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21-101671-Building Permit ApplicationCITY OF A PERMIT APPLICATION Federal Way PERMIT CENTER + 33325 8th Avenue South + Federal Way, WA 98003-6325 253-835-2607 + FAX 253--835-2609 + Pern:kitmnter@dtyoffederalway.com PERMIT NUMBER " .^.... — TARGET BATE SITE--- SUITE/UMT # PROJECT VALUATION � ZONING ASSESSOR'S TAXPPAWRI, # TYPE OF PERMIT .lax BUU DING Z PLUMBING X MECHANICAL 0 DEMOLmoN ❑ ENGINEERING © FIRE PREVENTION NAME OF PROJECT 4"h OiAA 10 _ A — 4 P PROJECT DESCI2IPTIQN c t,% Detailed description of work to be included on this permit only d NAME PROPERTY o tin C-,-` FRI7fIiARYP80NE OWNER MAILING ADDRESS 3 ± yy�� Jlo S E a7AFi 'p g { a SAME STATE ZIF y�j PRONE WAMING ADDRESS CONTRACTOR EWAIL CITY STATE ZIP FAX WA STATE CONTRACTOR'S LICENSE # EXPIRATION DATE UM # NAM PRIMARY PHONE APPLICANT a3AiLiNCr ADDRESS E•ffiA1L CITY STATE MP FAX PROTECT CONTACT _ !" " ° 77-o6 PHONE (The individual to receiue and MAILING ADDRESS respond to all corresMAU pondenceId concerning this application) CI112 TY aT Yl U�% l c OF ct FAX PROJECT FINANCING NAAW When value is $5,000 or more OWNER -FINANCED trzew z927.09bj MAILING ADDRESS, CITY, STATE, ZIP Paorr� i certify under pem,zl€y of P lurY that I am the prop" owner or auiiwrYzed agent a� the property owner. I cacti of mg knowledge, the information submitted in support of this permit application is tree and correct I certify that the best issuance applicable City of Federal Way! rre"nwatloms pertalning to the work authorized by the issuance of a permit. 1 understand mt ¢t the connsttrruciiom environmental p w$ a the owner's respomsiE+itity jor compliance with loca; state, or federal laws regulating rfurther agree to hold harmless the City of Federal Wag as to any claim (including costs expenses, and attorneys' fees incurred in the investigation and defense of such cluing, which may be made by but only where such claim arises t of the reliance of the city, includingmerits including the undersigned, and Filed against the city, information supplied to the city as rt o this application s and employees, upon the accuracy of the SIGNATURE: PRINT NAME ;1( Bulletin i#I00 -February 19, 2020 Page I of 2 k WandolltsTennit Application 1 MECHANICAL PERMIT — VALUEOFM'"I XHAWCAL WORK Indicate Flow man o each10 e o # AIR HANDLING UNITS re to be insulted or relocated as art o ihis o ect Do riot include � Fri AIR CONDITIONER —^ FANS FIREPLACE INSERTS GAS PIPE OUTLETS res to rem OTHER (Describe) BOILERS FURNACES IiOOL19 f�Q S e1C �� COMPRESSORS GAS LOG SETS HOT WATER TANKS to.) DUCTI�fG GAS PIPING I RIGERATION SYST WOODSTOVES PLUMBING PERMIT WORK Indicate Flow man of each pe o BATHTUBS f-Tub/shaver: Comb.} ]::VALUBOFPLMMBVG re to Fie installed or relocated as art o this pro ect. Do not inc&de tln 0 res to 11TSHWASHER9 7 AVS Iiiand s nka} RAINWATER SYST&MS remc —— TOILS WATER PIPING DRAINS SHOWERS URINALS OTFIER (Describe) DRINKING FOUNTAINS SINKS {tat b juo tyi VACUUM BREAKERS HOSE BIBBS SUMPS WATER HEATERS ��`� Il��`Q1i�rVLE�TIC�� WASHING MACHINES Tq$e1,L F1XTiIREg CRITICAL AREAS ON PROPERTY? WATER. PaIRVEYOR SEWER PURVEYOR VALi - 4 �CE5TP TGR DWROVENILw$ EXiSTINGjPREVI0iP5 ff RR vex USE LOT SIZE (in pp j Squate Feet) P k`tii STING FIRE SPRiNRLLR sYsr_mr PROPOSED FIRE SUPP ^�RESSiO SYSTSM? Yes,4 . e 1 3 D No I= Yes ' No Bulletin #I dd —February I9, 2d20 Page 2 of 2 k:lHandouislPetmft Application