HomeMy WebLinkAbout19406 68TH DRIVE NE_BLD2470_2026 NOTICE
`l (1\ J�� TO PERMITEE AND/OR OWNER
❑ PARTIAL APPROVAL ❑ CORRECTIONS REQUIRED
❑ DO NOT OCCUPY O APPROVED
PERMIT#: 2�i (i LOT#: DATE:
JOB ADDRESS: lr 101-:l
TYPE OF INSPECTION: }-��;�y 4j r, I bA
❑ NO PERMIT-STOP WORK-OBTAIN PERMIT:AND MAKE WORK COMPLY
WITH CURRENT BUILDING AND/OR PLANNING CODES.
❑ CONSTRUCTION IS NOT IN ACCORDANCE WITH APPROVED PLANS AND
PERMIT -STOP WORK: MAKE EXISTING WORK COMPLY WITH
APPROVED PLAN AND PERMIT OR REMOVE IT.
❑ STOP WORK UNTIL AUTHORIZED TO CONTINUE BY INSPECTOR.
❑ CORRECTIONS LISTED BELOW MUST BE MADE BEFORE WORK CAN BE
APPROVED.
❑ WORK NOT READY FOR INSPECTION:$50 REINSPECTION FEE(PER IBC)
MUST BE PAID PRIOR TO NEXT INSPECTION.
❑ CONTACT INSPECTOR 360-403-3551 Cl CALL FOR REINSPECTION
I P .'l r, C -
J
THE ACTIONS OR CORRECTIONS INDICATED ABOVE ARE REQUIRED WITHIN DAYS OR
PENALTIES IMPOSED BYLAW MAYAPPLY.
FOR INSPECTION CALL: 360-403-3417
INSPECTOR DATE
7BUILUING U[iP'I'.
•
0 PLANNING DEFT. CITY OF ARLINGTON
i
4
M
UTY OF ARLINGTON
\, 238 N. OLYMPIC AVE- ARLINGTON, WA. 98223
PHONE; (360) 403-3551
BUILDING PERMIT
Address:19406 68th Dr NE Permit#:2470
Parcel#:31051400300200 Valuation:2500.00
OWNER APPLICANT CONTRACTOR
Name:WESTERN FOREST PRODUCTS US Name:Abbott Construction Name:JR ABBOTT CONSTRUCTION
LLC
Address:800-1055 W GEORGIA STREET Address: Address:3408 1ST AVENUE S
City,State Zip:VANCOUVER,BC V6E3P3 City,State Zip: City,State Zip:SEATTLE,WA 98124
Phone: Phone:206-459-4901 Phone:206-467-8500
LIC: EXP:
MECHANICAL CONTRACTOR PLUMRiNr'
Name: Name:
Address: Addres, �I`
Aart �r`
City,State,Zip: City,st, t � '
Phone: Phone:: ! Q
LIC#: EXP: LIC#:J
JOB DESCRIPTION _
PERMIT TYPE: Commercial Plumbing CODE
STORIES: CONS?
DWELLING UNITS: OCC G. r` �t
BUILDINGS: OCC L(
PERMIT APPRO
I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC Y,
NO PERSON WILL BE EMPLOYED IN VIOLATION OF THE LABOR CODE OF TH r
COMPENSATION INSURANCE AND RCW 18.27. 1 i
THIS APPLICATION IS NOT A PERMIT UNTIL SIGNED BY THE BUILDING OFFII
IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL A I 2
A CERTIFICATE OF OCCUPANCY HAS BEEN GRANTED. IBC110/IRCI I0.
SALES TAX NOTICE:l E:Sales tax relating to construction and construction materials in the City of Arlington must be reported on yo 'ales tax return urui xli
an code�ty lingto �101. ,/ ��
VA
irature Print Name yate I Released By 1Datc
CONDITIONS
Adhere to approved plans. Call for final inspection.
