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Home My WebLink About18117 Cedarbough Loop_BLD91178_2025 ► '/ice M Cily nf� ,IL1t1,1W"G"I'li\ Permit No. _ r NOTICE e(nd InSNectio,, Report Date Called p Address ime Called Q " Contractor By Owner Requested by ✓/�LU� TYPE OF INSPECTION REQUESTED ❑ Setback ❑ Reroof ❑ Insulation ❑ Plumb GW ❑ Roof Diaphragm ❑ Gas Piping ❑ Footing ❑ Framing ❑ Woodstove ❑ Foundation ❑ Drywall Nailing Final ❑ Concrete Slab ❑ Rough-In Plumbing \ Reinspection ❑ Shear Wall ❑ Furnace ❑ Other X APPROVAL ❑ PARTIAL APPROVAL ❑ VIOLATION ❑ CORRECTION REQUIRED ❑ Corrections listed below MUST BE MADE before work can be approved. ❑ Work listed below has been inspected and approved. ❑ Please contact inspector and arrange for appointment. ❑ Was not able to p form inspection. ❑ CALL 432� R REINSPECTION—24 hour notice required. e z Inspector � ` Date `° Z�'� / (% / I was present during this inspection. Permit No. NOTICE and Inspection Report Date Called /. Address Time Called 415a Contractor By Owner J� Requested by TYPE OF INSPECTION REQUESTED ❑ Setback ❑ Reroof ❑ Insulation ❑ Plumb GW ❑ Roof Diaphragm ❑ Gas Piping ❑ Footing ❑ Framing ❑ Woodstove ❑ Foundation ❑ Drywall Nailing v4—t-j11a1 ❑ Concrete Slab ❑ Rough-In Plumbing ❑ Reinspection ❑ Shear Wall ❑ Furnace ❑ Other ❑ APPROVAL ❑ PARTIAL APPROVAL ❑ VIOLATION ❑ CORRECTION REQUIRED ❑ Corrections listed below MUST BE MADE before work can be approved. ❑ Work listed below has been inspected and approved. ❑ Please contact inspector and arrange for appointment. ❑ Was not able to perm inspection. CALL 435 578f OR REINSPECTION—24 hour notice required. /i S. Inspector , Date I was present during this inspection. Permit No, r -7g ciii, n� AItr "iG' r1'11\ NOTICE and Inspection Report Date Called —1 `t d�' _ Address l 7 6AMhi2A& Time Called —l—L[� Contractor (� By Owner I� Requested by � TYPE OF INSPECTION REQUESTED ❑ Setback ❑ Reroof ❑ Insulation ❑ Plumb GW ❑ Roof Diaphragm ❑ Gas Piping ❑ Footing ❑ Framing ❑ Woodstove ❑ Foundation Drywall Nailing ❑ Final ❑ Concrete Slab ❑ Rough-In Plumbing ❑ Reinspection ❑ Shear Wall ❑ Furnace ❑ Other —APPROVAL ❑ PARTIAL APPROVAL ❑ VIOLATION ❑ CORRECTION REQUIRED ❑ Corrections listed below MUST BE MADE before work can be approved, ork listed below has been inspected and approved. ❑ Please contact inspector and arrange for appointment. ❑ Was not able to perf rm inspection. ❑ CALL 43 FOR REINSPECTION—24 hour notice required. c Inspector Date I was present during thi inwciion. 