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'M• City of Federal Way
or:' it`� APPLICATION FOR BUILDING PERMIT
kaA 1 3 1998
•
PLEASE PRINT
!�L A �i_*�/ � %►�f�t�r • CATION+f: l l
', 4t ib`A�1'toi .l.i f v .. Address ��1�j�S,
•
Tenant(if known} „ J� K
A_ Lot# Asserwor's Taxx#
Building Owner Name ' TC
Yv v
t.
City
�r' Address
._LStata_�_ �p Phone Nature of Work Q S Act
Name iF,LI,ILiwkw_Tizi
uLV h1
Address �� kI P
Contact Per I State
/"T zrp O i
.I 1 �., D j�
C..Wli1V � '(Jr�CD 14 l"'2%.,155 Other Phone Zoco- 41^8 2
•
or 44
Company Name
Address
City
Zip
Contact Person
Phone Fax
Contractor's/feud must be presented) •
Expiration Data Verified ❑Yee 0 No
Name
Address 1)'Zo ,•1,�_f • „ `I .4j � 6 300
City U e—
Contact Person A zip Yj
Phone
4- ZZ�o F�`-2aco-g2z 41I29'
.EGAL DESCRIPTION
es ConeaJ,ste Revwrae SkM
coW82(Rev 419.i
7AN-12-1996 14:01 •
P.03
2066614129
vs-is I ui •ui r,. �, vvI,VIVIYA I I VGV I 1 IL JV / It•J4 I VLI I VI 1 CA/CFI/II- WMT•'' YU0 441 031L+8 4
N d'" a �'c k' j•
a i l: ..i• use , d Use
Permit lnoludea: 0 Building 0 Plumbing 0 Meohankal 0 Other
Type of Work: 0 ResldenNW 0 New 0 Remodel 0 Number of Unite— q Deck
0 Commercial O Addition 0 Garage 0 Shad 0 Other
Enter let floor sq ft Ind Roe sq tt 3rd Floor
Arse Basement sq ft Docks sq ft ��s.Mot Area
W ft
der ft Garage sq ft proposed Toth Area a �. •Irj
Water Availability O Sewer Availability 0 On-She Septic Avall.bllity 0 `:" ":I " t }y — } -1 T j, ,7
Zoning G c I Lot Bins ,•:: t ' .:. #/ , .,r`
k: Y
rECy I1 il E Z !3 7�.L}I
Name
\ /� ~wAddrs.a
City - / St, nP
1a .i" clts" 1. o,5 `` 1 1S AK—. .
Contractor Name Address
Stag jig
•
City ,
Contact Phone Fast
License if E3tp4Nlon Oats Votifad O Yes O 1ds
Contr,otor Nam. Address "�
City State 2113
Contact - Phone Feet
LimM.it 13tpiratidn Data Verified 0 Yes 0 No
Water Closets Sinks Urinals Lawn 8pilldde►s
Bathtubs Dish Washers Chinking Fountains Other
Shower. Eleonio Water Meow. Sumps
Lovmtofle. Wading Maohln. Grains • ` I. t X .. F ;';f
4'1 0, i € g fit. 9t
ar. •� s• e' # E k.
Fuel Type(sleet alother) Rae Dryer Ak Handling c w 10,000 CFM 1 B-30 Ton.
LOOS sf On.Nies Ranee Air Handling > . 10,000 CFM 30•00 Ton .
Furn <1001C BTUs Gas Lag Unit H..ter 50+Tons
Furn 100 BTUs Fens Mleasilanea+s Fuel Tanks
Gas Hwt Hood • Belem Above Ground
Corm Burner Duet Welt 0-3 Tons Underground
550'. Weed Staves 3.1fi Tani '0,.,
)IICLAIMEIlt I t difY UMW pnsltY of Padeny thatths irtaasation ftiNalwd by me k fare and cornet to the bsetof my knvwe.de..n/hotlwr that 1 am aa*hortasd by dm evm.r
If the.hove PRI MUea to perform the wort for whit*pant appliestasis nods.'further sursto save hanweas the City of Federal Way.a to any eaten llrtebe4tne eon",efepenaee.
.d attpmeys toss indermd ill klvsaffpadon and defense.?.uak el&ml,whi*A may be made by any person,k 1udl q the undersigned.d feed asakwt the City at Federal W.y.
AIL only when sueh olden whew out et the MN +of , •ty,includes Its.ffken and employees,upon the aeuaoy of the Information euppllad to the
,pscedon. / \1 f� e(/�) /y/ /� �Y e.a Pan of this
1wn.NApanU ' �� 1 ` +�/'WI Date: ( t �nf�// .
I
J11N-12-1996 14:01 2066614129 P.04
k�O0,41e01,
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