HomeMy WebLinkAbout17628 UPLAND DR_BLD1147_2026 RESIDENTIAL PLUMBING
PERMIT APPLICATION
ING�� Department of Community & Economic Development
City of Arlington• 18204 59th Ave NE • Arlington, WA 98223 • Phone (360) 403-3551
THIS APPLICATION IS TO BE USED WHEN APPLYING FOR NEW PLUMBING INSTALLATION FOR
EXISTING RESIDENCES. PLEASE FILL OUT ALL PAGES OF THIS APPLICATION AND INCLUDE ALL
INFORMATION.
Project Address. 17628 Upland
Project Description:Natural gas water heater replacement
Owner: Juan Duron
17628 Upland
Address: City-Arlington State.WA Zip Code: 98223
Phone: 562 569-5384 Email: absoluteplumbing247@yahoo.com
Applicant:Absolute Plumbing
Address: PO Box 1445 City:Mount Vernon State WA Zip Code: 98273
Phone. 360 610 6141 Email: absoluteplumbing247@yahoo.com
CONTRACTOR INFORMATION
Contractor Name:Absolute Plumbing
Address:PO Bos 1445 CIty:Mount Vernon StateWA Zip Code:98273
License Number. Expiration Expiration:09/04/2017
Phone-360 610 6141 Email.absoluteplumbing247@yahoo.com
STAFF USE ONLY
Permit #: Accepted by: Date
REV 2015 Page 1 of 2
RESIDENTIAL PLUMBING
PERMIT APPLICATION
ING�� Department of Community & Economic Development
City of Arlington• 18204 59th Ave NE • Arlington, WA 98223 • Phone (360) 403-3551
Plumbing Section (check all that apply)
(Check all that apply and indicate the number of fixtures proposed)
❑ Bath/Shower Combo (4.0) x ❑ Sink (1.5) x
❑ Shower (2.0) x ❑ Lavatory (1 .0) x
❑ Clothes Washer (4.0) x ❑ Water Closet (2.5) x
❑ Dishwasher (1 .5) x ❑ Water Heater x 1
❑ Hose Bibb (2.5) x
Water Heater Model #
❑ Other (list) x 40S6-40NG
Proposed Water Piping Size: 0
Proposed Piping Material: 0
Proposed DWV Material: 0
Proposed DWV Size: 0
• All hose bibs required to be equipped with Atmospheric Vacuum Breakers per ASSE 1019
• All water supplies at 80psi or greater shall have Pressure Reducing Valves (PRV)
• Cross-Connection-Control may be required
G � 09/13/2016
Applicant Signature: °28f9L5O13O5.......aa Date:
I hereby certify that the above information is correct and that the construction, installation for the above mentioned
property will be in accordance with the applicable laws of the City of Arlington and the State of Washington.
REV 2015 Page 2 of 2
CITY OF ARLINGTON
238 N. OLYMPIC AVE-ARLINGTON, WA. 98223
PHONE, (360)403-3551
BUILDING PERMIT
Address:17628 Upland Drive NE Permit#:1147
Parcel#:00870600011600 Valuation:0.00
OWNER APPLICANT CONTRACTOR
Name:DURON JUAN R&SILVIA J Name:Absolute Plumbing Name:Absolute Plumbing
Address: 10734 WESTERN AVE Address:P.O.Box 1445 Address:PO Box 1445
City,State Zip:DOWNEY.CA 90241 City,State Zip:Mount Vernon,WA 98273 City,State Zip:Mount Vernon,WA 98273
Phone: Phone:360-610-6141 Phone:360-610-6141
MECHANICAL CONTRACTOR PLUMBING CONTRACTOR
Name: Name:Absolute Plumbing
Address: Address:PO Box 1445
City,State,Zip: City,State,Zip:Mount Vernon,WA 98273
Phone: Phone:360-610-6141
LIC#: F.XP LIC#:ABSOLP'8720D EXP:9/4/2017
JOB DESCRIPTION
PERMIT TYPE: Residential Plumbing CODE YEAR: 2015
STORIES: 1 CONST.TYPE:
DWELLIN(i UNITS: 1 OCC GROUP:
BUILDINGS: 0 OCC LOAD:
PERMIT APPROVAL
I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULAI'ING CONSTRUCTION AND IN DOING THE WORK AUTHORI7.F.D
TI IEREBY;NO PERSON WILL BE EMPLOYED IN VIOLATION OF I HE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO
WORKMEN'S COMPENSATION INSURANCE AND RCW 18.27.
