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22-101303-SF-Permit Application-04-12-2022-V24% PERMIT APPLICATION IICd OF PERMIT CENTER + 33325 8th Avenue South + Federal Way, WA 98003-6325 Federal Way253-835-2607 + FAXT253-835-2609 + permitcenten4lcltvotfeCieralNay,com PERMIT NUMBER f f SF TARGET DATE ! _ _ SITE ADDRESS 3aigg Fd(eo&(Wq41�K1J qgV03 SUITEfUNIT # /Vhy PROJECT VALUATION ZONING ASSESSOR'S T /PARCEL # e TYPE OF PERMIT [] BUILDING 4LUMBING f f MECHANICAL 1l DEMOLITION © ENGINEERING © FIRE PREVENTION NAME OF PROJECT 19 it t 66340 PROJECT DESCRIPTION � ° Detailed description of work to be included on this permit only NAME ."": PRIMARY PHONE PROPERTY OWNER MAILING ADDRESS -MAIL ! o CITY STAT ZIP 00 ...:NAME PHONE ...MAILING ADDRESS E-MAIL CONTRACTOR "CITY STATE 2II° FAX WA STATE CONTRACTOR'S LICENSE # ...EXPIRATION DATE U8I.# f NAME PRIMARY PHONE APPLICANT MAILING ADDRESS.. E-MAIL :CITY STATE ZIP FAX .NAME PRIMARYHONE �. PROJECT CONTACT ArwA (The individual to receiue and MAzsINGnuDREas ` E' L respond to all correspondence concerning this application- CITY, 0 STATE ZIP FAX PROJECT FINANCING NAME ❑ " O"WNER-FINANCED When value is $5,000 or more MAILING ADDRESS, CITY, STATE, ZIP PHONE (RC. W S 9.27T095) 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 maybe made by a person, including the undersigned, and filed against the city, but only where such claim arises out of T the reliance o „she ci ncluding its officers and employees, upon the accuracy of the information supplied to the city as a of appli on. DATE �� r SIGNATURE: PRINT NAME: - Bulletin #100 —February 19 2020 Pape I ul'2 k:\Handouts\Permit Application I�;I�MITIt2dzC ;VAI,UrEC'TIsANIC'�AI t e tt ure t besinstalCed or Yclocclted rz paP (e 2 istinCi fLktLCreS to remain, R HANIi�LING UNITCtcP? , tiP PEIOUT ETS OTHER Mescribe) AIR CONDITIONER FIREPLACE INSERTS HOODS icoau,,al) BOILERS- FURNACES HOTWATER TANKS tca:,t COMPRESSORS - OAS LOG SETS REFRIGERATION SYST DUCTING GAS PIPING PLUMBING PERMIT WOODSTOVES VALUE OP PLUMBING WORK Indicate how mart o each t' e of fixture to be installed yr relocated as t czrt o his ro'ect. Do not include exisiin cRtures to remain. BATHTUBS LAVS DISHWASHERS RAINWATER SYSTEMS DRAINS SHOWERS DRINKING FOUNTAINS SINKS (Kxtch,mjMffitS4 HOSE BIBBS SUMPS � GENERAL INFORMATION ON PROPERTY? : WATER PURVEYOR 'SEWER PURVEYOR:... CRITICAL AREAS_._ .._ . _ ._..�.. ,. EXISTING/PREVIOUS USE LOT SIZE (IuSquare Feet) EXISTING FIRE E I FNTIAI -NEW OR ADDITION 4 TOILETS _ WATER PIPING URINALS OTHER (Describe) VACUUM BREAKERS WATER HEATERS (6i,miu) WASHING MACI3INE5 TOTAL FL7CTURES� VALUE OF.EXISTING IMPROVEMENTS SPRINKLER: SYSTEM?" PROPOSER FIRE SUPPRESSION SYSTEM? Yes ,.. No Yes No AREA DESCRIPTION (in square feet) EXISTING ` PROPOSED TOTAL FOR OFFICE USE FIRST FLOOR (or Mobile Hoine) .. 1 .co.3 `�t'SaKt il, ��^`,Cux rn•.lm't`b`";`.�Sztia:;.''.y 4... ,v aS s.., 32 w ..o . , . . „ ,.,, .: ,,.1. COVERED ENTRY ...::.:::................... ...::::. . .:: :..... ... :.: 7 77 GARAGE El CARPORT C , ..« ......... ... ........ .. ....«_....... EXISTING PROPOSED Area Totals TOTAL "A ESTIMATED ESTIMATED SELLING PRICE $ # OF BEDROOMS COMMERCIAL — NENyJADDITION AREA DESCRIPTION Area in Occupancy Group(s) s S care Feet P y P(( Construction # of ' Additional Information a Stories ADDITION AREA DESCRIPTION Area in S uare Feet Occupancy Group(s) Cozlstrnetlan # of Additional Information ti y 1.,.� typo. gb"1 ,1U'�L` e Stones TENANT AREA ONLY kt 1LPF'iSi h Bulletin #100 - February 19. 2020 Page 2 of2 k:\Handouts\Permu Application