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
3/25/2019 Inspection Fee $100.00
3/25/2019 Plumbing Permit Fee(Enter Fixture Fee) $96.00
3/25/2019 Processing/Technology Fee $25.00
Total Due: $221.00
Total Payment: $0.00
Balance Due: $221.00
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
�y
COMMERCIAL PLUMBING
PERMIT APPLICATION
Department of Community&Economic Development
City of Arlington • 18204 59th Ave NE •Arlington, WA 98223 • Phone(360)403-3551
THIS APPLICATION MUST BE ACCOMPANIED BY TWO (2) SETS OF CONSTRUCTION DRAWINGS, AND TWO (2)
SETS OF FIXTURE SPECIFICATIONS (CUT SHEETS). CALCULATIONS ARE REQUIRED FOR GREASE
INTERCEPTOR IF APPLICABLE.
Type of Permit: New Installation Addition/Alteration Industrial
Project Address: ��y�� C,03 174. -LSZ• ME— + .i4l?-OO 7C W�Parcel ID#:
Lot#: Subdivision:
Project Description: I F'M wxa�-1 1�i2 1(�1�I� 1�,c1+�V1'3�NC Valuation: Z
Owner: 1 f N ?.�2u=S% �i,cv�'� Phone Number:
Address: 11W(f I, 6-ftA- Nam~ City: ' 77& ) State:W4- Zip Code: �� 3
Contact Person: [� � (� h1 -W-&2 � (,4&3�9P- Phone Number:2(o(P 9q0
Cell Phone: E-mail: KI�rQ�;ISoIJ(�. Iil"[a�ShU�o V ,wr�l
Address: City: State: Zip Code:
Contractor: I kq t� Phone Number: D4%9-
Cell Phone: Email:
Address: City: State: Zip Code:
Contractor License Number: Expiration Date:
Please indicate number of fixtures:
Water Closet �- Floor Sink Sump Hose Bibb Miscellaneous
Lavatory Laundry Tub Washer Water Heater Grease Trap
Urinal I Interceptor Sink 2— Med Gas Drinking Fountain
Floor Drain Dishwasher Backflow Shower Other
6/16LP Page 2 of 3
COMMERCIAL PLUMBING
PERMIT APPLICATION
Department of Community&Economic Development
City of Arlington • 18204 59th Ave NE •Arlington, WA 98223 • Phone (360)403-3551
WHEN is a PLUMBING PERMIT REQUIRED?
The City of Arlington requires a plumbing permit before a plumbing system or fixture is installed, altered, or
remodeled. This also includes replacement of a Hot Water Tank.
The City of Arlington does not require a permit to stop leaks or clear stoppages, unless the piping being repaired
is altered or replaced. ,
PLUMBING PLAN REVIEW IS REQUIRED FOR THE FOLLOWING PROJECTS
1. New Commercial Buildings
2. New Multi-"Family Buildings
3. Roof Drains and Overflow Systems
4. Tenant-Improvements'
5. Installation of Medical Gas Systems
6`. Installation of Commercial Kitchen's and"Deli's
7. Installation of Grease Traps
8. Installation-of"Grease InterAptors
9. Installation of Sumps
10. Installation of Cross Connection Backflow Devices
SUBMIT TWO (2)COPIES OF THE FOLLOWING FOR PLUMaING PLAN*REVIEW: "
❑ Plumbing'plans or dra)kllhds.'(Minimvm`pl'an 'size is 18" X 24" scale, Y4" scale for details.)
❑ Provide one set of plumbing drawings maximum size 11" X 17"
❑ Size of sanitary and potable water systems.
❑ Location, type and specifications (cut sheets) of proposed fixtures and equipment.
❑ Riser diagram of waste and vent, potable water and rain water systems, including sizes.
❑ Medical gas piping riser diagram indicating type of gas, storage room and size of piping.
❑ Location and type of all Backflow assemblies for each fixture.
I hereby certify,that I have read and examined this application and know the same to be true and
correct and I am authorized to apply for this permit.
