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U J a Q I Q z < w J J w g w o m• ¢Lii r 2 J U W � Cr) -0 a 0 0 I- z ~ w o a m m J v) o > a a O. rn a co LL O a < _ CO 0 02 LT P lit # yi. \ .)-i-ci -i RECEIVED SEP 171991 CITY OF FEDERAL WAY any ofFEDERAL wAy BUILDING PERMIT APPLICATION BUILDING DEPT. -Please Print— BOX 1 TENANT NAME: OWNER J�/ly S,eo,aE/27".S VI SITE LOCATION -Zr7a.V -ts ' Pi., s o. OWNER'S ADDRESS ad7a.y :LI'a= Pc. sa CITY F V 4.1447 PHONE ex, /e3/ DESCRIBE JOB c-oAv vri 7- )(,s i• c.meeleher 7 d,noe . THE PROPERTY IS OWNED BY: SINGLE/MARRIED ..5/ikkosAr PARTNERSHIP CORPORATION BOX 2 CONTRACTOR'S NAME 04 2TLcy,S 764 osrc-s v.--MP,oOZ.Jije CONTRACTOR'S REG. # fi TLt/e/o 1 6i Card MUST be presented CONTRACTOR'S ADDRESS 3/14z7 II4 ./"L. S,'J CITY PAW. wff- PHONE 8'3 8-70/z EXPIRATION DATE / —/z.-9 L. — 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 AA) .8/herzey PHONE 25 $- 7o/ z BOX 4 SEWER DISTRICT FV I WATER DISTRICT -F.-P "-'»'y BOX 5 ESTIMATED PROJECT COST /_S. 0 7 V'. oo EXISTING BUILDING VALUATION( y co ) BOX 6 PROPERTY TAX ACCOUNT NUMBER 37/ 35T `/y /Pr P,S' LEGAL DESCRIPTION Ayr 1/ ,....w ca?6s7; /tee-4 D/ /e. 71 Tore p4oT 7-Aptoe'6ox /I?rce.epdP /N Y01.440141- /it. OF Psis/ "Ae.a7S 9/ y'9Z./ "Es coneRECreO gsy 4f'R/ggl/ir /QFCDReEO H1V0E7e # COI o/1J16 se (If necessary, please submit a separate page with the legal description.) d 6 oS'4 o a'$.3/ It./ ,c/N` co, ouA-s W K.C. Plat Recording# 84 O5 /4,0773 BOX 7 BUILDING SQUARE FOOTAGE: (Existing/Proposed) 1ST FLOOR / 2ND FLOOR / 3RD FLOOR / BASEMENT / DECK / GARAGE -Zo// .2 7 ' BOX 8 (r/'SINGLE FAMILY ( ) NEW CONSTRUCTION ( ) MULTIFAMILY (NO. OF UNITS = ) ( ) EXISTING STRUCTURE ( ) COMMERCIAUINDUSTRIAL TOTAL AREA OF PROPERTY 4,04 SQ FT BOX 9 PLUMBING FIXTURES(including rough-ins) MECHANICAL APPLIANCES— BASIC FEE$ NO. WATERCLOSETS GAS PIPING, FEET $ 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 $ KCTHER $ 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 K WLEDGE 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 UPON THE ACCURACY OF THE INFORMATION SUPPLIED TO THE CITY AS A PART OF THIS APPLICATIt N. OWNER/AGENT: "'"� �' DATE: / -45 7 ANP-008 3/90 OFHCE USE ONLY (PLEASE DO NOT WRITE BELOW i rilS LINE) (._' `', i i-` ZONE 4•Z SETBACKS: FRONT 20' IDE 5 ` REAR S f HEIGHT LIMIT `"T,r. PLANNING DEPARTMENT APPROVAL REMARKS: NO 551-raCiwwr'e. S C Id-iitl h,,frr No v Arcp d 5 sl . /- #•u,2 ifs--,,is, SEPA: EXEMPT V NOT EXEMPT FIRE DEPARTMENT APPROVAL �� ' ' • < ' • ' •DATE REMARKS: . ' PUBLIC WORKS DEPARTMENT APPROVAL_ DATE 7 `y-.7 - 7/ REMARKS: TYPE OF JOB: NEW RESIDENCE RES. ADD/ALT? NEW INDUSTRIAL IND. ADD/ALT NEW COMMERCIAL COMM. ADD/ALT NEW MULTIFAMILY (UNITS, ) MULTIFAMILY ADD/ALT TENANT IMP. OTHER OCCUPANCY till ) TYPE OF CONSTRUCTION II4/ STORES C24.voc e_ BUILDING SQ. FT. ` .