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03-102544 12/`Lr/2003. 09:01. 1�:�.1 253G614129 CI'1'S� FI:�GRALIi�,�l� [�j0p1 �� • ,� � r � ,EC�IVED -n� CONSTRUCTION PERMIT'APPLICATION � m�_ -_ - - - :.. .,`�u��>:`:.,,.:.:.::.:..::.;.::.::...:..:::.::.: .:;:,.,<: ;>:;,:::<::` -:;���;- JUN 2 0 � . ..,, :...: :. �l�l AY � �-.-; ::? _ 200 3 �4��3�1;:�1t.�I�F�; �=�� :>><:r .:;{:.::,::�:<,:, :;.:<.:<.:<;<�<.:>:�:<:.::.:<� �y ��Fi �y���� ' ::.i)$?iti-:v•:G:��'ii4iii::'i,.:$j:::y:�::.iji�:iii::: �+! �'}I:L::Sj:'i'i:{:-::•::i'•'��'Y'�'!ii'�':i_:if1:-iY.i:�:ii:ii'.i:ii:;::j.i:..._ i:i:�..� �;.�y ::/.y�: ���T/F.-���.• .:.: •: . . .;:.... 'r j;ti�:-v ti�i^�'tjiii:j�i:;:;:^i:•:;::;+:;:i:�i:::Y?:;:�:i:'.tit:j�::iii::iYii>:;i'i:i'�';,' CITY OF FEDERAL WAY �`..::::.:..:::.:.:.,:,,;;� > '�.'�'�£��1=:�51.����� •.<:r: ;:.;:::;;<:;:::;.;.. �..:..: ..�::��i.....__.. i��»:.:::�:.:.:>;.;>:_.�::::..<:<.:�,;;;::::>;;;•:::<::.:_:_:: : BUILDING DEPT. •� . ._, ......<;::::..;:,....:::;;.; .... **The following is required information—Plea9e print(in ink)or type** Please note: Electrical,Fire Prevention SysDems and EngineeNng peamiffi may requirc a eeparata app6cation. . �, � . � SI7'E ADDRESS: .�I���•� PQ`I i C. F�l,l�� `� "'Sl�f IQ H /4SSESSOR'S TAX/PARCEL�: ,_ — — — — — — — — — LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHI�: MoN�Y-��-�` s-ro2� .� 90 - . . - . TYPE OF PRO]@GT(This apptication): ❑ BUILLIING ❑ PLOMBING ❑ MECHANICAI. a DEMOLITION l�,ELECTRICAL ❑ENGINEERING�FIRE PREVENTION SYSTEMI PRO]ECT DESCRIPTION{Provide detailed description): �auv Voiir�c� ri�.� Rc.���( T�i�r� ►�F��� rr �3,��o .�'. � �e� �°'r c.�-�g �-� " PRO]ECT NAMiE: J/� � �� � •• � - • PROPERTYOWNER: w+ME: MQNL1 �l�CC (I,��. DAYiIMEPH � �ot}��4�' -j�ao wut.t►�,noor�{sr��aon�ss;cm,srA�aaj: �.��� � n � �i t�y. S�,1a.. t3v �Q�.��i�.�H �'�1�� COMTRACT'OR: ►aaMe: ��,amMe wtor�: �4`I L • CF3iS � •FIRE PROTECTfON,INC. (�E ) �yt? - s��� MAILING ADDRESS(STREET ADDRE55;QIY,STATE,Z[P • EVENING PHONE: 8EAT?LE,WA �B1u (n�E ) 4�'c� - 5"{�s QTY OF FEDERAL WAY BUSIN�S LICENSE NUMBER: FAX NUMBER: p � - � C� � S � - � � 8 (24� ) yl� - 8451 COM'RACfORS REGtSTRATION NUMBER: c�av���a��a� fi I K_ � p ( -� o � ,( �.,� � �r�,naN%� /p� �P�I�T: """'E: /FlRE PR01'ECTtON,INC. DAqYiIME PHONE: 12045-313T AVE NE {c�6 � �14 _���f nuuur��anoR�csra�r aoo�s;crrr,srn�,aP L WA 88125 EVEMNG PHONE: {zoG ) y"NfJ - ��'S RF1AT(ONSHIPTO PRQiELT: FAX NUMShR: y ❑ARCHI7ECT D TEPIANT (�OTHER(DESCRIBE): �Onl?Me�ACT4(�, �ZQL ) �I�7 - SOSI � E-NIAIL ADDRE55: CONTACT PEFLSON FORTHIS PRQ7ECT: ❑PROPEATY dWNER ❑APPLiCANT Jy�COMRACTOR ��- � r c � •- • EXISTING USE: _ �7 ' �i S�� s� EXISTING BtJI1.DING ASSfSSED/APPRAISEp VALUATIONi $ PROPOSED USE: D ' 3, SI� �� � PROPOSED VALUATION FOR IMPROVEMENT'S: $ '�I:3Z� SPRINIO.ERED BUILDIIVG? �YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSEb/REQUIRED: ❑YES ❑ NO WATER SERVICE PROVIDER: a LAI�HAVEN ❑ HIGHLINE O TACOMA o PRYVATE(WELL) SEWER SERVICE PROVTDER: o LAI�HAVEN ❑ HIGHLINE ❑PRIVATE(SEPTIC) 1 2/27/`L001 09:0 i 1�;1;� 2�3fifi1�l 129 C I'i'�� ['GU[Sft;�l.l�f�ll" �j UU2 "� ' ! **NEY�:2ESID N'iIAL CQNSTRUCTION aNLY** NUMBER OF BEDttOOMS: ESTIMATED SELLING PRICE: � � •� FLOOR E)QSTING .FT. PROPOSED .FT. TOTAL . BASEMEiWT FIRST SECOND rHr.�n FOURrF+ OTHER FLOORS{DESCRIBE) DECK GARAGE HOW MAPIY FLOORSF TOTAL: Indicate number of ead�type of fixture MECHANICAL AIR HANDLIN6 UNIT{S) EVAPORATIVE COOLER(S) GA5 LOG(S) REFRIG.SYSTEM(5) �Q(s) faN�s� �aoo{s} woo�srove�s� BOILER{S) FIREPLACE INSERT(S) RANGE(S7 MISC.( ) COMPRESSOR(S) FURNACE(S) DUCT(S) GAS PIPE OUTLET(S) HEAT SOURCE: o ELECTRIC o GAS PLUMBING BATHTUB(S) LAVATORY(S� URINAL(S) WATER HEATER(S) �ISHWASFiER(5) RAIN WATER SYS. VACUt1N1 BREAI�R(S) p E(,ECTRIC ❑GAS DRINIQNG FOt7NTAIN{S} SHOWER(S} WASH MACHINE OUTLET GAS PIPE OUTLET(S� SINK(S� wn�rErt c�os�r�s� Misc.r i INTERCEPTOR(S) SUMP(S� . • I certify under pena{ty af perjury tl�at the infornnatjon furnished b�r me is true and correct to ffie best of m)r Imowledge,and furthey that I am authorized by the owner of ti�e above prem�es to perform the work for whieh tf�e permit application is made. I furtlw�agree to hold harndess d�e CGty of Federal Way as to any elafm(indudng eosts,expenses,and attomeys'fees incurred in the imrestigatfiat and detense of such dairn),wt�ich may be tnade by a�r person,including tfie undersigned,and filed against the�1ty of Federa{War,but onl�r vrhere such daim arises out of the roliance of the city,induding its officers and employees,upon tfie accuracy of the infarmation supplied M the cit�r as a part of this application. NAMEJTITLE: �y L� CA7� � DATE: o PROPERTY OWNER Q!�/IPPLICANT �CONTRACTOR ::'<�R�iF�C�>L�:apAM4�l�r':'s># - - - _ - -- - :>:;:;;::<::«�:>:<:>:::;<::« - - �'�:"r��� �`ii�ii:`::: ;::ii:<A�:;.. :::.N>'`':%::':;i<':;�.;;>:;:P� � :.:�'3. ':;?�#P`:f�tf. `:>'t3�iKt1D :filFls::'':'.::`:':�.:... 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