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03-104985 • • fps MVO/ CONSTRUCTION PERMIT APPLICATION APPUCATION NUMBER: -ID t :';\, 0 4 2003 APPLICATION NUMBER: - , APPLICATION NUMBER: - WAY *Ti billinb i ukad information-Please print(in Ink)or type** — — — — — — Please nota: Electrical,Fin Prevention Systems and Engineering permits may require a separate application. t;'1:, it '4 SITE ADDRESS: d 1 S S W ?( / .it: S/-. ASSESSOR'S TAX/PARCEL*: - LEGAL DESCRIPTION Of SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY): A ,; , t^� ��.1 ,11--rt TYPE OF PROJECT(Thio application): ❑WILDING o PLUMBING o MECHANICAL o DEMOLITION ❑ELECTRICAL ❑ENGINEERING s1/FIRE PREVENTION SYSTEM PROJECT DESCRIPTION(Provide detailed description): 4cJ '}J,) f -(;,-e, 41 hi s- 017 PROJECT NAME: Lek f ek Sr I-II PROPERTY OWNER: we DAYTIME PHONE: s =e 1., c(Av L/ �;J _ ( ) - ADDRESS; ATE;�k CONTRACTOR: NAME. DAYTIME PHONE Si a4ADDRESS'adeEt<.r. � (206 ) 2 / - v 10 S. s', -, ta v. 'j( c'oc )).710 - 3037 CRY WAY BUSMESS LJSISEhFAX NIR+aER: ( ) CONiRACPOR'S IEGISTRATRIN NUMBER: EXPIRATION DAZE: at cud 1.) L £>flv7 / 01-i APPLICANT: OPE: DAYTIM PLIONE: 4ctplisiAnT (2o6 - it/6r MAILING ADDRESS;CITY, 1E,ZIP): ( ) RELATIONS IP TO PROTECT: /1 FAX NUMBER: ❑ARCHITECT ❑TENANT VbTHER(DESCRIBE): /-�6 yle"t ( ) - E-MAR ADDRESS: CONTACT PERSON FOR THIS PROJECT: ❑PROPERTY OWNER ❑APPLICANT tYEONTRACTOR EXISTING USE: EXISTING BUILDING ASSESSED/APPRAISED VALUATION $ '©0 NM PROPOSED USE: PROPOSED VALUATION FOR IMPROVEMENTS: $ SPRINKLERED BUILDING? ❑YES ❑NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED: ❑YES o NO Y WATER SERVICE PROVIDER: ❑LAKEHAVEN o HIGHLINE ❑TACOMA ❑PRIVATE(WELL) SEWER SERVICE PROVIDER: ❑LAKEHAVEN ❑HIGHLINE ❑PRIVATE(SEPTIC) 0 , . �F4e i i 11 II I Hil . . i 11 I* s ," 1111' p 1 C . b ii 4 i; S A O 1' ' 7C = i lii ! ill 1,1 ‘ !11111 li li p A 1 ❑ g I g g G ti iti¢g y y 5 1 I - i ,\1- Ns11Ii HI 1 11 li J 8 Aft 1 ¼ hflufimiilil 1 '" i x itsit _ sog ;31 1 i , S 1 1115° 11111 m1 11111 - 1 i ! Cm 2 W ' _ P F 1 ❑ °:<* i Ci I ri ° '_ s ; • %• litre v i _ ❑ 7, g .40 iii 4 ii il r 1 r10FP# ii s,