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18-101978 ilIlNiir , -, fg ,.. • Building - Sing*Fa'niily • cornFILE Permit #:18-101978-00-S,C+' 33325 8th Ave S Federal Way,WA 98003 Inspection Request Line: (253)835-3050 Ph:(253)835-2607 Fax(253)835-2609 Project Name: BARRETT Project Address: 1836 S 308TH ST Parcel Number:785360 0008 Project Description: NEW-Construction of a 2,629 square foot 2-story single family residence with a 75 square foot covered entry,205 square foot deck and 587 square foot attached garage.Includes plumbing and mechanical. ***4 Bedrooms;$485,000 Estimated Selling Price*** Owner Applicant Contractor Lender KELLY BARRETT MARK BARRETT OWNER IS CONTRACTOR OWNER IS LENDER 2529 S 304TH ST 2529 S 304TH PL FEDERAL WAY WA 98003 FEDERAL WAY WA 98003 Census Category: 101 -New Single Family House Includes: #1 #2 #3 #4 Occupancy Class: R-3 Construction Type: Type V-B Occupancy Load: Floor Area(sq.ft.) 2,629.00 0.00 Additional Permit Information New/Additional Sq.Feet-1st Floor 1232 New/Additional Sq.Feet-2nd Floor 1397 New/Additional Sq.Feet-3rd Floor 0 Occupancy#1-Area(Sq.Feet) 2629 New/Additional Sq.Feet-Basement 0 Basic Plan? No Occupancy#1-Construction Type Type V-B New/Additional Sq.Feet-Deck 205 New/Additional Sq.Feet-Garage 587 Mechanical to be Included? Yes Plumbing Work Valuation? 14000 Mechanical Work Valuation? 11000 Number of Stories 2 New/Additional Sq.Feet-Other 280 Plumbing to be Included', Yes New/Additional Sq.Feet-Total 3701 Will Certificate of Occupancy be Issued? Yes Occupancy#1-Use Residence(1 or 2 family) Comprehensive Plan Designation Multifamily Zoning Designation RM 3600 Total Valuation:344,909.65 t Ducting 1 Fans 6 Fireplace Inserts ) Gas Piping 1 Gas Pipe Outlets 3 Hot Water Tanks 1 Bathtubs 3 Dishwashers 1 Laundry Washer Outlets 1 Lavatories 4 Showers 1 Sinks 1 Water Closets 4 Hose Bibbs 2 CONDITIONS: 1)A right-of-way permit is required for any work within the public right-of-way,including driveway demo/construction and utility work. Contact permit desk at 253-835-2725. e' ' C... oox 1Y3lie yillfr •- 14,'x ""'4 •• PERMIT EXPIRES Wednesday,9 January,2019 Permit Issued on Friday,July 13,2018 I hereby certify that the above information is correct and that the construction on the above described property and the occupancy and the use will be in accordance with the laws, rules and regulations of the State of W sh' n and the City of Federal Way. .......z Owner or agent: `— Date: 7//3L3d/ a City of Federal Way Certificate of Occupancy This Certificate issued pursuant to the requirements of Section 111 of the International Building Code or Section R110 of the International Residential Code is certifying that at the time of issuance,this structure was in compliance with the various ordinances of the City regulating building construction or use.This certificate is valid ONLY when endorsed by City staff. Tenant Name: BARRETT Permit# 18-101978-00-SF Address: 1836 S 308TH ST Includes: #1 #2 #3 #4 Occupancy Class: R-3 Construction Type: Type V-B Occupancy Load: Floor Area(sq.ft.) 2,629.00 0.00 Owner Name: KELLY BARRETT Owner Address: 2529 S 304TH ST FEDERAL WAY WA 98003 / /Ior � I ���, � Building Official Date The prio focus in the review and inspection made by the City prior to issuance of this Certificate was on those matters which experience has shown most severely affect the health and safety of the general public. Although