7030 157TH ST SW.PDF821
7030 157TH ST SW
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TAX ACCOUNT/PARCEL NUMBER: (10 fEZ, �3 23 :r� Aa
BUILDING PERMIT (NEW
COVENANTS (RECORDED) FOR:
CRITICAL AREAS: I f--- 74 DETERMINATION: El Conditional Waiver F] Study Required UjVhller
DISCRETIONARY PERMIT #'S:
DRAINAGE PLAN DA
PARKING AGREEMENTS DATED:
EASEMENT(S) RECORDED FOR:
PERMITS (OTHER):
PLANNING DATA CHECKLIST DATED: —
SCALED PLOT PLAN DATED:_
SEWER LID FEE $: LID #:
SHORT PLAT FILE: LOT: BLOCK:
SIDE SEWER AS BUILT DATED:- A? zk�
SIDE SEWER PERMIT(S) #: Q-ALIP
SOILS REPORT DATED:
STREET USE / ENCROACHMENT PERMIT #:
FOR:
WATER METER TAP CARD DATED:
OTHER:
LATEMMST'sTormAStreet file Checklist.doc
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PLANNING DATA
NAME: Qp--111-kA V- , f-rA DATE:— '9111,10?
SITE A DRESS: -7()3o- PLAN CH K#:--- o 3 - 36
PROJECT DESCRIPTION:
REDUCED SITE PLAN PROVIDED?: 0) 5,-� -q&jj /a,
-71` 0-
MAP PAGE: 5b-7 CORNER LOT: FLAG LOT: (Yes / 6o
ZONING: P- _ CRITICAL AREAS DETERMINATION #: 99- 76
U Study Required:
Ldwaiver
Ll Conditional Waiver
SEPA DETERMINATION:
Ll Fee
Ll Checklist
Ll APO list w/ notarized form
Y \5�,
41,
2�7 h
U (Needed for 500 cubic yards of grading, Shoreline Area- site within 200 ft. of Puget Sound or Lake Ballinger)
UfExempt
SETBACKS:
Required Setbacks:
Street: 2-5' LeftSide: 10 Right Side: I Rear: 25'
Actual Setbacks-. —4� 1
S —59' LeftSide: 55' RightSide: Rear: 4
treet:
Street map checked for additional setback required? (Yes/dW/DNL5)
Ll DETACHED STRUCTURES: L>
LJ ROCKERIES:
U FENCES/TRELLISES:
LJ BAY WINDOWS / PROJECTING MODULATION:
21 STAIRS/ DECKS: &W-h JCrb,�4�1
PARKING: Required: '2-- Actual: .3 rh -11L, I I 1 &04, 3
LOT AREA: �2, 3 10, ) K I y 47)-- IAI
LOT COVE RAUL: (5-� +-ZE' +
Calculations: 1-7 94- (P - 4, -1 '17.
BUILDING HEIGHT:
Datum Point:— �rk+v- Datum Elevation: too,
Maximum Allowed: Actual Height:
A.D.U. CREATED?:
SUBDIVISION:
LEGAL NONCONFORMING LAND USE DETERMINATION ISSUED: (Yes
OTHER:
Plan Review By:_
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. Critical Areas Checklist
--------------------------------------------------------------
Site Information (soil s/top o graphy/hydrol ogy/vegetati on)
I . Site Address/Location: -70,30 1,; -7 T 'L' S 7 �f ul
2. Property Tax Account Number: S 1-33 - 000 - 0 2,2- )-/07
3. Approximate Site Size (acres or square feet): N000 9�
4. Is this site currently developed? X yes-- no.
If yes; how is site developed? S"7 lj!�
5. Describe the general site topography. Check all that apply.
Flat: less than 5-feet elevation change over entire site.
Rolling: slopes on site generally less than 15% (a vertical rise of 10-feet over a
horizontal distance of 66-feet).
Hilly: slopes present on site of more than 15% and less than 30% ( a vertical rise of
I 0-feet over a horizontal distance of 33 ) to 66-feet).
Steep: grades of greater than 30% present on site (a vertical rise of I 0-feet over a
horizontal distance of less than 33-feet).
Other (please describe):
6. Site contains areas of year-round standing water: &G) ; Approx. Depth:
7. Site contains areas of seasonal standing water: ___ 410 _: Approx. Depth:
What season(s) of the year?
8. Site is in the floodway 410 floodplain &0 of a water course.
9. Site contains a creek or an area where water flows across the grounds surface? Flows are year-
round? &C Flows are seasonal? A/j) (What time of year? V6_).
