05-0750 Fairway Building App.t~eW ~onstruotion ~-1 Re- oriel ~ Re-Roof ° Tenant ii~pro~rer~aent
i?itai~ibing ~- echanicai ^ Fare F~re~entluress/Alarr;~ ~l 4~ther
i~roject C~esoriptionlcope of Work:,, "T ~`:,
i3uiiding Area (s. fit) Parking garage Est Fioor ~°~ Fioor 3`~ Fioor
i3t~iiding Height ~°
Are them; any environrnentaliy sensitise areas iodated on the parcel? _~ If yes, a
coia~leted environinentai checklist rriust accorrapany perst~it application.
ADRES~ "
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I MITT/EN~IR ~ LI~iV a~ t# ~ €~ _
Ai~DRESS ~ Ali_ a
CAL CE~i~i Tt~ `"- ~_ T~LFPi•-i~i~~
Ai~CtRESS E6ViA9im
CITE` STATE ~iF ~~
CCP~TRACTC?'S LICENSE i~YP C?AT~~CITY LiCEi~S~
I.IEii~iC CC?i~4TRACT'TtJR TELEF'FiCC:~i~E
AG}i~RESS EAiL
CIT°( STATE ~iF~ FAY
CC3i~TRACTQR'S LiGEt~SE EYf' i~ATE~Ci LiCEi~SE #
NfECHA[iAL CANT , CT}i TELEF'F~C~i~E
AC?B~RESS Ei1~Ait..
CITE` STATE ~iP FAY
CC3i~1TRACTQR'S LICENSE EXi~ i~ATE~CiT~ LICENSE #
Gopy of t;ity il~ifigation docurnentafion (TFC}.
i hereby certify that the above infioration is correct and that the a:onstrucfion on, and fhe occupancy and the use of the
above described properky will be in accordance ifh the iav~s, ru9es and roguiations of the State of Washington and the
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