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15-100690M City of Federal Way Community & Econ. Dev. Services 33325 8th Ave S Federal Way, WA 98003 Ph: (253) 835-2807 Fax: (253) 835-2809 Project Name: HICKS Project Address: 33735 37TH PL SW &i1ding - Single'Th ily Permit #: 15 -100690 -OCA -I F Inspection Request Line: (253) 835-3050 Parcel Number: 9211510130 Project Description: REP - Inspection of fire damage. ***NO construction work approved under this permit*** Owner CHARLES L HICKS ARolicant POWELL RENOVATIONS Contractor POWELL RENOVATIONS LLC Lender 33735 37TH PL SW TODD POWELL POWELRL939PE (10/5/15) FEDERAL WAY WA 22211 MARINE VIEW DR S POWELL RENOVATIONS 98023-2958 TODD POWELL 22211 MARINE VIEW DR S Census Category: 434 - Residential alttadd - no change in number of units Includes: #1 #2 #3 #4 Occupancy Class: Construction Type: Occupancy Load Floor Areas . ft 0 0 0 0 Additional Permit Information New / Additional Sq. Feet - 3rd Floor....................0 Mechanical to be Included?...................................No New / Additional Sq. Feet - Basement..................0 Plumbing to be Included?......................................No No Fixtures Associated With This Permit 11 PERMIT EXPIRES Tuesday, August 112015 Permit Issued on Thursday, February 12, 2015 I hereby certify that the above in do rr t and that the construction on the above described property and the occupancy and the u cco an with the laws, rules and regulations of the State of Washington - � an a City of Federal Way. Owner or agent Date: v;, ' l2 ' � � #CFJVE-D • CUT OF FEB 12 2015 PERMIT APPLICATION Federal Way �$1'[ CITY OF FEDERAL WAY � CDS PERMIT NUMBER U Q _ IIIYYY L TARGET DATE SITE ADDRESS L� SUITE/UNIT # 7Z)�1�� >cG r✓lt��r �,J,� .S , PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL # .7 - CI) , � (1. Z_ —L 6 J— — © .j TYPE OF PERMIT ❑ BUILDING ❑ PLUMBING ❑ MECHANICAL DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION NAME OF PROJECT r? 17-13 7i PROJECT DESCRIPTION Detailed description of work to be included on this permit only PROPERTY OWNER NAME N/1(74 IFAS PRIMARY PHONE MAILING ADDRESS % `/ E-MAIL CITY r -E -/ STATE ZIP NAME �.L65Tr/))•I �S i4 PHONE ��v ��il � / � ../.� / /�"p71-�i.�/G/Y: MAILING ADDRESS 2-,'.;-'7-11 r1 .c ✓� �J/E t `J 2/ `�— E-MAIL CONTRACTOR CITY STATE ZIP FAX i WA STATE CONTRACTOR'S LICENSE M EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE # NAMEy PRIMARY PHONE MAILING ADDRESS E-MAIL APPLICANT CITY STATE ZIP FAX NAME PRIMARY PHONE 3 PROJECT CONTACT ez- 't4 -:2-0Z' MAILING ADDRESS ' ( �vi�r/ l �'�v�' // </ uG E-MAIL / ow LAO Sly (The individual to receive and respond to all correspondence CITY • STATE ZIP FAX concerning this application) � Ot�/iQ5 i�--�f�'i' PROJECT FINANCING �,..._ OWNER -FINANCED �- , Required value of $5, 000 or more MAILING ADDR$SS, 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 environmental" nvironmental laws. I further agree to hold harmless the Ci eral Wa as to any claim (including costs, expenses, and attorneys' fees incurred in the investigation and defense of such , whic may made by any person, including the undersigned, and filed against the city, but only where such claim arises the re once f the city, including its officers and employees, upon the accuracy of the information supplied to the city a rt o th application. SIGNATURE: DATE PRINT NAME: Bulletin #100 - January 1, 2013 Page 1 of 3 k:\Handouts\Permit Application