THIS APPLICATION IS NOT A PERMIT UNTIL SIGNED BY THE.BUILDING OFFICIAL OR HIS/HLR DEPUTY AND ALL FEES ARE PAID
IT IS UNLAWFUL TO USE.OR OCCUPY A BUILDING OR STRUCTURE UNTIL A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR
A CERTIFICATE.OF OCCUPANCY HAS BEEN GRANTED. IBCI10/IRC110.
SALES TAX NOTICE:Sales tax relating to construction and construction materials in the City of Arlin c on your sales tax return form
addedC!'tyofArli $ n#3101 /
Signature Print Name Date elease Ily Date
CONDITIONS
Approved as submitted. Adhere to model#40S6-40NG.
THIS PERMIT AUTHORIZE ONLY THE WORK NOTED THIS PERMIT COVERS WORK TO BE DONE ON PRIVATE PROPERTY ONLY ANY
CONSTRUCTION ON THE PUBLIC DOMAIN(CURBS,SIDEWALKS,DRIVEWAYS,MARQUEES,ETC)WILL REQUIRE SEPARATE PERMISSION
PERMIT FEES
Date Description Fee Amount
9/13/2016 Plumbing Permit Base Fee $25.00
9/13/2016 Water Heater $25.00
Total Due: S50.00
Total Payment: $50.00
Balance Due: S0.00
CALL FOR INSPECTIONS
BUILDING(360)403-3417
When calling for an inspection please leave the following information:
Permit Number,Type of Inspection being requested,and whether you prefer morning or afternoon
CITY OF ARLINGTON
238 N. OLYMPIC AVE -ARLINGTON, WA. 98223
PHONE; (360)403-3551
BUILDING PERMIT
Address:17628 Upland Drive NE Permit#:1147
Parcel#:00870600011600 Valuation:0.00
OWNER APPLICANT CONTRACTOR
Name:DURON JUAN R&SILVIA J Name:Absolute Plumbing Name:Absolute Plumbing
Address: 10734 WESTERN AVE Address:P.O.Box 1445 Address:PO Box 1445
City,State Zip:DOWNEY,CA 90241 City,State Zip:Mount Vernon,WA 98273 City,State Zip:Mount Vernon,WA 98273
Phone: Phone:360-610-6141 Phone:360-610-6141
MECHANICAL CONTRACTOR PLUMBING CONTRACTOR
Name: Name:Absolute Plumbing
Address: Address:PO Box 1445
City,State,Zip: City,State,Zip:Mount Vernon,WA 98273
Phone: Phone:360-610-6141
LIC#: EXP: LIC#:ABSOLP*8720D EXP:9/4/2017
JOB DESCRIPTION
PERMIT TYPE: Residential Plumbing CODE YEAR: 2015
STORIES: I CONST.TYPE:
DWELLING UNITS: I OCC GROUP:
BUILDINGS: 0 OCC LOAD:
PERMIT APPROVAL
I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUCTION AND IN DOING THE WORK AUTHORIZED
THEREBY;NO PERSON WILL BE EMPLOYED IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO
WORKMEN'S COMPENSATION INSURANCE AND RCW 18.27.
THIS APPLICATION 1S NOT A PERMIT UNTIL SIGNED BY THE BUILDING OFFICIAL OR HIS/HER DEPUTY AND ALL FEES ARE PAID.
IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR
A CERTIFICATE OF OCCUPANCY HAS BEEN GRANTED. IBC110/IRC110.
SALES TAX NOTICE:Sales tax relating to construction and construction materials in the City of Arlin n b cp r on your sales tax return form
and coded City of Arlington#3101. 2 /n
J•It(/
Signature Print Name Date Clease Ely Date
CONDITIONS
Approved as submitted. Adhere to model#40S6-40NG.
