18-103792 ►► PERMIT APPLICATION
CITY OF EPERMIT CENTER+33325 8'h Avenue So a 98003-6325
Federal 253-835-2607+FAX 253-835-2609+permitcenterlcitvoffe er way.com
IF 1O Fq2 -- AUG 202018
PERMIT NUMBER- - _ TARGET DATE . vITY OF FEDERAL WAY
J!,R41J'iITY DEVELOPMENT
SITE ADDRESS SUITE/UNIT N
32816 3RD AVENUE SOUTHWEST
PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL II
$ 19,651 .50 9 2 6 4 9 1 _ 1 4 4 0
TYPE OF PERMIT EIBuILDING PLUMBING❑MECHANICAL ❑DEMOLITION ❑ENGINEERING El FIRE PREVENTION
NAME OF PROJECT -101\i #100912
PROJECT DESCRIPTION
Detailed description of work to Replacing 17 windows in single family residence,like for like.
be included on this permit only
NAME PRIMARY PHONE
JOHN BONN (253)219-9511
PROPERTY OWNER MAILING ADDRESS E-MAIL
32816 3RD AVENUE SOUTHWEST JOHNBONNJR@AOL.e
CITY STATE ZIP
FEDERAL WAY WA 98023
NAME PHONE
HOME DEPOT USA, INC 800-381-5699
MAILING ADDRESS E-MAIL
CONTRACTOR 2455 PACES FERRY RD HD@NWPERMIT.COM
CITY STATE ZIP FAX
ATLANTA GA 30339
WA STATE CONTRACTOR'S LICENSE• EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE*
HOMED*"088RH 7/17P020/
NAME PRIMARY PHONE
NW PERMIT, INC 360-945-2787
APPLICANT MAILING ADDRESS E-MAIL
9808 31ST AVE SE HD@NWPERMIT.COM
CITY STATE ZIP FAX
EVERETT WA 98208
NAME PRIMARY PHONE
PROJECT CONTACT CHLOE BARKER 360-945-2787
(The individual to receive and MAILING ADDRESS E-MAIL
respond to all correspondence 9808 31ST AVE SE HD@NWPERMIT.COM
concerning this application) CITY STATE ZIP FAX
EVERETT WA 98208
NAME
PROJECT FINANCING B 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 authorised 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 a part of this application.
Chloe Barker Digitally signed by Chloe Barker
SIGNATURE: Date.2018 03.05 09.29 09-08x00' DATE 08/16/2018
PRINT NAME: CHLOE BARKER
Bulletin#100—January 29,2016 Page 1 of 2 k:\Handouts\Permit Application