92-100309 Z
0
cr H ..
o v ,
Cra
4:5 co 'n = m
\ Z LA
T I a WN NA--
ry
T • 'tN [��-1uiQ
w !r N O O V
Z o) 01 p W 2 2 z J
Cl) w U I t > W Z z aJ aaC
0 z m p w m > > a U+ �' w
J x p ,--1 C7 'in O W w H •
N p
0 4 0 •
N m ¢ z ¢ Q 3 G LL
H w Z w p 0
m — c°) Z z m = 00 x a
E •• I O o o o c
N . . q U) 0
N Q 2 O N H v • w U
o a Q N N GW O N I- W
IMM a a Z N a 03
Q
M a LL to H ¢ Q 0
N O Y Z U W
N -, ¢ w a = z a > a
O - a co
Z = 0 in-
a) W Q
m2 p p J W W 1~ O W
al
U ` co _1 u.
x U V Q Ell
V1 Czl
CIC m m ¢ m m ~ Z
H ' v a z
A E
¢ • ¢ m a m H H a ri W a
a a o CO VI
C CU� ~ o H
W o ¢ q w H 0 ¢ o
w a O0 W Z r a 3
_ z ¢ �� F H rd 0
Ø W . ZE-i2 0 g a >-
CC
W • U w 3 U .1J LL
f
W a
F O
114 1-4 4 a ? 5 Q II LL U ¢ w Ca £ q Z W
U a W' t7 ¢ a. z x ¢ El 0 UU) Q w
H E-1 N U x Z 0)) ¢ Q 0 cc w m 1 E' I
4 Z rl 1 W S z w 0 Oz W ..1 N ¢ ¢ a z ¢ N Z F
x 2 0 m LL ¢ - z w a 3 v0-i a El pI Eh
0 1-
U O 0 Q a Q p 0 ¢ w W O W U W 3 U p aw x a a 0 u > F E. H p ¢ w
cc
0 I-1 - Z Z 0 co 0 0 ~ ILI Cal U Cal (.9
HH O w
,�� '� a cc c• as H 0 0 cL a o
J N ¢ J J L4 a) 2 a • (/� Q
co w ¢ 0 w
- .•' W Z ¢ Z a a H JJ Q
O o o z a cocc
1-
H a p " ¢ a) O 0 0 '
W
Q ziu
p z ro
a coCCI 2
CCQ W
o Z � Z Z W Z W
Z < 0 U ¢ O 0 ? u �.
p U- I- U)IZa FO ¢ mz aQ
Ilk,O O
F x J - iii
2 0 o a J 0 0 ix D
p U WZz I- w LLV) 1-1 p . . � C Z O 0 0
O Q 1 W 0 w o N N a O \1
QLa CS) •• N N }
7 H
0 a w 2 • O O °�0 CC ilk
zm
p z W w J
a N az — 1-
3 0 0 w d � 2
la
J N O w -• z 0Z
W w w w = W Q H C3
ON ¢ Z Z Q ~ LL Cl) ¢ LL W LL LL w U U W CO x Z Q
Um ICEM O Q J (5 W LU >LU CC Z w U) H w cc
0 CC Z �j W m J 0 ml Y Z O U m W x z W W 0 LL j W Q LL ,WL p >W 0
a ¢ O m U U U j ¢ ¢ a 0 IL x Z z m U w co g LL 1- W —¢ ¢
W ¢ M U 0 Q m ¢ 1- w o Q U m a J a ¢ ¢ ¢ ci ¢ z a - w
Q f 1- F W <
W w m W x 3 Q m 3 z x Q f Q W U 2 0 -i cc W()
¢ 2 Z a 3 Z F- ~ ►- O > Y x J ¢ 0 V f- ¢ a
W O O W co O w J Q Q x z Q W J '• O Q W Q Q m F J O W
a 0 (� z H n1 m 0. 3 m m g v) O > a a i a m 3 3 U) O Q 4 _c•
P iit #RECe
NED
FEB f g 1992 CITY OF FEDERAL WAY
oft oF
BUILDING PERMIT APPLICATION
FEDE
DekivAy -Please Print—
BOX 1 TENANT NAME:
OWNER �btvn S SITE LOCATION 3OP, ,
OWNER'S ADDRESS 3C>o7,3 cY1- ct` . S. CITYFeke . \i 1�� PHONE S39-CIc963
DESCRIBE JOB 'InSA'cJL SZ1 g Pclort nq 2a_..se.
THE PROPERTY IS OWNED BY: SINGLE/MARRIED PARTNERSHIP CORPORATION
BOX 2 CONTRACTOR'S NAME MC)e_,W\ CA,a.I. CONTRACTOR'S REG. #_Al0P-}t, LLS 101
n r I1 Card MUST be presented
CONTRACTOR'S ADDRESS I ct Q� 3-I 1' t' 1. S. `. CITY' ce Pat G,e,_.1.3 PHONE 9 Ste"/3 3
EXPIRATION DATE c'1-6 -`j.9
— OR—
I HAVE READ CHAPTER 18.27.010 RELATING TO DEFINITIONS OF GENERAL CONTRACTORS AND SPECIALTY CONTRACTORS AND
CHAPTER 18.27.110 WHICH PROHIBITS ISSUING PERMITS WITHOUT PROOF OF REGISTRATION.
BOX 3 CONTACT PERSON Qe rni S 2&e n PHONE 950-S1-/
BOX 4 SEWER DISTRICT WATER DISTRICT
BOX 5 ESTIMATED PROJECT COST EXISTING BUILDING VALUATION
BOX 6 PROPERTY TAX ACCOUNT NUMBER -9 910 eOrzgO
LEGAL DESCRIPTION
(If necessary, please submit a separate page with the legal description.)