THIS PERMIT AUTHORIZS ONLY THE WORK NOTED.THIS PERMIT COVERS WORK TO BE DONE ON PRIVATE PROPERTY ONLY. ANY
CONSTRUCTION ON THE PUBLIC DOMAIN(CURBS,SIDEWALKS,DRIVEWAYS,MARQUEES,ETC.)WILL REQUIRE SEPARATE PERMISSION.
PERMIT FEES
Date Description Fee Amount
9/13/2016 Plumbing Permit Base Fee $25.00
9/13/2016 Water Heater $25.00
Total Due: $50.00
Total Payment: $50.00
Balance Due: $0.00
CALL FOR INSPECTIONS
BUILDING(360)403-3417
When calling for an inspection please leave the following information:
Permit Number,Type of Inspection being requested,and whether you prefer morning or afternoon
CITY OF ARLINGTON
238 N. OLYMPIC AVE -ARLINGTON, WA. 98223
PHONE; (360)403-3551
BUILDING PERMIT
Address: 17628 Upland Drive NE Permit#:1147
Parcel 4:0087060(N)11600 Valuation:0.00
OWNER APPLICANT CONTRACTOR
Name:DURON ITJAN R&Sll VIA 3 Name:Absolute Plumbing Name:Absolute Plumbing
Address: 107.34 WESTFAN AVE Address:P.O.Box 1445 Address:Pp Box 1445
City,State Zip:DOWNEY,CA 90241 City,State Zip Mount Vernon,WA 98273 City,State Zip:Muunt Vernon,WA 98273
Phone: Phone:36U-610-6141 Phone:360-6 10-6 141
MECHANICAL CONTRACTOR PLUMBING CONTRACTOR
Name: Name:Absolute Plumbing
Address: Address:110 3ox 1445
City,State,Zip: City,State,Zip:; Vernon,unt Veon,WA 98273
Phone: Phone:160-610.6141
LIC d: EXP' LIC N:ABSOLPa87201) I-:XP-9/4/2017
JOB DESCRIPTION
PERN1rT TYPE: Residential Plumbing CODE YEAR 2015
S'CORIES: 1 CONS 1',TYPE:
DWELLING UNITS: I OC.0 GROUP:
BUILDINGS: 0 OCC LOAD:
PERMIT APPROVAL
I AGRi ti fOCOMPLY WTTT4 CITY ANI)STATE LAWS Rt�'GULA ZING CONSTRUCTION AND IN DOING i'HF:WORK AIJTtit 1RiZFU)
rl IEREBY'NO PFRSON WILL BE EM1'I,OY IiU IN VIOLA FION OF'I Hli LABOR CODE OF THE STATE OF WAS]IINGTON RELATING I'O
WORKMEN'S COMPENSATION INSURANCE AND RCW 18.27.
THIS APPI.ICATION 15 NO'I'A PI:RMI'I.1JN lI-SIGNED BY THF.BUILDING OFFICIAL Olt HIS/HLR DE'PIJTY AND ALL FELTS ARE PAID
IT IS UNLAWFUL rr)11SF OR OCCUPY A BUILDING OR S I'RUCI-URE UNTIL A(INA).INSPECTION HAS HFFN MADE AND APPROVAL OR
A Ci-R'I'IFICATF OF O(-CUPAN('Y IIAS BFFN GRAN`rED, IRCI[O/IRCI iO,
1AI.0 TAX NO-PIE_Saies tax relating to construction and construction materials in the City of Arlin,, , n he cp on your sales tax return firm
and c dt:dCityof.4rli g nN310
'�
Signature Print Name Dalc W":ICj%Cj Ily, Dntc
/ CONDITIONS
Approved as submitted. Adhere to model 040S6-40NG.
