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21-103231RESUBMITTED PERMIT APPLICATION CITY OF AUG U 2 2020 PERMIT CENTER + 33325 81h Avenue South + Federal Way, WA 98003-6325 Federal Way 253-835-2607 + FAX 253-835-2609 + perinitce.nt,;,r@Xityoffederalway.com CITY of FEDERAL WAY COMMUr�iTY DEVELOPMENT PERMIT NUMBER � _L - + -o 2 _2 2 L - F TARGET DATE SITE ADDRESS SUITE/UNIT # 31427 10th Ave. S. PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL # $ RS7.2 7 8 7 5 4 0- 0 2 4 5 TYPE OF PERMIT X BUILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION NAME OF PROJECT Strickler Residence - Fire Damage Repair Damage Assessment Review PROJECT DESCRIPTION Detailed description of work to be included on this permit only - 1 NAME Timothy & Michelle Strickler PRIMARY PHONE 253-315-2323 PROPERTY OWNER MAILING ADDRESS 31427 10th Ave. S. E-MAIL timstrickler@ mail.co CITY STATE Federal Way WA ZIP 98003 _ NAME Steve Dur an - Belfor Property Restoration PHONE 206-276-7912 CONTRACTOR MAILING ADDRESS 4320 S. 131 st Pl.. Suite #100 E-MAIL Steve. u rgan @ us.belfor.com CITY Seattle STATE I WA ZIP 98168 FAX WA STATE CONTRACTOR'S LICENSE # BELFOUG99OBJ EXPIRATION DATE 12 / 20 / 22 UBI # 602 089 710 _ NAME Chris Bacus - Pacific Engineering Tech. PRIMARY PHONE 206-281-7500 MAILING ADDRESS 2150 N. 107th St. Suite #320 E-MAIL cbacus@ acen tech. APPLICANT CITY Seattle STATE WA ZIP 98133 FAX 206-281-4611 PROJECT CONTACT NAME Chris Bacus - Pacific Engineering Tech. PRIMARY PHONE 206-281-7500 MAILING ADDRESS 21 N. 1 7th St, uite # 2 E-MAIL cU cus acen tech. (The individual to receive and respond to all correspondence CITY Seattle STATE IWA ZIP 1,98133 FAX 206-281-4611 concerning this application) PROJECT FINANCING ^ NAME ❑ OWNER -FINANCED When value is $5,000 or more (RCW 19-27.095) MAILING ADDRESS, CITY, STATE, ZIP PHONE 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 filed 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 apart of this application. SIGNATURE: DATE 8/2/21 PRINT NAME: Chris Bacus - Pacific Engineering Tech. or or Bulletin # 100 —February 19, 2020 Page l of 2 kAHandouls\Pennit Application