92-100645 Z h
O >I f'1
V 3
Jr W a U)
N. ain oo5 <2 0
0 zr I` w ' N
NQW a
��1Rt O W N [� 0 wQ
1 V 01 O 0 V
1 Z a/ N I a o Z Z z
IQS\ Vl w 0 01 w CC Z F- 1.1 ncir
Q0 z N F > mEr- a 0, N
N1-1
xa 0 i"i
II Mr u)ci , 0 w o w 03 a0 Ul I.w LL� Z m CC z ¢ < H x rb
co Q O z _ p p
CO O L Wp
MM 1 . . G
c�
a N0 CO O W U rN A
J a N N w O �' a W
0 I- Nd ra
a W Z a co
00 01 a LL v� F-a
a �C Q - 3t
MEM 00 O ¢ 0 z 0 o w a
w a z p4 Y a
N QI CO w
2 O o o ~ Z
I
W LLI O p w
a N Z ¢ CC ¢ LL a C>a 0 a) w i-
CO W ¢ y Z O 00 W d In
CC OQI I m Q m F F H a .-I W W
a a o CO C CO ~co o I-
W a 0
m m a /�, 0 0 H R J a
w < V 0 III Z W
H 3z3 Q F: . • U) i..i nj a 0
H z o Z a N 10 w .� z Y
1r2 2 s }
r a U 2 W H o °'-'' `r 0 o
a W 1 ccz v CI) 0Q o
U 0 CA qt --i gr 1Q a W 1✓1Z ¢ a 0 z ¢ U) .-I a w
H U x z co ¢ a cc cc I
l� N o w m +EE' N F- I
4 Z E� I 1+1 u Z w 0 O w Q O LL ¢ z ¢ N Z ~
m LL Z y
U O w m Z W a U) ppEl I al 0y
E - r 3 0 0 a V m ¢LU ai z f H EF O OwC U
II--�� m w
Q �y F11 z Z 0 Q I- LU Cal Cal H H O cc
W O
�ajja
= ¢ c� H O O Q 0
J � � W a a/ 0 ao "'
� � c Z 0z N
w Z ¢ z a H H L Y CC
FC4 CC ° z s� H S O ¢
0 " ¢ a)
) o
3 cp
Z m F V U O w
aN z o = z 3 0 Z Q a
CO z� I m ¢ m a Fu m
w •
rn o F z z W Z w
LC
a Z >- < a 0 N c=
O jp a = ¢ m z LL N ¢
E-i a �0 0 U z Ln
z z U a 0 W a
Z01 a ^O 0 O w n D o f P �, H z0 tj
O O N N Q
,�.'', H H fm.N Z C w
pWi Ri w zN p�2 6
tN p EA 0 =d+ O o m w�J
3 r z W J
OEiW W F-Z CO a I3 Z
N W 3 - z ¢ w i w Qw
CA LL FW V w w
LL w IL LL w U U CO ~ 0
x Z a
LL Q cc Fp Z Z LL Z es O CO W W Y LL Q (} W W > Z W V) LIJ ~ F-w ¢
O CrIi Z (J w CO J O m Y Z U m ¢ Fn 0 LL = Z V -J U_ >ILI La 2 LL LL Ill o ¢ LL w O
W I- ¢ u < o W w = 3 113 3 a F= U °D = m a W W O W d �= CC
0 w W > -J ¢ Z j a FC a F- F- U• x 0 J U a Z
¢ z z a 3 z H 2 F f O x Q U F- ¢ a
W O O W co W J a a 2 Z = a W a J W a W a a m F- 2 J O W
uj a U U I- z F- m a i m CO g W 0 > a a a a co 3 3 vi 0 a 4 -CC
RECEIVED BY
? Y DEVELOPMENT DEPARTMENT 2 - G / 1 /41
rmit #
Tom^
APR 29 1992
CITY OF FEDERAL WAY
BUILDING PERMIT APPLICATION
—Please Print-
BOX 1 TENANT NAME:
OWNER PAW IV V C12 K M SITE LOCATION Z`d$01 23 4V• S. ``��
OWNER'S ADDRESS Z88O9 2 All
ll• 5 . CITY P , vvA1 PHONE 9�/I - iv-17
DESCRIBE JOB -- k)ST?''tA C- -S Gv F r f-f V--
THE PROPERTY IS OWNED BY: SINGLE/MARRIED PARTNERSHIP CORPORATION
BOX 2 CONTRACTOR'S NAME 'U U ee T IV I�1-t)telatiC. CAS CONTRACTOR'S REG. It FU 7 Velk)Oct9ari
Card MUST be presented
CONTRACTOR'S ADDRESS Q S CC I ?-Urn SA- C' CITY Po y KI-t-1.U P PHONE /i O- 214 5
EXPIRATION DATE 1I - 13--R 2
—OR—
I HAVE READ CHAPTER 18.27.010 RELATING TO DEFINITIONS OF GENERAL CONTRACTORS AND SPECIALTY CONTRACTORS AND
CHAPTER 18.27.110 WHICH PROHIBITS ISSUING PERMITS WITHOUT PROOF OF REGISTRATION.
