;.:.Y;.%`: :.:%:.i:::i::r :;><;;..2,:::;s. ..:
�F !' :'.. ii. .': '•i {t. ::: i:{isi'::: : ' '
iiiii:;ii;: i iii:iiii::: <:iiiiii:i':i:ii:i i::::::iii:+ti!:i:!iiijiiii:;ij;::;:iiia;;:>iiiii:::iiii:vi:iiiiii�i:i::iiiii%i •ii�':'�ii��.��gg,,:4�� gsq 111
::::::%�:::'::;;<::iiii::::i:::;�::�:;:::::i::ii::;::::is�;:::;:::>:n::;•>::i::i:c;•i::�::i:.:::::••:•::�;:::::: :::. �.:.::.........,..,...:�:::::::::::::...:................::..,......;..
Indicate how many of each type of fixture to be installed or relocated as part of this project. Do not include existing fixtures to remain.
BATHTUBS(or Tub/Shower Combo) LAVS(Hand Sinks) TOILETS WATER PIPING
DISHWASHERS RAINWATER SYSTEMS URINALS OTHER(Describe)
DRAINS SHOWERS VACUUM BREAKERS
DRINKING FOUNTAINS SINKS(xitchen/Utility) WATER HEATERS(Electric)
WASHING MACHINES • •• >G`l` +::'fie `S
HOSEBIBBS SUMPS <::,:,:...:.;:::.::::::.:..:::.................::..............
f�+ �,E:f:�:: :>:s:.:: :.:;<i::ii:::::::::::i::i::::.;:.;:::r;:::;:: i:::>'isi::ii:i::::::i::.•i::i::isc::::+:.:;:>::ii::ii:•::::i::::"'i:i:::t
:i;;:i:i::`i i:`i:i:i:i<i:i:is:':i:i:t:::i:ii:::i:i i;;;;i:::i::::i:::>::i:iii::i:i::::::<:::::;:;:;
iggli
:CR TI..........R ASO.....ROP........
CRITICAL AREAS ON PROPERTY? WATER PURVEYOR SEWER PURVEYOR VALUE OF EXISTING IMpROVEMEN
TS
$
EXISTING/PREVIOUS USE LOT SIZE(In Square Feet) EXISTING FIRE SPRINKLER SYSTEM? PROPOSED FIRE SUPPRESSION SYSTEM?
u Yes ❑ No ❑ Yes o No
............................................... ............................::::.......... . ry ..� ...... ....... .... :... ... .. r . :.....:::•::::.::•:::•: :v:::•::ii:i•ilii::tiiiiiiiiii:.ii 'i:i%i i:{:
:fi vJ.:LC4i::::•:v:::.:::•¢':'4iiiii:!•::!iw::w::::::•+i:•i:vi:4i:•i::i•;:w::::::::::. '. :.; .:i :'.' :..: tj� ._rY�6.. .:'yW��.�g-f gay ?.k...............
:..............:.::::::::::::::.:.:.:...............:::::::::::.................:::.::::::.:. •..((.ryryyy�qq[[ .C...:�}[:JF_r .::::::::. ..SSra .:. `?t.. fi.:. A. T,:.......................:.�:::::::::::.�::::::.�::::::•::::.�.
:::::::::ibi:•i::.:::::..::::::.:::.::iiti^:•ilii.�::::::::::::.�:::.i:•isv:4:•i:::::::::::. f}rF.�P.;�� .1 Y:::Fef.:::::::::.:i:::::::::::;:::y:.::.::::::::::.•. ............................
:ii >%`viii:iiiii:•i::: ::iiii:4:!�iiiii v:::::::::::::::•::::::;::::•:�::::.............:...::....:: .......
AREA DESCRIPTION(in square feet) EXISTING PROPOSED TOTAL FOR OFFICE USE
... ..:.........................:.::::::: :: ::: ::.i:.;:.>::ii:.;i;:iii:.:;•;ii:.i:.ii:;' . .:;:.:::.i:.:i:.
:.ilii:.;:.;:::.::::::::::::.i;:.i;:.;;::.i;:.;;::.::::::::::::..:.i:.;:.::ois�;:.;;:;:.::::::::::::::::;.is.i;:.::;.:.i:.:u:::.>:.::;:::.,...:::::.i:o:.>:.:.i:.;:::.;:. ................... . .....
is':: ::.:::::::.ii::i:.i:.;:
::i:<:ii::i:::ii:.i::.iiii;i;i:;::.;:<::;:<iii:;:.;:.:;.:;ii:;;.iii:::.; ;:;::.;:.:;.ii>;:.:.i;:;.;ii:.ii;;;:.ii:;;. ::::.:•.:�..�::.:: :..::.::::�....::.::::::::::: :.::�...................:�..__—
obile Home G _.._
FIRST FLOOR (or M J�� � J .14fi > _—___._.._.��____.�.
