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92-100646
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Cl) LU W I Q Z• } CO y cC cc {L N 0 1- C7 Z F' } z (S OJ 0 6 W = Z W W (9 U_ U _ 0 W w 0 2 } 0 � L Z Q w U < m V W O < O U.F S z Z U W 3 LL W IL H W U. • H CC (L ¢ 0 0 U m n Q U m a d m U U w m Z I- W W ` (6 W a w LL v w = 3 Q to 3 M 2 z 2 _ / < n 6 " W O d Q ., Z r C7 a W O O a> W Q 0 Z O J < < Z Q � 0j Q W J J W ¢ W o 0 m F 2 J 0 W 3 lA 'p a U U F Z r I 6 3 m m J to 0 > a a a 2 co a co LL 0 < < — CO 0 T • I mit # -L(41, 7 RECEIVED APR 2 91992 CITY OF FEDERAL WAY orr yoc BUILDING PERMIT APPLICATION WILDINGDEPT -Please Print— BOX 1 TENANT NAME:Fg.DL tA_) ilev, �� e_i OWNER Fr=t)Zh ram. v:.a•� Sc_04'..; t' t 5 71 7 SITE LOCATION 3 I'�. ' ;' r,... 5+,a: F:=r r,:: 47: OWNER'S ADDRESS :.?Pi05" �Y r4 .r<<��it CITY FLo ,' .7) PHONE `7i// -6/00 DESCRIBE JOB IEa=u f A�-�: i'�._.H�;/t.'�- frtit. m Tc:i.G7 "tb1:0 Lrxv THE PROPERTY IS OWNED BY: SINGLE/MARRIED PARTNERSHIP CORPORATION F"c:is: BOX 2 CONTRACTOR'S NAME 12 -st,,w 0`:w-:1 CONTRACTOR'S REG.#14%a ;2 4-T Card MUST be presented CONTRACTOR'S ADDRESS Ho/U 14,r" s- j-fs;" CITY PHONE .S'/4 % EXPIRATION DATE —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 l'ci rr - c.let t PHONE 5-c 3 s I 't BOX 4 SEWER DISTRICT Fai ,,4-Lt.44-4e WATER DISTRICT Fir1m .af c. (Ajtvr BOX 5 ESTIMATED PROJECT COST EXISTING B DING VALUATION BOX 6 PROPERTY TAX ACCOUNT NUMB R 2_/Q 4— 'D 5-4'—d LEGAL DESCRIPTION (If necessary, please submit a separate page with the legal description.) K.C. Plat Recording# jC BOX 7 BUILDING SQUARE FOOTAGE: (Existing/Proposed) 1ST FLOOR / 2ND FLOOR / 3RD FLOOR / BASEMENT / DECK / GARAGE / X BOX 8 ( ) SINGLE FAMILY ( ) NEW CONSTRUCTION ( ) MULTIFAMILY(NO. OF UNITS = ) ( ) EXISTING STRUCTURE ( ) COMMERCIAL/INDUSTRIAL TOTAL AREA OF PROPERTY SQ FT BOX 9 PLUMBING FIXTURES(including rough-ins) MECHANICAL APPLIANCES— BASIC FEE$ NO. I WATERCLOSETS GAS PIPING, FEET $ BATHTUBS NO. FURNACE, ELEC. GAS $ SHOWERS GAS HOT WATER HEATER $ I_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 OTHER $ DRAINS $ 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 OWLEDGE 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, U N THE ACCURACY OF THE INFORMATION SUPPLIED TO THE CITY AS A PART OF THIS APPLICATION. OWNER/AGENT: DATE: ,7 ANP•008 3/90 Z 0 o T I p Tr I \ aCD d CD j ? w - _ CL E � W 2 - z = \ \ « » _ m \ = z H U \ / e c § _ D CO ƒ ] = Z j § la \ 0 2 CO = Z ± < 3 o▪ a. E 0 /o z 2 cc o \ / w u. % / 0 4 « e co CC u ® d 2 § W 2 A e / FM. 0 # EL K > \ i ( UJ 1 ® 0 ( Il § H / 7 © 2 . 0) �• 1- < o < c � Z co 2 5 m b / m / m k CC / § _ / 2 $ 3 5 % 2 j a ) 6 § � 0 Z • < § I . • 0 W 1 k 0 CIL § z { a 4 ( 2 _ ; o » « I- cc 0 e k 0 IT 2 (15 i ° 0 < a z a % o a.a. z 2 I - ± z -J _ ± z a § « 2 2 Ui u Z W ° z W 5 4 _ f 0 MEM / [ / / \ o 0 i j ® @ 0CC CI z o 7 = » z 2 ® ( \ = e o• ° c E m u < } < e z - o • 3 20 0 ; \ E / \ § 0 NMI £ o < U 0 o ° « o ( \ (n o o _i z . § f < ° ° .. 0 m § F 0 i = q z § ■ e 0 0 H < / 3 0 @ ` § 6 » m § < } z c o z f z < §CCI ) § 2 = v 2 z § [ H / z 5 z e § \ / / } H U) $ \ z ^ ± z ( 3 5 2 IL q / o = ~ _ ° 5 / u_ j § 7 K / / • cc 2 O 0 W 5 k § a 2 • U. Z A § } 2 \ E 0 cE co aCO 0 0 « 3 / Z Z LU - _ CO CC LLI $ ) > F. / z CI ILI %\ o [ s k co } / _ § 2 $ U. 4 & } z ± H » y co u ± u 4 ) [ f - § } LL { / z / § a ( / E 0 2 / @ § § [_ [ ) \ \ ° j 2 § ° & } 0 E — / m R $ o E _ z / ° o a < E = o o ƒ z w r § E n 2 e < _ , u = ® 2 CO ƒ < ƒ § ± / D Ct. > z CD z 7 ) , o > / [ G 0 . ƒ $ o , u / }2 ± / \ / z ) \ ° 0 a \ \ ± 5 f / > = a 2 , ƒ $ £ a z 0 < a _ § / U / ± _ II_ ea . . , 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 ... /3 92 _BY A 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. 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