20-103999 application page 1 1--26-20 V1A
CITY OF
Federal V'LJ'ay
PERMIT NUMBra 2 0 -10 3 9 9 9
PERMIT APPLICATION
PERMIT CENTER + 33325 $Th Avenue South + Federal Way, WA 98003-6325
253-835-2607 + FAX 253-835-2609 + )! : ;::1i:. •.::1:- -. k .! . L,11:.:
TARGET DATE
SITE ADDRESS
$UITZIUNrr Y
306 sw 292 st, federal Way WA 98023
PROJECT VALUATION
ZONING ASSESSOR'$ TAXIPARCEL
$8320.00
119600-0215
TYPE OF PERMIT
❑X BUILDING ❑ PLUMBING ❑ MECHANICAL 0 DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT
Stair replacement
PROJECT DESCRIPTION
Replace spiral stairs with standard stair case. Fabricated with metal
Detailed. description of tGvrk to
be included on this permit only
NAME
PRIMARY PHONE
Chad Christiansen and Zach Vanhooser
5033175608
PROPERTY OWNER
MAILING ADDRESS
E-MAIL
Same as above
chad.christensen@nordstom.cam
CITY I STATE ZIP
NAME
Phone
Healthy Homes home servses
3609900490
MAILING ADDRESS
S.MAIL
CONTRACTOR
pa bOx 644
crai& ealthyhamecpertc=trol.net
CPFY
STATE
ZIP
FAX
S-Pevi—
WA
99546
WA STATE CONTRACTOR'S LICENSE M
EXPIRATION DATE
UBI #
HIiALTHPSSOMU
603.396.370
NAME
PAINARY PHONE
same as above
APPLICANT
MAILING ADDRESS
E-MAIL
CITY
STATE
ZIP
FAX
NAME
PRIMARY PHONE
PROJECT CONTACT
Craig Mall
(The indi Uidual to receive and
BEADING ADDRESS
E-MAH.
respond to all correspondence
same as above
concerning this application)
CITY STATE
ZIP
FAX
PROJECT FINANCING
NAME
x
OWNER -FINANCED
FRwn value is .$5,000 or more
(RCW 19,27.095)
MAILING ADDRESS, CITY, STATE, ZIP
PHONE
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 per -son, 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: f f DATE _ i•J'
Bulletin # 100 - Februa 020 Page 1 of 2 k:lHandoutslPermit Application