6/16LP Page 7 of 3
COMMERCIAL PLUMBING
Al. "aJ PERMIT APPLICATION
--- Department of Community&Economic Development
City of Arlington • 18204 59th Ave NE •Arlington, WA 98223 • Phone (360)403-3551
PROPOSED BUILDING USE
❑ New Commercial ❑ Restaurant ❑ Automotive Based
❑ Commercial Addition/Alteration ❑ Office ❑ Machine Shop
❑ Industrial ❑ Medical 0 Other:
CROSS CONNECTION
Please check all appliances that are proposed or are permanently connected to the water supply.
13 Ice Machine ❑ Dialysis Equip. ❑ Air washers Cl Swimming ❑ Fire Sprinkler
Pools
❑ Coffee Steam Sprinkler
❑ Hydrotherapy Equip. ❑ ❑ Hot Tub/Spa ❑
Urn/Espresso Generators w/chemicals
❑ Carbonated Bev. ❑ Dental Equip. ❑ Dye Vats ❑ Aquarium ❑ Lawn Irrigation
❑ Fume Hoods ❑ Laboratory Equip. ❑ Pressure ❑ Decorative ❑ Well on
Washers Fountain property
❑ Degreasers ❑ Autoclave/Sterilizers ❑ Cooling Towers
13 Other:
WASTEWATER DISCHARGE ��
1. Does the plumbing system currently have a grease interceptor? ❑ Yes ❑ No ED Don't Know
Date grease trap/interceptor was last cleaned (provide service record): 1 /
2. Does the plumbing system currently have an oil/water separator? ❑ Yes ❑ No �J Don't Know
3. Date oil/water separator was last cleaned (provide service record):
4. Is water used in the business process (washing, rinsing, cooling)? ❑ Yes FZr No ❑ Don't Know
5. Does your business require a NPDES permit? ❑ Yes 0-No ❑ Don't Know
I hereby certify that the above information is correct and that the construction on, and the occupancy and the use of the above-described
property willlaq in accordance ith the laws, rules and regulation of the State of Washington
is is Signature I j6ate
Print Applicants Name
FOR STAFF USE ONLY
o MAR 2 5 2019
Permit# Acc)ktenT3y Amount Received Receipt# Date Received
6/16LP Page 3 of 3
NOTICE
i-�j TO PERMITEE AND/OR OWNER
❑ PARTIAL APPROVAL Cl CORRECTIONS REQUIRED
Cl DO NOT OCCUPY ❑ APPROVED
PERMIT#: � '`� l_, LOT#: DATE:
JOB ADDRESS:
TYPE OF INSPECTION:
❑ NO PERMIT-STOP WORK-OBTAIN PERMIT:AND MAKE WORK COMPLY
WITH CURRENT BUILDING AND/OR PLANNING CODES.
❑ CONSTRUCTION IS NOT IN ACCORDANCE WITH APPROVED PLANS AND
PERMIT -STOP WORK: MAKE EXISTING WORK COMPLY WITH
APPROVED PLAN AND PERMIT OR REMOVE IT.
❑ STOP WORK UNTIL AUTHORIZED TO CONTINUE BY INSPECTOR.
❑ CORRECTIONS LISTED BELOW MUST BE MADE BEFORE WORK CAN BE
APPROVED.
❑ WORK NOT READY FOR INSPECTION:$50 REINSPECTION FEE(PER IBC)
MUST BE PAID PRIOR TO NEXT INSPECTION.
❑ CONTACT INSPECTOR 360-403-3551 ❑ CALL FOR REINSPECTION
THE ACTIONS OR CORRECTIONS INDICATED ABOVE ARE REQUIRED WITHIN DAYS OR
PENALTIES IMPOSED BYLAW MAYAPPLY.
FOR INSPECTION CALL: 360-403-3417
,��> £`
INSPECTOR ' DATE
-1 BUILDING DEPT.
