HomeMy WebLinkAboutBLD2007-00028 !UILDING PERMIT APPLICAT�N MLA07-00037
Review Type: I
Jefferson County Department of Community Development
621 Sheridan Street Port Townsend, WA 98368
PERMIT #: BLD07-00028 Received Date: 1/31/2007
SITE ADDRESS: 525 N BEACH DR
PORT LUDLOW, 98365
OWNER: DAVID A MATHIS PHONE: 360-437-2704
MARTHA A MATHIS
525 N BEACH DR
PORT LUDLOW WA 983659273 BRIDGEHAVEN DIV 1
SUBDIVISION: Block: Lot: 9
PARCEL NUMBER: 933900011 Section: 9 Township: 27 N Range: 01 E
CONTRACTOR: KORBEN MATHIS WOODWORKING PHONE: 360-437-5194
PO BOX 2476
POULSBO WA 98370
Contractor's License KORBEMI/�1972RT Expires 12/30/2007
REPRESENTATIVE: PHONE:
PROJECT DESCRIPTIOI NEW ART ROOM ADDITION TO EXISTING SFR
TYPE OF WORK RES SQUARE FOOTAGE:
TYPE OF IMP ADD MAIN: 280
VALUATION 26,847.00 ADD'L: HEAT TYPE:
CODE EDITION: 2003 HEAT BASE: HEAT TYPE:
OCCUPANCY: R 3 UNHEATED: ( #OF STORIES:
OCCUPANCY:
CONST TYPE: 5N GOARAGE: UrJ' SHORELINE:
CONST TYPE: DECK: i 2S SETBACK:
BANK HEIGHT:
SEWAGE DISPOSAL: CON
WATER SYSTEM:
BEDROOMS: BATHROOMS:
Exist: 2 Exist: 2
Prop: 0 Prop: 0
Total: 2 Total: 2
Routing Date: ��
c.) I IC �
—
Type Amount Paid By: Date: Receipt: APPROJEr
ed/Date
Permit $411.45 LYK 01/31/07 87200
Plan Check $267.44 LYK 01/31/07 87200
State Building Code $4.50 LYK 01/31/07 87200 MAR I(o 2007
Total: $683.39 Jefferson County Planning
&Building Department
Jefferson County Building DiviTon Permit NumbeiBLD07-00028
Applicant: MATHIS
BUILDING PERMIT INSPECTION APPROVALS \pplicable Code: 2003 International Building Codes
To schedule inspections, call (360)379-4455 no later than 7:00 AM the day of the inspection.
Requests received after 7:00 AM will not be scheduled for that day's inspections.
ELECTRICAL PERMITS are issued by the Washington State Department of Labor& Industries.
The electrical permit must be signed off by the State Inspector prior to the County's Framing Inspection
Inspection Item Date Approval Signature Notes
Setbacks
24/0 a k
Erosion Control
Foundation Footing 0/67 #1-- 0 K
Footing Drains
Foundation Stem Wall1/10(07 dit O K
Under Floor Framing F$
Ext. Shear Wall Nailing //zy A( ��/
Framing
/OD 0 7 -#' Nr
Airseal `/O/�7 G/�1
Insulation:Walls 1 �/
/3/S/e7
Insulation: Floors
/g//67 'dot .44'
Insulation: Ceiling
/2/s/d7 a
Int. Shear Wall Nailing
/i�3o�d1 b/L
Drywell/Alt Drainage /zif�/_ / 7 �/ Ae
Address Posted y
FINAL INSPECTION i� k
FINAL INSP CTION MUST BE APPROVED PRIOR TO BUILDING BEING OCCUPIED
THIS PERMIT IS VALID FOR ONE YEAR
• •
CONDITIONS for Building Permit# :BLD07-00028
1.) A MINIMUM OF 10' MUST BE MAINTAINED BETWEEN BUILDING FOUNDATION AND
EDGE OF RESERVE AREA AND EXISTING DISPOSAL COMPONENT.
2.) The application was reviewed by the Jefferson County Department of Community
Development staff on February 16, 2007 for the potential presence of Environmentally
Sensitive Areas (ESAs) under the provisions of the Unified Development Code (UDC).
After an initial Geographic Information Systems mapping review, the following ESAs were
confirmed to be present on the subject property: Shoreline Designation - Suburban,
Seismic Hazard Area, Susceptible Aquifer Recharge Area (SUSC), Coastal Seawater
Intrusion Protection Zone (SIPZ).