11 Permit l' City n� as tjr''" NOTICE and inspection Report Date Called - Address 7 4r�lVrgrwa yTime Called - � Contractor By Owner Of 01 Requested by TYPE OF INSPECTION REQUESTED ❑ Setback ❑ Reroof insulation ❑ Plumb GW ❑ Roof Diaphragm ❑ Gas Piping ❑ Footing ❑ Framing ❑ Woodstove ❑ Foundation ❑ Drywall Nailing ❑ Final ❑ Concrete Slab ❑ Rough-In Plumbing ❑ Reinspection ❑ Shear Wall ❑ Furnace n Olher ❑ APPROVAL 'r PARTIAL APPROVAL ❑ VIOLATION ❑ CORRECTION REQUIRED Corrections listed below MUST BE MADE ❑ Work listed below has been inspected and approved. ❑ Please contact inspector and arrange for appointment. ❑ Was not able to pe rm inspection. �14� ❑ CALL 435-5�85� OR REINSPECTION—24 hour notice required. OP Inspector Date I was present during this inspection. It I Permit No. �?i City r1j AIIL 7I'Pr1,40 NOTICE and Inspection Report Date Called /" Address Time Called Contractors By Olt Owner G_Jf Requested by � r� �( TYPE OF INSPECTION REQUESTED ❑ Setback ❑ Reroof ❑ Insulation ❑ Plumb GW ❑ Roof Diaphragm ❑ Gas Piping ❑ Footing raming ❑ Woodstove ❑ Foundation ❑ Drywall Nailing ❑ Final ❑ Concrete Slab ❑ Rough-In Plumbing ❑ Reinspection ❑ Shear Wall ❑ Furnace ❑ Other ❑ APPROVAL _�,J4ARTIALAPPROVAL ❑ VIOLATION ❑ CORRECTION REQUIRED Corrections listed below MUST BE MADE before work can be approved. ❑ Work listed below has been inspected and approved. ❑ Please contact inspector and arrange for appointment. ❑ Was not able to pert rm inspection. ❑ CALL 435-0R REINSPECTION—24 hour notice required. t f� —� < t Inspector Date ...- was present during this inspection. Permit No. /�d Lit9 nl� iLI INGTO NOTICE and Ins cti in Report Date Called / Address Time Called _ / -v Contractor - gedd! � By Owner Requested b TYPE OF INSPECTION REQ ESTED ❑ Setback ❑ Reroof ❑ Insulation ❑ Plumb GW ❑ Roof Diaphragm Gas Piping ❑ Footing ❑ Framing ❑ Woodstove ❑ Foundation ❑ Drywall Nailing ❑ Final ❑ Concrete Slab ❑ Rough-In Plumbing ❑ Reinspection ❑ Shear Wall ❑ Furnace ❑ Other. APPROVAL ❑ PARTIAL APPROVAL ❑ VIOLATION ❑ CORRECTION REQUIRED ❑ Corrections listed below MUST BE MADE before work can be approved. /2-"W'ork listed below has been inspected and approved. ❑ Please contact inspector and arrange for appointment. ❑ Was not able geriorm inspection. ��to . ❑ CALL 435-&M FOR REINSPECTION—24 hour notice required. Inspector Date O I was present during this inspection. Permit N )�y Lily nj A ��P. I��TO NOTICE and inspection Report Date Called Address ` Time Called Contractor 17 ,0 By - Owner Requested by TYPE OF INSPECTION REQUESTED ❑ Setback ❑ Reroof ❑ Insulation ❑ Plumb GW ❑ Roof Diaphragm 7 Gas Piping ❑ Footing ❑ Framing ❑ Woodstove ❑ Foundation ❑ Drywall Nailing ❑ Final ❑ Concrete Slab ❑ Rough-In Plumbing ❑ Reinspection ❑ Shear Wall ❑ Furnace ❑ Other ❑ APPROVAL ❑ PARTIAL APPROVAL ❑ VIOLATION CORRECTION REQUIRED Corrections listed below MUST BE MADE before work can be approved. ❑ Work listed below has been inspected and approved. ❑ Please contact inspector and arrange for appointment. Was not aVtorform inspection. ❑ CALL 435R REINSPECTION—24 hour notice required. c Inspector Date was present during this inspection. cii,, q R I °V 1:r1'11 N Permit No. _ NOTICE and In �.;tion Report Date Called Address , Time Called /i,Q� Contractor By Owner Requested by lf/ TYPE OF INSPECTION REQUESTED ❑ Setback ❑ Reroof ❑ Insulation ❑ Plumb GW ❑ Roof Diaphragm ❑ Gas Piping Footing ❑ Framing ❑ Woodstove \❑ Foundation ❑ D wall Naili g ❑ Final ❑ Concrete Slab 'Ttoug n um ❑ Reinspection v ❑ Shear Wall ❑ Furnace ❑ Other ❑ APPROVAL ARTIAL APPROVAL ❑ VIOLATION ❑ CORRECTION REQUIRED ❑ Corrections listed below MUST BE MADE before work can be approved. �isted below has been inspected and approved. ❑ Please contact inspector and arrange for appointment. ❑ Was not able to perform inspection. ❑ CALL 41I35-557//85FOR REINSPECTION—24 hour notice required. Inspector LOO Date I was present during this inspection. Permit No. Ciiy nl� SAIRF IMGTON NOTICE and Insvdction Report Date Called ` 1 O Address /// ' Time Called Contractor h.�/�,��y� By Owner -d Requested by ` " _ TYPE OF INSPECTION REQUESTED ❑ Setback ❑ Reroof ❑ Insulation ❑ Plumb GW ❑ Roof Diaphragm ❑ Gas Piping ❑ Footing ❑ Framing ❑ Woodstove Foundation ❑ Drywall Nailing ❑ Final ❑ Concrete Slab ❑ Rough-In Plumbing ❑ Reinspection ❑ Shear Wall ❑ Furnace ❑ Other ❑ APPROVAL ❑ PARTIAL APPROVAL ❑ VIOLATION ❑ CORRECTION REQUIRED ❑ Corrections listed below MUST BE MADE before work can be approved. ❑ Work listed below has been inspected and approved. ❑ Please contact inspector and arrange for appointment. ❑ Was not able to perform inspection. ❑ CALL 435-5785 FOR REINSPECTION—24 hour notice required. 'Insp or Date S I was present during this inspection. Permit Na NOTICE and li ispeLl:i n Report D -1(v -Cib Imo// ! Date Called Address 4 n l l 1 Time Called �.-oo Contractor By YrL4 Owner Requested by TYPE OF INSPECTION REQUESTED ❑ Setback ❑ Reroof ❑ Insulation ❑ Plumb GW ❑ Roof Diaphragm ❑ Gas Piping P' Footing ❑ Framing ❑ Woodstove ❑ Foundation ❑ Drywall Nailing ❑ Final ❑ Concrete Slab ❑ Rough-In Plumbing ❑ Reinspection ❑ Shear Wall ❑ Furnace ❑ Other ❑ APPROVAL ❑ PARTIAL APPROVAL ❑ VIOLATION �.`RECTION REQUIRED �Jlrllcfion;listed below MUST BE MADE before work can be approved. ❑ Work listed below has been inspected and approved. ❑ Please contact inspector and arrange for appointment. ❑ Was not able to perform inspection. ❑ CALL 435-5785 FOR REINSPECTION—24 hour notice required. r Inspector Date was pies nt during this inspection. Permit Nr NOTICE and ills ...,on Report Date Called ,'_GW Address 1,vlz 19 61i Time Called ( � Contractor �CQ, � By ` Owner Requested by ' TYPE OF INSPECTION REQUESTED ❑ Setback ❑ Reroof ❑ Insulation ❑ Plumb GW ❑ Roof Diaphragm ❑ Gas Piping .