71 PLANNING DEPT. i >
CITY OF ARLINGTON
! � � N 0 T I C E Av,
TO PERMITEE AND/OR OWNER
❑ PARTIAL APPROVAL ❑ CORRECTIONS REQUIRED
❑ DO NOT OCCUPY XAPPROVED
PERMIT#: LOT#: DATE: c�
JOBADDRESS:
TYPE OF INSPECTION: T�
❑ NO PERMIT-STOP WORK-OBTAIN PERMIT:AND MAKE WORK COMPLY
WITH CURRENT BUILDING AND/OR PLANNING CODES.
❑ CONSTRUCTION IS NOT IN ACCORDANCE WITH APPROVED PLANS AND
PERMIT -STOP WORK: MAKE EXISTING WORK COMPLY WITH
APPROVED PLAN AND PERMIT OR REMOVE IT.
❑ STOP WORK UNTIL AUTHORIZED TO CONTINUE BY INSPECTOR.
❑ CORRECTIONS LISTED BELOW MUST BE MADE BEFORE WORK CAN BE
APPROVED.
❑ WORK NOT READY FOR INSPECTION:$50 REINSPECTION FEE(PER IBC)
MUST BE PAID PRIOR TO NEXT INSPECTION.
❑ CONTACT INSPECTOR 360-403-3551 Cl CALL FOR REINSPECTION
r�i
THEACTIONS OR CORRECTIONS INDICATED ABOVEARE REQUIRED WITHIN DAYS OR
PENALTIES IMPOSED BY LAW MAYAPPLY.
FOR INSPECTION CALL: 360-403-3417
3l
INSPECTOR DAVE
/BUILDING DEPT.
Cl PLANNING DEPT. CITY OF ARLINGTON •
COMMERCIAL PLUMBING
PERMIT APPLICATION
Department of Community&Economic Development
City of Arlington • 18204 59th Ave NE •Arlington, WA 98223 • Phone (360)403-3551
THIS APPLICATION MUST BE ACCOMPANIED BY TWO (2) SETS OF CONSTRUCTION DRAWINGS, AND TWO (2)
SETS OF FIXTURE SPECIFICATIONS (CUT SHEETS). CALCULATIONS ARE REQUIRED FOR GREASE
INTERCEPTOR/F APPLICABLE.
Type of Permit: 0 New Installation 0 Addition/Alteration
Industrial
Project Address: Lqy OW � '�� • �• UG- %fAA46(< l)WAParcel ID#:
Lot#: Subdivision:
Project Description: F-M ,/ 12�(,CR Valuation: , 2 ,Soo
Owner: W7 a.i�N ?a�tw--Sl �;��1�� Phone Number:
Address: 11HO& 1,COMM- �✓�-Nam~ City:�'tZf 1�1 StateV4_ Zip Code: law
Contact Person: [ atjoc_ ( 14'1�! 0 ,4W�1 Phone Number:2-0& 1-1 ` qqQ�
Cell Phone: E-mail: Kll4lslSq�(� /1f1511T�L.�NSI, U oV cr'1
Address: City: State: Zip Code:
Contractor: 1 r lIL tom- Phone Number: - `L4S11 - 14 /10
Cell Phone: Email: 4,;o 1
Address City: State: Zip Code:
Contractor License Number: Expiration Date:
Please indicate number of fixtures:
Water Closet Floor Sink Sump Hose Bibb Miscellaneous
Lavatory Laundry Tub Washer Water Heater Grease Trap
Urinal t Interceptor Sink Z. Med Gas Drinking Fountain
Floor Drain Dishwasher Backflow Shower Other
6/16LP Page 2 of 3
i°'' COMMERCIAL PLUMBING
PERMIT APPLICATION
l♦tYG`L Department of Community&Economic Development
City of Arlington • 18204 59th Ave NE •Arlington, WA 98223 • Phone (360)403-3551
PROPOSED BUILDING USE
❑ New Commercial ❑ Restaurant ❑ Automotive Based
❑ Commercial Addition/Alteration ❑ Office ❑ Machine Shop
❑ Industrial ❑ Medical ff Other:
CROSS CONNECTION
Please check all appliances that are proposed or are permanently connected to the water supply.
