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♦ 33530 FIRST WAY SOWN•PO BOX 9718 T;:$1114 cr.e Way A P 2 s 200PERMIT APPLICATION FEDERAL 33 -9115 p X 253-661-4129
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The oliowi : is • Ilred i ormation-an ince •tete • y•lication will not be ac•-• • Please •tint -, • n or j
1
• PROPERTY INFORMATION
SITE ADDRESS: 4"1 1 1 E. ,G hc��. .4 r--L").,.. s . SUITE/APT# Z
ASSESSOR'S TAX/PARCEL#: 2o2-- % U tf - ey/ D Y2 SQUARE FOOTAGE OF LOT:
LEGAL DESCRIPTION(e.g.:Acme Estates,Lot 1) e1'‹:\ 0%A-4 C,r0SS t At 4 1.c1(r( a-
(Attach separate page for lengthy legal description)
• PROJECT INFORM TIO`i
TYPE OP PERMIT(This application): a BUILDING o PLUMBING a MECHANICAL a DEMOLITION
a ELECTRICAL a ENGINEERINGV FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description of work included on this permit ontt;):
. cn T.6•kk,Ac V U� C) 1" - t^-e-t'` 4 e-Q✓-,z- E'l-sr A -4,-,--P'b Sy 54-e
PROJECT NAME(Name of Business/OumerLast Name): M �D55(+1C�S I31GtGi
• PEOPLE INFORMATION
PROPERTY NAME: A' ) PRIMARY PHONE:
OWNER: u?,5 1vo''''"L. 5 4' LL(- (L1�c) Lis-3 .. LtIOO
MAILING ADDRESS(STREET ADDRESS;): ,STATE,ZIP
R« II8-k(1 liN) -5.e SoAe 56t) ,e Ilev,4.e,,1Jvk - `C3oo c
CONTRACTOR NAME ( C. t-�'' COMPANY OFFICE PHONE:
T
FA.ct Itee.- ' Secov, l 4'•^C. ,, (.106 } ` ??, - • Sil.
MAILING ADDRESS(STREET ADDRESS;): CITY,STATE,ZIP CELL PHONE:
�'
lAr �c h. L
8 vin( �( �. 5 • S.�-tie 1.J �� 44 ( )
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER: EXPIRATION DATE: FAX NUMBER
ao - c1- _ L
- _ .1 Q s 1 ��_ 3 /�- 3, oG (ate ) �.�c /t6d
CONTRACTOR'S REGISTRATION NUMBER: / EXPIRATION DATE:
(copy of card required with each application) PC-S 37 3 P ti j o 13 0 /a 7
LENDER' NAME: DAYTIME PHONE:
of Powwow/Vdae a♦e.aool ( ) _
MAILING ADDRESS(STREET ADDRESS;): CITY,STATE,ZIP
APPLICANT: NAME:, COMPANY OFFICE PHONE:
134-,., c.(jt.i.;¢ce Ate,c< /-----;.e 1.‹,,,,,.//),T.,,,_ (ac6} -7 e -3317
MAILING ADDRESS(STREET ADDRESS): CITY,STATE,ZIP EVENING PHONE:
:5"ittli Q_ ( ) `
RELATIONSHIP TO PROJECT: FAX NUMBER:
o Architect 0 Tenant a Other(Describe): {/o-5161 006 }-202 - (/d0
ICONTACT PERSON FOR THIS PROJECT: a Property Owner a Contractor 0 Applicant I EMAIL ADDRESS:
• DET.?IL,3D 31;ILDI.'iG INFORMATION
EXISTING USE: PROPOSED USE:
\ ..-OUSTING ASSEBSED/APPRA/SED VALUE $ VALUE OF PROPOSED WORE: $ a l 503-4-6
SPRINKLERED BUILDING? a YES o NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED?: a YES 0 NO
WATER SERVICE PROVIDER: a LAKEHAVEN O HIGHLINE a TACOMA a PRIVATE(WELL)
ammonia ov'tFtnnv Df%Iflns n. n T•RIM Asfvav ,-,utensil rim o>anUAma aasrwrrni
1
• • 0
t ' R PROJECT FLOOR AREAS
AREA DESCRIPTION EXISTING SQ.FT. PROPOSED SQ.FT. TOTAL
BASEMENT
FIRST -
SECOND
THIRD
FOURTH
ADDITIONAL FLOORS(DESCRIBE)
DECK(COVERED?) .. ��
GARAGE/CARPORT `
HOW MANY FLOORS? TOTAL Torts.PROPOSED
N' . •,- .o AND PROPOSED
/r
`"NEW HOMES ONLY NUMBER OF BEDROOMS; ESTIMATED SELLING PRICE: $
II FIXTURES
Indicate number of each type of fixture that is to be installed or relocated as part of this project. Do not include existing fixtures to remain.
