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SET BACKS AND FOOTINGS O.K TO POUR FOUNDATION WALLS PLUMBING GROUNDWORK
DATE_-_—__.—_ BY_. — 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 BY — —.- DATE —. _—..-.._ .BY —.._—. DATE _-___—.... — — --BY
FINAL O.K. TO OCCUPY DCDa
PSD FD/Z/77 6 .—.
DATE __ .. —.BY _
P nit # qC�' -4626g
CITY OF FEDERAL WAY F — COIF
BUILDING PERMIT APPLICATION RECEIVED
—Please Print—
1� ,jur Y -b��S MAY 10 1996
BOX 1 TENANT NAME: FEDERAL WAY COLLISION GG
OWNER FEDERAL WAY COLLISION SITE LOCATION 1750 SO. 327Tt ucRAL WAY
OWNER'S ADDRESS SAME AS ABOVE CITY PHONE(2cf 4-9330
DESCRIBE JOB FIRE SPRINKLER INSTALLATION RWi r
THE PROPERTY IS OWNED BY: SINGLE/MARRIED PARTNERSHIP £Q ,JC
BOX 2 CONTRACTOR'S NAME JOHN J. ABEL FIRE PROTECTION CO. , INC. CONTRACTOR'S REG. # JJABEFP157KN
Card MUST be presented
CONTRACTOR'S ADDRESS 4932 W. INTERURBAN BLVD. CITY BOTHELL PHONE (206) 481-7669
EXPIRATION DATE 5/15/97 (IN RENEWAL)
—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 CAREY MANNING PHONE (206) 481-7669
BOX 4 SEWER DISTRICT - WATER DISTRICT Fez .
BOX 5 ESTIMATED PROJECT COST $ 1800. 0 EXISTING BUILDING VALUATION U 1 /101A-11
BOX 6 PROPERTY TAX ACCOUNT NUMBER E H 162 2 104—`-?O2_ —O
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 = ) (XX) EXISTING STRUCTURE
( COMMERCIAL/INDUSTRIAL TOTAL AREA OF PROPERTY 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 19 OTHER FIRE SPRINKLER HEADS $
DRAINS (90 S.F.) $
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 AND EMPLOYEES, UPON THE ACCURACY OF THE INFORMATION SUPPLIED TO THE CITY AS A PART OF THIS APPLICATION.
•
OWNER/AGENT: DATE: 5/6/96
/�`� ANP-008 3/90