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94-101363
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C.:, 1.1... 2- ...," c...., 1 ;IL, V) C:C ct) at cer tn us: c.,-) 1 ---1 ..Af: 1. , :-_:,,, .ex :,;" ...... c.ri a22 *X •C .CC 1!,...1 L.!, I. -.1 l') (1) ‘,10 C:. CI (1-. ;,- 1 cr.., ,.- ,..., c=, .• ,.... • ,..,,, - , ,..,... •,_ 1.1.. C.0 l..-) iC= 4/, M 4.0 1 c0 C.- ( '..) ...- •.0 '. 2.-. o. u-.....- . .1••••,, „. RECEIVED City of Federal Way APPLICATION FOR BUILDING PERMIT JUL 2 01994 CITY OF FEDERAL WAY BUILDING ADEPT. PLEASE PRINT APPLICATION#: L v C1 1 1 D s'1 Address Tenant(if known) Lot# Assessor's Tax# 'I�R�IJ M 14v 14-I vl S.i dci L.. O 9 210 4-9054-oli Building Owner Name Address F D 11)1441 Cc 1 bI T2tc ' 314oS City FF�1.RIL ,4 LL - (State W Zip ©d3 Phone'4 j—CP(0(3 Nature of Work Po P_TA-13LF' S e4- M 1 SC_,. Name(F,M,L) REy (_ gNg 4-ssccJr4-T- z S, A-IZGAii- rS Addres 1 I S. PA-SI-I. Poiivr Ro .L7 City FEDC21'1-L, WA—L) State WA- Zip 925 00 Contact Person Day Phon Other Phone F Ar GL�w Cal I-shiU�4-y ��l-4G 37 �1�1 zZ &ThL D G CONTRA TOR ..................................... Company Name Address City State Zip Contact Person Phone Fax Contractor's #(card must be presented) Expiration Date Verified 0 Yes 0 No ARCmTECT Name �_ EFF 24311 L. &I R.gt J6 A 53OC)*res, I Address 1� R D City rE.D +`rb�-I't,,,,��-L 1�t'4-y State IVA— Zip 9 � V ' 3 Contact Parso/� p 1 v1, °� `-�11'uv 11 U t ri.S��LJ p'� Ph f j 9 3 Fa��i� �t Z� LEGAL DESCRIPTION SEE A-7'1"'r Fe D P/ease Complete Reverse Side C00492(Rev 4/931 cistin use r 0 os ed Use r • 9 L:.:.:.:::.:.::::..::.:.:.:::.:.:::.:.:.:.:...:::::::::,:::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::. , rij�y�� P Permit includes: 0 Building 0 Plumbing 0 Mechanical 0 Other Type of Work: 0 Residential 0 New 0 Remodel 0 Number of Units_ 0 Deck 151 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 Are;3 tj G sq ft • Water Availability labilit 0 Sewer Availability0 On -Site Septic System tern veil A abiht Pta'eotYal'atiaa >':. ><:;: 'i>'::;` ::::.``::>:<:>'>'> Zoningi Lot Size >E• zi>:< :>:::Bl: `:'.Valuation s:i:::::>%r ?> ':z»> i> >> :: :::: Name Address City State I Zip ..................................:..............:...:....:.......:...::...:............... Contractor Name Address \City State Zip Contact Phone Fax 'License# Expiration Date Verified 0 Yes 0 No PLUMBING CONTCT CAol>:< >.:C.T »> R;:» ?<"': < > Contractor Name Address City State Zip Contact Phone Fax License# Expiration Date Verified 0 Yes 0 No PLUMBING P URE COUNT Water Closets Sinks Urinals Lawn Sprinklers Bathtubs Dish Washers Drinking Fountains Other Showers Electric Water Heaters Sumps ................... ........................................ ............................................................. Lavatories Washing Machine Drains `Total R xt#r.:!4WP ; : MECHANICAL UNIT COUNT 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 ................................................................. .................................................................. 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 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. Jao/M Date: 7 , :__ 1 1 fee P (4111041P I 1 a ItiVAPI 01 OP, kt,%, 004/".114‘ 177,r, _ IMP 1\‘‘I 11011 40 g tte MI P \WO "AkktVirOPPSkSVO1/04k -411‘ Wfr 1-#1k\* k 4 / .4'IP ��t 4CN.,,,, —�—� I�i� - 0111010. r. o a Ma ,� a � It`seip ., o ~ ►�jJj• talk \-,, to `o in 11li m -ram—�� *4? xi ,.d N ti O , 1 1. 1114, Z E `'s E-I a 8 a ° •Inr.,--4,--40,-,,ai 01 _'"--.411110--411•-__...moirAil ttt S z 1 '-4c0 cl, H \IIINI '9'$. .73."q 1"-• a i 1, 'j4p 14 0 c W 134 4 A co al a.a' o ct c o /,//.� Wilk \ K. . tn o A aN u = = 240) a +i o . _ :: o) .s x o� Nimml .z \\ tjR, 4'4 1-1 ,s htil °o H oHO (,. n o m /,//Ki ira 44+4 a *"1 0 i 4. t)t, 0 v... t st,; +.. ... =glAp==� : Z tS M (,. A Z 111111 \\\\\`� //�/ ts ... .. .. r-I .. m d v C , �_\,\\‘ • pa :Es• Ei Z • W R En y t o o '.`��_�4* ��__s.. N o it N O veh _� :ice%% o 4Z w V a w a i z 0 0 °a. -V � a A1�I� .01.01 / o.io V WA \ 0 3 0 tooz . d► ke 1:4 V CS v 1 a , , a ,, ��AMMO ��L pii \ `- .ii\ /4// m \ �� /O/ \ \��ii�/ 1$1 %\\�- --iri4� \ki. 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