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02-105152City of Federal Way Community Development Services 33530 1st Way S Federal Way, WA 98003 -6210 Ph: 253.661.4000 Fax: 253.661.4129 ! 0 Plumbing Permit #:02 - 105152 - 00 - PL Project Name: FOREST COVE Project Address: 30921 16TH SW AptB Project Description: PL - (1) washing machine outlet for new stack laundry set Inspection request line: 253.835.3050 Parcel Number: 122103 9006 Owner Applicant Contractor Forest Cove -388 Lic A -1 ELECTRIC & PLUMBING INC A -1 ELECTRIC & PLUMBING INC 1703 SW 309TH ST PO BOX 66965 PO BOX 66965 FEDERAL WAY WA 98023 -4389 SEATTLE WA 98166 SEATTLE WA 98166 (206) 431 -1991 Plumbing Fixtures Laundry Washer Outlets 1 PERMIT EXPIRES May 17, 2003, IF NO WORK IS STARTED. Permit issued on November 18, 2002 I hereby certify that the above information is correct and that the construction on the above described property and the occupancy and the use will be in accordance with the laws, rules and regulations of the State of Washington and the City of Federal Way. RECEIVED Owner or agent: See An Dficathnn Date: AL JL NOV 1 S 200? CITY AY LD NG DEPT, t ECEI E C"CW • m� NOV f�Y ;ifY OF FEDE -RAL WAY tii)l DiPdC PT 0 ?� CONSTRUCTION PERMIT APPLICATIOK CATION NUMBER: CATION NUMBER: - - CATION NUMBER: - - * *The following is required information - Please print (in ink) or type ** Please note: Electrical, Fire Prevention Systems and Engineering permits may require a separate application. PROPERTY INFORMATION SITE ADDRESS: 3 ©� �J L_!.�� L Q� ASSESSOR'S TAX/PARCEL #: -12 --2 1 3 - L� LEGAL DESCRIPTION OF SUBJECT PROPERTY (ATTACH SEPARATE DESCRIPTION IF LENGTHY): PR03ECT INFORMATION TYPE OF PROJECT (This application): O BUILDING "UMBING O MECHANICAL. O DEMOLITION O ELECTRICAL O ENGINEERINGO FIRE PREVENTION SYSTEM PROJECT DESCRIPTION (Provide detailed • MET* s A � ■ PEOPLE INFORMATION PROPERTY OWNER: CONTRACTOR: APPLICANT: NAw: A -t Fi c DAMMb:P aft ONO) t - 199 + K4nZ4G AD0MS MWT ADDRESS: MY, STAT, zIP): j Eveam PHONE (o t0 c - CIiY OF At WAY BUSIUM LKV MY NU MM OONTRNCrbRS REGI5rRAlI60 NUS [(wpvdcwdm**w) _14 �- -L P._ b .804RATp�y1p DATE: I /L-7- /Q-t> O ARCHITECT O TENANT O OTHER ( DESCRIBE): ( - �,/ E-MAA. ADDRESS: CONTACT PERSON FOR THIS PR03ECT: O PROPERTY OWNER O APPLICANT tr NNTRACTOR DETAILED 13UILDING • ' • EXISTING USE: EXISTING BUILDING ASSESSED /APPRAISED VALUATION $ PROPOSED USE: PROPOSED VALUATION FOR IMPROVEMENTS: � SPRINKLERED BUILDING? O YES O NO FIRE SUPPRESSION SYSTEM PROPOSED /REQUIRED: O YES O NO WATER SERVICE PROVIDER: O LAKEHAVEN O HIGHL.IME O TACOMA O PRIVATE (WELL.) SEWER SERVICE PROVIDER: 0 LAKEHAVFIY n r CM1 VWF n OVIVATW.K... -..-. 1 * *NEW RESIDENTIAL CONSTRUCRON NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: FLOOR EXISTING SQ. FT. PROPOSED . FT. TOTAL BASEMENT . FIRST SECOND THIRD FOURTH OTHER FLOORS (DESCRIBE) DECK GARAGE NOW MANY FLOORS? TOTAL: Indicate number of each type of fixture MECHANICAL AIR HANDLING UNITS) EVAPORATIVE COOLER(S) GAS LOG(S) REFRIG. SYSTEM(S) BBQ(S) FAN(S) HOOD(S) WOODSTOVE(S) BOILER(S) FIREPLACE INSERTS) RANGE(S) MISC. ( 1 COMPRESSOR(S) FURNACE(S) DUCTS) GAS PIPE OUTLET(S) HEAP SOURCE: ❑ ELECI RLC ❑GAS PLUMBING BATHTUBS) LAVATORY(S) URINAL(S) WATER HEATER(S) DISHWASHER(S) RAINWATER SYS. VACUUM BREAKER(S) ❑ ELECTRIC ❑-GAS DRINKING FOUNTAIN(S) SHOWER(S) �_._ WASH MACHINE OUTLET GAS PIPE OUTLET(S) SINK(S) WATER CLOSET(S) MISC- INTERCEPTOR(S) SUMP(S) I certify under penalty of perjury that the information furnished by me is true and correct to the best of my knowledge, and further, that I am authorized by the owner of the above premises to perform the work for which the Permit application is made. I further her agree to hold harmless the City of Feral Way as to any claim (including costs, expenses, and attomeys' 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 of Federal Way, 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 a part of this application. NAMEj1TTLE: %aW_ -u it r DATE: 1 —15— 13 PROPERTYOWNER ❑ APPLICANT OLCONTRACi'OR WMMUMtY DEVaWMENr SERVICES • 33S30 FIRST WAY SOUTH • PO BOX 9718 • FEDERAL WAY, WA 98063.9718.253 -661 -4000 • FAX: 253-61 -4129