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04-102545 0 Cr; ' BIA5 1 .tikij V(6\A-)C NSI-RUc I ION P- MIT APPLI TION VV FEY 1�' ��� APPLICATION NUMBER: _ LO a _ OD ' UN2 5 2004 APPLICATION NUMBE _ - APPLICATION NUMBE•`: irgripct NA. 1 ** rt, r " WAY The following -Is required information Please print(in ink)or type** , Please note: Electrical, Fire Prevention Systems and Engineering permits may require a separate application. •. ....:, .• • . /.!.PROPERTY INFORMATION • . l DDR 1 - — _ _ii, •N0 I ROPERTY( EPA• • A RIP 1 IF N HY):4 - rALL4JT 11 '40"111V12 /MI 3 _::;. .. ...<;:, :z:._... _;-._.: ;;' '_ .11 °PROJECT INFORM TYPE OF PROJECT(This application): 'gJ BUILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION ❑ ELECTRICAL/1CIENGINEERING❑ FIRE PREVENTION SYSTEM PROJECT DESCRIPTION(Provide detailed description): C.0NST2UC"f k NE j 4 qtr^% 3 134TH S1 Ncv...E FAMtLy I YUC Wirt( Arr-4Gf{ep C- 4C-�p' PROJECT NAME:(Z56tS(2) 1 L c s(. ,. ':.. .• • :.. - .,.1'.1 PEOPLE INFORMATION - PROPERTY OWNER: NAME: DAYTIME PHONE: cN►NE1•DE.(L Aot1E \14(... (206 )248 -241 I MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): 1.0510Soo-mceA TSR.. Stab, "TUKk11L.kd !vq� t$8 CONTRACTOR: li„ NAME: DAYTIME PHONE: 6cAtAa o lnic. (0248 -240) MAILING ADDRESS(STREET ADDRESS;CITY,STA ZIP): EVENING PHONE: n ✓ \ 510 SO,3t �T l_vp . �vKWIt&, 1�A. 9 I$c� (Z o )24€3 -2(471 V449.)(07' CIIY OF FEDERAL WAY BUSINESS LICENSE NUM R: JFAX NUMBER: � 1 `i_ - 29-j0 Co24-Oo- Z_c__ (2x(.)242 - 4�4 CONTRACTORS REGISTRATION NUMBER: EXPIRATION DATE (copy o(card required) SG_-tNE. .Ac2.14.5 ea_ — — — b3 /01 /03 APPLICANT: NAME. DAYTIME PHONE: PATHIC-K Zir&k (2042)24e -2 7 j MAILING ADORESS�5TREETADDRESS;CITY,STATE,ZIP): EVENING PHONE: (OU 01P SoTO o-cRCENTE2, & 7u « vD. kw .,11JP ,98Ia9) (� 242 , ) -4209 FAX NUMBER: ❑ ARCHITECT ❑ TENANT A OTHER(DESCRIBE)(!AO.tnw (20G, )242, - 4zo E-MAIL ADDRESS: CONTACT PERSON FOR THIS PROJECT: ❑ PROPERTY OWNER APPLICANT. ❑ CONTRACTOR hA DETAILED BUILDING INFORMATION • • . • EXISTING USE: 0/A EXISTING BUILDING ASSESSED/APPRAISED VALUATION $ °POSED USE: 5,F,e, PROPOSED VALUATION FOR IMPROVEMENTS: 7 SPRINKLERED BUILDING? CI YES NOFIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED:❑ YES VJ NO WATER SERVICE PROVIDER: -_-`i] LAKEHAVEN CJ HIGHLINE ❑ TACOMA ❑ PRIVATE(WELL) SEWER SERVICE PROVIDER: ---,IS LAKEHAVEN ❑ HIGHLINE ❑ PRIVATE(SEPTIC) AIL_ **NEW RESIDENTIAL CONSTRUCTION iRLY** •,. `� ('�, NUMBER OF BEDROOMS: 1 ~ 2 ESTIMATED SELLING PRICE: $ 1 DOO . i.1 PROTECT FLOOR AREAS i! FLbC R EXISTING SQ.FT. PROPOSED SQ.FT. TOTAL •IIASE 9E s Ai ii re6k )e5. Milk ir ST 1425 1`t85 SECOND / Z31 lig 4 THIRD A; Alf _ _ i � K . K% �4 UR FLOOFS(DESCRIBE) ' (moo tg 13* ) ' ' 4 0 itY4+ . 361 GARAGE ' IOT�p • / ,,` HOW MANY FLOORS? (Q� TOTAL: • /1 C:FIXTURES ,- - w i++w7.9�u•....:.:••-a�1.>.a.+.:�:w�.d e:'SMC2�i.':14Y'i.4r+i Cu�O riOSiY1'a�V XJ�e�:+t A!Ji's•; - wi+r..!A•�.Q+^v�i�l:a l+r•. .-i[�7�'�+::%u�i'�4ri:Na�.+e'o�a.!^tv'w.kFJ+fi+. �� I M 3L Indicate number of each type of fixture 11�U 1MIA\ MECHANICAL - AIR HANDLING UNIT(S) EVAPORATIVE COOLER(S) _4, GAS LOG(S) REFRIG.SYSTEM(S) BBQ(S) __�'• FAN(S) HOOD(S) _ WOODSTOVE(S) BOILERS) 1 FIREPLACE INSERT(S) ___i_ RANG.E(S) MISC.( ) / COMPRESSOR(S) $ FURNACE(S) V DUCT(S) T IIIIP GAS PIPE OUTLET(S) HEAT SOURCE: 0 ELECTRIC Y 1 GAS PLUMBING .Z BATHTUB(S). LAVATORY(S) URINAL(S) ., 1 WATER HEATER(S) ` 1 DISHWASHER(S) 4 RAIN WATER SYS. VACUUM BREAKER(S) ❑ ELECTRIC `® GAS ✓Nw DRINKING FOUNTAIN(S)-. - Z SHOWER.(S). _,, 1 .-WASH'MACHINE OUTLET '�;q , ✓ , GAS PIPE OUTLET(S) '7 4r SINK(S) 3 WATER CLOSET(S) .-" 4O MISC.( � ( f(geN S) INTERCEPTOR(S) SUMP(S) . - , ' _ `'::