22-101110-SF-Application-3-14-22-v1PERMIT APPLICATION
CITY OFP PERMIT CENTER + :3r3�325 t3ta, Avenue South � Federal a�4 Way, WA �3�3(7t?3-Federal Wayfi 3�'
253-835-2607 `AXE 53,83-2609 + pei'tiazt(,.eliter(asc�itYofPe(ler� ilwat',COUs
PERMIT NUMBER 22 101110 — TARGET T __.,,,___MAY 2022,
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4609 SW ; 14rt' P1 Federal Way, WA 9802
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T F T ]�3e!is.t ING, [3 PLUMBING F1 tviafCHAttPICM. 0 Lil,Mt>LITION D `F NCANa'VRIW; El %TRE PREY ;�a�rae?ty�
BIGBY RE
T z T ALL
NAME F PROJECT
Replace 1 retaining all and build a second retaining ill. Per t (
om : unitDevelopment Department's Decision, the ill height i
PROJECT DESCRIPTION n t to exceed � "beet.
Detailed description of v,,orlc t —. —
F� rrtttracci rx tlarsa.rra'tiC only
be ._
Aaron Tibyr
pRopERTY OWNER
TA.IC.ING ADDRESS
609 SW 14th PL
CITY — W. RTP CR Aft*
Federal Way
E-MAIL
ro _Tai blriix xxcortb ra > rr
AAIR 263-606-3478
MAILING ADDRESS
"T`ill real .
CONTRACTOR 1
E VAX
STATE ZIP
Puyallup A
7
TtcDATE rRa
A ITA taT cT RfCZN II A
.. -
PRIMARY PHONE
:._ - - NAME
sEE PROPERTY OWNER
• IL
APPLICANT
MAILING.:.. t9R9§
CITY iTA.T ZIP FAX
PRIMARY PEON
..,, NAME
PROJECT CONTACT EE PROPERTY OWNER
MAILING ADDRESS
(Theincta`r�rirlr�a�l torec'eitra? carl.ct
respond to all correspondence ce STATEIr FAX
concerning this appli(xitioro CITY
NAME XXX OWNER -FINANCED
PROJECT FINANCING PHONE
lVhen value is $5, 000 err• rd2Or@'.' --ijA—ILING ADREs , crry, STATE, ZIP
i certify tinder pen altr of perjury that t can, the property
Owner or authorized agent of the iarunertll Owner. T uOrtifil tiaaat to the b"t
of my knowledge, the information submitted in support of this permit application is tnte and correcC 1 certain that d w"I esarr Ply aaritir
all applicable City of Federal Way regulations pertaining to the or authorized by the issuance Of as a` it. S understand n that the
issuance of this permit does not remove the owner's respOrtSibilfty .for cal cad aarace with local, ,;taate, or federal laws regulating
construction or era 'rates entaal laaWs,
2 Ni e f of 2 k:\1laina3caca ss Permit Application
Bulletin 4 lt3f} .... February ! >, �tB.�d)
I fur-tiaer agree to hold harmless the City ofFederal Way as to any clahn (including ing casts, expenses, and as tamers, fees incurred in
the investigation and defense of such claim), which may be made by any per -sears, including the undersigned, atradfiled against the: city,
but only here such claim arises out of the reliance of the city, including its officers and employees, esteems the accuracy of the
information supplied to the city as caPart Of"this application.
SIGNATURE:
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PRINT NAME,.;
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