BOX 3 CONTACT PERSON SCOTT A . N'l1,34 PH-ti S PHONE 7 70 "2-78S
BOX 4 SEWER DISTRICT WATER DISTRICT
BOX 5 ESTIMATED PROJECT COST EXISTING BUILDING VALUATION
BOX 6 PROPERTY TAX ACCOUNT NUMBER 'i 12,2-50 -oo SD
LEGAL DESCRIPTION
(If necessary, please submit a separate page with the legal description.)
K.C. Plat Recording#
BOX 7 BUILDING SQUARE FOOTAGE: (Existing/Proposed) 1ST FLOOR / 2ND FLOOR /
3RD FLOOR / BASEMENT / DECK / GARAGE /
BOX 8 ( ) SINGLE FAMILY ( ) NEW CONSTRUCTION
( ) MULTIFAMILY (NO. OF UNITS = ) ( ) EXISTING STRUCTURE
( ) COMMERCIAUINDUSTRIAL TOTAL AREA OF PROPERTY SQ FT
BOX 9 PLUMBING FIXTURES(including rough-ins) MECHANICAL APPLIANCES— BASIC FEE$
NO. WATERCLOSETS GAS PIPING, FEET 10' $
BATHTUBS NO. FURNACE, ELEC. GAS $
SHOWERS I 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 A LOYE1ES, UPON THE ACCURACY OF THE INFORMATION SUPPLIED TO THE CITY AS A PART OF/T�HIS APPLICATION.
OWNER/AGENT: a'IM Cc c� DATE: Z� `4 2
I ANP-008 3/90
Z
O_
H
V o
W a W
co LC)N U w
J
m
Z r a 44
n
HH >
o z z z 3
Z W CCw H Q
W U H H > W z Zcc -I-) n a
o
m LL p w m , D a Q Co CC
• W
z
a_ a cn H m a D a a O w LU
z w p o El a) O LL
CO O Z J w H a ~ O
U z m x Q
O CIH
ccU
I- b- < I- CD
0 IL -J
oa aaLL mH a Z CS: Q UQQ 0 Z U W dJ
E w j R }
d
U) a r 0 a Q W a
J U U Z W
2 W
ca
o
W y
Z
2 ¢ a LL a 1,` -O a Q CC • H
(n (n 0
W = U • F Z J-1 Cz a
� �_ z c,
oc
o
o
w w U m C m H OH r-i W a
A w
r4 C ��+� p ~ a ~
W m CU El cc J o
° W < wW w
z Q F U) HI T!: [: a• HICL 0 z Y
H 0 Z Q W -0 _ Z_
X 2 O rd p >
w o m w 3 CD b 'r cc
c� LL
0 Z z U Q O Z H
0 o z
Q I < w
H a w Q
�' J a LL a H z N 0 Q m
U (5 a W cS Q a z ¢ UP Li j
H U x Z u) cc Q cc w m CV H S
z cc W O z W O O w a O CC w a Z Q N W H
Z50
LL ¢ V z a Q Ul a M p 0H
U 0 a p a d ¢ o p Q w HI
W O w H
W w CO " wa I a s > El H O 2 w
C:1 W z z o o I- M CD 00 oLL cal o0 D Z O w 0
0 <ifi < O- x x W .__I
CC 0
a cc w H 0 �O a o
J J c H •
o N
W Q -r-I H 6 z w
- ¢ z
a H HCCCC
0 O p 0 au)
p < z ET) W -Li
(CIU) W 0 z
w
W W w w N �-. g
z Z w CO
CO
W
z c0
n I
W cn H cn U p
cn p H Z z W Z W
II W < >- m 0 > j I
z z H 0
LL
H X Z
O O -� a O CC n, z IT_ -
H D 0 a Q Y J ac D
O U U z z z U < W LL
H
O 0 W J D 0 > H Q O
a
I-- 0 m W
w Z G 0 W
Z jW • co Z CD
Q O Z W w J
CC J_
w H a H z
x > z w co 0 X H U) W
J O 0 cn w w w w x W a H 0
J O W 2 Z cC
LL W J) LL W LL LL U U • S Z a
0 if
CC O O z H > ›-
CO CO 0 OJ u.) w x z W w c7 IL w W a w w o cc > w 0
Z U W m J O Y Z O CO cc 2 Cn 0 LL x z Z m U W U LL LL H cc LL CC Q
� W _ Q x U �w m W F w 0 < ¢ U m = J a ¢ W W ci W d ¢ w
` Q H H W a W x Q Y x Z a H a H H O• x O J W O z
= W O O } W X z w D a < I Q Z U < W Q J U H < W a a al H 2 J O W
V U. a 0 0 H Z H CI) CO a 3 m cn J in o > a a Cl_ a cn 3 c i 0 a 4 _ x 0
— ,
Gd GSd GOCI Z, AENiry; 31VG
Ad 01 01 WO 1VNld
A9 31VG A9 31V0 A9 31VG
11VM 31dId GNV G8V08 11VM Notivinsm ONIVIVEH 38010N3 01 .WO
19 31VCI 'WO ONIcIld SVO A8 31V0
NO1103c1SNI 1VOINVH031+11 - *WO 3NI1 Sm131VM NI Honobi ON1801111c1
AB diva AS 31VC1 A9 31VG
NEIOMCIN11080 ON181AM1d 811VM N01.1VaNflad Einod 01 WO SONIlOOd GNV a>10V9 13S