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02-100708
City of Federal Way Community Development Services Demolition Permit #:02 - 100708 - 00 - DE 33530 1st Way S Federal Way,WA 98003-6210 Ph:253.661.4000 Fax:253.661.4129 Inspection request line: 253.835.3050 Project Name: FEDERAL WAY FIRE DEPARTMENT Project Address: 34424 21ST SW Parcel Number: 242103 9074 Project Description: DEMO-Demolition of approx.2200 sqft residence. House to be burned down by FD,as training fire. Burn on FEBRUARY 21,2002. Owner Applicant Contractor SCHNEIDER HOMES,INC. FEDERAL WAY FIRE DEPT TRAINING DIVI FEDERAL WAY FIRE DEPT TRAINING DIVI 6510 SOUTHCENTER BLVD 1405 SW 312TH ST 1405 SW 312TH ST TUKWILA WA 98188 FEDERAL WAY WA 98023 FEDERAL WAY WA 98023 (253)946-7250 CONDITIONS: Final inspection required after demolition of structure. Please call 253-835-3050 for final inspection. PERMIT EXPIRES August 13,2002,IF NO WORK IS STARTED. Permit issued on February 14,2002 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. A:9 Owner or agent: ^� / Date: 1 t-( F , _ _ _ _ . __ __ _________ ____ _______ .__ ,.. . . _ f 100101-OD- ii 4^'T"4?° �. DEPARTMENT OF C UNITY DEVELOPMENT SERVICES 33530 First Way-South �SaY PO Box 9718 ' ,` Fedora'Way WA 98063-9718 R Ci .' 253-661-4000:Fax 253-661-4129 2002 3 6 Z l www.ci.federal-wa .wa.us FEB 1 4 3 Ly�`1 �I Arilvt Cu-) t Oi° Cti—Y OF 1NGD MOLITION PERMIT REQUIREMENTS e A demolition permit is required to remove any structure or structures on a subject property. Check with the • City's planning division to see if the proposal exceeds thresholds that trigger an environmental review. An environmental review and submittal of an environmental checklist may be required which will extend the time per'od before a demolition permit can be issued. Prior to submitting a demolition permit,the following items(as applicable)must be signed by the respective agency(see attached Demolition Permit Contact List). NOW r0APPUCAN7: Uri/it csshal/be disconne and si vices performed,ifappellcab4 pmr/oriv issuance of the demolition permit All applicable items below am to be gritangchillaby the respective agency moresentabives 1_ASBESTOS ABATEMENT 6.ELECTRICITY (Copy of approval form and asbestos survey from Puget Sound Clean Air (Elechidty to be shut off and meter removed) Aaency provided) S—_ A—`sc �i .. fl-1 -'\< t`S- t'_��I31— 4•lu.&✓ . (Puget Sound erzgy) (City of Federal Way Building O(fidal) 2.GAS SUPPLY 7.FUEL STORAGE TANKS (Gas to be shut off,meter removed and final bill paid) (Above or below grade fuel tanks,have been pumped or S V.41-- fl►— c pr.x._, ";— removed under Fire Department permit prior to any (Puget Sound Energy) dismantie/excavation) ` A ( "Ni way Fire District#39) 3.SEPTIC SYSTEM 8.WATER-Public Source (Check applicable box) (rark to be removed or tank to be drained and filled) n Meter to be removed and final udllty bill paid ❑Meter to remain and be protected S E es 924--� Sae. up )� (King County Environmental Services) WtrSer ******OR****** 4.SANITARY SEWER (Check applicable box) 9.WATER-Private Well(Check applicable box) ❑Sewer line capped at property line ❑Private well filled and capped =Eristina sewer line to remain and be used by proposed new structure o Private well to be used or other purposes Jk (Sewer District) (ling my Environmental SerYites) S. GARBAGE (All household gotta disposed off and final bill paid) (lDisposal/Federal Way Disposal) .. . Completed Construction Permit Application form. ID Provide the following fees: 1.Demolition Permit Fee $52.50 2.WA State Surcharge 4.50 3. 