10. Site is primarily: forested meadow ;shrubs mixed
urban landscaped (lawn,shrubs etc)
11. Obvious wetland is present on site: If/0
0 0
Letter of Transmittal
Date: April 26, 1999
To: Mr. Don Fraser
7030 157th St. SW
Edmonds, WA 98026
Subject: CA-99-76
Transmitting Critical Areas Determination
For Your Information: XX
As you requested:
For your file:
Comment: Based on your submi tted Critical Areas Checklist and a
site inspection, you are waived from having to perform
any Critical Areas Studies. Due to the fact that your
property is located on the City's Enviro nmentally
Sensitive Areas Map you will need to complete a SEPA
checklist, included with this packet, and submit it with
your building permit application. It is really a formality in
your case and many of the questions will not apply.
Please call me with any questions you might have on it.
Note attachments:
cc:
Since
/V
eye Bullock, Senior Planner
RECEIVED
City of Ed M-onds MAR 2 5 1999,
DEVELOPMFNT ecnin—
CRITICAL AREAS CHECKLIST
The Critical Areas Checklist contained on this form is
to be filled out by any person preparing a
Development Permit Application for the City of
Edmonds prior to his/her submittal of a development
permit to the City.
The purpose of the Checklist is to enable City staff to
determine whether any potential Critical Areas are, o*r
may be, present on the subject property. The
inforination needed to complete the Checklist should
be easily available from observations of the site or
data available at City Hall (Critical Areas inventories,
maps, or soil surveys).
An applicant, or his/her representative, must fill out
the checklist, sign and date it, and submit it to the
City. The City will review the checklist, make a
precursory site visit, and make a determination of the
subsequent steps necessary to complete a development
permit application.
Please submit a vicinity map along with the signed
copy of this form to assist City staff in finding and
locating the specific piece of property described on
this form. In addition, the applicant shall include
other pertinent information (e.g., site pla. ' n, topography
map, etc.) or studies in conjunction with this Checklist
to assist staff in completing their preliminary
assessment of the site
I have completed the attached Critical Areas Checklist and attest that the answers provided are factual, to the
best of my knowledge (fill out the appropriate column below).
Owner/Applicant:
bt KiA Lh FRAJ-F-R
Name
703o is-7 ,,
Street Address
e--b M 0 K) fl�p r 6
city State Zip
� JS- ) 7 1,7- - F -7 9
Telephon&'
-Z�
Signature
2
Date
Applicant Representative:
Name
Street Address
city State / Zip
Telephone
c:recepfion\jana\cac1.doc (over)
CA F[LE NO.
&itical Areas Checklis*
----------------------------- --------------------------------
Site Information (soils/topography/hydrology/vegetation)
I . Site Address/Location: 103 0 JS -7 T ' S7' Y u/
2. Property Tax Account Number: S /33 - 0 0 0 -- 0 2, 2- 1 '-/ 0 7
3. Approximate Site Size (acres or square feet): N000 9�
4. Is this site currently developed? X yes, no.
If yes; how is site developed? 4- 4- IjA 4s; h r. y zy,
5. Describe the general site topography. Check all that apply.
C)
Flat: less than 5-feet elevation change over entire site.
N I
Rolling: slopes on site generally less than 15% (a vertical rise of 10-feet over a
horizontal distance of 66-feet).
Hilly: slopes present on site of more than 15% and less than 30% ( a vertical rise of
10-feet over a horizontal distance of 33 to 66-feet).
Steep: grades of greater than 30% present on site (a vertical rise of I 0-feet over a
horizontal distance of less than 33-feet).
Other (please describe):
6. Site contains areas of year-round standing water: Approx. Depth:
7. Site contains areas of seasonal standing water: /1//0 Approx. Depth:
What season(s) of the year?
8. Site is in the floodway .4/0 floodplain &0 of a water course.
9. Site contains a creek or an area where water flows across the grounds surface? Flows are year-
round? lilo Flows are seasonal? . A/0 (What time of year? IL16
10. Site is primarily: forested meadow ;shrubs mixed
urban landscaped (lawn,shrubs etc) '2!!�
7 -
11. Obvious wetland is present on site: 410
IftTEkMINATION
^ca_chk.doc; Fkc� 10/03/97
WCEIVED
MAR 2 5 1999
City of Edmonds
DEVELOPAARIT
CRITICAL AREAS CHECKLIST
The Critical Areas Checklist contained on this form is
to be filled out by any person preparing a
Development Permit Application for the City of
Edmonds prior to his/her submittal of a development
pen -nit to the City.
