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I mit # 13LI 3-- e9/F0
CITY OF FEDERAL WAY
BUILDING PERMIT APPLICATION
—Please Print—
BOX 1 TENANT NAME: p.
OWNER 1 Ot; r SITE LOCATION Q2(23 SCUT I4 284' ST12 r
OWNER'S ADDRESS .L923 SOL -h ; . 7Zr..lr' CITY f ekat We PHONE 441, —Ofr 3
DESCRIBE JOB
THE PROPERTY IS OWNED BY: SINGII;E/MARRIED _ PARTNERSHIP CORPORATION
BOX 2 CONTRACTOR'S NAME taiLki.10 CO huh. I c1 fiTC0 SVC fia ( . CONTRACTOR'S REG. # It can (l7Yh;f.�
Card MUST be presented
CONTRACTOR'S ADDRESS d539 MOW)kl t S : CITY 71 COni 4- 014 PHONE 6A1-c1 7
EXPIRATION DATE (o —l9 -q3
— 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 PHONE
BOX 4 SEWER DISTRICT WATER DISTRICT
BOX 5 ESTIMATED PROJECT COST EXISTING BUILDING VALUATION
BOX 6 PROPERTY TAX ACCOUNT NUMBER 73 C' 70
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 ( )VIEW CONSTRUCTION
( ) MULTIFAMILY(NO. OF UNITS = ) (vrEXISTING STRUCTURE
( ) COMMERCIAL/INDUSTRIAL TOTAL AREA OF PROPERTY SQ FT
BOX 9 PLUMBING FIXTURES(including rough-ins) MECHANICAL APPLIANCES— BASIC FEE$
NO. WATERCLOSETS GAS PIPJNG, FEET $
BATHTUBS NO. I FURNACE, ELEC. GAS X $
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 FED AL WAY,B T ONLY WHERE SUCH CLAIM ARISES OUT OF THE RELIANCE OFT E CITY,INCLUDING ITS
OFFICERS AND EMPLOYEES, UPO T ACCURA OF THE INFORMATION SUPPLIED TO THE CITY AS PART OF HIS APPLICATION.
OWNER/AGENT: JJ — DATE:
ANP-008 3/90