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( . § § � / SET BACKS AND FOOTINGS�jr� _. ��19 BY v-`� _... _- OX TO POUR FOUNDATION GWALLS DATE r2 - 4 .-BY `� _ PLUMBING GROUNDWORK DATE _ _..2-../..� C/..._BY PLUMBING ROUGH IN DATE -- ..BY _ WATER LINE O.K. GAS PIPING O.K. =� �/5. MECHANICAL INSPECTION DATE _BY O.K. TO ENCLOSE FRAMING DATE / LIL BY /�� INSULATION DATE _7 .3u_ru _BY Ag WALLBOARD AN FIRE WALL DATE S) gY FINAL O.K. TO OCCUPY DATE _ .��-�BY .%�%%� _� i7Cf} TpSD FD •' - - /v - l-12rX//S i� 7'l2'1? /0////Il f- f�GL TL"r.�/I�j N /V S/r}f z If�CT/P/CA N L �•- 7'�t �//2 C— / G 1 >/� //�S!f/<</zi c�S//v _ /F:/ti!� _T// i] i / S i /f j Ga .L1 � � .Nrti� >✓'G�//1/z/� �/�/r�� /1 i/ /�/Z i�/lr>Gc�/zJ � ^!-��� 2 lie • 1 G ZS- —X1112 i �riSi� ri /Z Cr S ��1 %/�/i+CJL G/?/L -- CO /1 i(i/G �- - %�C;irti �c_A7-ItIl hl2,o, 6.-,-cl(� 6CL e v� b` % . s ` o o S. n cr •� s r J�r� 9 0--I. a C�53 CITY OF FEDERAL WAY BUILDING PERMIT APPLICATION — Please Print — BOX 1 OWNER � JOB LOCATION �' 7` "-5 OWNER'S ADDRESS`- 5 i CITY_ +¢4..•-s1] PHONE DESCRIBE JOB &- �Z- THE PROPERTY IS OWNED BY: SINGLE/MARRIE PARTNERSHIP CORPORATIONL BOX 2 CONTRACTOR'S NAME _-5- CONTRACTOR'S ADDRESS S'+-+ -e_ EXPIRATION DATE L CONTRACTOR'S REG. # Sr_j4U`L'4 (-_ Card MUST be presented CITY PHONE I HAVE READ CHAPTER 18.27.010 RELATING TO DEFINITIONS OF GENERAL CONTRACTORS AND SF CHAPTER 18.27.110 WHICH PROHIBITS ISSUING PERMITS WITHOUT PROOF OF REGISTRATION. BOX 3 CONTACT PERSON PHONE 0 BOX 4 SEWER DISTRICT WATER DISTRICT t2�:,a BOX 5 ESTIMATED PROJECT COST *7110013 EXISTING BUILDING VALUATION BOX 6 PROPERTY TAX ACCOUNT N LEGAL DESCRIPTION L�•'7`r7iLYr� (If necessary, please submit a separate page with the legal description.) BOX 7 BUILDING SQUARE FOOTAGE: (Existing/Proposed) 1ST FLOOR— 21�t 3 2ND FLOOR 3RD FLOOR / BASEMENT /4IL-9 DECK I GARAGE BOX 8 ( ) SINGLE FAMILY ( ) NEW CONSTRUCTION ( ) MULTIFAMILY (NO. OF UNITS = j ( ) EXISTING STRUCTURE ( ) COMMERCIAL/INDUSTRIAL TOTAL AREA OF PROPERTY SQ FT BOX 9 PLUMBING FIXTURES (including rough -ins) MECHANICAL APPLIANCES — BASIC FEE $ 2- CIO NO. WATERCLOSETS GAS PIPING, FEET A 0 $ ' BATHTUBS NO. _FURNACE, ELEC. GAS ►X $ 1 0 - °0 SHOWERS GASHOT WATER HEATER $ 1 LAVATORIES CONVERSION BURNER $ (_SINKS BOILER, SIZE BTU $ i DISHWASHERS _AIR HANDLING UNITS $ ELECTRIC HOT WATER HEATER HEAT PUMPS, SIZE $ 1 LAUNDRY WASHER OUTLET UNIT HEATERS $ URINALS AIR COOLING UNITS, SIZE $ DRINKING FOUNTAINS COMMERCIAL HOOD $ SUMPS, SPRINKLER VACUUM BREAKERS OTHER $ DRAINS $ OTHER $ - TOTAL FIXTURES $ _j S-S ®p TOTAL MECHANICAL FEE $ IS -T I CERTIFY UNDER PENALTY OF PERJURY THAT THE INFORMATION FURNISHED BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLIE GE AND FURTHER THAT I AM AUTHORIZED BY THE OWNER OF THE ABOVE PREMISES TO PER- FORM THE WORK F�VyHIQH PFRMyT APPLICATION IS MADE. OWNER/AGENT: DATE:. — ANPAIN 11W OFFICE USE ONLY (PLEASE DO NOT WRITE BELOW THIS LINE) ZONE95 -1-Z SETBACKS: FRONT SIZE S t<-g `REAR S f HEIGHT LIMIT 3� r PLANNING DEPARTMENT APPROVAL �-�-?- i❑ REMARKS: tF�k G fil za r SEPA: EXEMPT 1C NOT EXEMPT FIRE DEPARTMENT APPROVAL DATE REMARKS: ,AJ I PUBLIC WORKS DEPARTMENT APPROVAL ( DATE 3 '(0 REMARKS: TYPE OF JOB: NEW RESIDENCEX RES. ADD/ALT NEW INDUSTRIAL IND. ADD/ALT NEW COMMERCIAL COMM. ADD/ALT NEW MULTIFAMILY (UNITS ) MULTIFAMILY ADD/ALT TENANT IMP. ROOF OTHER OCCUPANCY Lam— _ TYPE OF CONSTRUCTION . N STORES L-(V l BUILDING SO. FT. ?-c f Z _@ f 3° SAES - 0 0 BUILDING SQ. FT. s___ ZQ _ @ - 3 c 7 f 3 y. y b "�- BUILDING SQ. FT. I z_c3 @ �o� ap _ _ f z 06 _ oy BUILDING SO. FT. @ - BUILDING SQ.-FT. @ ` BUILDING SQ. FT. @ �r ` TOTAL SQ. FT. TOTAL VALUATIONCt Z i�) EBUILDING PERMIT NO. _ PLAN CHECK FEE REC'D . RECEIPT NO. PERMIT FEE 75-2 -vim PLAN CHECK FEE 494 G-C�- - PLUMBING FEE -===- =- MECH. FEE ?a - S�o TOTAL FEES 131 '-r - s o SBCC SURCHARGE '� ` �� ENERGY SURCHARGE AMOUNT DUE 13 f q• oa BUILDING DEPARTMENT APPROVAL - - - - -------------------- DATE-3 - z7 - Yo REMARKS: ASSIGNED ADDRESS: . RECEIVED MAR 12 1990 ITY OF FEDERAL WAY BUILDING DEPT. RECEIVED s t`` st, ACCEPTED FOR FILING cr- A r �J � J v QQ c/s a r a- s n3 a it 3 0