The purpose of the Checklist is to enable City staff to
determine whether any potential Critical Areas are, or
may be, present on the subject property. The
information needed to complete the Checklist should
be easily available from observations of the site or
data available at City Hall (Critical Areas inventories,
maps, or soil surveys).
An applicant, or his/her representative, must fill out
the checklist, sign and date it, and submit it to the
City. The City will review the checklist, make a
precursory site visit, and make a determination of the
subsequent steps necessary to complete a development
permit application.
Please submit a vicinity map along with the signed
copy of this form to assist City staff in finding and
locating the specific piece of property described on
this form. In addition, the applicant shall include
other pertinent information (e.g., site plan, topography
map, etc.) or studies in conjunction with,this Checklist
to assist staff in completing their preliminary
assessment of the site
I have completed the attached Critical Areas Checklist and attest that the answers provided are factual, to the
best of my knowledge (fill out the appropriate column below).
Owner/Applicant:
N,KJALh )�r--WAP1TCJJ F)�ASP-R
Name
'-7 Clo IS- -7
Street Address
��-b , M Q U 111) r 5eo)�6
city State Zip
q ) '711 -2. - F -7 'Y
Telephon&'
Signature
A -gel 2,V
Date
Applicant Representative:
19F.WTv
Street Address
City State / Zip
Telephone
c:reception\jana\cac1.doc
(over)
Signature
A -gel 2,V
Date
Applicant Representative:
19F.WTv
Street Address
City State / Zip
Telephone
c:reception\jana\cac1.doc
(over)
1ACIFIC NORTHV*ST rnTLE
Company of Snohomish County, Inc.
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Letter of Transmittal
Date: April 26, 1999
To: Mr. Don Fraser
7030 157thSt. SW
Edmonds, WA 98026
Subject: CA-99-76
Transmitting Critical Areas Determination
For Your Information: XX
As you requested:
For your file:
Comment: Based on your submitted Critical Areas Checklist and a
site inspection, you are waived from having to perform
any Critical Areas Studies. Due to the fact that your
property is located on the City's Environmentally
Sensitive Areas Map you will need to complete a SEPA
checklist, included with this packet, and submit it with
your building permit application. It is really a formality in
your case and many of the questions will not apply.
Please call me with any questions you might have on it.
Note attachments:
cc:
Siny.erely,
'A,
Bullock, Senior Planner
CITY OF EDMONDS
PUBLIC WORKS DEPART T FOR INSPECTION CALL 01 Permit
-7 -5
Ext. 2--2---0 Issue Date
SIDE SEWER PERMIT
PEP -MIT MUST BE POSTED ON JOB SITE *
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mw 1 7 mw'mw'!7��77j"r
1. Address �7'7ons7t7ru7cT7nn t��,7
2.
t 4.
5.
6.
co
Property Legal: Description (include all easements)
LYNNWOOD LINE
Single Family Residence' Y,, Multi -Family No. of Units
Commercial
n er '\ and/or Builder /1)
Contractor & License No.
Invasion into City Right -of -Way: No Yes (If Yes Right-of-
way Construction Permit Required - Call Dial Dig (3,4?ffi,3,4,4/) before
excavation). 1-800-454-5555
E-4 7. Cross other private property: Yes No X Easement required -
attach legal description and county easement number.
�4 READ THE FOLLOWING AND SIGN:
P4
4 a. Property owners must obtain a permit to install side sewers on
>4 their property. A licensed side sewer contractor must be employed to
construct side sewers in the public right-of-way.
b. The side sewer contractor assumes full reponsibility for each
E-0 installation for one year.
N
0 C. Commercial establishment requires a minimum of a six inch (6")
P4
z side sewer line.
0 d. Side sewers may not be installed closer than thirty inches (30")
to any structure.
0
e. Side sewer lines must 0 be laid at a minimum grade of 2% (1.15
0 and maximum grade of 100% (45 ). 0
EH f. No turn in side s8wer greater than 45 (1/8,bend) is 0 allowed
between cleanout. All 90 turns must be constructed of a 45 (1/8
bend) and Wye with removable cap.
g. No down spouts, footing drains or floor drains can be connected
to side sewer system.
h. Pea gravel is required for bedding when installing sewer lines
through other than granular soil.
i. Cleanouts are required at 30"-60" from each plumbing exit line
and at minimum intervals of 1001 along sewer 'line run.
j. Trenches within City right-of-way must be restored to original
conditions. Contractors shall be responsible for right-of-way failure
due to poor compaction of fill.
k.- Side sewer must be left uncovered until inspected and approved
by the City.
