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09-10360409 2009-09-17 09;14 SWEET,;, 1320 » 2538352609 3 (� OV114 . -- .-'-w"� PERMIT �1 SF MF CO ME EL PL DE EN P r-edelral way CFP / f COMMUME'Y DSV"AffNr SRRVICP.S APPLICATION 753-935-2607• MC 759-9957609 TTY OF F ERAL W Y - ®■ a+meseee 6[i'a �DD1iiEt18 ' ®Dt 1lw f V1ttT • ZONING AWKSMR'9 TAWPAR1 M 0 - F NARIS OF P'ROJECr (7enant or Homeowner Name) mom O BUMDINO ❑ PLUMBING 0 MECHANICAL TYPE OF PERMIT ❑ DEMOLMON [I ELECTRICAL 0 ENGINEERING PIRE PREVENTION 1 �aUNFlk& f Loi SEL 8 FCL AND PROJECT DESCRIPTIONeN Oetailed description of work to be included on this permit only 6710 f e ja .B✓�.r(„�,ti Ler-✓ 7`%i o'-t�{.� . NA>II[E la11t11<T Poona PROPERTY OWNERS *i•UMO ADDNEee, Cn T, 6TATE6 ?a 6iA0. csour%4 320` Srr' ❑ cOIVPIt =OR ❑ AMICART ❑ PROMI T CO1R'ACT OWNER I8 AL80: NAM PlMa"T Mo;; 577M"L-A}' eon✓�� tBlu Srcuu t%7 f`?5- yf7- Z406 CONTRACTOR IKAU4N13 ADDRE6i, GMT, 9TAT6y ZR L w-� 00 'C..Co"-*"s Ao" PAZ XZ,) 7473 WA STATE CONTRACT'OR'S LICENSE I �''-kNt-cs 2 M EZPOeATtoN DATE 0 714 5 i,Wd YMNUAL NAT BVatit>ess u AO- 04 -16b7y cb NAKK rXrAARY PWKZ APPLICANT " YAUMFO ADDRMB, C1' V. STATE, ZIP PAZ PROJECT CONTACT N PRIKA." FROM (The individual to receive ander -rr}.a �j j b o (. _ 2 - respond respond to all correspondence NAILING ADDRESS, CrrF, !TATE, ZR �✓r•�(C � � X rAZ concerning this application) a 7 D 6 Al < "0--P 5' Aef-+,A S-1 •/-P '+ ?-.. `f2) %S % - ?i-'-73 ALTswuITE coNrwat NA1lE PROLO.RY rRONE V-KAM PROJECT FINANCING NAM Required forprojects with © ty1P'p�t./'1lfA1tC7CD value of .$5, 000 or more NAIIdNG ADD CSt7� S I A7 a, 7'� P FART Py�yNa (RCW 19,27.095] I °-ra& ural- POY-41 of PwJwV that I Qen ahs proptrty OWn- Or allt/Wrtsed agent of the prop" Barer. I oa t(& that J* the best of MY knowledge, the t"fornattore sr+bnrttt" In support of this permit applioatton is true 4Ad CwT!¢t I csrto the I will compin with all applicable cap of hdgral Way regu au&ns pertaining to the work =dhortsrd by the tsswaxwe of a permit I wmtww Gad that the Issuanne of this p-rntt dors not rrrnow the ounter't rorponsiMlttp for OwNpUance with loco4 slime, w fel I—* regutatt"M construction or snsironmental law#, r farther agree ca hold hermtoss the city 4f Fledwnl Watt as tO ant elai:n (Ltch"Ibw owls. mcpentts, and attwotepe fen i!ncurMd In the treses OR and dq�rure of such OI4le1�I which rnai he encode b> am person, Inchtdtng the undsrsigna4 and JIled against the City, but only where su elairn arises t of the roiianoe of the city, Including its ofJlcers and empioyeas, upon the 000uracy of Cho information suppled aim df this lica"OAL p SIGNATURE: � JIB- DAT>Z 1 � 7 z 7-ctl PRINT NAME: �— Bulletin 4100 - 4/17!1009 Page 1 of 4 kAHandoutsTetmit Application ,5L 2009-09-17 09:14 SWEET Indicate number of each AIR HANDLING UNITS AIR CONDITIONER 16 60ILERS COMPRESSORS DUCTING 2534761320 >> 2538352609 - w il.t:1M.,_1T, vxk' .., Work $�o /A COPY OF BID OR ESTIMATE MUST BE xture to be installed or retocated as part of this project. Do not include e FANS _ _ OAS PIPE OUTLETS _ MIZEFLAC& INSERTS HOODS leo._.a.q FURNACES HOT WATER TANKS lo.y GAS LOG SETS REFRIGERATION SYST GAS FIPING WOODSTOVES P 3/4 Fixtures to remai OTHER (Describe) Bulletin # 100 — 4/17/2009 Page 2 of 4 k:\I-landouts\Permit Application Iq 4 • r (A Y vxk' 00 A Indicate number of each type qffucture to be installed or relocated as payt of this RT2act. Do not include existinqftxturss to remain. BATHTUBS (. TUb/,9?.— C..b-W LAVS IH_dSWW TOILETS WATER PIPING DISHWASHERS RAINWATER SYSTEMS URINALS OTHER (Describe) L_j IjA,DRAINS SHOWERS VACUUM BREAKERS DRINKING FOUNTAINS SINKS (IG1eeL.o/C illpq WATER HEATERS tm—trio I HOSE BIBBS SUMPS WASHING MACHINES TOTAL FIXTURES GENERAL INFORMATION PROJEC[ VALUATI031 WATER MFRS R BLWER r0xvmTOR VALUS Or gJaRTIN orvNIKKATA 61CIMIMO/F'R,EVIpOi V✓<E LOT 61St IIs 3gn0. fMy E3nvtxl PROVOSSU'YPRs"lon aTtt'1'!MT / �5 -ft )Yes U No C Yes Fo 0 Bulletin # 100 — 4/17/2009 Page 2 of 4 k:\I-landouts\Permit Application Iq