3.) Aquifer Recharge Areas in Jefferson County are characterized by porous geological
formations that allow percolation of the surface water into the soils and the underlying
zone of saturation. Aquifers are geologic formations that contain sufficient saturated
permeable material to yield significant quantities of water to wells and springs. Aquifers
serve as the source of drinking water within most of the rural portions of Jefferson County.
4.) Susceptible Aquifer Recharge Areas are those with geologic and hydrologic conditions
that promote rapid infiltration of recharge waters to groundwater aquifers.
5.) Geologically Hazardous Areas in Jefferson County are characterized by slope, soil type,
geologic material, and groundwater that may combine to create problems with slope
stability, erosion, and water quality during and after construction or during natural events
such as earthquakes or severe rainstorms.
6.) Marine shorelines and islands are susceptible to a condition that is known as seawater
intrusion. Seawater intrusion is a condition in which the saltwater/freshwater interface in
an aquifer moves inland so that wells drilled on upland areas cannot obtain freshwater
suitable for public consumption without significant additional treatment and cost.
Maintaining a stable balance in the saltwater/freshwater interface is primarily a function of
the rate of aquifer recharge (primarily through rainfall) and the rate of groundwater
withdrawals (primarily through wells). The Washington Department of Ecology is the
agency with statutory authority to regulate groundwater withdrawal for individual wells in
Jefferson County. New development, redevelopment, and land use activities on islands
and in close proximity to marine shorelines in particular should be developed in such a
manner to maximize aquifer recharge and maintain the saltwater/freshwater balance to
the maximum extent possible by infiltrating stormwater runoff so that it recharges the
aquifer.
7.) The parcel is located within a coastal SIPZ (seawater intrusion protection zone) according
to the County GIS map. There are voluntary and mandatory measures identified in the
Jefferson County Seawater Intrusion Policy (Resolution 44-22, effective September 23,
2002) that apply to well drilling proposals and building permit applications on existing lots
of record.
A Coastal SIPZ is defined as: all islands and area within one-quarter mile of marine
shoreline, but no history of chloride concentration above 100 mg/L in groundwater sources
within 1000 feet.
8.) Critical Aquifer Recharge Areas may require special protection measures to mitigate water
quality degradation. The submitted proposal does not require additional aquifer
protection measures. However, during construction the project shall follow the Best
Management Practices (BMPs) and facility design standards as identified and defined in
the Stormwater Management Manual for the Puget Sound Basin.
9.) To help prevent seawater from intruding landward into underground aquifers, all new
development activity on Marrowstone Island, Indian Island and within 1/4 mile of any
marine shoreline shall be required to infiltrate all stormwater runoff onsite.
10.) VOLUNTARY MEASURES OF COAL &AT RISK SIPZ: •
Water conservation measures:
1. Roof and other intercepted precipitation shall be routed to on-site detention ponds
and/or other approved means and allowed to be released to the soil slowly.
2. Water collected from Storm water and roof catchments may be used for watering
lawns and gardens. Unless catchment water has been treated to meet drinking water
standards, there shall be no cross connections allowed between the potable supply and
impounded water.
3. Water withdrawn from wells on each property shall not be used for watering of lawns
and/or gardens.
4. Ground water withdrawn from each property shall be restricted to a rate of three (3)
gallons per minute.
5. Installation of water conserving fixtures such as low flow toilets, faucets and shower
restrictors and other water saving plumbing fixtures.
6. Landscaping plan (xeriscaping, native vegetation with minimal amounts of irrigation).
Please NOTE that the above listed measures are not intended to be exhaustive, but rather
is intended to be illustrative of the types of water conservation measures.
11.) MANDATORY MEASURES FOR COASTAL SIPZ:
1. For proof of potable water on a building permit application, applicant must utilize
DOH-approved public water system if available.
2. If public water is unavailable, a qualifying alternative system may be used as proof of
potable water or an individual well may be used as proof of potable water subject to the
following requirement:
a. Chloride concentration of a laboratory-certified well water sample submitted with
building permit application.
3. If public water is unavailable, a qualifying alternative system may be used as proof of
potable water.
12.) The project shall adhere to the Best Management Practices (BMPs) to control stormwater,
erosion and sediment during construction. BMPs shall address permanent measures to
stabilize soil exposed during construction, and in the design and operation of stormwater
and drainage control systems.
13.) Stormwater shall be retained and infiltrated on site. The owner shall control all
sedimentation and erosion on the property.
