17-101981CITY OF
Federal Way
RECEIVED
WORK HOUR VARIANCE REQUEST
MAY D 2 2017 DEPARTMENT OF COMMUNITY DEVELOPMENT
33325 8'h Avenue South
CITY OF FEDERAL WAY Federal Way, WA 98003-6325
WMMUNrTY DEvELOPMEIW 253-835-2607: Fax 253-835-2609
www.cityoffederalway.com
FILE NUMBER 1 I_ » I D / - I 9 _ DATE � Z J `
APPLICANT INFORMATION
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PRIMARY PHONE
F]LI$IN&9S1OJZGANreAT1ON
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ALTERNATE PHONE
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MAILING ADDRESS ,1
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CITY
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FAX
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Location of Work (for work on both public & private property complete both sections):
❑ Private Property (Address/Parcel #):
Public Right -of --Way (Street/Cross Street): a
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Date(s) of Proposed Work:
Hours of Proposed Work:
Description of Proposed Work & Equipment Involved: t
Names & phone numbers of TWO contacts that will be available during proposed work hours:
Reason proposed work must be completed outside of regular work hours:
Provide a brief explanation why the work will not be detrimental to nearby properties:
See second page for additional application questions.
Bulletin #080 — February 13, 2017 Page 1 of 2 k:lHandoutsl Work Hour Variance Request
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TO BE COMPLETED BYAPPLICANT
1) Are the following criteria met in accordance with FWRC 19.105.040(2)(a) %vwiv.ctrdc ubilshin .cumlW,%(Federa]War ?
Yes No
❑ Work will not result in substantial adverse impacts to surrounding properties.
❑ The exception is necessary to avoid undue delay of project completion and/or long-term
inconvenience or disruption to the public.
2) Will the following criteria be met in accordance with FWRC 19.105.040(3)?
Yes No
❑ Will written notice be mailed at least seven days in advance of the work to owners and occupants
pf property located within 300 feet of the project boundary?
Cl ill a notice board that includes construction hours, description of construction activities,
mitigation measures, and two 24 hour project contacts for the duration of the project be posted at
the project site?
3) If the answer to question two, above, is no, what methods of notice will be provided, or why is public notice not
necessary? Please explain: t _ A I ,, (�T ,""�A
TO BE COMPLETED BY STAFF
1) Notification Requirements Waived?
[S� Yes ❑ No
2) Conditions of Approval
❑ Yes ❑ No Conditions Attached: ❑ Yes ❑ No
3) In accordance with FWRC 19.105.04 2)(a), this application is hereby:
Approved ❑ Denied
Community Development Dirgctar'l.r (_ Date
Bulletin #080 — February 13, 2017
Page 2 of 2
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k:\Handouts\ Work Hour Variance Request