� XFooting ❑ Framing ❑ Woodstove ❑ Foundation ❑ Drywall Nailing ❑ Final ❑ Concrete Slab ❑ Rough-In Plumbing ❑ Reinspection ❑ Shear Wall ❑ Furnace ❑ Other >ez-PPROVAL ❑ PARTIAL APPROVAL ❑ VIOLATION ❑ CORRECTION REQUIRED ❑ Corrections listed below MUST BE MADE before work can be approved. >1�011 listed below has been inspected and approved. ❑ Please contact inspector and arrange for appointment. ❑ Was not able to perform inspection. ❑ CALL 435-5785 FOR REINSPECTION—24 hour notice required. Inspector ate — '� 20-� 1 was present during this inspection. JOB The Almark Corporation SHEET NO. � OF 17327 7th Avenue West CALCULATED BY DATE { BOTHELL, WASHINGTON 98012 Phone 743-9539 CHECKED BY DATE SCALD I r. � � r W.T E L................_.............. _ ..._......... �...:...... _.:.... : . ....... � :::........_ ,. ....._..__.... _.._............ ......................._...._ _ ..........l ..._. -...... _ ._... . .......... - -- .......I. ._.... _ _.�...... _1.. _ _ _.. _. .. ___�... . _....._ _ _..�._ .. ......_.___............:____.._...._..................................�....._,...._...-.� __ -....i..... _I:_,_ .. .._. _ _. _ _ .. ....r.r.._ .... .... .... _ _ .J .. L............ . .......... ....._........_.. ..__......... .::........................:... _-..... ......_ ..::..:...._.....z_...........w_....-_._........_i..........._--- __. _ _._.....1 _ „_ I ` _ L.......� __.. ...... _ _.. ... _.. a _. L• b _ _. .. .... .... .....i rl ..I .. r.._ ....... _.. .... ..... ..... i...........j...............:.. .. ......___._....: 6 _..................._......... ...-._.. ......... - _�._... _ .._ _....1......._y .........._..... ........ ...__........_... ....................- _ i 61 N _ ......_ .. .. ..........ti......�.._ ..................___.. ,� ___..._.__.._..._ ..._.... _.. ...._.. -� ;i , _ _ .......... i 1 Zo ........ ........ _. _..._ ........�.. _ ....(............ _... s............___. ......s.` ��..._............... _._. _ _.. ..................._ ...................... .._.._ ....._........ .-- J _ J,........ _.�..M ... _-__�...._� _.._ _... _.....::..... _._. _........ ..........__ .-_........ .... _.: i_ t . . � 430 uUN .1oo,�- _.�»........L __�........... . ._�..__,..i.......,.,.......-. ,.........�.. I.-_..-_i_........ ..... .............. . fi .., .i. _ ... 1 ..-.......... .... ... i LdT C-j ��L�T........ o F HE' _1�Ucvd��lNo,5 .--_D( � _L,..........._-._ �_. _..._ ._ _ 9...._ .... . _ _.. f �) -1 c. 13 /p 3/ P✓ fit?E__ S _.. __...._.. ...._............... ...... .._. _.. ........, _....., _ . .. .. �... . �...S�o...... sH , I ou .T..y.......,.1...u1nS�z.� .._ .... ,. .a_ I I T. ._ _.._ 1..._.........-_,. �...�_ .... _ .. ._.. . . _.......__- _....... ..... __. RIUJUCT 27SI Order PHONE TOLL FREE 1-M-225-U0 .or IF,.,- �r -Job- CITY OF ARLINGTON CONSTRUCTION PERMIT Ey COMBINATION ❑ BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN PERMIT NO.00178 OWNER MAIL ADDRESS CITY ZIP PHONE ALMARK CORPORATION 17327 7THE Ave W Bothell , Wa. 98012 743-9539 ARCHITECT OR DESIGNER MAIL ADDRESS CITY ZIP PHONE GENERAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE N ALMARK CORPORATION 17327 7th Ave W. Bothell , Wa, 98012 743-9539 ALMART 245 K4 MECHANICAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE - LICENSE HORIZON HEAT I Nn 3601 121 ST St r SW' LYnn�nd, Wn 9SO37—�45-3930 u^R I ZH I ,�� n� PLUMBING CONTRACTOR MAIL ADDRESS CITY ZIP PHONF 3 LICTDkE N PUGET SOUND PLUMBING 7024 Casino West, Everett, Wa. 98204 743-9537 PUGETSP 141 02 CLASS OF WORK NLW ❑ADDITION ❑ALTERATION ❑REPAIR ❑DEMOLITION ❑BUILDING RELOCATION VALUATION OF WORK f105,375 DESCRIBE WORK New Single Family PROPOSE D USE OF BUILDING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICA- Res i dence TION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL PROVI- LEGAL DES(RIPTION OF PROPERTY(SHOWN BELOW OR ATTACH FOUR COPIES) SIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK LOT C-19 BLOCK OF Woodlandc WILL BE COMPLIED WITH WHETHER SPECIFIED HERIN OR NOT.THE lGRANTINGOFA PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR TAX ID NUMBER LOCAL LAW REGULATING CONSTRUCTION OFTHE PERFORMANCE OF CONSTRUCTION.PERMIT EXPIRES 1 YEAR FROM DATE OF ISSUANCE. SIGNADOkEOFCONTPAcroit RAUTHORIZED AGENT DATE jOB AUURLSS 18117 Cedarbough Loop, Arlington X n� (OFFICE USE ONLY) MECHANICAL PLUMBING NO, TYPE OF FIXTURE FEE NO. TYPE OF EQUIPMENT FEE WATER CLOSET (TOILLI) AIR COND. UNITS - H P.EA. BATHIU6 L REFRIGERATION UNITS -H.P. EA- LAVATORY (WASH BASIN) a BOILERS-H.P. EA SHOWER GAS FIRED A.C.UNITS-TONNAGE EA. KI ICHEN SINK& DISP. 1 FORCED AIR SYSTEMS- B.T-U MEA 9-0 DISHWASHER 2 10 WALL HEATERS- B.T.U. M LAUNDRY TRAY UNII HEATERS- B.T.U. M 1 CLOI HLS WASHLR EVAPORAI IVE COOLERS WAIERHEATER 2 1 CLOTHES DRYERSIQ URINAL 3 VENTILATICN FAN 13 0 DRINKING FOUN T AIN RANGE HOOD COMMERCIAL FLUOR DRAIN AIR HANDLING UNIT- CPM 2 VACUUM BREAKERS 4 no STOVE ROOF DRAINS - RAINLEADERS 9 METAL FIREPLACE &CHIMNEY SINK (SERVICE - BAR,ETC.) 1 WATER HEATER GAS PIPING SUBTOTAL f SUBTOTAL f 51 50 PERMIT f PERMIT f 1 DO TOTAL FEE f TOTAL FEE f t!j�j SIDE YARD SE IBACK STREET SETBACK REAR YARD SETBACK PLAN CHECK NUMBER PLAN CHECK FEE 12/1 4 20 60 1 1-1-89 FEE 438•43 RECEIPT NO. USE ZONE LOT AREA VACANT SITE 21267 R72 96171, 1A YES ❑NO FEES VALUATION FEE TYPE OF CONST, OCCUPANCY GROUP NO OF DWELLING UNITS PLAN CHECKING NG 4 O VN r3& M 1 BUILDING f 660.50 651 40 SIZE OF BLDG. NO.OF STORIES MAX.OCC.LOAD 2793 2 8 PLUMBING 45 , 00 FIRE SPRINKLERS REQUIRED ❑YES NO MECHANICAL 66,50 STATE BLDG.CODE COMMENTS ENERGY CODE SURCHARGE . 4 51a. PENALTY SECC303(a) ELEVATION A ONLY P A D WATER/SEWERFEES 1305100 TOTAL 2072140 ✓ PLAN 22l 4 7 ' I PERMIT VALIDATION WHEN PROPERLY VALIDATED (IN THIS SPACE)THIS IS YOUR PER,MIIIT&RECEIPT CITY OF ARLINGTON LL b CR# BY 1 r I PAID -9a cc:ASSESSOR,APPLICANT,TREASURER, BLDG.DEPT. 8 'ILDINGOFFICIAL DATE RECORDS COPY j A CITY OF ARLINGTON CONSTRUCTION PERMIT ' \COMBINATION ❑ BUILDING ❑ MECHANICAL •❑' PLUMBING ❑ SOON PERMIT NO. OWNLIt MAIL.ADORISS I City 21P 1110NE ALms� l'� 2A7en/ 17,27 7 t4 4a *_ ' {tI �� g�li 7y3 9339 AR(1111tCt OR OtSIt:NER MAIL ADORES, CITY II/ IIIONE G NL ANAL CCUNTRAC v MAIL ADDRESS C11y LI/ IIIONE LICILFISE �9t�1N,eK MIUTANICAL CUN I RAC 10R�a�r�,e�tpa,v 12527 7b< A, w � x/✓NWO�b� �8&2- 30 5-,3 MAIL ADDRESS City LIP PIK NE A�hL�KEN ZSE, �F /4rrZoi �77Nh 360/ /�sr S / L s K� ��b37 7ys3',je, f�nrozh�3 ►WMBINGCON IRACIOR MAIL ADDRESS City » . TIP ►LONE LICLNSE/ PL16ET 50LIIAI D P11,1440 702t/ 611&iNo 1d4osr;' �T' 9z�• 7//3 9"7 i�� *Ts P!Uto2 CLASS OF WORK NI W ❑A DUI T1UN ❑ALTERATION ❑REPAIR ❑UEMULIIION ❑BUILDING RELOCATION VALUAIIONOF WORK t •!,• ! . . DISLRIBL Wu K r i i nl �jyF 1 / . PRUPOSI D USL OF BUILDING AJ /P r 111 � �( o�PN�e 1 HEREBY CERTIFY THAT I HAVE READ AND EXAMINED 71ITS APPLICA- teAL vtS(RrrHuNOI ►RortRlr sI N FIELOWORATIALN FOUR COPIE, 110N AND KNOW THE SAME TO DE TRUE AND CORRECT ALL PROVI- SIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK LOT 9 BLUCK or kJ��cfS WILL BE COMPLIED WITH WHET I-IPR SPECIFIED HF.RIN OR NOT. TIIE GRANTING 6F A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO ' VIOLATE Ok'CANCEL THE PROVISIONS OF ANY OTHER STATE OR TAX 10 NUMBER LOCAL LAW FEGULATING CONSTRUCTION OF THE PERFORMANCE OF CONSTRUCTION,PERMIT EXPIRES I YEAR FROM DATE OF ISSUANCE. IOf AUURISS SIGNAIUREOFC(iPaRACIOROR N AUTIIO IEDAGENT GATE (OFFICE LATE ONLY) PLUMBING MECHANICAL! NU. TYPE OF FIXTURE FEE NU, y TYPE OF EQUIPMENT FEE WATLR CLUSEI (IOILLI I / ,- , AIR GUNU.UNI15 -ILP,EA. Z BAIIIIUB is (( REFFLIGERAIION UN115-II.P,LA. - LAVAIURY IW'ASII BASIN) • 3 BOIL(RS-N.P.EA -4— 51111%LR 12, (SAS FIRED A.C.UNITS.- TONNAGE EA. k11C11LN SINK i UISP. �- FORCED AIR SYSTEMS•-B,T.U. hIEA `i "r UISHWASIILR b WALL'-FIEAIERS-B.T. . M LAUNDRY TRAY UNIT 11EATERS- B.I.U. M / CLOIIILS WASIItR `l_ .00 E V A P 6 R A I I V E COOLERS / RAILRIILAILR 7a OIIIESDR.YERS ; URINAL VENTI.LAIION FAN (� ItRINhIN(,F UUN I AIN RANGE 11000 COMMERCIAL _ I LOUR DRAIN AIR IIANULING UNIT -`. CPM �y VACUUM BRLAKERS c ;�5 SIOV RUUI DRAINS - RAINLLAUERS Z ME IqL FIREPLACE ACIIIMNEY SINK(SERVICE - BAR,E IC.) —r ---_ ! WATbR IIEATER -61 GAS PIPING SUB TOTAL { '� T. SUB TOTAL 1 PERM IT i E PERh11T 1 TOTAL FEE 1 _ � 1 .'-TOTAL FEE 1 SIUL Y ARU St I BALK SIRELISETBACK REAR YARD ItIBACK PLAN CHECKNgMIER ►LANCIIECKFEE 711-4 r FEE RECtI 1 N VS1 IONV LOT AREA VACANT SIZE U! ram- jgYES NO FEES VALUATION FEE i1IL Oi EONS1. OCCUPANCY GROUP NO.OF DWELLING LINT IS'. PLAN CHECKING VO _ G SI[t OI BlU(r. NO.OI STORIES MAX.DEC.LOAD BUILDING PLUMBING TIRE SPRINKLERS REQUIRED ❑YES ) MECIIANICAL4:ZI Ai commtr4I_S_ �; STATE BLDG.CQIIE r �- ENERGY CODE SURCI IARGE NOV PENALTY SEE. 03111 �I' + r U 4 WATER/SEWER FEES � TOTAL S, 1 • �f/^ .• PERMIT VALIDATION WITEN PROPIPA! VALIDATED IN TI11S SPACQ 1111S IS YOUR PERAfT i RECEIPT A tj PAID I• Coca BY T!! ' 1' 1 cc!ASSESSOR,APPLICANT,TREASURER,BLOO.DEPT. 101DINGOIFIOPA DATE • RECQRDS COPY,''