❑ Ice Machine ❑ Dialysis Equip. ❑ Air washers ❑ Swimming ❑ Fire Sprinkler
Pools
❑ Coffee Steam Sprinkler
Urn/Espresso ID Hydrotherapy Equip. ❑ Generators ❑ Hot Tub/Spa ❑ w/chemicals
❑ Carbonated Bev. ❑ Dental Equip. ❑ Dye Vats ❑ Aquarium ❑ Lawn Irrigation
❑ Fume Hoods ❑ Laboratory Equip. ❑ Pressure ❑ Decorative ❑ Well on
Washers Fountain property
❑ Degreasers ❑ Autoclave/Sterilizers ❑ Cooling Towers
❑ Other:
WASTEWATER DISCHARGE
1. Does the plumbing system currently have a grease interceptor? ❑ Yes ❑ No Don't Know
Date grease trap/interceptor was last cleaned (provide service record): _
2. Does the plumbing system currently have an oil/water separator? ❑ Yes ❑ No Don't Know
3. Date oil/water separator was last cleaned (provide service record):
4. Is water used in the business process (washing, rinsing,cooling)? ❑ Yes FZr No ❑ Don't Know
S. Does your business require a NPDES permit? ❑ Yes 13"No ❑ Don't Know
I hereby certify that the above information is correct and that the construction on, and the occupancy and the use of the above-described
property will' in accordanca- ith the laws, rules and regulation of the State of Washington
3 ad;oi j
is is Signature / I jbate
Print Applicants Name y
FOR STAFF USE ONLY
Permit# Accepted By Amount Received Receipt# Date Received
6/16LP Page 3 of 3
NOTICE A
TO PERMITEE AND/OR OWNER
Cl PARTIAL APPROVAL ❑ CORRECTIONS REQUIRED
❑ DO NOT OCCUPY XAPPROVED
PERMIT#: LOT#: DATE: t 'L'h ►�
JOBADDRESS:
TYPE OF INSPECTION: 1(1'W)�A 1
❑ NO PERMIT-STOP WORK-OBTAIN PERMIT:AND MAKE WORK COMPLY
WITH CURRENT BUILDING AND/OR PLANNING CODES.
❑ CONSTRUCTION IS NOT IN ACCORDANCE WITH APPROVED PLANS AND
PERMIT -STOP WORK:MAKE EXISTING WORK COMPLY WITH
APPROVED PLAN AND PERMIT OR REMOVE IT.
❑ STOP WORK UNTIL AUTHORIZED TO CONTINUE BY INSPECTOR.
❑ CORRECTIONS LISTED BELOW MUST BE MADE BEFORE WORK CAN BE
APPROVED.
❑ WORK NOT READY FOR INSPECTION:$50 REINSPECTION FEE(PER IBC)
MUST BE PAID PRIOR TO NEXT INSPECTION.
❑ CONTACT INSPECTOR 360-403-3551 ❑ CALL FOR REINSPECTION
THE ACTIONS OR CORRECTIONS INDICATED ABOVE ARE REQUIRED WITHIN DAYS OR
PENALTIES IMPOSED BYLAW MAYAPPLY.
FOR INSPECTION CALL: 360-403-3417
INSPECTOR DATE
/BUILDING DEPT.
