19-101788PERMIT APPLICATION
PZMW CENTER + 33325 8th Avenue South + Federal Way, WA 98003-6325
253-835-2607 + FAX 253-835-2609 + permitcentenfiatyoffederalway.com
FP TARGET DATE
SUITE/UNIT IF
t'S TAX/PARCEL e
❑ MECHANICAL ❑ DEMOLITION ❑ ENGINEERING FIRE PREVENTION
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TYPE OF
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NAME OF
ROJECT
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PERMIT APPLICATION
PZMW CENTER + 33325 8th Avenue South + Federal Way, WA 98003-6325
253-835-2607 + FAX 253-835-2609 + permitcentenfiatyoffederalway.com
FP TARGET DATE
SUITE/UNIT IF
t'S TAX/PARCEL e
❑ MECHANICAL ❑ DEMOLITION ❑ ENGINEERING FIRE PREVENTION
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NAME
PRIMARY PHONIC
PROPERTY
OWNER
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CITYSTATE
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CONTRACTOR
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CITY
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FAX
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r
ggpI"TIOON DATE
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FEDERAL WAY HUNDOW LICENSE a
NAYS
PRIMARY PHoxE
APPLICA
Iff
MAILING ADDRESS I
E-Affm
%!
CITY
Z�
i STATELFA%
PROJECT CC
NTACT
NAME
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PRIMARY PHONE
res
individual t0 receive and
to
WAILING ADDRESS
'qji(J
s
rk `CIC
9ond all correspondence
Aft V
AZ
cc
rning this
plication)Cv
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STATE Zlp
WIC 43 O 0'L
FAX
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PROJECT FIN
CING
NAME
❑ OWNER -FINANCED
n value is $5, Ot PO or more
(RCW 19.27.0! 5)
BLAMING ADDRESS, CITY, STATE,
PHONE
of
I certffly under penalty of perjury that I am thero
p party o
y knowledge, the ir4formation submitted in support this
r authorised agent of the property owner. I cert(fy that to the best
it
al applicable
of
o Federal W
f ay regulations pertaining to
application is true and correct. I certify that I will comply with
rk authorised by the issuance of a permit I understand that the
im
co
e of this
tion
permit does not remove the owner's respo
ity for compliance with local, statq or federal lams regulating
or
ronmental laws.
I further
investigation
to hold harmless the City of Federal Way as
defense of such claim), which may be
claim (including costs, expenses, and attorneys' fees incurred in
any person, including the undersigned, andllud against the city,
bu
irU
only where
h claim arises out of the reliance of the
including its queers and emPlolless� upon the accuracy of the
rmation suppi
led to the city as a of this application
f
C
SI
NATURE:
DATE
PIR
INT NAME:
llet
n #100 — Janum
y 29, 2016 Page 142
LAIiandoutsTermit Application
DO
JMBIN(A PERMIT
licate how HUMM of each e 0-f ftxture
to be installed
_ BATHTU 3S (or Tub/Shower Combo)
CHANI
AL PERMIT
RAINWATER SI
Indicate h
o each e o
re to be installed
AIR
DLING UNITS'
FANS
AIR CO DITIONER
FIREPLACE INS
BOILER
WATER PURVEYOR
FURNACES
COMP
SORS
GAS LOG SETS
DUCTIN
_ k
GAS PIPING
JMBIN(A PERMIT
licate how HUMM of each e 0-f ftxture
to be installed
_ BATHTU 3S (or Tub/Shower Combo)
LAVS (Hand Sinka(
_ DISHWA >HERS
RAINWATER SI
_ DRAINS
SHOWERS
DRINKIN 1 FOUNTAINS
SINKS (Kitchen/Ue
HOSE BI BS
SUMPS
;RAL INFORMATION
F.A DESCRnn
AREA8 ON A tOPWrM '..
WATER PURVEYOR
FE ❑ CARP
RT ❑
'PRMOU, U ii7-
located as part of this project Do not include existing fixtures to remain.
IDENTIAL-
rart A1'Ell
NEW OR ADDITION
MA DESCRE
VION (in square feet) FMOTING
KENT,
GAS PIPE OUTLETS
FLOOR (orh
oblle Home)
VD FLOOR
CO1MERCIAL
ZED ENTRY
- NEW/ADDITION
AS
F.A DESCRnn
ION Area in
Occupy
FE ❑ CARP
RT ❑
/
located as part of this project Do not include existing fixtures to remain.
TOILETS
_ k
Totals
f6
#100 — Januar 29, 2016 Page
SELLING
PRICE $,
I#
'located as part of this project. Do not include existing fbct res to remain,
GAS PIPE OUTLETS
OTHER (Describe)
9 HOODS (CommercW)
CO1MERCIAL
- NEW/ADDITION
AS
F.A DESCRnn
ION Area in
Occupy
VALUE OF PLUMBRVG WORK
uare Feet
located as part of this project Do not include existing fixtures to remain.
TOILETS
ADDmoN
is URINALS
OTHER (Describe)
VACUUM BREAKERS
COA
IMERCIAL-
REMODEL/TENANT IMPR(
AR
CA DESC
ON Area in Occup&
oars Feet
TpT
Bort:Dura
E)USTINO FIRS SPRINELER SYSTEM? I PRO
PIKE SUPPRESSION SYSTEM?
TENANT AREA
ONLY 1 (tip
#100 — Januar 29, 2016 Page
TOTS FOR OFFICE USE
(......................................................................................
r
,SAL
up(s) Construction # of Additional Information
Stories
Constriction # ofTvve Stories Additional Information
kMandoutsTern it Application
VALUE OF MECHANICAL WORK
- I
'located as part of this project. Do not include existing fbct res to remain,
GAS PIPE OUTLETS
OTHER (Describe)
9 HOODS (CommercW)
HOT WATER TANKS
REFRIGERATION SYST
WOODSTOVES
VALUE OF PLUMBRVG WORK
located as part of this project Do not include existing fixtures to remain.
TOILETS
WATER PIPING
is URINALS
OTHER (Describe)
VACUUM BREAKERS
WATER HEATERS (giect;)
WASHING MACHINES
TOTAL
FUCTUggS
SEWER PURVEYOR VALUE OF EBiSTMG IDgpROVEMENTS
E)USTINO FIRS SPRINELER SYSTEM? I PRO
PIKE SUPPRESSION SYSTEM?
-AcYYes ❑ No
❑ Yes ❑ No
TOTS FOR OFFICE USE
(......................................................................................
r
,SAL
up(s) Construction # of Additional Information
Stories
Constriction # ofTvve Stories Additional Information
kMandoutsTern it Application