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•
BUILDING DIVISION
anror G 33530 First Way South
Federal Way,WA 98003
FIN" RECEIVED (253)661-4000
Fax(253)66I=4129
FEB 1 9 1998
APPLICATIOO, I I ILDING PERMIT
PLEASE PRINT APPLICATION#
r rrarrrj/!n! }' 05Address
Tenant(if known) Lot# Ass ssor Tax#
EinT 5 O o 3zo
Building Owner's Name arl�] / Address
Ci �' t r/()/ `G I State Zip I Phone
�► �de� y
Nature of Work
Name(F,M,L) /J /
7/e5. 7 —/477//A`8/I ( _/,2 S/ .
Address VV
City `('J7/ State
Contact Person Day one/0 19 ",`.y6 2.Z OthZP(L,o t'.sZ Fax
Fax
n:Airmsk
pe‘
C pant'Name ec,,,,.
$ Addres
___ ,4/97e d. (J( '
City State Zip
Contact Person Phone Fax
Contractor's#(card must be presented) z n 0.5,...c.—/ Expiration / yp Verified 0 Yes 0 No
Name .
Address
City State Zip
Contact Person Phone Fax
LEGAL DESCRIPTION ,// ?4_11 7 "gir._ r 0 y1/? 2/7i c,
Please Complete Reverse Side
•
''0,E;i •i fj {% %: j ;:/ ; Existing use I Proposed Use
Permit includes: 0 Building 0 Plumbing 0 Mechanical 0 Other
Type of Work: 0 Residential 0 New 0 Remodel 0 Number of Units_ ❑ 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 q ft
tr�
Area Basement sq ft Decks sq ft Garage sq ft Proposed Total Area t
Water Availability 0 Sewer Availability 0 On-Site Septic System Availability 0 Project Valuation
Zoning I Lot Size Existing Bldg Valuation 8
%+'MK: Y,?sy f�•: ,+r,Ei:frrl.:�?�////l fll.'.?i' 7r!,��'t:+' f�/
r�:;;• f� rj;:ir; <rrr/r/.i9i�1.G.4%,f��c;�rr!rii.':• Aiga`
Name Address
City State I ZIp
„rr,.m ;.; r;r.{ der l'/r' F`m•Am,
Contractor Name Address
City State Zip
Contact Phone Fax
License# Expiration Date Verified ❑ Yes 0 No
•
Contractor Name Address
City State Zip
Contact Phone Fax
License# • Expiration Date Verified 0 Yes 0 No
•
rim7.zs, ••.
Water Closets Sinks Urinals Lawn Sprinklers
Bathtubs Dish Washers Drinking Fountains Other •
Showers Electric Water Heaters Sumps
Lavatories Washing Machine Drains' Tdtai:F.%xtura> ....... ........... ....
( ° MECHANICAL EVALUATION ONLY $
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 Under round
BBQ s Wood Stoves 3-15 Tons i3tglVCttiE`eutlt............................
ii
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 appliapplication.catio
Owner/Agent: . .iy�GZ Date: Fel /97
euwao.wer .
REV E081261a7