� i 3 �
:;;::;::; ::;:.:i::ii::i::isi::::::isi::isi::i::.i::.i::.ii::.:i:.:.i:.i::.i:.i:::.i:.::i::::.i::ii:.i:.i:.i:.::::.i
i.:::::::::::::::.:::.::::::::i.::::.:::.ii:::.i:.i:.i:.i:.i:.i:.:::.:i:.i:.:i':i::i::::::i::i::ii::::i:::::::::i::::
.i;�:� � :::::::.:.i:i:.:i:.ii:.::.:i:.i:.:::.:ii:.::::.::.::.i:::.i:.:.i:::.i::.i:.i:.i::::::::.:.i:.i:.::.:::: .i:.:'.::i ::::::.�::::. : :: ::::: .::::,.:. :., ...... .__.�_-----_______
.ii:.::.::.i:i::.ii:::.::isi::.:: :: :::::::: :......... ................ � �
COVERED ENTRY _— _______________
. '''• >ii.E: :: s i i].:::::::::::i ?'iiiM ::': < ':: :::: :: iiil i::: >> i:i:Pii.:::::::::::::::::: i:»% ::: ::':::::::::: —, __
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GARAGE 0 CARPORT 0 _____________________
iiiiii..
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SXISTI6G PROPOSED TOTAL
Area Totals
;.:;:;ii ::i;ii::i::iii::::i::i::i:;:.: .:.:.E::::::.:': :.:.i :.:::.:::.:X:9::•:: :J o:::: .:.: :.;:`:tM: :::::::::::::: ::isi:'::?:::::::`::: ::?:::igii
: :i:i::i::i::: :iii::i::ii::i<::>::ii iii:::i'.;:iii:.::ii :i:. . ::;;:::: :: :::: ............................... .....
ESTIMATED SELLING PRICE$74 t)c.2 U I # OF BEDROOMS
......................*i:if: ......::::..�::::::•:::::::::i*K:i.:.>:.::•::•:'�i•::•::,i*:.:.::;:<. i:; >:ii:• ;•::.:::..,.,,i>0,...w.ii>: •:i;i:ipii;:i•:::;:i:;iinii,.:• i:%if•i•i:.. i;ii:%::i•• •isi •;i:i>:.ii;::::;.;• :.;.;• :.;.
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::<::i::::;:•i:::.i :•:iii:;:<•i:•i:•i:;•i::;•:;.ii:i::;:::;•i:•i:;•;ii:•::i;:;<•i:;:.i:�ii::;;:•:::•ii::>': :r:`a•i ':.�:is•::::::::�::: •:: :;:,.............................
Area
f
AREA DESCRIPTION Occupancy Groups)
Construction ° Additional Information
In Square Feet .....................:::::::::Type::::::::.i:i:i:.;iStones:.i:• i.....<ii::i:::<:iiii.,....:....,.: ....w,.....:i:.....,:i::......:
> ?&:»% i:::::: E »':::>?:i*:**: ::::::::: : :::::::::::::::::i::::::., :::::::::i:::::::)::: ::::::::::::i*c.f:: > > . ?> ? >> .<:.:> :::::.::: :> ?;» .:..:i.:
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fN:l ..............................:::::::::.::::::.::::::::.:::.:: ..... ::•:.:: :::•i:............... .....:............:::::.::.::::.::.::.:>:.:::::::. i::iii:::>.:i:....iii::i::is.....:::::i>i: :::i...„::i::i:.:
ADDITION
NAME
: :::.: : . :.. :...: .......i....l....:....::.. ... ii i : 7 : : A v:: : . : : .. : : :
Area ........:::::::::.
Construction #of
Additional Information
AREA DESCRIPTION Occupancy Groups) Stories
in Square Feet
Type
..`D''1i�..; 'i i;;:: i: ;:•::.....: :': ::::':::::.......:::: ::::::;>�:::::::: ::i::::::::::.....::......:::`i:::::' :::::::::::'::::::::::::::::::::i: >......,:`:'':'::.......`..,............:'.......:.`.....::.....:.....`'.....
:.:..:''':.:.'I<.:. t;Y.I? .................. ai: ....... ....:::• i::ii::::::ii::i:::i::::i::i:•:::::::::i::ii::i::i::ii::i:::::i::i::::i::i::i::ii:: i::i: i::i::ii:•i::i::i::.....i.........:i::ii'
TENANT AREA ONLY
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Bulletin#100—April 14,2010 Page 2 of 3 k:\Handouts\Permit Application