14.) The applicant is proposing to create or add 280 square feet of impervious surface and 280
square feet of land disturbing activities. JCC 18.30.060 and 18.30.070 require your
proposal comply with Minimum Requirement#2 (Construction Stormwater Pollution
Prevention) of the Department of Ecology Stormwater Management Manual for Western
Washington to control stormwater, erosion and sediment during construction. BMPs shall
address permanent measures to stabilize soil exposed during construction, and in the
design and operation of stormwater and drainage control systems.
15.) The project shall comply with Construction Stormwater Pollution Prevention (SWPP)
Elements#1 through #12 of the Department of Ecology's Stormwater Management
Manual for Western Washington to control stormwater, erosion and sediment during
construction. BMPs shall address permanent measures to stabilize soil exposed during
construction, and in the design and operation of stormwater and drainage control systems.
16.) Jefferson County determined that this proposal is categorically exempt from review under
the State Environmental Policy Act (SEPA) pursuant to WAC 197-11-800(1)(b)(i).
17.) The revised site plan as submitted on February 28, 2007 has been reviewed for
consistency under the UDC, and has been approved by Jefferson County Department of
Community Development. Any modifications, changes, and/or additions to the stamped,
approved site plan dated March 1, 2007 shall be resubmitted for review and approval by
Jefferson County Department of Community Development.
18.) This approval is for a residential addition (art room) only. Any future permits on this site
are subject to review for consistency with applicable codes and ordinances and does not
preclude review and conditions which may be placed on future permits.
19.) Outdoor residential storage shall be maintained in an orderly manner and shall create no
fire, safety, health or sanitary hazard.
20.) Not more than 2 unlicensed vehicI all be stored on any lot unless totally scrod
from view of neighboring dwellings and rights-of-way. Such screening shall meet all
applicable performance and development standards specific to the district in which the
storage is kept, and shall be in keeping with the character of the area. Screening shall
meet the requirements of Chapter 18.30 JCC. Outdoor storage of 3 or more junk motor
vehicles is prohibited except in those districts where specified as an autormobile wrecking
yard or junk (or salvage) yard and allowed as a permitted use in Table 3-1 or Chapter
18.18 JCC, and such storage shall meet the requriements of JCC 18.20.100, Automobile
wrecking yards and junk (or salvage) yards. In no case, shall any such junk motor
vehicles be stored in a critical area.
21.) Setback from N. Beach Dr. right-of-way is no less than 20 ft., side and rear setbacks are
no less than 5 ft. If an environmentally sensitive area (ESA) is present, then the more
restrictive setback shall apply.
22.) Exterior lighting for residential uses shall not exceed twenty feet(20') in height from the
finished grade, excepting when such lighting is an integral part of a building or structure.
Ground level lighting is encouraged.
23.) Residential developers and individual builders shall be required to preserve shoreline
vegetation and reduce the associated risk of erosion during construction and any future
activity which may impact the stability of the shoreline.
24.) Pre-existing legal lots of record less than one acre in size in rural residential districts are
subject to the stormwater requirements in Chapter 18.30 JCC and must meet the"Area of
Impervious Surface Coverage"to the maximum extent practicable as determined by the
administrator. Lot coverage is defined as amount of impervious surface, which includes
rooftops, driveways, concrete, etc.
25.) The building height is not to exceed 35 feet.
26.) This is a legal nonconforming parcel designated as Rural Residential 1:5 under the
Jefferson County Comprehensive Plan Land Use Map effective August 28, 1998.
27.) The standard setback for residential structures, including common appurtenant structures
such as garages and workshops, shall be thirty(30) feet or one (1) foot for each foot of
bank height, whichever is greater. This setback shall be measured from the bank's edge
when the bank's height exceeds 10 feet. When the bank's height is less than 10 feet, the
setback shall be measured from the ordinary high water mark. The setback shall not
exceed 100 feet.
The existing residence does not meet the above setback requirements. A shoreline
variance was approved by the Jefferson County Board of County Commissioners on
March 13, 1991.
Per WAC 173-27-080 structures that were legally established and are used for a
conforming use but which are non-conforming with regard to setbacks, buffers or yards;
area; bulk; height or density may be maintained and repaired and may be enlarged or
expanded provided that said enlargement does not increase the extent of nonconformity
by further encroaching upon or extending into areas where construction or use would not
be allowed for new development or uses.
The proposal is to build a residential addition on the side of the house that is not adjacent
to the shoreline. The administrator has determined this proposal is not increasing the
extent of non-conformity with regards to setbacks.
