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15-101342 • fro ( 32_ PERMIT SF MF DE ENO Federal Way V�D in, COWART 1' SERVICES APPLICATION 253.835-2807•NIX 253-835-2609 `, 8 ht'u'w.ctuo!%ederalwau.cvni MAR 1 2015 =i1=ADDRESS CITY OF FEDERAL. 33915 1st Way S 2rd floor © 205 PRO.RCT VALUATED D ZONING ASSESSOR'S TAX/PARCEL• $ 1,800.00 9265040150 TYPE OF PERMIT BUILDING 0 PLUMBING CI MECHANICAL ❑ DEMOLITION 0 ENGUIZERING X FIRE PREVENTION NAME OF PROJECT (l'ncmtNarne/HomeouswrLast Nome) 7-11 / Maplewood 2 PROJECT DESCIiiPTION . Detailed description of wok to . S • # ' I . - ' . I • I I - I I ' I ' . t be Included on this permit only PROPERTY own= "°'g`CUNA MUTUAL INVESTMENT COR rgARY' iWrIE 1eA�IIr1G ADDREBs &MAIL STAIR Z alma Evergreen Fire Protection,Inc. FB°253-252-7942 MAIIArGADDREss PO Box 998 E�vergreenflrepro@msn o n CONTRACTOR cnY Puyallup tya ''098371rex wA STAIN CONTRACTOR'S LIMON• E�lRAIIOlf DATE FID6RAL •WAY BDSIItESs LILA• Evergfp967Iz 6 / 8 /2015 20-05-106411-00BL MONS same as above APPLICANT /esu ntG ADDRESS EMAIL crtT STAT= ZIP FAX PROJECT CONTACT Mike Hutchinson l'Ima253-381-4456 (The tnclividual to receive and respond to all correspondence MAILING ADDRESS EMAIL concerning this application! EvergreenfireproCamsn.corn CITY STATE ZIP FAX AIIIMATA CONTACT NAME: SHONE EMAIL PROJECT FINANCING NAME Regwbud value of$5,000 or more (RCW 19.27.095) MAILING ADDRESS.CrTT.STAT=.ZS' PRONE I cert4y wider penalty of perjury that I am the property owner or authorised agent of the property owner.I certify that to the best of my knowledge,the information submitted in support of this permit application is true and correct.I cert!fag that I will comply with all applicable City of Federal Wag regulations pertaining to the work authorized by the issuance of a permit.I understand that the issuance of this permit does not remove the owner's responsibility for compliance with local, state, or federal laws regulating construction or environmental laws. 'further agree to hold harmless the City of Federal Waw as to any claim(including costs,expanses,and attorneys'fees incurred in the investigation and defense of such claim).which may be mads by mw pin,inchathsg the undersigned,and filed against the chg. but only where such claim arises out of the reliance of the city, including its ods and employees, upon the accuracy of the information supplied to the city as a part of this application. 3/18/2015 SIGNATURE: v ti DATE PIUNT : Mike Hutchinson Bulletin#100—January 1,2011 Page 1 of 3 kAHandaus\Permit Application