the City has made as complete a review and inspection as is reasonably possible(within budgetary time and personnel limitations),the City neither guarantees nor warrants to the owner/occupant or to any other person that this Certificate evidences strict compliance with each and every ordinance or regulation of the City or the State of Washington affecting the construction or use of said structure or the land upon which it is situated. Such compliance is the responsibility of the owner and/or occupant of the premises. h• • O • • . � T O • • p J • P""5 • ., • • r 4:•;&.'' THIS CARD IS TO REMAIN'ON-SITE - 4 it cur OP Construction Inspection Record ' - Federal Way INSPECTION REQUESTS:(253)835-3050 PERMIT#: 18 101978 00 Address: 1836 S 308TH ST Project: MARK BARRETT FEDERAL WAY WA 98003-4820 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. 0 SWM Precon Site Mtg(4400) 121 Initial Erosion Control(4365) ;Footings/Setback(4110) Approved To be done PRIOR to breaking ground 'Approved to place concrete By Date By Date By,S Date so 441. ® Foundation Wall(4115) ® Drainage/Downspout(4040) © Plumbing Groundwork(4190) Approved to place concrete Approved to backfill . .. Approved to cover t,JwiCit Lt • ir! Date i S (-4 By Date By nth) Date 8 3 7 .. 7❑ Slab/Concrete Floor(4255) ® Underfloor Framing(4285) • ® Floor Sheathing(4105) Approved to place concrete Approved to sheath floor Approved to install flooring By Date By & Date 4,.- _t 8 By Date ® Shear Walls(4245) 4' EI Roof Sheathing(4220) El Rough Plumbing(4230) Approved to install siding j Approved to install roofmg Approved By C--RJ t1; Y .�By�, Date 0.p 11 By Date 1/2ci I El Mechanical Rough-in(4165) MI Gas Piping(4125) ® Fire/Draft Stops(4095) Approved Approved to release test Approved By t Date 311Z 11 By , , Date 3 2 ^ (By /W Date 4//2_42p tl Interim Erosion Control(4370) Prior to scheduling a Framing inspection; nig Framing(4120) Approved Electrical,Plumbing&Mechanical Rough-In Approved to insulate and Fire/Draft Stop inspections must be sigred- By Date off and approved. IBC 109.3.4 By 14'10 Date q/z6 If . ® Insulation(4150) 1' cm Gypsum Wallboard Naffing(4130) '1 Final Erosion Control(4375) Approved to install wall. .rd i Approved to install mud&tape Approved BY1141. Date 1‘. if tBy ACJ Date &AIM ..By Date m Final-Mechanical( i 5) El Final-Plumbing(4075) V ElFinal-Building(4050) Approved Approved�y Approved Byl(i(ls Date 7/30//f AByilij� Date/ 01 O ..Bye/C(fs Date 7/3f/9' 0 Rough Electrical 0 Final Electrical - Q Right of Way Approved Approved Approved By Date ` By Date By Date ,,,A, RECEIVED PERMIT APPLICATION CITY OF 2018 MAY 0 8 PERMIT CENTER+ 33325 8th Avenue South +Federal Way,WA 98003-6325 Federal Way253-835-2607 + FAX 253-835-2609 +permitcenter@cityoffederalway.com CITY OF FEDERAL WAY COMMUNITY DEVELOPMENT 6/5-//e PERMIT NUMBER / U - 1 0 / q 7 R - S F TARGET DATE SITE ADDRESS SUITE/UNIT# e 5 3 o 8T44 b c,J s'f 9 8ov PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL# $ '7 6 3 6 0 _ 0 0 0 9 TYPE OF PERMIT 6 $UILDING n PLUMBING I/MECHANICAL ❑ DEMOLITION 0 ENGINEERING 0 FIRE PREVENTION NAME OF PROJECT �/ PROJECT DESCRIPTION (A j ' ctj 6-La fit--rte 1- Ho L S F Detailed description of work to be included on this permit only NAME _ .PRIMARY PHONE -. /1714A R /411-(Ze rer 0)S3-q eg-311 82 PROPERTY OWNER MAILING ADDRESS E-MAIL 2 421 .5 3o yT� 169-F7 r e Ms* co L:I � y STATE ZIP'8 00 3 NAME i/ J PHONE MAILING ADDRESS E-MAIL CONTRACTOR CITY STATE ZIP FAX WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE# .2 N�E/14/Mt LIN�� c�A ^P�y�- - Fri7g9,.... 