500.00 (Refundable upon Completed Final Inspection) $559- 5ultetin#122—January 11,2002 Page 1 of 1 k;\liandouts—Revised\Demolition Permit Requirements I : 2/12/2002 13:01 FAX 2536614129 CITY FEDERALWAY (J001■ ..4 CONS1 RUCTION ION P .REMIT APPLICATION 7EM :�1 '-�, v� ASP(] '�cAnioy.��Ny�,NOMMe�./aR:, _ . :-.:1 '' IM.rl3�T+ti5.i 1146i ittoili:-.±rn.r.—r.w44..- wr M` 74:-. • • APPL?C4 1ON':NIJMBERr't„?1, _ - 2'''.; :'•' -._ _ _ _ • • • '• *Me following-is required information-Please print(in ink)ortype** "" Please note: Electrical,Fire Prevention Systems and Engineering permits may require a separate application, 1r --, '.. ? 1 PROPERTY INFORMATION SITE ADDRESS: 3 14 \ZLk 2_‘-->------ A J .SvJ ASSESSORS TAX/PARCEL 4t: oy c 1 ©3 - q b LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY): \''t y • PROJECT INFORMATION 'TYPE OF PROJECT(This application): ❑ BUILDING ❑ PLUMBING ❑ MECHANICAL DEMOLITION ❑ ELECTRICAL ❑ ENGINEERING❑ FIRE PREVENTION SYSTEM 1 PROJECT DESCRIPTION(Provide detailed description): Z_ S-TO�j S i Q�a.'t-' /ex , ■L-b L w1 c, bE t. A �- 'F- v(1-1- T Vr oC iL ‘ -1c. u,2r1 NAME: kd)4a.0 'k'* PO L 1(ill 0)1 1'LYJ. AO- PROJECT '' • PEOPLE INFORMATION PROPERTY OWNER: ' NAME_ DAYTIME PHONE: P 4 \ (2 S ))c2 - L� MAILING ADDRESS(STREET •• � ,STATE,ZIP); CONTRACTOR: NAME: DAYTIME PHONE: t _ ; r ( MAILING 'I' •5(STREET ADDRESS;QTY,STATE,ZIP): EVENING PNONE- ( ) - CITY OF FEDERAL WAY BUSINESS UCENSE NUMBER R: FAX NUMBER :- (F ) - CONTRACTORS REGISTRATION NUMBER EXPIRATION DATE (copy of aid required) / / _ — -- APPLICANT: NAME; DAYTIME PHONE V , L - r �c9Q..6Z ( 3 9LfC- "1Zco MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): ( ) _ RELATIONSHIP TO PROJECT: FAX NUMBER: ❑ ARCHITECT ❑TENANT ❑ OTHER(DESCRIBE):r ( ) - E-MAIL ADDRESS: CONTACT PERSON FOR THIS PROJECT: ❑ PROPERTY OWNERiPPLICANT ❑ CONTRACTOR Pte. 41 I: ' N DETAILED BUILDING INFORMATION EXISTING USE: to gic1)CcCi Q le D EXISTING BUILDING ASSESSED/APPRAISED VALUATION $. (I -7:-.7::::17-Z • PROPOSED VALUATION FOR IMPROVEMENTS: $ RECEIVED 57, INKLERED BUILDING? ❑ YES !;ENO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED:❑ YES 100 WATER SERVICE PROVIDER: ILLAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE(WELL) FEB 1 4 2002 SEWER SERVICE PROVIDER: ❑ LAKEHAVEN Q HIGHLINE V\! "PRIVATE(SEPTIC) Cry OF FEDERAL WAY BUILDING DEPT. 1 `. 7./.-.12/2002 13:02 FAX 2536614129 CITY FEDERALWAY a 002 • • .,**f EW RESIDENTIAL CONSTRUCTION ONLY** NUMBER OF BEDROOMS: 3 ESTIMATED SELLING PRICE: $ (i _ • . , • • PROJECT FLOOR AREAS FLOOR _ EXISTING SQ.FT. PROPOSED SQ.FT. __ _— TOTAL ,a BASEMENT 1 i FIRST � _.6)0 — • • SECOND ., THIRD if FOURTH OTHER FLOORS ESCRIBE) • - (D DECK GARAGE Q -G vliLDi�c5 HOW MANY FLOORS? TOTAL: t ■ FIXTURES Indicate number of each type of fixture • MECHANICAL - AIR HANDLING UNIT(S) EVAPORATIVE COOLERS) GAS LOG(S) REFRIG.SYSTEM(S) BBQ(S) FAN(S) HOOD(S) WOODSTOVE(S) BOILER(S) FIREPLACE INSERT(S) RANGE(S) MISC.