THIS PRRM1-I'AL'Tf IORIZS ONLY i HF WORK NO I'1q) THIS PERMIT COVERS WORK TO BE DONI,ON PRIVATE.PROPARTY ONLY ANY
CONSTRUCTION ON'I'Hfl PUBLIC DOMAIN(CURBS,SIDEWALKS,DRIVEWAYS,MARQUEES,ETC)WILT.RCQUIRESEPARA FF.PERMISSION
PERMIT FEES
Date Description Fee Amount
9/13/2016 Plumbing Permit Base Fee $25,00
9/13/2016 Water Heater $25.00
Total Due: S50.00
Total Payment: $$50.00
Balance Due: SO.00
CALL FOR INSPECTIONS
BUILDING(360)403-3417
When calling for an inspection please leave the following information:
Permit Number,Type of Inspection being requested,and whether you prefer morning or afternoon
I
,. �
CITY OF ARLINGTON
238 N. OLYMPIC AVE-ARLINGTON, WA. 98223
PHONE; (360)403-3551
_ BUILDING PERMIT
Address:17628 Upland Drive NE Permit#: 1147
Parcel#:00870600011600 Valuation:0.00
OWNER APPLICANT CONTRACTOR
Name:DURON JUAN R&SILVIA J Name:Absolute Plumbing Name:Absolute Plumbing
Address: 10734 WESTERN AVE Address:P.O.Box 1445 Address:PO Box 1445
City,State Zip:DOWNEY,CA 90241 City,State Zip:Mount Vernon,WA 98273 City,State Zip:Mount Vernon,WA 98273
Phone: Phone:360-610-6141 Phone:360-610-6141
MECHANICAL CONTRACTOR PLUMBING CONTRACTOR
Name: Name:Absolute Plumbing
Address: Address:PO Box 1445
City,State,Zip: City,State,Zip:Mount Vernon,WA 98273
Phone: Phone:360-610-6141
LIC#: EXP: LIC#:ABSOLP*8720D EXP:9/4/2017
JOB DESCRIPTION
PERMIT TYPE: Residential Plumbing CODE YEAR: 2015
STORIES: I CONST.TYPE:
DWELLING UNITS: I OCC GROUP:
BUILDINGS: 0 OCC LOAD:
PERMIT APPROVAL
I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUCTION AND IN DOING THE WORK AUTHORIZED
THEREBY;NO PERSON WILL BE EMPLOYED IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO
WORKMEN'S COMPENSATION INSURANCE AND RCW 18.27.
THIS APPLICATION IS NOT A PERMIT UNTIL SIGNED BY THE BUILDING OFFICIAL OR HIS/HER DEPUTY AND ALL FEES ARE PAID.
IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR
A CERTIFICATE OF OCCUPANCY HAS BEEN GRANTED. IBCI 10/IRC110.
SALES TAX NOTICE:Sales tax relating to construction and construction materials in the City of Arlin n he cp�r on your sales tax return form
and coded City of Arlington#3101.
3•IV
Signature Print Name Date cleric By Date
CONDITIONS
Approved as submitted. Adhere to model#40S6-40NG.
THIS PERMIT AUTHORIZS ONLY THE WORK NOTED.THIS PERMIT COVERS WORK TO BE DONE ON PRIVATE PROPERTY ONLY. ANY
CONSTRUCTION ON THE PUBLIC DOMAIN(CURBS,SIDEWALKS,DRIVEWAYS,MARQUEES,ETC.)WILL REQUIRE SEPARATE PERMISSION.
PERMIT FEES
Date Description Fee Amount
9/13/2016 Plumbing Permit Base Fee $25.00
9/13/2016 Water Heater $25.00
Total Due: $50.00
Total Payment: $50.00
Balance Due: $0.00
CALL FOR INSPECTIONS
BUILDING(360)403-3417
When calling for an inspection please leave the following information:
Permit Number,Type of Inspection being requested,and whether you prefer morning or afternoon
i
i
:�
I
RESIDENTIAL PLUMBING
PERMIT APPLICATION
Department of Community & Economic Development
City of Arlington• 18204 59th Ave NE •Arlington,WA 98223• Phone(360) 403-3551
THIS APPLICATION IS TO BE USED WHEN APPLYING FOR NEW PLUMBING INSTALLATION FOR
EXISTING RESIDENCES. PLEASE FILL OUT ALL PAGES OF THIS APPLICATION AND INCLUDE ALL
INFORMATION.
