2010-06-02 HEX# 10-005 Exhibit GExhibit "G"
RECEIVED BY
• c""- MUNITY OsryJELGPy1E>`1T DEPART � = a
Federal Way �nY�I iLrV��
C0"V1W-DEVELOP,Wjvr SERVICES �� D 9 7XPPLICATION
251_:,�2��. FAX 257 87S_2609
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siTE nDOlerss ,PROPERTY
SUITE/uN ! ZONING
ASSESSOR'S T
SF ,U1F CO ME EL PL DE EN FP
;CEL i
NAME OF PROJECT ' PRO
(Tenant or Homeoumer Name)
TYPE OF PERMIT M"�UILDIN' ❑ PLUMBING ❑ MECHANICAL
fi ' IEWOLITION ❑ ELECTRICAL C7 ENGINEERING ❑ Fj;M PREVENTION
PROJECT DESCRIPTION Y �y C� ` •jl L� -:�cj �� (�l
DeuWed deseriptiorz of work Io s
he included on this permit ardy �
PEOPLE
NAME
.
PROPERTY OWNER
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PRIBEARY PiloNE(
MAILING ADDRESS, CITY,
�
STATE, Zip�C'J
OWNER IS ALSO:
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❑ CONTRACTOR
Cabe! Cam" i�Cz,^�
_ — —
APPLICANT
Ef- PR CONTACT
NAME
PRIMARY PHONE
CONTRACTOR
MAILING DRESS, C[TY, STATE, ZIP
-
FAX
WA STATE CONTRACTOR'S LICENSE 9
II
! -
- —
-- — _
EXPQtATION DATE
FEDERAL WAY BUSINESS LICENSE M
NAME
APPLICANT
PRIMARY PHONE
MAILING ADDRESS, CITY, STATE, ZIP
II
7 -
FAX
PROJECT CONTACT
NAME —
(The inditndual to receive and
PRIMARY PHONE
respond to all Correspondence
MAILING ADDRESS, CITY, STATE, ZIP
( j
` -
concerning this application)
FAX
ALTERNATE CONTACT NAME:
-
PRIMARY PHONE
E-MAIL
PROJECT FINANCING
NAME - - -
Required for projects with
value of$$ pQp or more
MAILING ADDRESS, CITY, STATE, ZIP
❑ OWNER -FINANCED
IRCW 19.270951
PRIMARY PHONE
r s _
perj
that I am the
hest of know! der u6mitted in su P 6 J aumer or authorized agent of the prnpert�a oumer. I certi that to
with ally the u a pport of this hJ the
applicable• City of Federal Way regulations permit application is true and correct !cart; the is suanee o this tsertaiairng to the work authorized by the issaance o a frJ that I will tar eply
f permit does not remque the owner's responsibility for compliance +ulth luca a permit r understand that
construction or eRvirnn►rerllrct laxus. 1, stain, or
'further agree to hold federal laws regulating
in the to harmless the City of Federal Way nos tv any claim !including costs expereses, and attorneys' fees ireczrrred
aestigation and defense of such cledm), which mall lie made by any person, including the u
Wcitg, but only where surh cIafne wiser out of the reliance of the city, irectudin its a ,6, grxe� —d filed against the
armsrtiau srtpplled to the city asap of this [ippticnrtieara y �cers an znnPlog_s, upon the accuracy j ilia
0
SIGNATURE:
PRINT NAME.• , -\
DATE 42 G
Bulletin # 100 - 4/17/2009 -
Page l of 4
Ul-landoutsTermit Application
Plans for 37458 18th Ave S
Demolish two bay windows
Rebuild walls as specified in the house blueprint
Walls West half of south facing wall 122" x 70"
East half of south facing wall 151" x 96"
2 " x 4" !r double stud 16 inches apart
Anchored to original existing anchors
1/2 inch shear wood nailed from the outside
Hardiplank siding (matches house)
Nailing 3" x .131 framing nails
shear wood edges nailed 6" apart at center
shear wood middle nailed at 12" apart at center
Replace insulation in ceiling with R19 W3
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