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00-105404 , 10/23/00 MON 17:00 FAX 2536614129 CITY OF FEDERAL WAY f j002 �� �_ • • c CONSTRIPTON PERMIT APPLICATION� ` Ry I—% �4PPLICATION NUMBER: D Q - _U.)._.f 10y' — APPLICATION NUMBER: _ — F OCT 3 1 200P APPLICATION NUMBER: _ _ - _ • , — L"= ` Lr,a ,- ,.r-i., . ,,AL�,-y e following Is required Information-Please print(in ink)or type** Please no��e P4(ca! Fire Prevention Systemsand Engineering P its may require a separate application. • «3 ”"t3' ;>,, } = .. . �; 1': "PROPERTYINFORMATION; .a• .. A r,L p !` ;k; q ' 1 (�'1 SITE ADDRESS: 312/0 / so ASSESSOR'S TAX/PARCEL#: .?Z 6180 00g1-06- LEGAL O7-O6LEGAL DESCRIPTION OF SUBJECT PPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY):()VC, ZOy,s`�+ �D/II Z�� _T z2W, R4t w Lo7 9 1f/ JT pac ,dos sJ AW/4( ss, ,t,i , : ;r f k a= flOJECTINFORMATION r TYPE OF PROJECT(This application): 0 BUILDING CI PLUMBING ❑ MECHANICAL 0 DEMOLITION • ❑ ELECTRICAL JENGINEERIN9 FIRE PREVENTION SYSTEM PROJECT DESCRIPTION(Provide detailed description): (' (6/?i)0/I7.0 f/A' GJ2%V7C(� 4, 1 / i . ''1 1 / A PROJECT NAME: F, 7 I/'¢y CU/\/'o y Ctiv7-tif f. ,- , -;6! PEOPLE INFORMATION , . PROPERTY OWNER: NAME DAYTIME PHONE: Gl 1HAR Pt1t'PR6yrx/44,57/* zz-C c1&c) 7-1(0 -6.5-00 MAILING ADDRESS(STREET ADDRESS:CITY,STATE.ZIP): /133 —/Cg Th`S7. J 4/4/0 7 Gyi/M oc R /i/#. 980,37 CONTRACT. •• NAME: DAYTIME PHONE: F//t , o7 C77dN J)'57 f LLC (Z53)3,5-/ - 685 MAILING ADDRESS(STREET ADDRESS:CITY,STATE,ZIP): EVENING PHONE 3 9®z kr/. v/¢LLey #m/Y No #00z ilafoky Wry (253) 35-/ -6 851 tt .,- ' #:.: CITY OF SAL WAY BUSINESS LICENSE NUMBER: FAX �(q�) (/' tt S: F rrA �" Mmr ` ,,- - .1M. (2 3)J�/ - ©V 5 ? CONTRACTORS REGISTRATION NUMBER: EXPIRATION DATE: F1/?tP,SLoIIK1 S" / zal / zoo bt APPLICANT: NAME DAYTIME PHONE: F//c / OTtCTJJ/V SYS? .1- LLC (&.3) 35-/ - 08ST MAR.iNG ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): EVENING PHONE: 30z i/ Oss1-GL Y /fii//A 9121Z Xo /rpt/101. 980d/ (253 )JS? - o8-ST RELATIONSHIP TO PROJECT: FAX NUMBER: p 0 ARCHITECT ❑TENANT OTHER(DESCRIBE):e�YT/4G7pL\ (�,, ) 35-/ - o 8-C E-MAIL ADDRESS: CONTACT PERSON FOR THIS PROJECT: 0 PROPERTY OWNER 0 APPLICANT .CONTRACTOR ' :bETAILED BUILDING INFORMATION - 4 $:"1,--,°: -tea ‘> Y . EXISTING USE: EXISTING BUILDING ASSESSED/APPRAISED VALUATION $ , PROPOSED USE: 3 PROPOSED VALUATION FOR IMPROVEMENTS: $ 5f800• SPRINKLERED BUILDING? 7.%YES 0 NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIREDYES 0 NO WATER SERVICE PROVIDER: ,, LAKEHAVEN ❑ HIGHLINE 0 TACOMA ❑ PRIVATE(WELL) SEWER SERVICE PROVIDER: 0 LAKEHAVEN 0 HIGHLINE 0 PRIVATE(SEPTIC) 10/23/00 MON 17:00 FAX 2536614129 CITY OF FEDERAL WAY Db 003 ff **NEW RESIDENTIAL CONSTRUCTION * r F NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $ • A • RO.TECT FLOOR AREAS FLOOR EXISTING SQ.FT. PROPOSED SQ.FT. TOTAL BASEMENT FIRST . SECOND THIRD FOURTH OTHER FLOORS(DESCRIBE) DECK GARAGE HOW MANY FLOORS? TOTAL: Indicate number of each type of fixture MECHANICAL AIR HANDLING UNIT(S) EVAPORATIVE COOLER(S) GAS LOG(S) REFRIG.SYSTEM(S) 86Q(S) BO IIER(S) FIREPLACE INSERT(S) RANGE(S) �D(STOVE(S) COM (S) FURNACE(S) ) DUCT(S) GAS PIPE OUTLET(S) HEAT SOURCE:C]ELECTRIC 0 GAS PWMBING BATHTUB(S). LAVATORY(S) URINAL(S) WATER HEATER(S) DISHWASHER(S) RAIN WATER SYS. VACUUM BREAKER(S) 0 ELECTRIC C]GAS DRINKING FOUNTAIN(S) SHOWER(S) WASH MACHINE OUTLET GAS INTERCEPTOR(S) OUTLET(S) SINK(S) WATER CLOSET(S) MISC.( ) • CEPTORS) SUMP(S) . DISCLAIMER/SIGNATURE BLOCK �� am ma fy further, and penalty of perjury that the information furnished by me Is true and correct to the best of my knowledge,and • by the owner of the above premises to perform the work for which the permit application Is made. I further agree to hold harmless the City of Federal Way as to any daim(induding costs,expenses,and attorneys'fees incurred In the Investigation and defense of suds claim),which may be made by any person,Including the undersigned,and filed against the City of Federal Way,but only where such claim arises out of the reliance of the dty,including Its officers and employees,upon the accuracy of the information supplied to the dty as a part of this application. NAME.IT1TL : c Lamm` V/C e //C�T DATE: ie -.-?Q` ❑PROPERTY OWNER 0 APPLICANT 'CONTRACTOR Aratin,. fig EO l�' Y" �oN "ii ;'S-3l tit Sf11C 1 44°.-."° CRCµ04-r . y Y1�D 7-owre.o st .'_tt �' IREDV �� 0� 7 . D .u' 'WO £= r -,,c ¢ i e� ,•-,. V COMMUNITYED DEVEWPMENT SERVICES•33530 FIRST WAY SOUTH•P.O.BOX 9718•FEDERAL WAY,WA 980634710•2534614000.ra,253661.11ff 9110 f��1 I