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20-102222CITY OF Federal 'may PERMIT APPLICATION PERMIT CENTER * 33325 9 A,,.. South ■ Federal Way, WA 99003.6325 253-835-2607 0 PAX 253-935-2609 0 penwtetmlcr&ityof edcralway.com PERiId�'T y�EIMRT4 ((..� l b—✓ry�� DATE �j SiXE ATIWtESS SVX"Ii:IEIIV[[ N G-50 A5' A,3� SU �,2�4�1r PR VLI7XIPIN Lot.TVG A"ESSOR'S TAXR'ArK'HLd 0 TYPE OF PERMIT * an tsp ©P uldarr cI 0 Mrrruanw ©Daaol.Inox C] Exclaa yan+c C7 Fray P NAIVE OF PROJECT t� V PROJECT DESCRIPTION otarled descr"on ofworlc to be included on this permit only Zt,. k jr 3' kA{z<- PROPERTY O►VNER xAns Pa➢dAier Prul a AILS- �MA➢�TYi.1➢WIy3 ,Z53L, i1Li1L . ILA 26 CONTRACTOR YA'IR Pu[I,}-Y c.J ►ter CRY SLLTH ZIP F.LC a�A SFATY ��OYTxA�ZpE•9 S.1(•E,NSE rt E%t11Lti1'I[In' pATg STEI N APPI,JCANT re''*.r. eai+Lair rno,-Y A1.1r1�H[:.1➢TiRrS3 p y IL CTr]' STATE Yir IC1N PROJECT CONTACT nA_1� PRLILIRY Plulrc (The individual to receive and respond to all correspondence concenung this application) �L11i.L x; A➢ORE38 SafAII. CITY STATY np tlM[ PROJECTFINANCTNG NA ,E iVhen .nlae is 35, 01><7 or more �QQWNERMNANCEA IRCW f A.1%0951 n1.ln.nar. A➢11 V, L ,, STATE, TJP pff N I eme under peAalry ofpe —y muff am Ike p—Fc,,y owner or auWorttcd agree of the prop" o,n , I omj# (har to are best of my heow7rdge, rbe tnfonuarlon sn6ntkied Ld support of ibis pmmdl eppucarlon is titre and Ivrmm I tardy Wad I wlll comply n•Nh all ppM-able Chry of Federal W4W rega,&9oes p,,whung ro Me xyrk authorized Bydhe ha"A" ofapermN 1lmll •s! nd a"dhe la8asnre&fM&perm9r does "a ra vThe o mere N3p°ns7bwftr eoxrpuancc wfh 1 c 4 sdade, arfederal laws rquLaleng ounsdrrraion ar eavt-�,W laxls• I Jlwker agree to kaM harerlIsS the Clty QfFddm l Oky at go any C" &dw„g ours, eapeusrs, and iffl rreys'f L,—rrrd Tn the In uesuged— and d f-- ytsuck cWm), adrtm gray be aide by any Pet —, dAaadlwg the rrndas4rwd, fgaoLd+�y city, bni on Ty *— wilt claim arhrs oaf nflhe rrliiui— I Me cay. LR Aidmg hs o,Q&rrs god anplolres, upon theunxerrey ofdke mfarmNrlore sapptdra r e d(y sE a pgtfof=,::am rlan. SIGNATURE - PRINT NAME: YaI7]E VFAdFCFfAa�".AL pP(bQ; MECIIANICAL PERM IT $ Indicate how marry ofeach f pi AIR HANDLING UNITS AIR CONDITIONER .._ BOILERS --......_ L'DMPRESSO.RS DUCTING PLUMBMG PER_?4i r e w he txstalfed ar reloaded as pax oflhts project. Do not include existfngfixtums to re.F, FANS GAS PIPE Ol1TLETS OTHER [Descri6v) �~ FIREPLACE INSERTS HOODS(cu FURNACES HOT WATER TANKS .... GAS LOG SETS RJiF GE ATTON SYST GAS PIPING WOODSTOVES Indicate how rneny of each type offixturr to be Installed ar relocated BATHTUBS { -nbsnm ace vl,. T"�`j' ar sole] i7ISHW 15F1FR5 RAINWATER SYSTEMS DRAINS SHOVERS DRIIiKIJGFouNTAENS SIITKS M�,c " HOSE MRS SUMPS Y,�(JjE �.PU1N8alG PYppX rt of this pmject Do not rnclude axtstirig fixtures to remain TOILET'S WATER PIPING URINALS OTTiE R. [Describe) VACUUM BREAKERS WATSRHEATFRS (,) WASHING MACI-IINFS TO'TALMrURES Bulletin 4100 — 2/19/2020 Page 2 of 2 k:lEandoutslPemut Applicauon