20-103901-Permit Application-10-09-2020PERMIT APPLICATION
PERMIT CENTER + 33325 8m Avenue South * Federal Way, WA 98003_6325253-835-2607 + FAX 253_83 5_2609 + f"._iti""r.t" r(@ciLyoftederalway,com
". I I
TARGETDATE il lf f '2*>"-o
srrEADDREss60@
kAe4 v->es/ uA SUITE/UNIT #
PROJECT VALUATION
$- o\)
ZONING ts-.!?r.o-cclo
TYPE OF PERMIT EfBulomo ! pr,uMerNc E MecHe,wrcRr, fr Dovolrrrow ! EncrrvonRrnc
NAME OF PROJECT
PROJECT DESCRIPTION
Detailed desciption of uork to
be included on this permit only
PROPERTY OWNER W\vc{-st>stStG [o+^ cA- f.irr-r--::=-E-MAIL
'F-Ca'+l ,At r,.agr.STATEt^++
CONTRACTOR
NAME
PHONE
MAILING ADDRESS
E.MAIL
CITY STATE ztP I.AX
u-*wA sfATE coNTRAcToR,tt LrcENsE #EXPIRATION DATE
//
NPPLICEWT MArtltrc;;;i"-'-= "-'"'"'-
PRIMARY PHONE
E-MAIL
STATE I ztp FAX
PROJECT CONTACT
(The indiuidual to receiue and.
respond to all correspond.ence
c o nce min g this ap p lic atio n)
n*u Cat o^.;-, ,lc-\-*.
'IRIMARY
PUONE(qE) 7.{ 7to{
[st b t-o'h^ q- r.J r,vr E.MAIL
lMatt-'r t -STATEb/4-zrP n1a a\FAX
PROJECT FINANCING
When ualue is $S,oOo or more
(RCW 1e 27.oes)
NAME
9u; tr.oll-@ owwen-rrNANcED
PHONE
IcertJfgund'erpenaItgofPerjurgthatIdm}h.-^-^-...-'.
ng know_led.ge, the tnfortnitton iubmttted, tn the-ProPeftg ottner. I certug that to the bestof.mg knowted.g.,7h" tnforrnotton submltted, ln the propertg otrner. I certtg that to the best
f::,:!!:i"9t:.cits of Fed.eral wag resulatiorc and coneca I certtfg that'iwul ."^ptg iiinall tPPlicabte citg of FJd.erat wag regutiiirc and conect. I certtfg that'I-w1l ""iili -tinfssacnce of thls permtt does nol ,.|^"ui in oune1s i..---.r*lrl.,, ;::':::: us .ne.Issuance of, a permit, I und.erstandii".;;;:::ffi:ii:::ii\W,"::"1;;,'t;;;;l;' owner'|s -*"p';';'uli ii.';;;;;;:": ;,1:;";::i,"{,:,:,'Tih'#i';i:!:';:l:,:X;
*: #r::[:f,::'::!;:i"xn]':;.:I:,:!y,;r-I7:;'#,r# ::::::"-:'*-(-,:,i!lit-::1,:: *pe,:ses: and dttoT,Less,fees tneuned tn
tnformitton ""nniiii t.-tffi"E.iiL,| "ir"ni"ililfi"i!,,i!" ":;^""- * .fJtcei a,nd .^pi.r;;;: ;;;;';;;;'.;:;:;;';;';fl1
Bulletin #1 00 - February 19, 2020 Page I of2 k:V landoutsVermit AppIi cation
MncnaNrcnr, pnnvrrr
-
AIR HANDLING UNITS
_ AIR CONDTTIONER
_ BOILtrRS
_ CoMPRESSORS
re to be installed or relocated as
-
FANS
-
FIREPLACE INSERTS
_ FURNACtrS
_ GAS LOCi SETS
(iAS PIPE OUTLE"IS
HOODS lcommerciarl
HOT WATER TANKS 1casl
RtrFRIGERATION SYST
WOODSTOVES
Pr,unrnrNc Pnnvrrr
to be installed or relocated as part of this proiect. Do not inal.u.de eri.
-
D^rnruDD {or'lbb/showercombo) _ LAVS (Hedsinl*) TolLETs
-
DISHWASHERS
-
RAINWAI]trR SYSTEMS
-
URINALS_ DRAINS _ sHowERS
-
3:'YINGI.'NTAINS
-
srNKS,-,o,1,*,"",,,,
- ffi::T"";TJ.T:","",
-
nwDr brblJu
-
SUMPS _ 'A.HING MA.HINES
WATER PIPING
OTHDR (Describe)
GnNnnal fNnonuarroN
CRITICAL AREAS ON PROPERTY?WATER PURVEYOR SEWER PURVEYOR VAIUE OF EXISTI,IVG TMPROVEMENTS
$
p
EXISTING/PRTVIOUS USE LOT SIZE {Itr Square Feet)SYSTEM?
lYesl No
PROPOSED FIRE SUPPRESSION SYSTEM?
lYes I No
Ilulletin #100 - February 19,2020 Page 2 of2 k:V:landouts\Permit App lication