Project Address:17628 Upland
Project Description:Natural gas water heater replacement
Owner:Juan Duron
Address:17628 Upland Cit Arlin ton
y: g State:WA Zip Code: 98223
Phone: 562 569-5384 Email: absoluteplumbing247@yahoo.com
Applicant:Absolute Plumbing
Address:PO Box 1445 City:Mount Vernon State:WA Zip Code: 98273
Phone. 360 610 6141 Email: absoluteplumbing247@yahoo.com
CONTRACTOR INFORMATION
Contractor Name•Absolute Plumbing
Address:PO Bos 1445 CityMount Vernon StateWA Zip Code:98273
License Number:ABSOLP*8720D Expiration:09/04/2017 '
Phone:360 610 6141 Email:absoluteplumbing247@yahoo.com
STAFF USE ON Received
Permit#: l�� Accepted by: Date SEP 13 2016
REV 2015 Page 1 of 2
RESIDENTIAL PLUMBING
PERMIT APPLICATION
Department of Community & Economic Development
City of Arlington• 18204 59th Ave NE •Arlington,WA 98223• Phone (360) 403-3551
Plumbing Section (check all that apply)
(Check all that apply and indicate the number of fixtures proposed)
[�Jl Bath/Shower Combo (4.0) x a! Sink (1.5) x
❑ Shower (2.0) x Lavatory (1.0) x
❑ Clothes Washer (4.0) x Water Closet (2.5) x
n! Dishwasher (1.5) x [ l Water Heater x 1
❑� Hose Bibb (2.5) x
Water Heater Model#
�1 Other (list) x 40S6-40NG
Proposed Water Piping Size:0
Proposed Piping Material: 0
Proposed DWV Material:0
Proposed DWV Size: 0
• All hose bibs required to be equipped with Atmospheric Vacuum Breakers per ASS 1019
• All water supplies at 80psi or greater shall have Pressure Reducing Valves (PRV)
• Cross-Connection-Control may be required
C�CLYCf l�lP�a``Tt</_�
Applicant Signature: Date: 09/13/2016
1 hereby certify that the above information is correct and that the construction, installation for the above mentioned
property will be in accordance with the applicable laws of the City of Arlington and the State of Washington.
REV 2015 Page 2 of 2
9/13/2016 ABSOLUTE PLUMBING
Search L&I
11vLW
�arety Her Itli Clairns & lmsuraw;e V,/s.rkplacf- Rights trade's&4111*4 �Icenair�g
I
Washington State Department of
" Labor & Industries
ABSOLUTE PLUMBING
Owner or tradesperson P O BOX 1445
MOUNT VERNON,WA 98273
Principals 360-610-6141
OLIVER,JEREMY MICHAEL, PRESIDENT SKAGIT County
Doing business as
ABSOLUTE PLUMBING
WA UBI No. Business type
603 305 333 Corporation
Parent company
JO ABSOLUTE PLUMBING INC
License
Verify the contractor's active registration/license/certification(depending on trade)and any past violations.
Construction Contractor Active.
Meets current requirements.
License specialties
PLUMBING
License no.
ABSOLP•8720D
Effective—expiration
09/04/2013—09/04/2017
Bond
Contractors Bonding&Insurance Co $6,000.00
Bond account no.
SH5089
Received by L&I Effective date
09/04/2013 09/03/2013
Expiration date
Until Canceled
Insurance
Federated Mutual Ins Co $1,000,000.00
Policy no.
9145772
Received by L&I Effective date
11/02/2015 11/05/2015
Expiration date
11/05/2016
Insurance history
Savings
No savings accounts during the previous 6 year period.
Lawsuits against the bond or savings
No lawsuits against the bond or savings accounts during the previous 6 year period.
L&I Tax debts
No L&I tax debts are recorded for this contractor license during the previous 6 year period,but some debts
may be recorded by other agencies. HOp us unprc,sve
https://secure.I ni.wa.gov/verify/D etai i.aspx?UBI=603305333&LIC=ABSOLP*872OD&SAW= 1/3
i
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9/13/2016 ABSOLUTE PLUMBING
License Violations
Infraction no.
