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06-103318RU$EIVED JUL 0 5 2000 Q;CIIY OF rafflaY CITY ©F FEDERAL W � RM IT comNumirf�sm0puivr8nv= BUILDINg DEPT, .9.1-V581W AVBWAYi- Uif1 • PO - 0718. 13 APPLICATION. FBDBRAL WAY; WA• 98063 -9718. 463.835 ?607• FAR IIS3. 835.4609 tuww.dlvclCcdernlrirau.tnm • - an incomplete application war not be -04-2-10 3,1. BF MF CO ME EL PL 1% El BITE ADDRESS %�/ / /i' ST` P- SUITE /UNIT # 1_ ASSESSOR'S TAX /PARCEL LOT SIZE (s� LEGAL DESCRIPTION (e.g. Arme Estates, Lot 1) i4fYb✓� \ v!G Y tAUadtagwrataP la JVddesaW04 TYPE-OF-PER MIT ❑ BUILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMbLITION CI ELECTRICAL ❑ ENGINEERING %FIRE PREVENTION SYSTEM PROJECT DESCRIPTION (Provide detailed description of work ' chided on this pernt_ & onfnf )(FIRE, �,,- /�� j �� G� � Lc% �l e l✓. tJ l c%, n -f' Mr✓�e t �c r Garr _4 ,�- c/ PROJECT NAME (Name of Business or Owner Last Name) t 4 , PEOPLE •- • PROPERTY OWNER CONTRACTOR APPLICANT NAME' PRIMARY PHONE CLL MAILIN�O ADDRESS C( STATE, ZIP COMPANY / NAME /' gC�trtC �/M�DDC APPLICANT NAME OFFICE PHONE � ) �! e MAIUN UC� APG 1«Gr /��A ee F/�)Ei Lle P �. / �� ! `/ CELL PHONE � ) -w CITY OF FEDE L WAY BUSINESS LICENSE NUMBER EXPIRATION DATE . ia- / s/ l0g FAX NUMBER u06 ) B L CONTRACTORS REGISTRATION NUMBER jeopy of card'rbquired with epch appUcatioaj EXPIRATION DATE S 7 3 P cio I/ `s7 COMPANY NAME v�,�rE�ie /� s�,,-..�-f AP LICANT N�IE b A-1,�Y V t.3�ire OFFICE PHONE ' P96) %�'d' - 3d /`T MAIUN UC� APG 1«Gr /��A ee C� ,k' Tel f `/ CELL PHONE.. - RELATIONSHIP TO PROJECT / ❑ Architect ❑: Tenant 13 Agent ❑ Other (DescribeJC� FAX NUMBER 0. 9 Indicate number of each type off ixture to be as part of Otis project. Do not .to. 1YlECHANlGAL Value of Mechanical Work t AIR HANDLING UNITS EVAPORATIVE COOLERS GAS LOGS REFRIQ. SYSTEMS BBQS PANS HOODS (Coonmerdat) WOODSTOVES BOILERS FIREPLACE INSERTS RANGES MISC (Describe) COMPRESSORS FURNACES GAS WATER HEATERS DUCTS GAS PIPE OUTLETS BATHTUBS (or Tub /shower combo( SHOWERS WATER CLOSETS rrouep MISC (Describe) DISHWASHERS SINKS DRINKING FOUNTAINS GAS PIPE OUTLETS SUMPS RAINWATER SYST WASHING MACHINES URINALS HOSE BIBBS LAVS (6.0uoomsh*4 VACUUM BREAKERS ELECTRIC WATER HEATERS I cert(jy 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 .inade. 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 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 apart of this application. NAME /TITLE Y '(Slkna RELATIONSHIP TO PROJECT (flue( Owner O Agent Contrabtor o Architect v Other ?- S-- 4Z