( ) COMPRESSORS) FURNACE(S) DUCT(S) - GAS PIPE OUTLET(S) HEAT SOURCE: ❑ ELECTRIC ❑ GAS PLUMBING Et ATHTUS(S) LAVATORY(S) URINALS) WATER HEATER(S) ISHWASHER(S) RAIN WATER 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). . to • DISCLAIMER/SIGNATURE BLOCK 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 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 daim),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. it. � j p^v6E/TALE: a �� P i DATE: L J Lk/( ) PROPERTY OWNER ,w PPLICANT ❑ CONTRACTOR aFOR,OEFICETUSE:ONLY:i:P,'1 cNkSiCr FOm;ADbkl'IbN" ®;CALItitli!fEON il:Etlitk ri.;i..Eiir4"4 10 AiiiiiNt IMPROiVEMENT',,,,ii1i;i:° TENSUS:CODE: ; ; , 1„..,:,,., .:1;!,:,.; :a..:::::LOTSIZE: ,,:,:z:.;;.44,. ,,,11.,1.,�r,i,:" ' 1 . 1,.,!:, ; ' :1 :40NYNG;iAE�GNAT,oki�;: . .:..1.j;;,..'1: „ . ,,,iBUI MIixN HEL VQNIX*i iE ;Yi S ,,;,rdN1, . 1�, , " •CM 'PL .1,f DESIGNATION ”' """`"' O2!±',:- �!± . :E:1,1 1 ,, „.,, „, 1,,,, ,,,,,,,,,,, ,, „„�, , ,�,�.�1,,,,,, B'„'AI►�'Y�C�;�L'XIN '" ®;ilY ��jN Il+p iA°i 1 �1� I V r,. �i°i;�iri 1Q,i�,1.� , .1. ED •SECTION,;:.,1;,: IITOWNSHIP.'. ' „'RANGE:. NEWT;ADiDRESSI1Ri�EQIJIRED7,lL!�ir�ii`I'iFEIT,"YEs,1',:.7;:':P;1NO,,, 1 PLAttEG' ar?:..�,,;Y;i;YE.S: ': :NO :,1,� ' '!.L: , :' -:tH'ANG dtiUSE�1,;.,' ;;a ';YESI...„ii: 4i6 ,;'" �r r'CT, 1 4 <<)G1_ COMMUNITY DEVELOPMENT SERVICES.33630 FIRST WAY SOUTH•PO BOX 9718•FEDERAL WAY,WA 98063.9718.253-661 2 wow eilyoreederalwav-Tom u RAL WAY BUILDING DEPT, W./id/"LbbL 14:lid 2eib325953 IRS ENVIRONMENTAL PAGE 01 • • - f.';* 'A143 � 1 6 I. PUGET SOUND CLEAN AFR AGENCY 110 Union Sneet,Suite Soo Date Received n Sonde,WA 98101-1038 r 1I.'4 1 e f - :r;^ • e n`0/ r _ Agency Use I � '' ro=w= NOTICE OF INTENT Agency UN Only A. Project Type: I 1.0 Asbestos Removal 1 2.1i1 Asbestos Removal&Demolition 1 3.D Demolition.No Asbestos Removal i .!r B. • /� ProPeriY Owner: � J ata t -4 •.�..�N G • I Phone:X0"V-If��' 47 r Mailing Address:�p�1tD S r ef''C, ic- ), 1 City:T44*va,,t..-+tt_ State 1,314._ Zip: 9 e C.. Asbestos P fl r r ---r .taOtatain2N ;7.- Contractor: 1Q5llerr„p�M,�-- n Owner/CEO: _ Mailing Address: I?415 t= Q - AVM• S�1^427—7 (O T Contractor Nor Phhone: City: I.DVS I state: Wl't• ..Mot 4921 L so9—9 z.fs-3A 33 111va � / 1 � - D. Address: '�t{42.Li e21_I'Sr Site Maatger �"' {'i S ittL-R' '� t SC. OZEI Oat_ 4404.5 Local Phone:2040 I a--‘415 ••1• 71 t E Or-Asbestos Survey or No.of Date Asbestos Survey Was Friable Asbestos Identified? es ONo ❑Mat'I Presumed Struytures: was Conducted: �(,t O' Was Nonfriabie Asbestos Identified? Yes UNo 42. 1 Attach a copy of the survey,if nonfriable asbestos �'�'� Mey,. �' t° Is identified or if no asbestos is identified on survey. AHERA Building Inspector: ..1,40,4 4 (�G".44 I 0( Exp.Date: 0-4-02.- State: W 1k- F. Demolition Start No.of i.1 Training Fire(List Fire Dept.)" Information: Date: � �I --oz._ .Z- Suuctures: Z.0 Ordered Demolition(attach copy er} Demolition hewn demolition celoselor's swift dadrsrs on _ Will nonf;iable asbestos be left in place Contractor:_..back. P d►tYinB demo? D Yes No Irk toJet l i tit - N.