3�S ESS MAIL APPLICANT 0 -. S 3 p /L((7 I 5�: ,2,h�L¢� m.)., CSA CI 1 STATE FAX triii ifvy _ NAME �— G PRIMARY PHONE . PROJECT CONTACT "44E i a4 E d` 6---?-4)e8_"3 Ye-2- (The ee (Th�individual to receive and MAIGR�S L7�/�� ERS Lamres and to all corres ondence �Lconcerning this application) CI Al srrA zIE.,g rr-St x NAME PROJECT FINANCING 12°.-OWNER-FINANCED When value is$5,000 or more MAILING ADDRESS,CITY,STATE,ZIP PHONE (RCW 19.27.095) 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 2crt of this application. SIGNATURE: y�� �J �I� /� DATE PRINT NAME: /i I/TA/e 34II"1JzI_ Bulletin#100—January 29,2016 Page 1 of 2 k:\liandouts\Permit Application VALUE OF MECHANICAL WORK MECHANICAL PERMIT - $ /I/ !/C20 A Indicate how many of each type of re to be installed or relocated as fart of this project.Do not include existing fixtures to remain. AIR HANDLING UNITS FANS ,..3 GAS PIPE OUTLET OTHER(Describe), AIR CONDITIONER FIREPLACE INSERTS HOODS(commercial) BOILERS 1T FURNACES 4 HOT WATER TANKS(Gas) COMPRESSORS GAS LOG SETS REFRIGERATION SYST I DUCTING I GAS PIPING WOODSTOVES VALUE OF PLUMBING WORK PLUMBING PERMIT $ / 4-4 Oub Indicate how many of each type of Pure to be installed or relocated as rt of this project.Do not include existing fixtures to remain. 3 BATHTUBS(or Tub/shower combo) jr LAVS(Hand Sinks) L/fi�9paTOILETS WATER PIPING i DISHWASHERS RAINWATER SYSTEMS URINALS OTHER(Describe) DRAINS i SHOWERS VACUUM BREAKERS DRINKING FOUNTAINS i SINKS(Kitchen/Utility) WATER HEATERS(Electric) Z HOSE BIBBS SUMPS I WASHING MACHINES TOTAL FIXTURES GENERAL INFORMATION CRITICAL AREAS ON PROPERTY? I WATER PURVEYOR SEWER PURVEYOR VALUE OF EXISTING IMPROVEMENTS N d illiza Ii-vi-ti 61 I-rte Ego C EN $ EXISTING/PREVIOUS USE LOT SIZE(1n Square Feet) EXISTING FIRE SPRINKLER SYSTEM? PROPOSED FIRE SUPPRESSION SYSTEM? fili'l- ri'ettY gikf q( ® ❑Yes W No ❑Yes ierNo RESIDENTIAL - NEW OR ADDITION AREA DESCRIPTION(in square feet) EXISTING PROPOSED I TOTAL FOR OFFICE USE `o ' ' oP " ` @ .,^,k 4 7rrr.I `j , � ..e--,:, xmr Izk,�d' w .-,-._. l�'. � s. __ ; • „�£rk`:: ',;-, `-"_"". �`,,,,",y"""__......__....__......_..__._.......___.._......._._____._._.__._..._._._.....-_......._.............._..._.._........... FIRST FLOOR(or Mobile Home) i 3-3 /2 3 z COVERED ENTRY 7 5__ 7 S - rip eps.0 kir«,:: s4>,.a ,''‘..w%;�s.i,.fv.”,;a,-1-' „ s:,6_44:4....m -i?:. arm ...w, ,4''-:.4 4x.« -x..4•< GARAGE )2' CARPORT ❑ 513 7 ,rj_.;_7 o b v ,r” v _ ...__.__..._ ._._.._.___. .._.____._.........____.___.........._. ef �` 6 . I' t ''',g ,'''1 ? if s # Area Totals EXISTING .1j07 (o ;i./-rte?< ,1 r, a,:;7..�3? ita gr!t Y1 ,.... 3... ,s,,',..;',.‘."4,'"..:',#.fi , 'r,',, F v ^, ESTIMATED SELLING PRICE$ y 0-'�DU° ' #OF BEDROOMS 41 COMMERCIAL-NEW/ADDITION Area in Construction #of AREA DESCRIPTION S,uare Feet Occupancy Group(s) ,e Stories Additional Information •SIP.,`,7;40 "S i- `.a'7-•.. r C.;:. .-fit . .s ,,,,,-(4'....61- .,,'..,'*...3-2.'041;;; pr-,, ADDITION COMMERCIAL-REMODEL/TENANT IMPROVEMENTS Area in Construction #of AREA DESCRIPTION uare Feet Occupancy Group(s) e Stories Additional`Information } , . � # 't � � . ', x ;>; aC°�4 �t€4: ,lam a,'45.6.;;A:4.4 t xiv ¢ ✓i " ,i � . , o$ s TENANT AREA ONLY .,? ,4,:,y, y11."t„`z,.; ,",,,,„‘„4„,,,e,„ '#x4 �l'.'s s �i„. .',v'.. f{d/;X',2_,. ,;4',A;:'"..;•::". r s`„ aw.N.... ,+.