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92-100868CITY OF FEDERAL WAY 9a-Ivag&g 33530 First Way South PERMIT BUILDING INSPECTION Federal Way, WA 98003 BUILDING 661-4140 PERMITNO.. 92-890 S OWNER'S NAME PAYLESS DRUGS SITE ADDRESS - 29019 MILITARY RD S CONTRACTOR HEATH SIGNS ADDRESS 11805 NE 116 RIMUCIAND ,CONT.PHONE 623-3100 CONT. REG. NO.. EXP. 2/ 93 OWNER'S PHON 685-6014 OWNER'S ADDRESS SAME TYPEJOB: NEWRESIDENCE ADDITION NEW INDUSTRIAL NEW COMMERCIAL COMMERCIAL ADD. INDUSTRIAL ADD. NEW PUBLIC PUBLIC ADD. NEW MULTI -FAMILY (UNITS ) MULTI. ADD. SIGN XXX GRADING OTHER TAX ACCOUNT NO. 042104-9037 LEGAL DESCRIPTION ISSUED BY EBS LONE BE-- BC OCCUPANCY PLUMBING NO. WATER CLOSETS BATHTUBS SHOWERS LAVATORIES SINKS DISHWASHERS SET BACKS: FRON-r _ TYPE OF CONSTRUCTION SIGN ELEC. HOT WATER HEATER LAUNDRY DRAINS - URINALS - DRINKING FOUNTAINS - MISC. - TOTAL FIXTURES - $1 000 VALUATION , $ 2 5 . 0 0 PERMIT FEE 16..00 PLAN CHECK FEE PLUMBING FEE `4ECHANICAL FEE TART P/C FEE SEPA REVIEW PUBLIC WORKS S.B.C.C. FEE FIRE FEE PLANNING OTHER FEES $25.00 $66. OO AMOUNT DUE DATE OF ISSUE DATE OF APPLICATION BUILDING INFORMATION SIDE CENSUS NO. _ rYPE OF HEAT NO. MECHANICAL APPLIANCES AMT. GAS PIPING FT FORCED AIR FURNACE GAS HOT WATER HTR. CONVERSION BURNER BBQ DRYER HEIGHT LIMIT BLDG. SQ. FT.199 _ STORIES- AMT. BOND GAS LOGS RECEIVED DUCT WORK AIR HANDLING UNIT NUMBER - MISC. RETURNED - BASIC FEE TOTAL MECHANICAL AMOUNT PLANNING/BLDG DEPT APPROVAL=RICHARD COTTAGE DATE: 6 3.9 e- AMOUNT: $ 6 6.0 0 ioRECEIPT: ��3 ALL PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS STARTED. RESIDENTIAL AND GRADING PERMITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE. I CERTIFY THAT THE INFORMATION FURNISHED BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY REQUIREMENTS WILL BE MET. �� n DATE /' OWNER OR AGENT V) .I 1 *-7o<3zt,o Id W4 E to to A � ,wo 0 ra 0 +-) Y-1 w v w H to u W w 4-J W 'O HA t r �x WO Iry 3 EH+' rto-1 N w x E 53 H I 5 a Ul pa t�4 a• a) a 04 a4J w H >, g 940 of W O ° a 5 14 v 1 b 'd a� O w 41 � E UH +) F� O 0H In ��P4 E-1 ul F a} is dl A P+� 0 V 94 U W Nib EAT ewC3 R� 0'i QHH -HEQ V 93 rada)0 H cu .N N 3 - N {�, to a) N 9 +1 A N H W W O 0 H to W O to to a A r,. i x P., a �f- oA -p � b to r-1 -- ,-1 _• rn to rd N -r-I A4 O 4 0 t� t4 V V4 4) b 'd q +� D 'd � 44 r-t � -P .p p ra 0) Ism a ,-t 4 cq N aw �4 N cv N N ri 43a(do w A �4 +� w s 4 4a to A }� F1 0 (d Ff a] QV N+n 5- y 14 A 04 a �7� H W O 94 a i. A 0 to a H E Dq a V H H a 0 H a H a H rl tV V; m�)l HH N ;� I-+ O %D OD -1 CA In H ME 0. H H H H O HH H Hy� yy �CN to N K M �d d a H 'mod y �f H xm ►O=! 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PHONE CONT. REG. NO. EXP. OWNER'S PHONE —. OWNER'S ADDRESS — _ — TYPEJOB: NEW RESIDENCE ADDITION NEW INDUSTRIAL NEW COMMERCIAL COMMERCIAL ADD. INDUSTRIAL ADD. NEW PUBLIC PUBLIC ADD, NEW MULTI -FAMILY (UNITS—) MULTI. ADD. SIGN GRADING OTHER, — TAX ACCOUNT NO. LEGAL DESCRIPTION — — — — — — TONE_ )CCUPANCY — PLUMBING WATER CLOSETS BATHTUBS SHOWERS LAVATORIES SINKS DISHWASHERS SET BACKS: FHON F. TYPE OF CONSTRUCTION . NO. _ — DATE OF ISSUE BUILDING INFORMATION SIDE_ — REAR CENSUS NO, TYPE OF HEAT NO. MECHANICAL APPLIANCES AMT, DATE OF APPLICATION BLDG. SQ. FT.. AMT. ELEC. HOT WATER HEATER GAS PIPING FT. GAS LOGS LAUNDRY DRAINS FORCED AIR FURNACE _ DUCT WORK — _ URINALS GAS HOT WATER HTR. _ _ AIR HANDLING UNIT _ DRINKING FOUNTAINS CONVERSION BURNER — MISC. — _ MISC. BBQ BASIC FEE — TOTAL FIXTURES DRYER TOTAL MECHANICAL HEIGHT LIMIT _ STORIES BOND RECEIVED NUMBER RETURNED AMOUNT VALUATION PERMIT FEE PLAN CHECK FEE PLUMBING FEE MECHANICAL FEE "ART P/C FEE PA REVIEW PUBLIC WORKS S B.C.C. FEE / FIRE FEE DATE: OTHER FEES AMOUNT: n AMOUNT DUE RECEIPT: /I`/L VAN/ r�9 ALL PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS STARTED. RESIDENTIAL AND GRADING PERMITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE. I CERTIFY THAT THE INFORMATION FURNISHED BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY REQUIREMENTS WILL BE MET. OWNER OR AGENT _ _ — _ _ DATE