MECHANICAL
Value of Mechanical W- k $
AIR HANDLING UNITS EVAPORATIVE COOLERS GAS LOGS REFRIG.SYSTEMS
BBQS 'ANS HOODS ... WOODSTOVES
BOILERS FP •• -. SERTS .. :.0: MISC(Describe}
COMPRESSORS FURNACES GAB WATER HEATERS
DUCTS GAS PIPE OUTLETS
PLUMBING
BATHTUBS for b/ShowsCambol OWERS WATER CLOSETS lr . MISC(Describe)
DISHWASHERS SINKS DRINKING FOUNTAINS
GAS PIPE OUTLETS SUMPS RAINWATER SYS
WASHING MACHINES URINALS HOSE BIBBS
LAVS l sink VACUUM BREAKERS ELECTS2C WATER HEATERS
a nTSCLAIMER!S[GNATURE BLOCK
1 lAgrtirs und+erptnfaltN lfs„erjurs Mat the lytrortricetioaafa nd d bit s is tree*nd- or,Per,ttor the bestirs,torerierlge,
a,44fciaswas that 3'.rao$a.i.27:sii hjiMaiivo oirra8+cirilairtaiz aa&poem thereat*Jr ohich theporielt olgaleatiesta is
roads- Ifiarthet agree te hold Isaralleys file t; ev!' .-t'iF: 5 aft;..T•. - - 0.61",•::,-.-;:-L-, s -tf.'-:
+—� I� ",i� • .;`�aw'rC_! ':�iir.._�� 1P.1�5_4$5 i. q?-3.
er the ._ :. .. ..
aF.rif�rE�e,�Eru`�e`y=IA tlCi47sS-1`�. .Sid ysa.,y a:.�uai ug'tsFijF .::":o:liay�ff£�tiiwuiyj,G�iaEiwcftas�::c.a y{4FeLY'
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r.: .... .� ..,�� _.... _ ..��:..y*. A'i+:i!; ..:r;},.'.,.:1.14!.elf-es eJ!SY t�Z''1$7=:'�iriCP i��olia.techrelleg its el/hors_:..'!__--....17 .,--d...5,,.y�.xrhe`ue���J_ie-c.:.j �- ,.��I.. ea*.d: 039 diAif 2t 4 this T OR.
NEEMEgrEttlak c— �'`1�✓Nr MIT& Li- lL 06
ONO RELATRONSHIP TO -'y . 0 Property Owner Applicant Contractor 0 Architect 0
FOR OFFICE USE ONLY: I
o NEW o ADDITION a ALTERATION o REPAIR o TENANT IMPROVEMENT
BUILDING SHELL ONLY? a YES a NO BASIC PLAN? a YES a NO
,ZONING DESIGNATION: CHANGE OF USE? o YES a NO
;NEW ADDRESS REQUIRED? a YES a NO VP/SEPA/8U? a YES a NO
PLATTED LOT? a YES a NO DEMO PERMIT REQUIRED? a YES a NO
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