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00-100397c r. ar COY iL�J'iFTL. APPLICATION FOR UI D NC PERMIT t1lL�►N ' �, BURMING Dms[ON 33530 First Way South Federal Way, WA 98003 (253)661-4000 Fax (253) 661-4129 PLEASE PR(NT APPLICATION # CD — 1 AL P 1c) x Site address Name (F,M,L) koo," Address i Cit Sta , Zs Contact Person Day Phone I �.A)t�the,­Ph a ax J ' `I lr ral Way RKci cc ir_pnca Jt Company Name U r Address - /;�-Q >12� CZ-o'W44—� ,/-AAV 'V js A Cif fate 11 zip Contact Person �.e G r� Phone Fax [Contractor', # (card must be presented) Expiration Date Verified ❑ Yes ❑ No 11 Name Address City State Zip Contact Person Phone Fax LEGAL DESCRIPTION