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93-100935 o • NIc ti � W ! o 41 el N W p a �} m a 0m 1:11 3 IA 0 00In I z w•• O D Yr1 I.,.2.in 4 r W uJ 5 N N M N W L i#• M # Q fY w } a •I ti 3 W J 12CU1.mCJ12 co _ 'C)W Q < O d W CC 1\I 0W Oy LL _ JZWukLL LLO Wy m W W ` V � U2 W O Mt W L ~ • W1 i E a d. a < 7, x WQco 2 a c _ F- w LU 3z o Tr 0 0 a H Z 'kJ = o IN Q z J � CO oo ' I 04 m z 0 WY � o mo a DI W2 W Z z a. la ° O z o HI cc fa in } m 3 V G W La 11 Z �GDr >A IT gs W c QQ ` Q f.1 OCW OP N J '"� OOf 8z cc3 in .- 1� F-Of z 1A IA 11) lil in I- 0 W m 8 �m�<t OO! d W Z O m x O J�T G �O J OC 0 O ' f.1 f10M I- 1A U) V O H W d Q CC 9 am 0Z a Cuiuj `— W H E `" LU CC 03 w x m ii El IXU. w c ��R 0 ILI 4 a o O in oat2 a cr _ RI §sI-u m el -. 1 xIW U. N0Fy at >'• t O 14 'q' Z cC 0 co N '1 O t.. o >��f• f• M 0 t� N 2 J fA 10 co e f • W CC c• ?oQ to U >s a-- u I F-z a 2 wQ w • w waa CA >i H Q 0 w N CO XO0 oe &3 t7 Z f, wI- 2 a LL L O p Z - M M OC N IX CA W fA N F- 0 LL LL O Q J ~ Z N Q N J Z J Z►+W CO } 0 • f6 Q Lu W W,-,-W IA ZN4 NC.0 'L Q E L d' V Z Z O O I W Z 11-W W a MCD C LLI < OaOMLL I a. U N jU W Z rI O 0 LL (D 0 O. Om I 0 0 a q„.: G City of Federal Way w �� APPLICATION FOR BUILDING PERMIT PLEASE PRINT APPLICATION#: r 3 O D/0 / SITE LOCATION Address v,C)IA-1 ,2� cl-uE .. 'o GfAs7;oP A(..., Lt..:: et- Te ant (if known) 8 er'to is k L.� Lot# r's Building Owner Name Address City t-- State 46,- Zip g Q Phone Nature of Work S'/ f ..1.i. -e c 5 rl6. A.lE r,) Cam.-`--i j) APPLICANT Name(F,M,L) iigi,2cii-- C /2.5 '; Address 78,53 s0 o?o - City ]\f frii— (..[J6` �eO,33- State Zip ntact Person Day Phone Other Phone Fax C4u8RE y v,Li-y 14R.� e'72- 22.a 1 B00i...VG CONTRACTOR Company Name �3:.1.L 12R F1—f' Address �¢/Z ,5b i mh.h i//Fu1 e Lt1. City "1-K4 .c ill-A State Lv vQ Zip Ltf i./h fD ContactPerson Phone Fax /L.L ©P_ c't eiS S65 - 6665 Contractor's #(card must be presented) Expiration Date Verified j<Yes 0 No //1. ,B% /132._frfAA 7///57:_.3 ARCHITECT /�/� Name Address City State Zip Contact Person Phone Fax LEGAL DESCRIPTION //� • Please Complete Reverse Side CD0492(Rev 4/931 /`- STRUCTURE ;: ing Use 6-/, posed Use Permit includes: u Building 0 Plumbing u Mechanical X Other 5e1el04C-e-d'L Type of Work: 0 Residential 0 New 0 Remodel 0 Number of Units_ 0 Deck OK Commercial 0 Addition 0 Garage 0 Shed Other ,,,,,keri_ Enter 1st Floor sq ft 2nd Floor sq ft 3rd Floor sq ft Existing Floor Area sq ft Area Basement sq ft Decks sq ft Garage sq ft Proposed Total Area sq ft Water Availability 0 Sewer Availability 0 On-Site Septic System Availability 0 Project Valuation $::::g Zoning Lot Size Exlating Bldg Valuation $ LENriE /1f It 4 Name Address City State Zip MECHANICAL CONTRACTOR /l774- Contractor Name Address City State Zip Contact Phone Fax License # Expiration Date Verified 0 Yes 0 No PLUMBING CONTRACTOR A(//4- Contractor Name Address City State Zip Contact Phone Fax • License # Expiration Date Verified 0 Yes 0 No PLUMBING FIXTURE COUNT /4-J/ Water Closets Sinks Urinals Lawn Sprinklers Bathtubs Dish Washers Drinking Fountains Other Showers Electric Water Heaters Sumps ................................................................. Lavatories Washing Machine Drains Total FixtureiCount MEcilOaCAT UNIT COUNT 7V7 - 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 Cony 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 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 application. / /J x Owner/Agent:azh.,„�!ti 7,:e Date: `? '— / S `�J