28.) This projects meets or exceeds all performance standards listed under the Shoreline
Management Master Program (JCC 18.25.410) with the exception of the shoreline
setback which has been addressed in the finding above.
29.) The proposal was reviewed for consistency with the Shoreline Management Master
Program Section (JCC 18.25.090 (5)) and found to be consistent. The proposal is (1) a
single family residence, (2) does not exceed 35 feet in height, (3) does not involve
over-water construction and is located landward of the OHWM, and (4) meets or exceeds
all required setbacks as set forth in said SMMP.
30.) The Development Review Division O that this proposal is consistent with Shoe
Master Program Section 3.402.5, which exempts the "construction by an owner, lessee, or
contract purchaser of a single-family residence [in shoreline jurisdiction] for the owner's or
owner's family's use..." from the substantial development permit (SDP) requirements
under certain provisions. Exemptions from the substantial development permit
requirements do not exempt a proposed development from compliance with the applicable
policies and standards of the Shoreline Master Program or other applicable Federal,
State, or local permit or license requirements.
31.) Construction shall be in substantial compliance with the site plan submitted on February
28, 2007 as it exists now or is hereafter amended by Jefferson County and/or the
Washington Department of Ecology.
oN c • •
.e aei JEFFERSON COUNTY
COMIT
'�' t ,,...14
`� 621 SheridanDEPARTMENT StreetOF • PortMUN Townsend •DEVELOPMENTWashington 98368
360/379 4450. 360/379-4451 Fax
4..q www.co.jefferson.wa.us/commdevelopment
itINO
Master Permit Application MLA: 0 1-.57
Project Description(include separate sheets as necessary):
/4 x2D add i+lot') -b existinsc h0Me , be Usod is ah ad- roam
Tax Parcel Property
Number: q 33--goo�-01/ Size: la 32._ 1-1 (acres/square feet)
Site Address and/or Directions to Property: 5'2 S Akt^'M Beach Di; Pt Lud i b w wa qs3!vs
Property Owner(s)of Record: David A. Ma i-h i S !Martha A. Ma th i 5
Telephone: 3i3O • 4 3`7•a ?0 9 Fax: email: M1r+i ® wet y p+,co 11,
Mailing Address: 5-2 g- IJov-+h P each Dr, Pi-, Lute IhW, W'e, . qg.3F,�-
Applicant/Agent(if different from owner):
Telephone: Fax: email:
Mailing Address:
What kind of Permit?(Check each box that applies)
$uilding ❑Variance(Minor,Major or Reasonable Economic Use)
[j Demolition Permit ❑Conditional Use[C(a),C(d),or C]**
jiitSingle Family °Discretionary"D"or Unnamed Use Classification
Q Garage Attached/Detached ❑Special Use(Essential Public Facilities)**
Q Manufactured Home °Bnundary Line Adjustment
d Modular °Short Plat**
Q Commercial* °Binding Site Plan**
Q Change of Use °Long Plat**
Q Address I Road Approach °Planned Rural Residential Development(PRRD)/Amendments**
Q Propane _ ❑Plat Vacatton/Alteration__
GAllowed"Yes"Use Consistency Analysis Fthoreline Master Program Exemption/Permit Revisions**
OStormwater Management Q❑Shoreline Management Substantial Development**
OSite Plan Approval Advance Determination(SPAAD)* ❑Shoreline Management Variance
❑Temporary Use OComprehensive Plan/UDC/Land Use District Map Amendment
❑Wireless Telecommunication* °Jefferson County Shoreline Master Program Amendment
❑Forest Practices Act/Release of Six-Year Moratorium
*May require a Pre Application Conference **Requires a Pre-Application Conference
Please identify any other local,state or federal permits required for this proposal, if known:
DESIGNATION OF AGENT
I hereby designate � to act as my agent in matters relating to this application for permit(s).
c r
OWNER SIGNATURE 5 Date: 0//�
By signing this application form,the owner/agent attests that the information provided herein,and in any attachments,is true and correct to the best of
his,her or it's knowledge. Any material falsehood or any omission of a material fact made by the owner/agent with respect to this application packet
may result in this permit being null and void.
I further agree to save,indemnify and hold harmless Jefferson County against all liabilities,judgments,court costs,reasonable attorney's fees and
expenses which may in any way accrue against Jefferson County as a result of or in consequence of the granting of this permit.
