16-106103 WOWED
+: REQUEST FOR ADMINISTRATIVE DECISION
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CITY OF 1'l% COMMUNITY DEVELOPMENT DEPARTMENT
2�. ��:
Federal Way 33325 8'"Avenue South
ealTVk ;r 1i '� �" Federal Way,WA 9800
253-835-2607;Fax 253-835-2609
wv w.citvoffederalway.com
FILE NUMBER Yr _ ( ° (P I ° 3 Date 'fie c eel r Z4 , ZG 1!n
Applicant
FAME PRIMARY?HOWL
1 5cLiab rer7edct A t"chule-tta. '25-2464- g200
BUSIHESEIOROAR1ZATIDE ALTERNATE PHONE
Vairrhrl9 Wail Covering G�ef?eAc.(l
G C o n ir'a.c.h r) 1-1 25 - 24 Lo` °Igo()
MAILnW ADDRESS E-MAIL
Po Box. Cr924 cipc lnf@ oz. ()e;t
CITY STATE ZIP FAX
6ellevu.e. WA (1500
Property Address/Location PG':f'C2.1 2 18000- 03 4,0
•
)(pZxx. 12 'Ave Sk) F:ederai itchy WA o1 $0-23
Description of Request (i e. 'ee 6 u esf a- 6 C (d rkUe. Lo+ Col f 1 r✓Yto- vj L p&r
( k.a a 70n ins 1 E -e c- —oen 1-Gle p 1ari ruin j d t v is t o!?)
List/Describe Attachments
For Staff Use
❑ Code Interpretation/Clarification - No Fee
❑ Critical Areas Letter/Analysis/Peer Review - No Fee(Actual Cost if Applicable)
❑ Request for Extension(Land Use/Plat Approval) - Check Current Fee Schedule
❑ Revisions to Approved Permit - Check Current Fee Schedule
❑ Tree Removal - No Fee
❑ Zoning Compliance Letter - Check Current Fee Schedule
❑
Bulletin#079—January 4,2016 Page 1 of 1 k:\Handouts\Request for Administrative Decision