* Li @ 18- 3 U = q a p 2 . . `/ • BUILDINrSQ. FT. , . @ .. = BUILDING SQ. FT. . @ BUILDING SQ. FT. ' @ = BUILDING SQ. FT. @ " �, = , BUILDING SQ. FT. @ /"``d C ( QG'' = O - 0 8 • TOTAL SQ. FT. TOTAL VALUATION ?)6 q 6 ( 1,6 BUILDING DEPARTMENT REMARKS: PERMIT FEE ( d 8 PLAN CHECK FEE ? 0 PLUMBING FEE MECHANICAL FEE TOTAL BLDG. FEES 17 6 PART P/C FEE SEPA REVIEW fa 437.E S.B.C.C. FEE LI`cs O OTHER FEES ���. CO DUE O e ASSIGNED ADDRESS: $�E Q. c'S r( 1 mia w li V Rib PARTIAL PLAN CHECK FEE RECEIVED R 4 Amount Date Receipt# y BUILDING DEPARTMENT APPROVAL RECEI BY ( --C-- DATE at 7 / ACCEPTED FOR FILING Z o O r J 5 0 1— co la CD a `D d W 0a 2 Z O W Jcc co 5 0 a W ui O Z ¢ V W O z CC cI p a Q w ¢ Z ~ w W I— O > m EtD — _IO 0 g Z U 2 w 0 LL Q Li CO F a ¢ Z ¢ < W W CC zZ a = w w 0Q w U Z I W 0 Z W O F LL H a " a 4 U w U O S w r (f) < J Q Q < ❑ J H O -IW m - Q W _ Q 0 Z 0 Z J _ a[ w 7 Z O a- Z = Q W a ❑ w w ¢ w 2 w Z 0 O Z LU LL x 00 cn ¢ U J W Q cc ❑< CCU U = () H y Z CC W Q 0O Q m 2 W Q n O W Q WH QZ -I aWo C J Zaza ZO aa CC Y}2 x _ > O p LL cc w < O 0 < LL Z a Z = cc H an Z JZ O_ p -ICOLL F ¢ Z Z D = W Z W U 0 O a () w 0 pO W i CO v) Zz O Z ~ ¢= a pO f-Cl Z O a_ZUOU wa Cl) z u)w OW1— CI J = jw Wn CC CO z p >OOm f O w0 0 wG W ¢ H ¢ a[ ❑ a w ¢ O w J a () Q U z o uHi o - O J 0 J y Q Q 0 Y W U a ¢ Z W F 0 ¢ ¢ 0 Z a ; H a z w w w cn CC D COQ a 2 w Z w w a w ❑ w (n ❑ Q ¢ a 2 X Z ❑ O Z = Z W > a w < ¢ 0 cc up ¢ V CO W Z CO (I) J (n U a Q I CC Q Z OW LC D w D U ¢ CC OLL D D 2 x co (n N zzO m z ¢ Zw O OW O Z z Z O < W cc D� u. U w HQ IO a 7 0 a Z Q OW 4 Z a_ > Q 3 0cr 0 co w p coO Q L O Z " z O Z W C CO W COW W (n °) ❑ E. _ I- > x H z CI as ¢ 2 Z H W W W Q C7 U. > >, _cc Z W z > wn w Y W J w ¢ W H 2 Q Li. cti Z U w z 0 > 0 c7 OJ mz 0 co cc w = Z w w c7 O LL W O W W 0 2 > O O LE ¢ g ❑ m W o _ m a a chi O a F w w O Cl) 5 Z Z w a w w U 2 w 2 Q W = I z 2 = H ¢ J U w W Z ¢ d x z O > J ¢ Q ❑ U ¢ a m w = O J w CO W Za O D amU > aaaaWa a UmN U o m LT_ O Q 0• -0 (3O H 0 CO Li SET BACKS AND FOOTINGS O.K TO POUR FOUNDATION WALLS PLUMBING GROUNDWORK DATE AL _2/-9/.BY G7.3 DATE _.... _.BY _ DATE BY PLUMBING ROUGH IN WATER LINE O.K. _ MECHANICAL INSPECTION DATE -_...BY GAS PIPING O.K..__ __ DATE __.. BY O.K. TO ENCLOSE FRAMING INSULATION WALL BOARD AND FIRE WALL DATE_k. 7-G.L.....BY MA-WI ........__-.. DATE BY -....._ DATE . BY FINAL O.K. TO OCCUPY DCD PSD FD DATE_lk_6_^T-QI BY �f- ,verU Insilrezrvt ok. Dcel. O . L rt r cfor -fir, not