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O i ¢ z z a x z D 1- r 0 > J ¢ Q D U ¢ a m • W = O J w l LC) -0 wa O O - Z I- W ON D d > m v=) .J co O < a s as twig a ai IX 0 a Q _ci m 0 UcMuI A Per # 5-) s CITY OF FEDERAL WAY BUILDING PERMIT APPLICATION —Please Print— BOX 1 TENANT NAME: OWNER P0/0 e."?..) /KE/e___� S TE LOCATION v7 2 7 D `=4 -23 ' 'L'eS OWNER'S ADDRESS -2 u -:1 3 ' - '' ' S CITY r 2:7 PHONE 9Vd,- J i 7C DESCRIBE JOB S'e_.v D cic /:44 THE PROPERTY IS OWNED BY: SINGLE/MARRIED X PARTNERSHIP CORPORATION BOX 2 CONTRACTOR'S NAME a, Nt- # w�i,2.L CONTRACTOR'S REG. #&TL L CC Jr //CND Card MUST be presented CONTRACTOR'S ADDRESS 34/2'% S .309 ' // CITY -47s. PHONE 5'3 017� EXPIRATION DATE 1 ..5 3c>/r OP- OR— I HAVE READ CHAPTER 18.27.010 RELATING TO DEFINITION` I GENERAL CONTRACTORS AND SPECIALTY CONTRACTORS AND CHAPTER 18.27.110 WHICH PROHIBITS ISSUING PERMITS WITHOUT PROOF OF REGISTRATION. BOX 3 CONTACT PERSON l i < c, Cam;//&' ? PHONE R?9 -C) 7 (, BOX 4 SEWER DISTRICT 'dr,,e-.0/ r�.,ty WATER DISTRICT fc'3A-* / It BOX 5 ESTIMATED PROJECT COST 7/C>, UCJ' EXISTING BUILDING VALUATION BOX 6 PROPERTY TAX ACCOUNT NUMBER ?3 75 - LEGAL DESCRIPTION See /j,c%ed'/ 'c �r/ '-C c?9/7 P / C� A (t)f. „3 (If necessary, please submit a separate page with the legal description.) K.C. Plat Recording # V As .f/O,t BOX 7 BUILDING SQUARE FOOTAGE: (Existing/Proposed) 1ST FLOOR /-3C8 / /5 r 2ND FLOOR / 3RD FLOOR / BASEMENT / DECK / / �,Srr GARAGE y've2/ BOX 8 (?<) SINGLE FAMILY ( ) NEW CONSTRUCTION ( ) MULTIFAMILY(NO. OF UNITS = ) EXISTING STRUCTURE ( ) COMMERCIAUINDUSTRIAL TOTAL AREA OF PROPERTY Slla0 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 $ SUMP ,SPRINKLER VACUUM BREAKERS OTHER $ INS $ OTHER $ TOTAL FIXTURES TOTAL MECHANICAL FEE I CERTIFY UNDER PENALTY OF PERJURY THAT THE INFORMATION FURNISHED BY ME IS TRUE AND CORRECT TO THE 13ESTOI6 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. OWNER/AGENT: '�a E �t DATE: 4-/- 7- 9?- ANP-008 3/90 UFFICE USE ONLY(PLEASE DO NOT WRITE BELOvv THIS LINE) ZONE.72 SETBACKS: FRONT I SIDE 6 ( REAR HEIGHT LIMIT 3C) PLANNING DEPARTMENT APPROVAL REMARKS::G,j .. � i SEPA: EXEMPT t'"/ NOT EXEMPT FIRE DEPARTMENT APPROVAL /�A/74 DATE REMARKS: PUBLIC WORKS DEPARTMENT APPROVAL N" DATE 4-/4-qZ_ REMARKS: TYPE OF JOB: NEW RESIDENCE RES. ADD/ALT t NEW INDUSTRIAL IND. ADD/ALT NEW COMMERCIAL COMM. ADD/ALT NEW MULTIFAMILY (UNITS MULTIFAMILY ADD/ALT TENANT IMP. OTHER OCCUPANCY TYPE OF CONSTRUCTION STORES t ( CA BUILDING SQ. FT. 7a -gC = (o 35 (• vD n L .. J BUILDING SQ. FT. (7 S @ (0 = 6 Y 0 BUILDING SQ. FT. @ _ BUILDING SQ. FT. @ _ BUILDING SQ. FT. @ 4 = BUILDING