PBATIO1201 Satisfied
Issue date RCW/WAC
04/25/2016 18.106.020
Violation city Violation amount
MOUNT VERNON $1,000.00
Type of violation
PLUMBER INFRACTION
Description
Contractor failed to provide proper
supervision as required.Company had two
plumber trainees installing new shower/tub
unit when not supervised as required.
Infraction no.
PBUJD00525 Satisfied
Issue date RCW/WAC
05/04/2015 18.106.020
Violation city Violation amount
MOUNT VERNON $250.00
Type of violation
PLUMBER INFRACTION
Description
Contractor employed a person to engage in
the trade of plumbing without a current
journeyman,specialty or trainee certificate,
temporary permit or medical gas endorsement
as required.Contractor employed Kristopher
Schuhow to install rough plumbing at the
listed location.
Infraction no.
PBATIO1033 Satisfied
Issue date RCW/WAC
04/15/2014 18.106.020
Violation city Violation amount
MOUNT VERNON $250.00
Type of violation
PLUMBER INFRACTION
Description
Contractor employed a person to engage in
the trade of plumbing without a current
journeyman,specialty or trainee certificate,
temporary permit or medical gas endorsement
as required.Contractor employed Matthew
Carr to perform gas water heater installation
when his plumbing certification was inactive.
Workers' comp
Do you know if the business has employees?If so,verify the business is up-to-date on workers'comp premiums.
L&I Account ID Account is current.
266,163-00
Doing business as
JO ABSOLUTE PLUMBING INC
Estimated workers reported
Quarter 2 of Year 2016"11 to 20 Workers"
L&I account representative
T5/BETTY VANCE(360)902-5137-Email:VABE235@lni.wa.gov
Workplace safety and health
hfps://secure.1ni.wa.gov/verify/Detail.aspx?UBi=603305333&LIC=ABSOLP*8720D&SAW= 2/3
I
I
t
1
9/13/2016 ABSOLUTE PLUMBING
Check for any past safety and health violations f l',on jobsites this business was responsible for.
U Washington State Dept.of Labor&Industries.Use of this site is subject to the laws of the strife of Washington.
I
Null)us Improve
https://secure.ini.wa.gov/verify/Detail.aspx?UBI=603305333&LIC=ABSOLP*872OD&SAW= 3/3
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Permit#: 1147
Permit Date: 09/13/16
Permit Type: RESIDENTIAL PLUMBING
Project Name: Juan Duron
Applicant Name: Absolute Plumbing
Applicant Address: P.O. Box 1445
Applicant, City, State, Zip: Mount Vernon,WA 98273
Contact: Janine Hill
Phone: 360-610-6141
Email: absoluteplumbing247@yahoo.com
Scope of Work: Replace gas water heater
Valuation: 0.00
Square Feet: 0
Number of Stories: 0
Construction Type:
Occupancy Group:
ID Code:
Permit Issued: 09/13/2016
Permit Expires: 03/13/2017
Form Permit Type:
Status: LASERFICHE
Assigned To: Kristin Foster
Property
Parcel# Address Legal Description Owner Name Owner Phone Zoning
00870600011600 17628 UPLAND DR DURON JUAN R& 111 Single Family
SILVIA J Residence-Detached
Contractors
Contractor Primary Contact Phone Address Contractor Type License License#
Absolute Plumbing Paul Hooley 360-610-6141 PO Box 1445 CONSTRUCTION Labor&Industries ABSOLP*799MB
CONTRACTOR
Absolute Plumbing Paul Hooley 360-610-6141 PO Box 1445 CONSTRUCTION COA 603 305 333
CONTRACTOR
Fees
Fee Description Notes Amount
Plumbing Base Permit Fee $25.00
Water Heater(Tank) $25.00
Total $50.00
Attached Letters
Date Letter Description
09/13/2016 Building Permit
Payments
Date Paid By Description Payment Type Accepted By Amount
09/13/2016 Jeremy Oliver 61314171 cc $50.00
Outstanding Balance $0.00
Notes
Date Note Created By:
09/13/2016 Model#40S6-40NG E.F.-.62 Kristin Foster
Uploaded Files
Date File Name
09/14/2016 1841253-1147 Issued Permit.pdf
09/13/2016 1840055-1147 Application.pdf