a BANNING DEPT. CITY OF ARLINGTON
f
CITY OF ARLINGTON
e
238 N. OLYMPIC AVE - ARLINGTON, WA. 98223
PHONE; (360) 403-3551
BUILDING PERMIT
Address:19406 68th Dr NE Permit#:2470
Parcel#:31051400300200 Valuation:2500.00
OWNER APPLICANT CONTRACTOR
Name:WESTERN FOREST PRODUCTS US Name:Abbott Construction Name:JR ABBOTT CONSTRUCTION
LLC
Address:800-1055 W GEORGIA STREET Address: Address:3408 1ST AVENUE S
City,State Zip:VANCOUVER,BC V6E3P3 City,State Zip: City,State Zip:SEATTLE,WA 98124
Phone: Phone:206-459-4901 Phone:206-467-8500
LIC: EXP:
MECHANICAL CONTRACTOR PLUMBING CONTRACTOR
Name: Name:JR Abbott Construction
Address: Address:3408 1st Ave S,
City,State,Zip: City,State,Zip:Seattle,WA 98124
Phone: Phone:206-467-8500
LIC#: EXP: LIC#:JRABBC1022JZ EXP:3/1/2020
JOB DESCRIPTION
PERMIT TYPE: Commercial Plumbing CODE YEAR: 2015
STORIES: CONST.TYPE:
DWELLING UNITS: OCC GROUP:
BUILDINGS: 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. 1BC110/IRC110.
SALES TAX NOTICE:Sales tax relating to construction and construction materials in the City of Arlington must be reported on yo ales tax return onn
and coded Orli
nature Print Name Data Released By Dale
CONDITIONS
Adhere to approved plans. Call for final inspection.
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
3/25/2019 Inspection Fee $100.00
3/25/2019 Plumbing Permit Fee(Enter Fixture Fee) $96.00
3/25/2019 Processing/Technology Fee $25.00
Total Due: $221.00
Total Payment: $0.00
Balance Due: $221.00
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
Permit#: 2470
Permit Date: 03/25/19
Permit Type: COMMERCIAL PLUMBING
Project Name: Western Forest Products Temporary Trailer
Applicant Name: Abbott Construction
Applicant Address:
Applicant, City, State, Zip:
Contact: Kenneth Dawson
Phone: 206-459-4901
Email: kdawson@abbottconstruction.com
Scope of Work: Plumbing for temporary trailer
Valuation: 2500.00
Square Feet: 0
Number of Stories: 0
Construction Type:
Occupancy Group:
ID Code:
Permit Issued: 03/25/2019
Permit Expires:
Form Permit Type:
Status: LASERFICHE
Assigned To: Raelynn Jones
Property
Parcel# Address Legal Description Owner Name Owner Phone Zoning
WESTERN FOREST
31051400300200 19406 68TH DRIVE NE PRODUCTS US Planing
Sawmills&
ning Mills
LLC Pla
Contractors
Contractor Primary Contact Phone Address Contractor Type License License#
JR ABBOTT J.R.ABBOTT 206-467-8500 3408 1ST CONSTRUCTION Labor&JRABBCI022JZ
CONSTRUCTION AVENUE S CONTRACTOR Industries
Inspections
Date Inspection Type Description Scheduled Date Completed Date Inspector Status
04/23/2019 C08.PLUMBING AM 04/23/2019 BUILDING Approved
ROUGH-IN
03/28/2019 C04.PLUMBING PM 03/28/2019 BUILDING Approved
GROUNDWORK
Fees
Fee Description Notes Amount
Inspection $100.00
Mechanical Commercial Permit Table 4-7;Per Unit 8 @$12 ea. $96.00
Processing/Technology $25.00
Credit Card Service $6.63
Total $227.63
Attached Letters
Date Letter Description
03/25/2019 Building Permit
Payments
Date Paid By Description Payment Type Accepted By Amount
03/25/2019 Jarrod Diamond 74580476 iTransact CC $221.00
03/25/2019 CC Surcharge CC Surcharge Raelynn Jones $6.63
#74580476
Outstanding Balance $0.00
Notes
Date Note Created By:
03/25/2019 OK to issue OTC per K.O Raelynn Jones
Uploaded Files
Date File Name
10/11/2021 9866252-2470 IC 4.23.2019.pdf
03/25/2019 4678975-2470 Signed pgrmit.pdf
03/25/2019 4678776-2470 Application.pdf