91-101283 (2)CITY OF FEDERAL WAY
33530 First Way South � � � I � BUILDING INSPECTION
Federal Way, WA 98003 BUILDING gl,/0) �g3 661-4140
PERMIT NO. 91-1239 S OWNER'S NAME T J MAXX SITE ADDRESS
CONTRACTOR S & S SIGN ___A D s 13190 STONE AVE N SEATTLE 981 3 CONT. PHON 246-3139
CONT. REG, NOWSSSIQCIT31cO EXP. ���� OWNER'S PHONEb43-10 OWNER'S ADDRESS 12400 SE 38 ST BELLEVUE 98006
TYPEJOB: NEWRESIDENCE ADDITION NEWINDUSTRIAI NEWCOMMERCIAI COMMERCIAL ADD. INDUSTRIAL ADD. NEW PUBLIC PUBLIC ADD.
NEW MULTI -FAMILY (UNITS ) MULTI. ADD. SIGN XX GRADING OTHER
TAX ACCOUNT NO 092104-9208 LEGAL DESCRIPTION
ISSUED BY LIZABETH NDYER
DATE OF ISSUE -
DATE OF APPLICATION
9 91
BUILDING INFORMATION
ZONE CC
SET BACKS: FRONT
NA
SIDE NA
REAR- NA —HEIGHT
40
LIMIT NA
NA
OCCUPANCY NA
TYPE OF CONSTRUCTION
5—N
CENSUS NO.. O1 S TYPE OF HEAT_ NA BLDG. SQ. FT
STORIES
PLUMBING NO.
NO.
MECHANICAL APPLIANCES AMT.
AMT.
BOND
WATER CLOSETS
ELEC. HOT WATER HEATER
GAS PIPING FT.
GAS LOGS -
RECEIVED
BATHTUBS
LAUNDRY DRAINS
FORCED AIR FURNACE
DUCT WORK _
SHOWERS
URINALS
GAS HOT WATER HTR.
AIR HANDLING UNIT
NUMBER
LAVATORIES
_. DRINKING FOUNTAINS
CONVERSION BURNER
MISC.
RETURNED
SINKS
MISC.
BBQ -
BASIC FEE
NONE
NOS
DISHWASHERS
TOTAL FIXTURES
NONE
DRYER -
TOTAL MECHANICAL
AMOUNT
$3 , 500
VALUATION
PLANNING DEPT APPROVAL = RICH
ATKINSON
PERMIT FEE
$63.00
"SIGN
AREA PERMITTED = 30-80
MAX SQUARE FOOTAGE"
PLAN CHECK FEE
41.00
PLUMBING FEE
SIGN
CALCULATED BY TRACING
EACH LETTER.
MECHANICAL FEE
-
PART P/C FEE
SEPA REVIEW - 1 BLDG DEPT APPROVAL = KEVIN ELLIS
PUBLIC WORKS
S.B.C.C. FEE
FIRE FEE DATE:
OTHER FEES PLANNING FEE 25 _ 00 AMOUNT: $129. 00
AMOUNT DUE
$ RECEIPT:
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 IN O MATIO URNISHED BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY REQUIREMENTS WILL
BE MET. �
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CITY OF FEDERAL WAY
33530 First Way South
Federal Way, WA 98003
BUILDING
PERMIT
BUILDING INSPECTION
661-4140
PERMIT NO.
OWNER'S NAME _
SITE ADDRESS
CONTRACTOR
ADDRESS
CONT. 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
ISSUED BY _
ENE_.
OCCUPANCY
PLUMBING
WATER CLOSETS
BATHTUBS
SHOWERS
LAVATORIES
SINKS
DISHWASHERS
VALUATION
PERMIT FEE
PLAN CHECK FEE
PLUMBING FEE
MECHANICAL FEE
I \RT P/C FEE
SEPA REVIEW
PUBLIC WORKS
S.B.C.C. FEE
FIRE FEE
OTHER FEES
AMOUNTDUE
SET BACKS: FRONT
TYPE OF CONSTRUCTION _
NO.
DATE OF ISSUE _
BUILDING INFORMATION
SIDE REAR
CENSUS NO. TYPE OF HEAT
NO. MECHANICAL APPLIANCES AMT.
DATE OF APPLICATION
HEIGHT LIMIT _
BLDG. SQ. FT. STORIES
AMT. BOND
ELEC. HOT WATER HEATER
GAS PIPING FT.
GAS LOGS
RECEIVED
LAUNDRY DRAINS
FORCED AIR FURNACE
DUCT WORK
_
URINALS
GAS HOT WATER HTR.
AIR HANDLING UNIT
_
NUMBER
DRINKING FOUNTAINS
CONVERSION BURNER
MISC.
RETURNED
MISC.
BBQ
BASIC FEE
TOTAL FIXTURES
DRYER
TOTAL MECHANICAL
AMOUNT - -
DATE:
AMOUNT:
RECEIPT:
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
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DEPT. OF COMMUNITY DEVELOPMENT
PERMIT NUMBER
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OWNER
DATE SUBMITTED — — DATE APPROVED — (
APPROVED BY
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293 DANBUR`:' ROAD, P.O. Bo 2
WILTON, CONNECTICJT 00897
TELEPHONE- 203-702.9709
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