�,1".'r�, Bulletin#100-January 29,2016 Page 2 of 2 k:\Handouts\Permit Application FILE RECEIVED MAY 0 8 2018 � I .3b Li L. �._ CITY OF FEDERAL f° ' I ..'' COMMUNITY DEVELPMENT WATER CERTIFICATE OF AVAILABILITY Lakehaven Water & Sewer District - Development Engineering Section 31623 - 1st Ave S * PO Box 4249 k Federal Way, WA 98063-4249 Telephone: 253-945-1581 or 253-945-1580 * Email: DE@Lakehaven.org This certificate is intended to provide the applicant, land use agencies &/or public health departments with information necessary to evaluate development proposals. Lakehaven Water & Sewer District, at its sole discretion, reserves the right to delay, or deny, water service based upon capacity &/or supply limitations in Lakehaven's or Other Purveyor's system facilities. Proposed Land Use: ® Building Permit-SFR ❑ Building Permit-MFR ❑ Building Permit-Other ❑ Subdivision 0 Short Subdivision 0 Binding Site Plan ❑ Rezone 0 Boundary Line Adjustment ❑Other(specify/describe) Tax Parcel Number(s): 7853600006&7853600008 Site Address: 18XX S 308th St Lakehaven GIS Grid: K-07 Ex. Bldg. Area to Remain: UNKNOWN sf New Bldg.Area Proposed: UNKNOWN sf Applicant's Name: Barrett WATER SYSTEM INFORMATION 1. ® Water service can be provided by service connection to an existing 8"diameter water main that is approximately 17+/-feet from the site. 2. 0 Water service for the site will require an improvement to Lakehaven's water distribution system of: ❑ a. feet of "diameter water main to reach the site; and/or ❑ b. The construction of a water distribution system on the site; and/or ❑ c. A major portion of Lakehaven's comprehensive water system plan would need to be implemented and/or constructed; and/or ❑ d. Other(describe): 3. ® a. The existing water system is in conformance with Lakehaven's Comprehensive Water System Plan. ❑ b. The existing water system is not in conformance with Lakehaven's Comprehensive Water System Plan and an Amendment to this Plan will be required.This may cause a delay In issuance of land use approvals or permits. 4. ® a. The subject property is within the corporate limits of Lakehaven Water&Sewer District,or has been granted Boundary Review Board approval for extension of water service outside of Lakehaven's water service area. ❑ b. Annexation or Boundary Review Board approval will be necessary to provide service. 5. Water service is subject to: ® a. Payment of connection charges(to be determined by Lakehaven, for any new/modified service connection); ❑ b. Proof or reservation of easement(s)as required by Lakehaven; ❑ c. Other: Water Service Connection application required. for any new/modified service connection. Comments/special conditions: The existing 5/8"x3/4"meter should be evaluated under UPC & Lakehaven standards. to determine if jt's adeauate for the Proposed use. The nearest fire hydrant is approximately 225-285 (+/-)feet from the Property(as marked on map on the back of this page). System hydraulic model results (FF #270, copy attached), at no less than 20 psi, indicate that Lakehaven's standard maximum allowable liquid velocity of 10 ft/s is exceeded at a fire flow rate above 2.800 GPM (approximate). This flow figure depicts the theoretical performance of the water distribution system under high demand conditions. Fire flow rates greater than this may be accommodated through water distribution system improvements,contact Lakehaven for additional information. 