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94-101821 N o � M 28 .28M M el `O 11. a• O N x * d0 0, 0 O I� P �OU� MwwwN w . ... M• M• •. �� .. �� • C 1.. _ IE J` OO ). (() �s i Wh WI � ~ W .°C.so a �'� -aim L W$ 2n171 W N O. .. d .. W 1� O J . a ..I :'ml O� O O B i . . . . . . . `!� �• W W • W J • • . • : OC y N W O .iNt g . to o J 4.4 i 0 W W V -u.� W �W to g pi_CC �Cit Hi•. " �T\t N 6' 2W O 70i► 0 O . a. W O 1 8 8 8 O o e NDe O O CO O ya 4 3 m cQio• e• • • • o � o m ft ce • M x,. W W � . tpO . . .., 8 u .401 � C 1 Z r.. W O 6 V . i 8 g: :i 6N 00000 00 . �HN O ~O �. 7� i w . . . . . 11 ii w c, ! :an. If! M m i pW 1 `� H a. W M 46 .� 1 1 � Q O Mm , J. bM .'^-� �75 � '� 00 8w yS H p M h N H .N. ,ij, = ooa14111 000 eao ooeNoo W USW uu Lia � co � � 1a ^ ., _��° a >- 3o z O g. IL 2 0171 a i W J d W 1 �• O C: P• . I U N _ ' � 0 8 .. i G +1 N V V Nse W N "-IOW s W e e o 0 o e e o 8 N li s_ 3 M .4G a 11c: 00: 4 e.� '-' ~ L&. I r-+ O (A N 2,.., 2r. 2 f�" s ►W- t5 J o y .. eC W O 0S F- aCO Y a }' M 7L� V W •• w e' QW O 1,Q1W.1 • O O~. =V W J N r= O A F" If� V .-I 0 • O U. Mlry a � Y W ars,I Jy� = q� $ ems a� .~.I � oc UMW % azza L eeI- as .• .- •. •. c� I. m 8 .. o • w A� City of Federal Way NIN) APPLICATION FOR BUILDING PERMIT RECEIVED PLEASE PRINT APPU • :v lit / -ci i Sl l I,OoATION t w Address z 145s 2'53' AV Tenant(if known) Lot lTl" (N W'g � �� BUILDING or Tax s lC5 - SC4oL Building Owner Name Address FE- Z W .41cioc... 3 4t %8 City �EirDEte, aiAlistate W ict Zip too Phone S3 y F-si.b—O Nature of Work -r-e0ALYT I t A .0 P vEt ,tek, :A� 2 :;+;:<:;:>i:: ::>?i'`>Fi�> i? c[ ?s; <#>i'i>i'i>` ci F ? <ii !SCAN'X'::::::.:::.::...::.::::::::::::::.::;.:::.::;.:;:.:;;•;>::»:;::. Name (F,M,L) FEOEeA-c.. (...0 AY sc oop -3;)i SM.C.T Address tO(C)CC0 5 r7 - , City F E-EA c.., u)Ary 1 StateUJ A �f'roci 3 P otactp Pe rsletAio Day �h one 42 a OthW—n�/Z o F4146 —3193 ,1J1U)ING CONTRACTOR 11111. :: .. • ........................:. Company Name ---r--InElasett, uO AtY -lc x p lS-rel.cT Address L Ott)(o , e zo City A-c. u..) State L2_34 Tap I Edd� C cct�on LeLJR`'>tK Ph ne �G z7�J /x�7�- 1 7 3 Contractor's I(card must be presented) Expiration Date Verified 0 Yes 0 No • Name • e Fes' Ge...E- Address 1745 °SOX .4.t t t S .4� S DAS r,1.1T izo ks) , A A City r�►O A L. IT. LO State (+V zip �fl4dr3 �� Contact PersocFax,I 2 LEGAL DESCRIPTION 11 r I-oe "i-J Y2 ©C 'Tf1.6 •15As-r V4i- 6F Ti-V' Sid!S114-10154)NT 5001'6k £isT V. of c.m 0 a �uwt�thk P 2 �a �) •RAotre 4 Please Complete Reverse Side C00492(Rev 4/931 STltucrpl Existing Use? G `_ O O(...., I Proposed Us(R)6 sd' ? (yam S Permit includes: ng 0 Plumbing (C chanical 0 Other Type of Work: 0 Residential 0 New Remodel 0 Number of Units_ 0 Deck /a-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 sq ft Area Basement sq ft Decks sq ft Garage sq ft Proposed Total Area_Mt!'_ sq ft Wat er Avail ability N ❑ Sewer Avail ability NO O - 'te Septic System ern Availability ❑ ;:>>: '..»Pal t:Y autian ' : ? ? ":; . :. Zoning I Lot Size ExistingBdgy0400o*` $ : > o �` Q.) ,.. Coowt(svyzA�oI) A k.4oGo ON= o LENDS$ :. Name Address N.A. . .. City • State . . I ZP : `ME Contractor Name Address N•At . City• State Zip Contact Phone, Fax • License # Expiration Date Verified 0 Yes 0 No • • Contractor Name Address City State Zip Contact Phone Fax ' License# Expiration Date Verified 0 Yes 0 No • PLUIN(�U � ..............:gpiiiiiu: . Water Closets Sinks Urinals Lawn Sprinklers Bathtubs Dish Washers Drinking Fountains Other Showers Electric Water Heaters Sumps '::s:>i: z ?::::: z >Lavatories WashingMachine . Drains Tt81_, titi Wttn s> : > ..::: •• 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 Burner Duct Work 0-3 Tons • Underground • • BBfl's Wood Stoves 3-15 Ton s DISCLAIMER: I certify under penalty of perjury that the information furnished by me is true and correct to the best of my kn&Medge and further that I am authorized by the owner of the above premises to perform the work for which permit plication is made.I further agree to save harmless the City of Federal Way as to any claim(including costs,expenses, and attorneys'fees incurre ' stigation and defe a uch claim),which may be made by any person,including the undersigned,and filed against the City of Federal Way, but only where such m ' s out of .relic o t City,including its officers and employees,upon the accuracy of the inform ,•n supp' to the City as a part of this application. 7,,oOwner/Agent: i Agent: ' Date: 06/30/94 16:13 FAX ' 206 941 5122 JEFF GREENE ASS(' 0001 • u Popet-IP brand fax l ansratal memo7571 #ar won. : • I� - �QNJ )- Feeee ~ jijj U11 noi j W Cn Q W Dept Phone? g ' W Rix* "' -f i Luz } m x e j . . 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