—"re . If yes,list type and qty. i G. Asbestos Project I Work Days:&OW Th P Sa Su Information: start Date: 1,1///402-J Completion Date: 2/f 2jt5 - Hours:T;GI'9-3:30 Phi Will all friable asbestos g Yes Total Qty.to be Removed: Linear Ft Square Ft. materials be removed? No Thermal System Insulation: I�BoilelFtunaoe Ins. 0 Duct Ins Pipe Ins. Other. Surfacing Ma'h I ❑Fireproofing I 0 Paints 0 Plaster 0 Teamed Coatings Odra: Misc.Marl 1 ❑Cement Bd. 6 runes Pipe ii(Ftiable Flooring or Roofing Marl Other B. Asbestos/Demolition Project C ones: Plottfieet _Perio4 Project Fee Schedule 1. gle-Family Residence:(Check x A&B for asbestos removal 44 demolition) $25 Non-Refundable A. Asbestos Removal Project A.PriorNotice Fec Covers Asbestos B. Demolition Project I B.10 Days _ Removal&Demolition 2. ❑ All Other Demolitions With No Asbestos Removal Project 10 Days $150 3. ❑ 10-259 l i n e a r f e e t or?48-159 square f e e t of asbestos(see back) 10 Days $150 4. 0 260-999 linear feet or 160 41999 square feet of asbestos 10 Days $300 5. ❑ I,000-9,9991inear feet or 5.000-49,999 square feet of asbestos 10 Drs $750 6. Q>10,000 linear feet or>50,00E she feet of asbestos 10 Days $2,000 7. Li Eine • Asbestos Pro"act dr Cl Bra ,..-=.2 Demolition pro"ect Prior Notice Twice Project Fee ' L I do berebv 'fy that formation{contained in this notification&supplemental data described herein is,to the best of s U . my kno a Cu a complete ll _ xlale 4'1-, C_ i/3o/ _ C"4' d .V' D Signature Representing Dats ltev}ewed / � o1- L 2 nv F FEDERAL WAY BUILDING DEPT. 01/38/2802 14:18 2069325953 IRS ENVIRONMENTAL PAGE 82 • The Puget Sound Clean Air Agency requires advance notification before any person commences a friable asbestos project involving materials equal to or in S1�e than 10 linear feet or 48 square feet and fur all demolition projects ;�of asbestos content)involving with a projected roof area greater than 120 square feet (Regulation BE, 4). All asbestos removal and demolition notifications must be submitted to the Agency on current r forms.jaisioestos rImoval and •-..••lition •,.•sects '„i•ti•• and ;_ . ,t. •:_.• •• notification •., •• • are to all Met .. l.,i,1., o The Agency notification form mist be used to submit a notification for an asbestos project, a combined asbestos and demolition project and a demolition project Where no asbestos removal is required prior to demolition. After receiving a complete notification with the appropriate project fee,the Agency will review the form and return a copy to the asbestos and demolition contractor by mail. The returned copy will be your validated notification. I. Demolition wag amrrru�rxxneRptAfNw�AUwu.e� u,-1^. 1Ot3 t<PC- hsoL Y.-... • Contractor: I— b.�../13 mik+4 {-litLi . t).._. :4T7 • Owner/CEO: YIL/41t•ltt LCD estrz t.C.Al.._. - Mailing Address: 1405 J 3t23 sr- Phone:./53-4tfto-?3a( Contractor's Nob 4 City:. r d a.s v s— bilkki I state: Wy . zip: 9 Q OVV , p 151 9GlG.7309 O'k- GUIDELINES FOR SUBMIIITTlNG AN ASBESTOSIDEMOUTION NOTIFICATION Step 1. Check the appropriate Ject type in Box A. . Step 2. Enter property owner information in Box B. • Step 3. Enter the asbestos cx»t� act,or or property owner information, if the property owner is conducting a single-family residential project,in Box C. Pmt-clearly this is your