17-101689 41/4„ RECEIVED
CITY OF PERMIT APPLICATION
Federal APR 13 2017 PERMIT CENTER+33325 8th Avenue South+Federal Way,WA 98003-6325
253-835-2607+FAX 253-835-2609+permitcentel 4cityoffederalway.com
CITY OF
Y
COMMUNITY DEVELOPRAL MEF -
PERMIT NUMBER / 7 _ / l`l / ''^q/ - Fe
/ TARGET DATE
SITE ADDRESS SUITE/UNIT#
31660 Pacific Hwy. South
PROJECT VALUATION ZONING ASSESSOR'S TAR/PARCEL#
0 9 21 0 4 9 2 4 8
CC-C — —
�{
TYPE OF PERMIT 0 BUILDING 0 PLUMBING 0 MECHANICAL 0 DEMOLITION 0 ENGINEERING .CS.FIRE PREVENTION
NAME OF PROJECT TA Federal Way
PROJECT DESCRIPTION Removal of four underground storage tanks.
Detailed description of work to
be included on this permit only
NAME A..
(iJ��Gfe a V p PRIMARY PHONE
Larry Pak
206-235-4456
PROPERTY OWNER MAILING ADDRESS 9 Of /lL 7T 9.000 tt !F EMAIL
8315 South 212th St. f � one5investment(a)hotmail.com
CITY STATE ZIP
Kent WA 98032 qffi(r
NAME PHONE
Joe Hall Construction, Inc. 253-922-6815
MAILING ADDRESS E-MAIL
CONTRACTOR 1317 54th Ave. E. philk@joehall.com
CITY STATE ZIP FAX
Fife WA 98424 253-922-6828
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
JOEHAC*259RT 9-3Qq8 /
NAME PRIMARY PHONE
Phil Keehnel 253-922-6815
APPLICANT MAILING ADDRESS E-MAIL
1317 54th St. philk@joehall.com
CITY STATE ZIP FAX
Fife WA 98424 253-922-6828
NAME PRIMARY PHONE
PROJECT CONTACT Phil Keehnel 253-922-6815
(The individual to receive and MAILING ADDRESS E-MAIL
respond to all correspondence 1317 54th St. philk@joehall.com
concerning this application) CITY STATE ZIP FAX
Fife WA 98424 253-922-6828
NAME
PROJECT FINANCING
0 OWNER-FINANCED
When value is$5,000 or more MAILING ADDRESS,CITY,STATE,ZIP PHONE
(RCW 19.27.095)
I certify under penalty of perjury that I am the property owner or authorized 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 certify that I will comply with
all applicable City of Federal Way 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 environmen - .
I further agree to h• • harmless he City of Federal Way as to any claim(including costs,expenses,and attorneys'fees incurred in
the investigation an• defense o - c j Taint), which may be made by any person,including the undersigned,and filed against the city,
but only where su claim ses •1 of the reliance of the city, including its officers and employees, upon the accuracy of the
information supp ed to th city as ' 'art of this application.
SIGNATURE: DATE 4-11-17
PRINT NAME: Ch - alton
Bulletin#100—January 29,2016 Page 1 of 2 k:\Handouts\Permit Application
I