1. Inspection during normal working hours --only. Two (2) working
days notice required.
DATE:
I--dertify that I have read
and shall comply With the above
PERMIT FEE: DISAPPROVED BY: Date:
B Date:
P4 CONNECTION FEE:
APPROVED By: Dat07
L#tKt"3D_,
I ki SP 8_4 R. LL"40
8 4454&�
PERMIT MUST BE POSTED ON JOB SITE *
NOTICE:
No warranty of accuracy.
The information shown on the attached map(s)
was compiled for use by the City of Edmonds,
its Employees and Consultants. The City of
Edmonds does not warrant the accuracy of
anything set forth on these map(s). Any person
or entity requesting a copy should conduct an
independent inquiry regarding the information
shown on the map(s), including, but not limited
to, the location of any sewer stub shown. Such
sewer stubs may or may not exist and may or
may not exist at the location shown. Neither
the City of Edmonds nor its employees or
officers shall be liable for the information given
on map(s), nor for any one representation
provided based upon said map(s).
The City of Edmonds Side Sewer Drawing
EASEMENT NO. ------------------------------------ T-
(YW-PkD. cotitJ
NEW CONSTRUCTION REPAIRS LID NO . .................. . ASMT. NO.
OWNER -------------- A.N.O.V ------- Cr,6.3-li-eov ----------- ------------------------------- CONTRACTOR --- 0QJ..?Vt-A -------------------------------------------------- --------- PERMIT. NO.
+L -------- S.W_ ............ 4b- A-li ----------------------
JOB ADDRESS ------------ 7-0--!x0 ----------- 1-5--2 ..... ----- LEGAL DESCRIPTION: LOT NO. .— ----- BLOCK NO. NNWUOD-'LI'NE
VL y
-------------------------------------------------------------------------------- ---------------------------------------------------------------------------------
NAME OF ADDITION ---- VneAZtxA-t--Rtf - ----- %usl-kl ...... :;�6-kT ... C-SAIZ - 6�
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Approved:
PWW-0001-11/75(REV.11/78)
DATE .... 9-KIA! ................... ..........
1.11 y
PERMIT EXPIRES
CITY OF EDMONDS
USE PERMIT
ZONE /Z-- NUMBER��
CONSTRUCTION PERMIT APPLICATION
JOB SUITEAP #
ADDRESS
OWNER NAME/NAME OF BUSINESS
f) _ n A/ A% FR ASI-L R
PLAT NAME/SUBDIVISION NO.
LOT NO.
LID NO.
It
MAILING ADDRESS
LID FEE $
01
-7030 _1Y-7_rP' f T f til
PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP
TESCP Approved 13
RW Permit Required 13
Reqld
CITY ZIP
TELEPHONE
EXISTING — PROPOSED
Street Use Permit 13
Inspection Required 13
Sidewalk Required 13
(�DAAO"Ufw
REQUIRED DEDICATION— FT
Undergrourid
Whing required 13
NAME
METER SIZE LINE
SIZE
NO. OF FIXTURES
PRV REQUIRED
I
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YES13 NO 13
6 A)
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REMARKS
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OWNER/CONTRACTOR RESPONSIBLE FOR EROSION CONTROWDRAINAGE
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CITY ZIP
TELEPHONE
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NAME
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ENGINEERING REVIEWED BY
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ADDRESS
DATE
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FIRE REVIEWED BY DATE
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CITY ZIP
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TELEPHONE
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STATE LICENSE NUMBER EXPIRATION DATE
CHE D
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SHORELINE ORADB#
INSPECTION
REQ'D
BOND
POSTED
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OYES NO
$ —
SEPA REVIEW
SIGN AREA
HEIGHT
PROPERTY TAX ACCOUNT PARCEL NO.
COMPLETE EXEMPT
ALLOWED PROPOSED
ALLOWED PROPOSED
0 0 S" 13 3 a Oo 0 -1
,
I
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EXP
NEW
RESIDENTIAL
PLUMBING / MECH
LOT COVERAGE
ALLOWED PROPOSED
REQUIRED SETBACKS (FT.)
FRONT SIDE REAR
PROPOSED SETBACKS (Fr.)
