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O G 1 ~ = . 11 m Ci W ,, a-1 O I- v1 '3 .-1 0 O -+ 4J •+� 5 IS Z w eV d s w W y S � : ea � `fie ►-. eye ac 1� M It O� J Y W W p- .. = N = e O m v�v W ,.. MM ONO DOS m ►- w �s •• � .. � •• up GO ogees artw z vM � 4o aza P 4 a ..1 0 N �..�r City of Federal Way REGPLIWMTION FOR BUILDING PERMIT A O C T 1 1 1994 PLEASE PRINT APPLICATION#: a Lhcilf-U 79/5 SITE LOCATION 7,7 urBUtL F ant_vV,AY Ave S <:; CJtN Ts 3 I ASS 28'"h Tenant(if known) Lot S Assessor's Tax rwv►14)U I4-16H ScJ')oot 092Idzi-1'09/108 Building Owner Name Address fa9'l. EON 31 405 /&*41 4v6 S City re-DER. LL/4-11 IState/A zip 7S % 3 Phone qfj-0100 Nature of Work Po,zricki LG IZe,►nod e_,I APPLICANT Name(F,M,L) Address Icie4 S Di-st* Pahur R.D City ED Lt)t4'y State Zip ge$C,0 Contact Person Day Phon Other Phone Fa /v �lI 3-7 l e4( - 51 ZZ BUILDING CONTRACTOR -j h de. z.t-rn t Company Name • Address City State Zip Contact Person Phone Fax Contractor's I(card must be presented) Expiration Date Verified 0 Yes 0 No • Name J E y Lr . AddressZy S RAO- R(� • City f EDER-J -t StateLk) zip 95003 Contact Person l/l � v I U F� �-s�� P4n -i 3_7 Fe LEGAL DESCRIPTION E A-i Tom= !� • P/ease Comv/efe Reverse Side • C00492(Rev 4/931 • STRUCTURE , Existing Use -,r....11 Gf1 L. Proposed Use cX-hOC? L. Permit includes: 'Building 0 Plumbing 0 Mechanical 0 Other Type of Work: 0 Residential 0 New X Remodel 0 Number of Units— 0 Deck . 0 Commercial 0 Addition 0 Garage 0 Shed 0 Other Enter 1st Floor sq ft 2nd Floor sq ft 3rd Floor sq ft Existing Floor Area 3 sq ft Area Basement sq ft Decks sq ft Garage sq ft Proposed Total Area 3 3(o sq ft Water Availability 0 Sewer Availability 0 On-Site Septic System Availability 0 Project Valuation 8: ai:e2 *j.p :% Zoning L(......., !Lot Size 903 A-C.(L,-s Existing Bldg Valuation $ ,!NDER Warne Address Cx h co I ' I-�(E=: y i c.I City State Zip MECHANICAL CONTRACTOR Contractor Name Address City State Zip Contact Phone Fax • License # Expir- 'on Date Verified 0 Yes 0 No PLUMBING CONTRACTOR Contractor Name �. Address City State Zip Contact1\'13( Phone Fax License # Expiration Date Verified 0 Yes 0 No PLUMBING FIXTURE COUNT Water Closets Sinks Urinals Lawn Sprinklers Bathtubs Dis ashers Drinking Fountains Other Showers • ectric Water Heaters Sumps Lavatories Washing Machine Drains TotalFixtute Count,.. MECHANICAL UNIT CO r Fuel Type (electric/other) Gas Dryer Air Handling < = 10,000 CFM 15-30 Tons Length of Gas Piping Range Air Handling > = 10,000 CFM 30-50 Tons Furn <100K BTUs Gas Log Unit Heater 50+ Tons Furn >100 BTUs Fans Miscellaneous Fuel Tanks Gas Hwt Hood Boilers Above Ground Cony Burn Duct Work • 0-3 Tons Underground BBQ's Wood Stoves 3-15 Tons Total Unit Count DISCLAIMER: 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 whey h c ' 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: / A/ /cf Legal Description: The N half of i lE qtr of the SW qtr of SE qtr of sec 9,TWP 21 . Range 4 E.W.M. except county road; and - The S half of the S half of the NW qtr of SE qtr of - sec 9,TWP 21 N,Rance 4 E.W.M. except county less The W half of S half of S half of NW atr of SE atr of sec 9 TWP 21 N,range 4 E.W.M. except coutny road(330' x 653.24) All located in King County,state of Washiongton VOISUIMOMMilimparis liar RECEIVED 1CT 1 11994 C.i r BUOF ILDING ERAL AY DEPT. '—'' ,,‘ 4#,Ap . ‘ wp, - 1 wp, - ‘ wp, --4 - it. p' '-`-' ''-'''-r"4 0 ,41,fik di.;,..4, 47,0,#4," 40 i Aft I \`ksoi/�00 \\ ,�•_•'' \,..,����._.` �.•_•.\\.......................\\ I4,il0/ ,ie /_ 4. �•/ �� � � c01iao00 ��``�/ N N • 0 f41 L. flf j � �'�.., c�i '� of a Lit.ilk 1 044 __���� • ` o y GI �• �__: o ,n Q �, 1 1 ��ijij �.. W N N 01 Z�� ;VA 0441 tit 1 "... ;4:1 et ill IN I a o �, Q a• 14�0_ . M4.14PIrA0sP,,r-a4.lr-.3r-,-3,f-),A• 1.11 $: •., ,;_,Z o?.) 1 z jflfl k;�\_� k\ \"0 I!:. El VI Z ,,-S. ' A. . 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