return margin g labeL Step 4. Enter the site address for all notifications In Box D. For nmIti structure projects,attach supplemental sheet with a site map(include an address for each site)and a list of the type and amount of friable asbestos to be removed from each satucture. Step S. Check either asbestos surve}f or material presumed in Box S All demolitions require that an Asbestos Hazard Emergency Response Act(AHERA)asbestos survey be ducted by a certified AHERA building Inspector, Attach© of the suvev results to the notification submittal forproiectt where nonfria a asbestos is identified and nroiects where no asbestos was identified on the survey, Step 6. Enter the project informa In Box F.and check the training fire or ordered demolition(a copy of the official order moat be attached)if appropriate. All asbestos must be oved prior to conducting a training fire. Additional training fire requirements are contained in Regulation I,Section 8.08.If any eon 'able asbestos materials will be left in place during demolition,check yes and list the type and quantity of material. i Step 7. Enter asbestos project information in Box G. Step&For Singe-Family ' projects;check BOX H1A for renovation projects,BOX H1B for demolition projects with no asbestos Resadent removal and BOX HIA and RIB for beans removal and demolition projects.The total project fee for single-family residential projects is S25 regardless of category or categories chosen. Asbestos removal may be conducted after a complete notification is received,but demolition activities can only begin on the 10 y after the notification is received. For Commercial asbestos projects;aleck the project category}12-6 that matches the amount of friable asbestos that will be removed. The project category fee includes both isbestos removal and demolition. To file for as project.check the emergency asbestos or demolition appropriate box 1—6 and the applicable emergency box in H7. All emeroe reene_st must be aceemn mlad by a l�rnr fom H,e...ouerty owner dcmnnstrating>jie needta con1uct the r rnjgst immediately in accordance with du reouirements in Regulation Ill_Section 4.03 Cc), Step 9. Please certify the accuracy and completeness of the information provided by signing the notification in Box L Mandatory amendments to the notification are required for changes that increase the project category,change the types of asbestos materials to be removed and work schedule changes. No fee is required for work schedule changes If the contractor is participating in the Agency work schedule fax program. A fifty-dollar processing fee is required for all other amendments. Puget Sound Clean Air Agency asbestos regulations and forms Can downloaded from the Agency web page at www.pscleanair.org. For technical assistance contact(206)689-4058 and fbr administrative inquiries contact(206)689-4090. PSAPCA Form No.: 66-160(Revised 9/7/QO)AM • 1 02/14/2002 06:09 253-395-6990 PSE SOUTH KING OPS PAGE 01/01 • Attention: Bob Kocourek Federal Way Fire Dept. In reference to 34440 21 Ave SW and 34424 21 Ave SW. We have verified that gas service to both locations has been terminated. Both have been cut and capped at the property line. if you have any