FRONT IJR SIDE REAR
Pj
ADDITION
COMMERCIAL
COMPLIANCE OR
CHANGE OF USE
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REMODEL
MULTIFAMILY
SIGN
PARKING I
REQ'D PROVIDED
LOT AREA
PLANNING REVIEWED BY DATE
2-
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GRADING FENCE
REPAIR CYDS X FT)
REMARKS
'OT
DEMOLISH TANK I
GARAGE RETAINING WALL F RE SPRINKLER
ALARM
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CARPORT ROCKERY F:RE
(TYPE OF USE, BUSINESS OR ACTIVITY) EXPLAIN:
FE
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CHECKED BY
ITYPE OFPONSTRUCTION
COPE,-,
OCCUPANT'
GROUP
M
NUMBER
OF 0A1
NUMBO OF
DWELLING
CRITICAL
AREAS C-A-1 7-76
SPECIAL INSPECTI ON
ARE41 I Oeft
44.0
OCCUPANT
0
STORIES
UNITS
NUMBER
REQUIRED [] YES
/313?�
LOAD
DESCRIBE WORK TO BE DONE
REMARKS
PROGRESS INSPECTIONS PER UBC 1 08/FINAL INSPECTION RE0 Ep
QV I-, -f
x C 4 VA )�-.q 3, x 34", x w
1%vtt &J)�.j AW.J -CtkA J,, =,.A, V,(4
VALUATION
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W� h 1�c 113= if L)aon 64-
DescriptIon
FEE
Description
FEE
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e,i U A a 4, r
Plan Check
State Surcharge
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HEAT SOURCE
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/GLAZING %
6
LOT SLOPE %
/0%
Building Permit
, T�
City Surcharge
I
1�5
PLAN CHECK NO:
0-3- �/7,7 9,
VESTED DATE
Plumbing
Mechanical
THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO
BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC
Grading
DOMAIN (CURBS, SIDEWALKS, DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE
SEPARATE PERMISSION.
Engr. Review
PERMIT APPLICATION: 160DAYS
PERMIT LIMIr 1 YEAR . PROVIDED WORK IS STARTED WITHIN 180 DAYS
Engr. Inspection
SEE BACK OF PINK PERMIT FOR MORE INFORMATION
'APPLICANT, ON BEHALF OF HIS OR HER SPOUSE, HEIRS. ASSIGNS AND SUCCESORS
Fire Review
Plan Chk. Deposit
IN INTEREST. AGREES TO INDEMNIFY; DEFEND AND HOLD HARMLESS THE'CITY. OF
:E
Ix
EDMONDS, WASHINGTON, ITS OFFICIALS, EMPLOYEES, AND AGENTS FROM ANY AND
Fire Inspection
Receipt #
ALL CLAIMS FOR DAMAGES OF WHATEVER NATURE, ARISING DIRECTLY OR INDIRECTLY
I
FROM THE ISSUANCE OF THIS PERMIT ISSUANCE OF THIS PERMIT SHALL NOT BE
DEEMED TO MODIFY, WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE
Landscapelnsp.
Total Amt. Due
0
NOR LIMIT IN ANY WAY THE C17YS ABILITY TO ENFORCE ANY ORDINANCE PROVISION. -
Recording Fee
Receipt #
, 0
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION; THAT THE INFORMATION
GIVEN IS CORRECT; AND THAT I AM THE OWNER, OR THE DULY AUTHORIZED AGENT OF
APPLICATION
APPROVAL
THE OWNER. I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC-
CALL
This application Is not a permit until signed by the
TION; AND IN DOING THE WORK AUTHORIZED THEREBY. NO PERSON WILL BE EMPLOYED
Building Official or his/her Deputy: and Fees are paid, and
IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO
FOR INSPECTION
receipt Is acknowledged in space provided.
WORKMEN'S COMPENSATION INSURANCE AND RCW 18.27.
1A9 5)
OFFI . IALS SIGNATURE �/j 0 TE
W ?"� 0j
S)VEG,WN91"R Ad"E�
_7
E SIGNED
",-'r
� )_ - o3
771-0220
ATTENTION
M 1333
RELtA# 8 DATE
IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL
A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI-
CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109
ORIGINAL -FILE YELLOW- INSOECTQA
PINK-OWNEFI GOLD-A$SESSOR
04102 PRESS HARD -YOU ARE MAKING 5 COPIES GREEN - ACCOUNTING