SQ. FT. �! @ °c�( 1( •- r 8- TOTAL SQ. FT. TOTAL VALUATION T6 13 BUILDING DEPARTMENT REMARKS: PERMIT FEE I( 7 PLAN CHECK FEE ?c PLUMBING FEE MECHANICAL FEE TOTAL BLDG. FEES PART P/C FEE SEPA REVIEW S.B.C.C. FEE ` SCE OTHER FEES ���a�� AMOUNT DUE ASSIGNED ADDRESS: 5�'—e- e-)((cif RECEIVED APR 0 71992 PARTIAL PLAN CHECK FEE RECEIVED ,ay OFEDERAL WAY Amount Date Receipt# BUILDING OEP'T BUILDING DEPARTMENT APPROVAL RECEIVED BY DATE -1 ( 7 ✓ I Z ACCEPTED FOR FILING i � ,AVES Permit N SITE PLAN AI'PROV g Y umber; I Approved By: Date: / I 1 I 1 r 1 1 i ri \ cd ci I Fl '''''' ; \. (iN \q' \ \ \ c► ,tom . '\ `), ,e.',:1 36 A- k i ` \ , - I �3 3 ,f i �� RECEIV 8y, s-c9 as ED APR 0 7 t992 CITY DEFT V ., n PON 4 4 A Vow 1-1-)Al kek 27 03 �° "We �lof P/AN Z o `O T _I r �1 > T W CD co a (a o w V) ¢ Z cc /� m 5 V a (o W 0 W Z I=EE Z_ 0 Q p ❑ W 7 a J w ¢ z Z p W m C y J O U li CD Z 00 LA. ¢ Ca I J 0 a m m cc z CC Q W 0 Z a_ 0Q w O Z w 0 Q x ¢ 0 Z W r O H F LL 1- ¢ W Q U w U 0 < 2 w H J co 4 - ¢ o a W CO 0 a ❑ > ¢ IMII ¢ H < W O ¢ O m Z U Z m w D Z 0 d j I a z W ¢ co2 co xQ w¢ o 7 o z co o ¢ U J H QVQ CC F- LU ❑ CI: < wp cc co U U 0 Q m nI- ZWau) 0 W Lu W ¢ w (� J Z Z 0 a = 0 CUMII. Z Z Q 0 � } O W a N 0 2 Q ~ cc o w0 ¢ 0 0H t. Q W W W -I H ? J U 1 w Q W Z as z = cc Z 0 Z Zit o a ❑CC W m W I J w H Z Z W Z Z W 7 a 0_ C7 ¢ O y ~ - g 0 ❑ a Z a v) W 0 w ❑ cn U O Z a ❑ H x ¢ ~ 0 Z O d cn d U O > CC w I- O U C7 0 0 j W cn m CC) z Q } 0 0 W E CL So Z w Z 2 0 Ow 0 00 m m F cc z ❑ Q w cc 0 w ❑ 0 Q 0 MIMI Z 0c~A 0 Oz Cl) Z cn a ( Z ¢ w w ¢ O ¢ ¢ z a W Lii z W O Q c z ~ o ¢ a LL 2 10121 W p H W W a z ❑ Z z I z W } a w < cc O x v) 1- 0 m z W H w Z z w Z 0 cn EC J Y ¢ 3 CC 0 > > I w 2 U H H ❑ W X j U) U) Z m Z Z ¢ z LT_ N Z cc O O W OO U Z Z Z 0 Q W 0 U 0 W J x ❑ 2 H U. Z ¢ w < 0 3 Z ` 2 0 IY 0 0 0 Q y 00 0 0 z W Z CC co 0 cc _ LLI cA °) a H p T Q w J 0 w w x F- iw W cz O ¢ z w co ¢ C7 U. IZ Z W LL- F- W Q W w J W y W F- x ¢ > >; O z 2 >- (n U) W w Y W ¢ W > w U) CC H *) >� O H C7 x } Z r.- OJ U) U w x Z w w o o W w o w w ❑ r O LL i Z a ra cn oU CO ¢ Z 0 m W Fr U) 0 W x Z Z U w 3 w W uw. F- cc w Q LL ¢ O U ❑ a m m w 0 < H U m ¢ d ¢ U U w Q z W F-- w W m H H w a w w V 2 w x O Q Y = z x H Q J O W w a z O x z z a x x z H H O > -J CC .2 x 0 C a CO • W x 0 J W 0, CD W o O } w Q cn O ° J < Q x Q Z cn < W J J w W : co x H 2 J 0 W •• up -0 IL O O H Z a m U _J u) ❑ > IL a a cn t1 cn W O Q Q — co 0 V co LI_ - - SET BACKS AND FpOTINGS O.K TO POUR FOUND TIO WALLS PLUMBING GROUNDWORK DATE DATE 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 -2,bic ? BY Coso-2., DATE BY DATE BY FINAL O.K. TO OCCUPY DCD PSD FD DATE 7 BY