further questions, please call me at 253-437-6738. Scott C. Lichtenberg Gas First Response Supervisor RECEIVED FEB 1 4 2002 CITY OF FEDERAL WAY BUILDING DEPT. LUUL 1J..1 I-...A JJJ LULU I UtAI_I JUL.,.Yid LIY\ALI\1 1 Y14L. U1{U1 ;,, pUG ET • SOUND ENERGY February 13,2002 Bob Kocourek Federal Way Fire 253446-7321 253-946-7309(Fax) • Mr.Kocourek, I have had my Serviceman geld check the two buildings at 34440&34424 214 Ave SW,and all of our services have been disconnected and removed from these two locations. Puget's electric facilities are in the clear. You can go ahead and proceed with the demolition of these structures from our standpoint. Thank you, At,t....„.„‘„AActv.)L, Howard Pepin Electric First Response Engineer Puget Sound Energy 6905 S. 228' St. Kent,WA 98032 253-395-6913 253-395-6820(Fax) RECEIVED Puget Sound Energy, Inc. • 6905 South 228th Street • Kent.WA 98032 FEB 1 4 2002 CITY OF FEDERAL WAY BUILDING DEPT, FEB-13-2002 WED 04:47 PM LAKEHAVEN UTILITY DIST FAX NO. 253 839 9738 P. 01 III 411 - -'.- "- -. , AIL Y LAKEHAVEN UTILITY DISTRICT R 31627-1st Avenue South•P.O.Box 4249 • Federal Way,Washington 98063-4249 tiTkrry D1S od Federal Way:253-941-1516 •Tacoma:253-927-2922 www lakehaven.org FAX i I To: Bob @ FW Fire Dept Prom: Susan,Customer Service fax: 253-946-7309 Pages: 3 _. Phone: Date: February 13,2002 Re: Removed Water Meters CC: • Comments: Attached is verification that the water meters have been removed from the following addresses within the Lakehaven Utility District service area: 34440 21st Avenue SW,Federal Way WA and 34424 21"Avenue SW,Federal Way WA ....--21 RECEIVED "ox,Tovanovich Dick Mayer Ronald L.P.Miller Ed Stewart e;•r,yp _ eddte Commissioner Commissioner Commissioner Commissioner ommissioner CITY OF FEDERAL WAY BUILDING DEPT. FEB-13-2002 WED 04:47 PM LAKEHAVEN UTILITY DIST FAX NO. 2540839 9738 P, 02 11'.umoar,y Numh-r 11111 -L ekehavcn lltdoy Uu1I id Pin E • • 1.C+isscreer .:. Wwk.I:::L Hito►.�:::�.:$Setup•.• Z,:BiliQp?: ,3r PAfPlallti, Mii¢.'.Tianr::; �•: .• °.:.:.,4,,,,.�,;,; Lu[ntlGr,Information 112803 J `C stoincr.., i,N n: CRRE NT S erv:e90u1128 1050/2 9A1980 Enter last Nte'ol8usiness:SC NEIDER HOMES INC MN ■ MI■ •Firt:■iiiiiiiMiddla: Svausa.'■ Numtxg :: BbigetNtmc AP17S.Lite C/0;: jP�96023 31 19 5te1-t!L.r Ci f IFEDBRAL WAY A$1::•6510 SOU 1HCENTER BLVD 01 'Add 2: — ♦o4a4,4,Olne igelbr RESIDENTIAL _ ::4....' '• ;Zip, 99199• 5.* L1 a City; ritl•MONTHLY J a,� .( !!.• 0040 Count (! I a •'Caihar Rr. :''9ik Papd I C c+ ; ••Piodte NO'..:!!. : HornePhano U :• W'> 5.avazGesc: 14 .S.S.Number. :'Cttivet't Lit.Ntm.: •Palcel:Num :•'2421039074 I Note;'METER REMOVED 1/9/02 0w1: 1'1 N5F1 1P L,1i9140. I.`i; :, tiic RC ', s 'StAr Alii . Ratal:Dbiata : •Ariet..:T•ooty. Loc..01 Seiloci WATER REW A On ResilontialWater ,;;,j'i Emd'8iii. . b.!:,:::.,:,::,.,.:!..!..... 13a1ikJZrek :::.::.:;7.•;,:r: ',.�. I Cs�++Gt,.!.. stock.! =,t:' N'eq eustattmr Betiorict • S1 20: §.44,1:,!..1_P!!e, c;:'iea,r I..'''Exit..1:: Entor tltn Fsst Name of Person.044101 .: d:.. Molt 'G4n :oeof AGeei,,...; :.': ....'.. P�&.tdrti: ltittrnt.94icrtuol.,,. .�'MtetDma4:ex 4S f .................. ........ a::. Niia t ttrw H" o RECEIVED FEB 1 4 2002 CITY OF FEDERAL WAY BUILDING DEPT.