17-103720 PERMIT APPLICATION
CITY OF l‘'''
Federal IA/
ay PERMIT CENTER+33325 8th Avenue Sou 8003-6325
253-835-2607+FAX 253-835-2609+per ,ti d d y.com
AUG 0 2 2017
PERMIT NUMBERI 7-- _ ( 0 ^7 Z o _ ��
TARGET DATE CITY OF FEDERAL WAY
COMMUNITY DEVELOPMENT
SITE ADDRESS SUITE/UNIT#
tai 5 r3aoitt ST--
PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL#
$ 0000,00 Ri)ATL I S o i7 C 0 - 0 0 3 0
TYPE OF PERMIT ❑ BUILDING 0 PLUMBING 0 MECHANICAL 0 DEMOLITION 0 ENGINEERING,'FIRE PREVENTION
NAME OF PROJECT `PLAA1k T F1105
:hbbN+;, k L sIii- Pkrua- huC1 1lj Avow/vssvRL 4v5cts To VIE. EXSsisMb
PROJECT DESCRIPTION
Detailed description of work to FM ALhflM 5011.M.
be included on this permit only
NAME PRIMARY PHONE
Mbp Ix u a E•-r S ano.E. LLL
PROPERTY OWNER MAILING ADDRESS E-MAIL
Iau 5 5a0-01 sr
CITY STATE ZIP
If.b k&L Wky wit "tic.
NAME PHONE
WESTMv' 5-I-Alt5 an,PKWIEci?o,J t.1).511)1-0)00
MAILING ADDRESS E-MAIL
CONTRACTOR HO) N€951N ST 41-Io1 5E1N.iENNI.IL@W50,v5
CITY STATE ZIP FAX
RfAM014) 'W'k 1g05a- L45-SS1-303v
WA STATE WES�SFg®b P►CONTRACTOR'S LICENSE# IEXPIRATION