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20-101530-Building Permit Application44k CITY OF Federal Way PERMIT NUMBER PERMIT APPLICATION PERMIT CENTER + 33325 81" Avenue South + Federal Way, WA 98003-6325 253-835-2607 + FAX 253-835-2609 + permitcenter(a),citvoffederalway.cam TARGET DATE SITE ADDRESS SUITE/uMT # 31919 1 st Ave S #202 PROJECT VALUATION ZONING $15,000 -4 2- 6 - L TYPE OF PERMIT N BUILDING ❑ PLUMBING ❑ MECHANICAL © DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION NAME OF PROJECT Chamber of Commerce Lobby Floor Repair EmergencyEme[gency repair of the chamber of commerre IaLwoorfollow'no floor PROJECT DESCRIPTION Detailed description of work to failure. Floor failed under strain of lift being used to repair active skylight/roof leak. be included on this permit only PROPERTY OWNER ]CITY MAMLNU ADDRESIi 3 a `h e S . F-MAIL sclu wractof ST ZIP 003 Oak Hills Construction, LLC*53-218-2288 MAILING ADDRESS 901 Algona Blvd N, Ste A E-MAIL ryan@oakhillsbuilds.corr CONTRACTOR CITY Algona STATE WA ZIP 98001 FAX 253-218-2292 WA STATE CONTRACTOR'S LICENSE # OAKHIHC837QL EXPIRATION DATE 11/ 13 i2021 FEDERAL WAY BUSINESS LICENSE # 20-16-101023-00-BL Todd Suchan MAILINGa. , aPd ? cis LID cuy APPI.IGANT Caj"� STATE ZIP --- ��36R3 FAX PROJECT CONTACT NAME Ryan Covington PRIMARYPHONE- 253-218-2288 FILING ADDRESS 901 Algona Blvd N, Ste A E-MAIL ryan@oakhillsbuilds,com (The individual to receive and respond to al1 correspondence CITY STATE ZIP A! ona WA 98001 FAX 253-218-2292 concerning this application) PROJECT FINANCING RAM 7��� OWNER -FINANCED When value is $5,000 or more (RCW 19.27.095) MAILING �� 1DRE$S. CITY, STATE, ZIP � a� Co C_15.>rin' ��� ' NE I certify under penalty of perjury that I am the property owner or authorized agent of the property owner. I certify that to the best of my knowledge, the information submitted in support of this permit application is true and correct. I certify that I will comply with all applicable City of Federal Way regulations pertaining to the work authorized by the issuance of a permit. I understand that the issuance of this permit does not remove the owner's responsibility for compliance with local, state, or federal laws regulating construction or environmental laws. I further agree to hold harmless the City of Federal Way as to any claim (including costs, expenses, and attorneys' fees incurred In the investigation and defense of such claim), which may be made by any person, including the undersigned, and filed against the city, but only where such claim arises out of the reliance of the city, including its officers and employees, upon the accuracy of the information supplied to the city as a part of this application. SIGNATURE: Digitally signed by Ryan Covington Deus,e=� @o kbmsb,ms— C=oak Rills Co m Du=l1go DATE —71 yan de iagreetgtdet.,m=delned by roa piacemeot g(my slgaaN,e gatdls tlocumem Covington PRINT NAME: Comae Imo. ryan@,,kbilisbm1d s,, Date:2 - � .e.QCKA u e m —January 29, 2U10 Page I o an ou s erintt Application