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17-102487
+i RECEIVED , AMAY 2.4 201 ; PERMIT APPLICATION CITY OF Federal Way cent of FEDERAL WAY PERMIT CENTER+33325 8th Avenue South+Federal Way,WA 98003-6325 (;OMMOr r(DEVELOPMENT 253-835-2607 +FAX 253-835-2609+permitcenter@cityofederalway.com • "RIM NU ) 1_. 1 d 2- 4 8 _ /P TARGET,DATE SITE ADDRESS j SUITE/UNIT s NII---0 1 E iq, $ r _ LID t.-P LA 7 k o___ LA - c't a—z-= TYP • E OF PERMIT 0 BUILDING 0 PLUMBING 0 MEci-i.ANICAL 0 DaMOLrrmON 0 ENGINEERING 0 FIRE PREVENTION NAME OF PROJECT --7i1.--1--A, it l ,e?--6-...` PROJECT DESCRIPTION 5(9 \ _ ) O Z 1Li'1a y O F re. ,,�Qress Ian Sys n. Detailed description of work to 1 be mc./1MM on this permit only PROPERTY OWNER HAILING ARU Men. ern- GA 0 FI11271+47`A s NAN3 .. ./-QX ( )"-.1I rt.e�( ( - PEONS 6s3 90256 �nma ( 3 O 5.--- ye..,) ��'e_l J r-.0 C� xi tr ii e 5 +wfi-e((ry.7/ l{ CONTRACTOR ' 7C'?k ()--i v I 0 - 7 51,3 67565"z1 'ti r A STATEL S e EXPIRATION/ATE . F®ERAL WAY Eta LICENSE Y C2 � b• ) " APPLICANT. 5 HAILING ADORN= g/vE-K/ z 4 P ,st--' ` ' tmtmeas- I STATE �/ a ,�. /' ` A ®� - -- FAY ` /ie ' /.S b PRIMARY PHONIC PROJECT CONTACT v...1.J. Ste.-4-.[A. . �J `'.3 7 - i 4 . . respond to alt correspondence concerning this application) s Fax ll ,. TF /g o _i ea)--t //�90 j'/- PROJECT PROTECT FINANCING W/ ` k t�) eS )1 Cd, .e witeR`FINARCED When vPHONN alue is,27o9)or more o A7JDRBS6, \ 7/E-1 q"�(�)jj d,-r 1.,,��/ 9 IC _ 1 —�'7c �QiCW 79.27.095) 'YJ 1 Gr�TI jT �`7 jy-'�J'!'x I certify under penalty ofp�that I am the property owner or®thorixwd agent of thel property owner.I cerglit that to the beat of my knowledge,the btformation submitted in support of this permit application is true and correct:I certify that I wilt comply with all applicable City of Federal Way regulations pertaining to the work authorised by the issuance of a permit.I understand that the issuance of this permit does not remota the owner's responsibility for compliance with local, state, or federal laws regulating construction or environmental laws. I further agree to hold harmless the City of Federal Way as to any claim(including costs,expenses,and attorneys'foes incurred to the investigation and defense of such claim),which may be mad*by any person,including the undersigned,and filed against the city, but only where such claim wises out of the reliance of the city, including its officers and employees, upon the accuracy of the iNbrmation supplied to the city as a part of this application. SIGNATURE: S7,14-- DATE 5 PRINT NAME: elTh cLCe- ke., Bulletin#100—January 29,2016 Page 1 of 2 k:1Handouts\Permit Application A • MECHANICAL'P T .. VALLTEOF�ItECHAN-\. ,4!GiKK Indicate hose- -of each type of factureto be installed or relocated as part of thispro.ject.Do not incilyde existutgfoctures to remain. . AIR HANDLING UNITS FANS GAS PIPE OUTLETS OTHER(Describe) AIR CONDITIONER _ FIREPLACE INSERTS %l[ ROODS Icammerds4 $OILERS FURNACES HOT WATER TANKS modI4© SS')o."1''S I COMPRESSORS - .--r-� GAS LOG SETS REFRIGERATION YIST DUC'RNQ, --; - ..... ..- ... :