578 Pressure Zone Est. Meter Elevations-GIS: 481+/- Est. Pressure Range at Meters(psi): Min. 39, Max. 48 I hereby certify that the above water system information is true. This certification shall be valid for one (1) year from the date of signature. Name: BRIAN ASBURY Title: DEVELOPMENT ENGINEERING SUPERVISOR Signature: Date: 7853600006 7853600008 wtr.docx (Form Update 1/3/17) Page 1 of 2 092104927 '' _. 1920 •, 3521349134 1823 11 0921049135 1502 39:1349132 r•-' 0921349242 1924 t 61 1918 f+ W csy � ,T 0537000343 11 2000 81 ret ' s3OBTHsr •. DI • ' _-.� __.�.� v.,,_ ..;, Tib t`�-1 tfi ,mi- Hydrae ' 1--- Ex. Ex.WtrSvc 9070 5/8••x3/4" Meter t'. 78E220000E 78E3e33334 tl 191E ?0833 7 S53e0333S 7sf'2Faa33E 183? CO 4 I th d Z ILI CI c 7853E330o1 1- Vi 7 3e3TRCT 33813 a ,c 78nepo013 30813 — 78E3e00002 g .33821 r 78E2E03012 ~ — 33819 78F3e00303 33829 A iJOTE: Lakehaven Water and Sei•:er Mater Certificate of Availability j District neither warrants nor guarantee; Parcels 7853600006 & 7853600008 the accuracy of any facility information 43 to provided. Facility locations and conditions — are subject tofieldverification. 4.4'2018 13I+; ' 7853600006 7853600008 wtr.docx (Form Update 1/3/17) Page 2 of 2 - + l�.J r r � r� LAK HAVEN TIIA ll DTIS lt_RT[C if Hydraulic Model Fire Flow Estimate Request/Reporting Form Requested By: Date: BIN June 3,2010 Location to be Modeled: APN 0537000225 Lakchaven'A Section Grid: I{-07 Intersection: S 308th St between 22"Ave S&24th Ave S Add.Description: See attached map Pressure Zone: 578 Results By: Date: Model Run No.: John Bowman 6/3/10 Master Water System Model 2007.net FF#270 Condition Pressure(psi) Flow(gpm) Static 40 0 Fire Flow 20 3800 NOTES: Lakehaven's adopted level of service goals for fire flow rates are 1000 gpm within single family residential areas (including duplexes) and 2500 gpm for multi-family, commercial, and industrial areas. Model results depict the theoretical performance of the water system under high demand conditions and are not guaranteed to represent actual system performance. A design professional should be consulted for site specific design purposes. The calculated fire flow capacity in the above table is based on a currently available residual system pressure of 20 psi at the location modeled. The model indicates that Lakehaven's standard maximum allowable velocity of 10 ft/s is exceeded at a fire flow rate above 2800 gpm. Fire flow capacities greater than 2800 gpm may be accommodated through water system improvements. Form Rev. 5/30/08 4 Page 1 of 1 LIOn Map ,tt i, ihri I I _� I_ 1 L _____ 1 I I 1 11_,._____ . __ __ ..1 ii 1_ie .8 _i____ es `J � 30gf �x f __ r` =ate , {' —__ -----] 1 • ___ L 7 k.T— I I CO I _-. NZ�y � 4131 ,� r I 4 Co --,,,,,,c _ , ___1-7 _____i::: ::::111.' --'S.::. d,---: iT— V - —w ay, - '' I i t U 20 ii aN; ©2006:Lakehaven Utility District neither warrants nor guarantees the accuracy of any facility information shown.Facility locations and conditions are subject to field verification. h(m://Columbia/lion/ivai .aSl)X 6/3/2010 f FILE RECEIVED MAY 08 2018 1: %' :� ' ' COMMUOF FEDERAL WAY RY D LOP1►MENT SEWER CERTIFICATE OF AVAILABILITY Lakehaven Water &Sewer District - Development Engineering Section 31623 - 1st Ave S • PO Box 4249 * Federal Way, WA 98063-4249 Telephone: 253-945-1581 or 253-945-1580 * Email: DE@Lakehaven.org This certificate is intended to provide the applicant, land use agencies &/or public health departments with information necessary to evaluate development proposals. Lakehaven Water & Sewer District, at its sole discretion, reserves the right to delay, or deny, sewer service based upon capacity &/or supply limitations in Lakehaven's or Other Purveyor's system facilities. Proposed Land Use: ►t Building Permit-SFR 0 Building Permit-MFR 0 Building Permit-Other ❑ Subdivision 0 Short Subdivision 0 Binding Site Plan ❑ Rezone 0 Boundary Line Adjustment 0 Other(specify/describe) Tax Parcel Number(s): 7853600006&7853600008 Site Address: 18XX S 308th St Lakehaven GIS Grid: K-07 Ex. Bldg.Area to Remain: UNKNOWN sf New Bldg.Area Proposed: UNKNOWN sf Applicant's Name: Barrett SEWER SYSTEM INFORMATION 1. ® Sewer service can be provided by service connection to an existing 8"diameter sewer main that is approximately 30+/- feet from the site and the sewer system has the capacity to serve the proposed land use. 2. 0 Sewer service for the site will require an improvement to Lakehaven's sanitary sewer system of: ❑ a. feet of "diameter sewer main or trunk to reach the site; and/or ❑ b. The construction of a sanitary sewer collection system on the site; and/or ❑ c. A major portion of Lakehaven's comprehensive wastewater system plan would need to be implemented and/or constructed; and/or ❑ d. Other(describe): 3. ® a. The existing sewer system is in conformance with Lakehaven's Comprehensive Wastewater System Plan. ❑ b. The existing sewer system is not in conformance with Lakehaven's Comprehensive Wastewater System Plan and an Amendment to this Plan will be required.This may cause a delay in issuance of land use approvals or permits. 4. El a. The proposed site land use is within the corporate limits of Lakehaven Water&Sewer District,or has been granted Boundary Review Board approval for extension of sewer service outside of Lakehaven's sewer service area. ❑ b. Annexation or Boundary Review Board approval will be necessary to provide service. 5. Sewer service is subject to: (0 a. Payment of connection charges(to be determined by Lakehaven, for any new/modified service connection); ❑ b. Proof or reservation of easement(s) as required by Lakehaven; • c. Other: Sewer Service Connection Permit reauired (1/parcel). Comments/special conditions:The previous service connection for parcel 7853600008 was disconnected on 1/13/17. I hereby certify that the above sewer system information is true. This certification shall be valid for one (1) year from the date of signature. Name: )3RIAN ASBURY Title: DEVELOPMENT ENGINEERING SUPERVISOR Signature: Date: 7853600006 7853600008 swr.docx (Form Update 1/3/17) Page 1 of 2 • 0821049134I----,___j I I 1829 —103 —. 2193452741520 CO 391104912'. 09213 P 132 alIf c •p '.-2303 3 CON S308TNST 9 7$a.?f.03005 7853e00004 151E L 30833 1 Toms 7E2f..0C 00? I 1s3E 1- ______ -`, 4 4- � n Z 1' 78E1f00 7 ..2 OTRCT 33813 r 7851E,00013 ~ i 33812 785ae•aa'02 33821 re‘SE30312 t, 30815 c 78e'3e•Oaaa3 � 3a d I 01. DIE: Lakehaven Water and Sewer Sewer Certificate of Availabilityr District neitherwarrants nor guararkc s parcels 7853600006 & 7853600008 Ai the accuracy of any facility information S7 sc 4 provided.Facility locations and conditions — are subject tofield verification. -pr: E'4'2018 BLa 7853600006 7853600008 swr.docx (Form Update 1/3/17) Page 2 of 2