K.C. Plat Recording#
BOX 7 BUILDING SQUARE FOOTAGE: (Existing/Proposed) 1ST FLOOR / 2ND FLOOR /
3RD FLOOR / BASEMENT / DECK / GARAGE /
BOX 8 ( ) SINGLE FAMILY ( ) NEW CONSTRUCTION
( ) MULTIFAMILY (NO. OF UNITS = ) ( ) EXISTING STRUCTURE
( ) COMMERCIAUINDUSTRIAL TOTAL AREA OF PROPERTY SQ FT
BOX 9 PLUMBING FIXTURES(including rough-ins) MECFHIOICAL APPLIANCES— BASIC FEE$
NO. WATERCLOSETS GAS PIPING, FEET 6/0 c# , $
BATHTUBS NO. FURNACE, ELEC. GAS $
SHOWERS GAS HOT WATER HEATER $
LAVATORIES CONVERSION BURNER $
SINKS BOILER, SIZE BTU $
DISHWASHERS AIR HANDLING UNITS $
ELECTRIC HOT WATER HEATER HEAT PUMPS, SIZE $
LAUNDRY WASHER OUTLET UNIT HEATERS $
URINALS AIR COOLING UNITS, SIZE $
DRINKING FOUNTAINS COMMERCIAL HOOD $
SUMPS, SPRINKLER VACUUM BREAKERS OTHER $
DRAINS $
OTHER $
TOTAL FIXTURES $
TOTAL MECHANICAL FEE $
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 SAVE 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 SUCH CLAIM ARISES OUT OF THE RELIANCE OF THE CITY,INCLUDING ITS
OFFICERS AND EMPLOYEES, UP THE ACCURACY OF THE INFORMATION SUPPLIED TO THE CITY AS A PART OF THIS APPLICATION.
i - p
OWNER/AGENT: G�hA''� DATE: ; 'L C/ C `
ANP-008 3/90
Z
0
0 ci LU
O /
0 EL LC) CLI
Z . 1-1
} \
— I 2
>-
izr
/ \Z 0 > z z
» ° q }p 0 ~ § E \\ $ w 1-1Q alj
•I H u} § z § e o \ )S§ w z W a
zin (• m El @ u-
CO a 0 z y ▪ ¥ Hi A
«
y
2 E \ m a H
) 4 / \ H W
$ ( $ 2 «I2MIMOMM
/
E k e 0
0EzCtC
ƒ w z k 9 U 2
F- w
& 0 < 0 w $
S ) ) ( b c4 c I
E 7 a •) Q I
§ § k § ) k 0 \ 0 a
CC § § k 2 = e \ \ w wLu
a 2 § . / § ) \ - 0 w
UNI o ir j ® ® 2• -J 0
« e \ a w 0
) o r m a q o
® CIL 0 W z 2 U 'H z
_
$
fil o a ( / 0 / 2 §
0 z z / / / \ z H
/ z o " L 0 / 5 I « 5
O (15 / } o = z = E \ 0
. « w
/ ¥ & § z < _ } ) k %
§ { ° / \ § z w < § \ / / ui
_ 0
C..) Z - e w
o « ƒ o = La e
0z IN C:1) o ) 0 w < 0 0 < 0 \ \ \ / cc o j
± § \ w ■ o o o o = \ / H §
i ) 0 HI
\ \ 0 / * °
° 5 = • u) k
a e o 4 0 «
MIMIa 3 } a U) c Z \ 2Lu
) 7 / \ H / n
CC 0< ° § ai
\
p o
\ ° < (Ti § \ § z $
CO § u m 3 O 2 4 u.
z / $ z »
_ k w CO
O 0
) 0 < < \ } Z i
W f 0 ® 0 0 / , I a) -
a z a I G >- 0 [ § z
° E ) _ ° < [ u LC [
< - 0 § < 2 2 ) 0 H z
W = 0 > H I c
Cl) \ ..
r 0 7�
) � 0 § \ §
CC § z •L cc � a
) Q. % \ z
CC >- 0 0 m W $ 0 w e= w
d § E L m § » 0 0 7 z 2
§ G 0 m E w Y § # 0 ) w ) _z ww 2 § E ®
w cc
0 § b § a ( 3 6 ) Z 0@@ / ƒ § g e z ° o > > 7 » ƒ § 3 0
< = ° = o o = o < p = z z g e LU _ Cr
rW e = M 0 a < (0 _ - ° e < a- _ a = o = z p -
D I & 2 ! < D z § % / § > f ƒ j ) I R 3 / 2 ± M M g $ 0 ±\
uj & o o } < § 0 W < < _ < K @ < L u o < u < < = e 2 -i o W §
o o e z e CO a = m u E 0 > a- a_ g § e m 4 a w 0 < « _ = 0
57-x A8 .70/C diva
ad CISd C100
AcIf1000 01 'WO 1VNId
AG 31va AG 31VCI AG 31V0
T1VM 31:11d CINV ClEIVOG 11YM NOIlvinsm ONIVIVLIA 39010N3 01 'WO
AG 31V0 ---- 1/5-/c- 'WO ONIdld SYD AS 31V0
NO1103dSNI 1VOINVH3SIN NO 3NI1 i:13/VM NI Honoa ONIGIAlfild
AG 31V0 AS 31VCI A8 31V0
NEIOM0N(1080 ONIGNMcl S11YM NolivaNnod ElflOcI 01WO SONIIOOd CINV SNOVG 13G