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93-101910tro rt (D Q/ 0 Uj v mm z O Ct (D U1 oe o70 > >C> pm G'1 TT a aC V)m ND <VIZ(nr, r m 0• x A .00 z . ao E 1 :A• a. M. 70Czm m• caw r, 0000000 m -a a T E O x 'T cocoa v nMO;a0nQ0z 1� f1 ZO-1 N x v CD CD.z 0 1 0 0ov• o0; oor• x<x• 0 0 .. m nnc�• T T 3 3 C O O CA 0 0 0 O N C O camLnw-wo.- zmr+oLn r m0lxtnw�nwA ;amavo0 stn O m N• v v 0 z C i o �o vzM o m CA O O o 0 0 0 0 0 7On a r m m 0 T m m 3 3 N mm cl) n av ro3c Z M m cn c me a T Z m Cl) mm W >E VH W M cavil u+ o •v, in o C. 00 m m A 3 w 03 L. m•;m20 0 N a Z m co-4 a rn n ol -a! -a-1 rr- a " W m w or,n w m 0 M 1) 3 n v 0 � Z z0�s vxaCl) SEwn0 D w x z 03�r N r =I Cl) r m Z 0 m M D { 0mM L Ci (� r v vow M. m (n " U) r) V N �A N O�P.N ZOO 1 � O O AW O � cl \ J b d 1-3 r tid ci P3 a)-nwn (D a�-i CCD W -C ( :) E 0 0 9 m co 0 C r v Z�G� Z z m 0 O Z ) > 0) r 0 0 m m CO M:. co 00 < ", O 1 � n � � W 0 SET BACKS AND FOOTINGS DATE _ __ ..—__BY _ u.K TO POUR FOUNDATION WALLS DATE ____ BY _ PLUMBING GROUNDWORK DATE __ ._ _ __ _BY _ PLUMBING ROUGH IN DATE _ — _BY _` WATER LINE O.K. _ GAS PIPING O.K. MECHANICAL INSPECTION DATE _ ___BY O.K. TO ENCLOSE FRAMING DATE BY INSULATION DATE -------,BY WALL BOARD AND FIRE WALL DATE FINAL O.K. TO OCCUPY y DATE aJaV ��3 BY f1C❑ F5D FD J U l 3 n 1993 Off V OF FEDERAL VVA-, MIMING r PLEASE PRINT I City of Federal Way APPLICATION FOR BUILDING PERMIT APPLICATION #: 1340 1" TE LOCATION Address !G — 64 's r Tenant (if known) ^ TO ^ ) I Y'" Nt ! Lot # Assessor's Tax # Building Owner Name Scf,�- f rNi (l Address SA � City State Zip Phone Nature of Work v C(O-fC, A ttioo-S + APPLICANT 71 Name (F,M,L) V C 1— - LV 5 i I -i Od 'I T 04 W-I-, Address /1 � 0 _ 1 S—L's City YL rKc....C(. J td~ State Zip % OS" Contact Person Day Phone ` Other Phone Fax Bi7ILDING CONTRACTOR Company Name Address City State Zip Contact Person Phone Fax Contractor's # (card must be presented) Expiration Date Verified ❑ Yes ❑ No ARCHITECT Name / /, Address City State Zip Contact Person Phone Fax LEGAL DESCRIPTION Please Complete Reverse Side CD0492 (Rev 4/931 STRUCTURE Existing Use Proposed Use Permit includes: ❑ Building ❑ Plumbing c anica ❑ Other Type of Work: ❑ Residential ❑ Commercial ❑ New ❑ Addition ❑ Remodel ❑ Garage ❑ Number of Units _ ❑ Shed ❑ ❑ Deck Other Enter 1st Floor Area Basement sq ft sq ft 2nd Floor Decks sq ft 3rd Floor sq ft sq ft Garage sq ft Existing Floor Area Proposed Total Area sq ft sq ft Water Availability ❑ Sewer Availability ❑ On -Site Septic System Availability ❑ Project Valuation & Zoning Lot Size Existing Bldg Valuation S LENDER Name Address City ( / / , I State I zip NSCHANICAL CONTRACTOR Contractor Name J �� J T � c. � i�-v�J � ✓-�- rJ city Contact : License # I e— (L (+— 04 ) / G_� &AA PLUT12BING CONTRACTOR Contractor Name City Contact /Y_ License # PLUMBING FIXTURE COUNT Water Closets S' ks Bathtubs Dish Washer Showers Electric Water Heaters Lavatories Washing Machine MECHANICAL UNIT COUNT.; Address L` '3 ' AU State L/} t zip q ©� Z Phon Fax 19 0 Expiration Date f'LIN Verified ❑ Yes ❑ No Address State Phone Expiration Date Urinals Drinking Fountains Sumps Drains Zip Fax Verified ❑ Yes ❑ No Lawn Sprinklers Other Total Fixture Count::. Fuel Type (electric/other) Gas Dryer Air Handling < = 10,000 CFM 15-30 Tons Length of Gas Piping Range Air Handling > = 10,000 CFM 30-50 Tons Furn <100K BTUs Gas Log Unit Heater 50+ Tons Furn > 100 BTUs Fans Miscellaneous Fuel Tanks Gas Hwt Hood Boilers Above Ground Conv Burner Duct Work 0-3 Tons Underground BBQ's Wood Stoves 3-15 Tons Total Unit Count DISCLAIMER: I certify under penalty of perjury that the information furnished by me is true and correct to the best of my knowledge and further that I am authorized by the owner of the above premises to perform the work for which permit application is made. I further agree to cave harmless the City of Federal Way as to any claim (including costs, expenses, and attorneys' fees incurred in investigation and defense of such claim), which may be made by any person, including the undersigned, and filed against the City of Federal Way, but only where ;D1,aim 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 pert of this application.�Awner/Agent[Sate: �c -1— 8,4 -�— IT C—o� S 3) gar -Fd-G 1MO 1 Afk,nc a "A S A" •4v1- � MERIT MECHANICAL INC. 9630 - 153rd Ave. N.E. REDMOND, WASHINGTON 98052 LIC #MERIT-MI-163CM (206) 883-9224 t� i 0 THEigE AW; T: i3E flu i EV AT1UN5 TO THE APPRbvF-D DPW qGS UNLESS OTHERWISE APPF OVED By THE rLbERAL WR1'�' Btftbi DEPT FILE CITY OF P DERAL YVAY, DEPT. OF COMM NITY DE +ELdPMENT PERMIT NUMBER A/0 ADDRESS '9 PLANS FOR c- OWNER 6Zg7 DATE SUBMITTED ? �a 6 DATE APP 0VED7- 30 APPROVED BY c_ 21I1/7-111[ - - h ��5 4- b 00 c' MIVEO L 3 0 1903