18-105111It
Plumbing
City of Federal Way Permit #:18 -105111 -00 -PL
Community Development Dept -
33325 &h Ave S
Federal Way, WA 98003 Inspection Request Line: (253) 835-3050
Ph: (253) 835-2607 Fax (253) 83&2609
Project Name: SPECIALIZED HOME CARE
Project Address: 1824 S 344TH ST Parcel Number: 412960 0040
Project Description: Demolish existing 2 sink vanity and cabinet and cutting hole in wall to install new single sink
vanity for wheelchair accessibility; moving washer and dryer to garage.
Owner
Applicant
Contractor
PAUL MUNGAI
PAUL MUNGAI
OWNER IS CONTRACTOR
1824 S 344TH ST
1824 S 344TH ST
FEDERAL WAY WA 98003
FEDERAL WAY WA 98003
USA
USA
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Odier Plumbing Fixtures I Sinks
PERMIT EXPIRES Sunday, 28 April, 2019
Permit Issued on Tuesday, October 30, 2018
I hereby certify that the above information is correct and that the construction on the above described property
and the occupancy and the use will be in accordance with the laws, rules and regulations of the State of
Washington and the City of Federal Way.
Owner or agent: L- Date: l
ul
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CITY OF
Federal Way
11ECEIVED PERMIT APPLICATION
OCT O 2OIJERMIT CENTER + 33325 8u Avenue South + Federal Way, WA 98003-6325
253-835-2607 + FAX 253-835-2609 + permitcenter@cityoffederalway.com
Ay
%OMM FEDERAL OF p DEVELOPMENT
PERMIT NUMBERvv�/
TARGET DATE Ct .
SITE ADDRESS
SUITE/UNIT #
1 <,& 3 Ll ' s e04r-j L4_0 V> ,H CL,- �4- 6b>3
PROJECT VALUATION
ZONING
ASSESSOR'SARCEL #
$ 5 -b -p k,
_
TYPE OF PERMIT
-
❑ BUILDING PLUMBING ❑ MECHANICAL ❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT
PROJECT DESCRIPTION
Detailed description of work to
C
be included on this permit only
I"'C� " � l �.s
PRIMARY PHONE
► v J —
PROPERTY OWNER
MAIL114G ADDRESS y�
E-MAIL
J
CI
Ll
STATE
�fA'c
ZIPI
NAME
PHONE
MAII.ING ADDRESS
E-MAIL
CONTRACTOR
CITY
STATE
ZIP
FAX
WA STAT RACTOR'S LICENSE #
EXPIRATION DATE
FEDERAL WAY BUSINESS LICENSE #
NAME
PRIMARY PHONE
APPLICANT,
MAILING ADDRESS
E-MAIL
CITY
STATE
ZIP
FAX
11
�l
NAME -
PRIMARY PHONE
PROJECT CONTACT
MAILING ADDRESS
E-MAIL
(The individual to receive and
respond to all correspondence
CITY
STATE
ZIP
FAX
concerning this application)
PROJECT FINANCING
NAME
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 environmental laws.
I further agree to hold harmless the City of Federal Way as to any claim (including costs, expenses, and attorneys' fees incurred in
the investigation and defense of such claim), which may be made by any person, including the undersigned, and filed against the city,
but only where such claim arises out of the reliance of the city, including its officers and employees, upon the accuracy of the
information supplied to the city as alpart of this application. application.
SIGNATURE:Y t DATE
PRINT NAME:
Bulletin #100 — January 29, 2016 Page 1 of 2 k:\HandoutsTermit Application
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