18-100726 To: Page 2 of 3 2018-02-12 21:08:13(GMT) 18884000383 From: Northwest Permit Inc.
RECEIVED
FEB 1 PERMIT APPLICATION
Ctrl �� 4 2018
PERKIT CENTER+33 3$'!5 1 -t.:itt.th+ rikb 1 W ci
V -63£
FederalW CITY OF FEDERAL WAY -855-267+ 12131< -'26.1) +t-yen-Iii:Irtr-1 itwiferkvv_cr,i
COMMUNITY DEVELOPMENT
PERMIT NUMBER g _ 1 C7 U `7 _ soi
_ TARGET DATE
SITE ADDRESS SUITE/UNIT 0
4026 SW 328TH ST
PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL i!
18,095.86 8 7 3 2 0 3 . 0 4 5 0
TYPE OF PERMIT Btill.I)lNo El PLUMBING❑MECHANICAL ❑DEMOLITION ❑ENciNEt RING ❑FIRE PREVENTION
NAME OF PROJECT #97224
Replacing 26 squares of comp and 24.3 squares of decking; 1/2"CDX,6/12 nail pattern,4'staggered.24"OC.
PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
NAME PRIMARY PHONE
CHARLES YOU NTS 253-874-2553
PROPERTY OWNER MAILING ADDRESS EMAIL
4026 SW 328TH ST WEIYOUNTS@GMAILd
CITY STATE ZIP
FEDERAL WAY WA 98023
NAME PHONE
HOME DEPOT USA, INC 800-381-5699
MAILING ADDRESS EMAIL
CONTRACTOR 2455 PACES FERRY RD HD@NWPERMIT.COM
CITY STATE ZIP FAX
ATLANTA GA 30339
WA STATE CONTRACTOR'S LICENSE it EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE
HOMED**088RH 7/17k2018/
NAME �— J PRIMARY PHONE
NW PERMIT, INC 360-945-2787
APPLICANT MAILING ADDRESS E-MAIL
9808 31ST AVE SE HD@NWPERMIT.COM
CITY STATE ZIP FAX
EVERETT WA 98208
NAME PRIMARY PHONE
PROJECT CONTACT CHLOE BARKER 360-945-2787
(The Individual to receive and MAILING ADDRESS EMAIL
respond to all correspondence9808 31ST AVE SE HD@NWPERMIT.COM
concerning this application) CITY STATE ZIP FAX
EVERETT WA 98208
PROJECT FINANCING NAME 8 OWNER-FINANCED
When value is$5,000 or more MAILING ADDRESS,CITY,STATE,ZIP PHONE
(RCW 19 27 0951
I certify under penalty of perjury that I am the property owner or authorized agent of the property owner.I certify that to the best
of my knowledge, the information submitted in support of this permit application is true and correct.I certify that I will comply with
all applicable City of Federal Way regulations pertaining to the work authorized by the issuance of a permit. I understand that the
issuance of this permit does not remove the owner's responsibility for compliance with local, state, or federal laws regulating
construction or environmental laws.
I further agree to hold harmless the City of Federal Way as to any claim(including costs,expenses,and attorneys'fees incurred in
the investigation and defense of such claim),which may be made by any person,including the undersigned,and flied against the city,
but only where such claim arises out of the reliance of the city, including its officers and employees, upon the accuracy of the
information supplied to the city as a part of this application.
Chloe Barker D�gitallyawwwwedbyChloe Balker
20 01/12/2018
SIGNATURE: Date. 1802 12 1301 57 08100' DATE
PRINTNAME: CHLOE BARKER
Bulletin(1100 January 29,2016 Page 1 of'2 k:\Handouts',Permit Application