I further agree to provide access and right of entry to Jefferson County and its employees,representatives or agents for the sole purpose of application
review and any required later inspections. Staffs a .• s and right of entry will be assumed unless the applicant inforyns thepounty in writing at the
time of the appli ion tha ors avanttspar n•tA,-• / I 2
Signature: ���� /Date: 7I 7
The action or actions Applicant will undertake as a result of the issuance of this permit may negatively impact upon one or more threatened or
endangered species and could lead to a potential"take"of an endangered species as those terms are defined in the federal law known as the
"Endangered Species Act"or"ESA."Jefferson County makes no assurances to the applicant that the actions that will be undertaken because this
permit has been issued will not violate the ESA. Any individual,group or agency can file a lawsuit on behalf of an endangered species regarding your
action(s)even if yo are in co fiance with the Jefferson County development code.The Applicant acknowledges that he,she or it holds individual
and non-transfer.,�Q respo lity foorradhering o nd, )p*•lying with the ESA. The Applicant has read this disclaimer nd sigps and dates it below.
Signature: i. r,,t 04 . ,t.I / ‘ Date: /�V / 7
D:\PermitCenter\FORMS\DRD FORMS\Master Permit Application 12-30-05-2.doc
• • •
BUILDER STATEMENT
The signer of this statement does hereby certify that they are the Owners of the parcel referenced herein,that they are not licensed contractors and that
they will be assuming the responsibility of the General Contractor for the proposed project.
Signature: Date:
GENERAL CONTRACTOR OR MANUFACTURED HOME INSTALLER: PHONE:a4 7 70 FAX:
164-bu9 J& o-n Ali 1/t l5 3&) ri 0 aD)2-17-71) ,7
MAILING ADDRESS: AO i P'x fin a ii is& i 4857r)EMAIL:
CONTRACTORS LICENSE WAINS
NUMBER: r�1//5rhe ill
WI c/72 1 T NUMBER
ARCHITECT/ENGINEER: 4zieV 4,I&4/2 '0`-A PHONE ( )q7.5.$k) FAX:(3 ,0)47c- 167
MAILING ADDRESS: 49 J-/ A' r4./k-1•4 -5t1Trrcy/oi, EMAIL yyt_yyWC4yl flhot' 4 / Ccni
Project Type: Frame Type: Bathrooms: 1 Shoreline: Type of Sewage Disposal:
❑ New 0 Wood Existing: 2 0 Sewer
Z Addition 0 Steel Proposed: O Bank 0 Community System
❑ Alteration/Remodel ❑ Concrete Total: 2, Height: igl Individual System
❑ Repair ❑ Masonry / SEP Permit#
❑ Demolition 0 Other: Bedrooms: Water Supply:
Existing: I. Setback: ❑ Private well 0 Two Party
Type of Heat: Proposed: 0 IS Public
Grp 411 hei e#- Total: Z Name of System:
❑ 'O H age hauen
If this is a Commercial Project you must answer the following:
Number of Parking Spaces: Current: Proposed: Number of ADA Parking Spaces:
Number of occupants(includes owners,tenants,employees,etc) Current Proposed --
IBC Occupancy: IBC Type of construction: Will you have Food Service? Yes / No
If this is a Propane Tank and/or Appliance Installation permit,mark all items below that apply:
E3 Underground Tank 0 Above ground Tank Size of Propane Tank:
0 Heat Stove ❑Cook Stove 0 Woodstove ❑Fireplace Insert ❑Hot Water Tank CI Pellet Stove p Other
Is this appliance being installed in a Manufactured/Mobile Home? Yes / No
When applying for a permit to install a propane tank you must also submit a site plan showing all of the buildings,all property
lines,tank location and size,distances from the propane tank to all properly lines,buildings and septic system components,
including the reserve area.
Square Footage Current Proposed For Office Use Only Amount Revision
Main Floor Heated I Q I9-($i.O EH Bid App Review: , Los pp
2"0 Floor Heated Consistency Review: , 153
Other Heated Base fee: • l l ,26
Mezzanine t2� c0
g.hQ- eC .B. -11
Heated Basement Plan Check fee: n 61 Li
Unheated Basement State Surcharge fee: of
Other Unheated Pot Water Review fee:
Garage/Carport SUBTOTAL
I041 • 3
Decks 911/Rd Approach fee: I 1 Pj
Other TOTAL: $ t 0.101 39
Receipt Number: 75
Cash/Check Number: .'T�y I (3),Q
ESTIMATED COST(REQUIRED) Date:
.Fair market value of all labor and materials foundation to finish (1). Cr7
Z4 g , Initials:
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