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'A/ 336 / S 7 BUILDINGFEDERAL D PLEASE PRINT EVIEWEn UNDF,R 1994 MC APPLICATION#: y i-D S 0? toutootiocindieniinAddress LoT 1 .-W. 6 Tenant(if known) ?ammo 6 s ItL Lot S Assessor's Tax S v 15' ��V• is os•o,so-o9 lr` 1.1jBuilding Owner Name A t 64 IRE_ M"om. ' c Address33�35- 6��5•0 l I� � City cE RAL Wtlli IState toA • zip 98°23 (Phone c,(4• %77 Nature of Work REND C_ - NEW lAWACIIIIIIiiiiiiiiiii Name(F,M,L) w:t-�0- KO "„ „ —`�• Address3.4 35 ' Q L .J . ,�p, f S.`W . . City FEPE Vsj I1 State A •-zip Igo Co act Person _ _ -t 0 ` Day Phone Other Phone Fax /O N C�'t£�IV N 661 - 967q 661 -967? ili:i::C::ti��:::.�:ii:::::i0:1:G��:�;:':�i:.:64:!v�:•:ii:i:::':'.::•:•::::11:::::i:':i Company Name 511 m Address City State 'Zp Contact Person Phone Fax , m�an I�s o'T'I�A Contractor's if(card must be presented) Expi�ti i Date - 9 Verified 0 Yes 0 No • Name %%ChM \ DAES III C PrN.) EtAr RsoO 14) .? V4610EK.S Address City State Zp Contact Person �Av � A`��( J -t PhoneQ sti xt t�+V 1 N 61 ! 39 -1313 'Fax 939 -'.7.3 LEGAL DESCRIPTION 1 I S 41)'v• ( • 1�6 . R E, feDEgAt vote' , 'rrn • yiN6 (0 , Please Complete Reverse Side C00492(R.v 4/931 $TAU )+: >" ».< Existing Use Proposed Use Permit includes: l( Building n Plumbing NC Mechanical 0 Other Type of Work: % Residential lit New 0 Remodel 0 Number of Units-L 0 Deck I a❑wCommercial 0 Addition w� 0 Garage 0 Shed 0 Other .� Enter 1st Floor 21104 sq ft 2nd Floor MIS sq ft 3rd Floor sq ft Existing Floor Area 1.1/A sq ft Area Basement Q sq ft Decks .A+ sq ft Garage _sq ft Proposed Total Area sq ft ? re: <:: ` >» »»` > ` >><Water Availability � Sewer AvailabilityOn-Site Septic System Availability 0 . Pa ¢:��!! 8t!a:�: �:.:.:.;»;». . ;; ..> :« >» • ! e• Lot Size " (�`: SrL �✓ �. t , Exisprig?:Bid:.�(alra�l9!1:::;�::<:<»::>::�::::>:::<:>::>::>::>::::>:«»::<;>:::::><:»: :tea . O� 9.L ( ) � t � � : - :: . : ::::� ..:::: :::.::::: ::::.:::::::.:::.;:::::<:.: . ENDER >><> > > ><> > >» • 'Name �l • Address City , ING • State • • IMp ........................................................................................... ........................................................................................... ........................................................................................... ........................................................................................... STRACTORiiiiiiiinin Contractor Name ?ACP(. Addre ss I'iv ..��' City T'LO�f111 /4' • State. yja . Tip 9461 Contact 0 %k iLTEK Phones i=5Z,Z �.Fax e'—3s 73 License if Ph cs FA S 09 3 M Expiration Date 111176 Verified .C:47 Yes 0 No ........................................................................................... Contractor Name vow stool) rr% / Address` . tw g•E. V i'Jb t " o �q City TAN1to' A State A Tip !d I l- Contact DA 1 6IZ04 ,` Pho8,S. _ 1O6 Fax License # T ET' ' * 211 1.t Expiration Date i '(i. Verified 0 Yes 0 No ........................................................................................... ........................................................................................... J[L INaSiM)Thu COUNTmaiii< ` Water Closets 4.,•:..........: Sinks 1, , , , Urinals Lawn Sprinklers 'e3 Bathtubs 3 Dish Washers 1 Drinking Fountains $• Other 4)- Showers 1. Electric Water Heaters 49- Sumps -© Lavatories 1.. Washing Machine 1, Drains e 'f``:"'` `:;.:......? t►t``'.''.:. • • .1111 .......................................................................................... Fuel Type(electric/other) &!%9 Gas Dryer $ Air Handling < = 10,000 CFM 15-30 Tons Length of Gas Piping go ts- Range I. Air Handling > = 10,000 CFM 30-50 Tons . Furn <100K BTUs 1, Gas Log ?,. ; Unit Heater , 50+ Tons Furn >100 BTUs G Fans Miscellaneous Fuel Tanks $" Gas Hwt a. Hood 4" Boilers Above Ground Cony Burner e^ Duct Work ✓ 0-3 Tons Underground BBQ s 49 Wood Stoves 3-15 Tons Total>UnitOo"nt .............................. ............................... 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 orm 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 inc 'I/ in rove •n •def se o such claim),which may be made by any person,including the undersigned,and filed against the City of Federal Way, but only where such c� sri /`!� 'rel •• of the « ,including its officers and employees,upon the accuracy of the information supplied to the City as a part of this ::::::nt: / / / Date: V Mc• iv%g toms I1 A3,51 •oo 1 sa4,WA lge3 6I ,-- —1— — eft f\Jc J 4k T iI / ` t ' ' .moo hII \ ` I_ ( 1 I8!,/ Olt- \;3 10' a � \ ' TIP \ Itg 1 0 MAIN f. , ' 1 I pz -\'-t" J a ti I \ OZi 1 e,au utot II buttotiLli . 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