00-104056 0 BUILDING DIVISION
t._ 33530 First Way South
`�1/OF _ Federal Way,WA 98003
uV FMS_ REeEI v r) (253)661-4000
Fax(253)6614129
WI_ 2 7 2009
APPLICATION FOR' BuILDINS3P Y
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APPLICATION # ( 16 YEG
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Tenant nameLot# Assessor's Tax#
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Building Owner's NameAddress
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Contact Person Day Phone Other PhoneFax 2.®6rfv -
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Contractor's #(card must be presented) Expiration DateZ r Verified 0 Yes 0 No
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LEGAL DESCRIPTION
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