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TO OCCUPY DATE _ BY DCD P5D FD to � •1 L ' � �1P� /' ��a �' Sri 6 �'%r_� . 1t CITY OF FEDERAL WAY BUILDING PERMIT APPLICAT101� Please Print — q O- I QI 9 w BOX 1 OWNER C e i;-]c cn, JOB LOCATION 2-112 OWNER'S ADDRESS CITY Sce,44lc 1-,A • PHONE 9 2 " DESCRIBE JOB Z/`u&-� I - b&KOh-- .. /1-' 'E,- 2 93"► THE PROPERTY IS OWNED BY: SINGLE/MARRIED PARTNERSHIP CORPORA ON T BOX 2 CONTRACTOR'S NAME 64 c 1-4 � ��� /* -rA c CONTRACTOR'S REG. # I L Card MUST be presented CONTRACTOR'S ADDRESS ► 1-1 lf-G o - CITY tdme h J.I (-A PHONE S -9 ,3 - OZ 3 8 EXPIRATION DATE_- L —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 CONTACT PERSON _-ASLy PHONE 6 E3-GZ36 BOX 4 SEWER DISTRICT WATER DISTRICT L� _ BOX 5 ESTIMATED PROJECT COST` q2-60 EXISTING BUILDING VALUATION BOX 6 PROPERTY TAX ACCOUNT LEGAL DESCRIPTION (If necessary, please submit a separate page with the legal description.) BOX 7 BUILDING SQUARE FOOTAGE: (Existing/Proposed) 1ST FLOOR / 2ND FLOOR 1— 3RD FLOOR / BASEMENT / DECK / GARAGE / BOX 8 ( ) SINGLE FAMILY ( ) NEW CONSTRUCTION ( ) jAULTIFAMILY (NO. OF UNITS = } ( ) EXISTING STRUCTURE COMMERCIAUINDUSTRIAL TOTAL AREA OF PROPERTY SO FT BOX 9 PLUMBI G FIXTURES (including rough -ins) MECHANICAL APPLIANCES — BASIC FEE $ NO. WATERCLOSETS GAS PIPING, FEET _ $ BATHTUBS NO. FURNACE, ELEC. GAS $ SHOWERS GAS HOT WATER HEATER $ (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 7 $ DRAINS - - $ OTHER A $ TOTAL FIXTURES - $ 'y 5 -- 1 S, ® G TOTAL MECHANICAL FEE $ DSO 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 PER- FORM THE WORK Fj0 RICH PERMIT �PLICATION IS MADE. I OWNER/AGENT: t• ��'� DATE: - 1lyh I Mo ANP-006 2/90 _ F OFFICE USE ONLY (PLEASE DO NOT WRITE BELOW THIS LINE) ZONE_ C C',- SETBACKS: FRONT SIZE REAR HEIGHT LIMIT _ PLANNING DEPARTMENT APPROVAL REMARKS::.. - - SEPA: EXEMPT NOT EXEMPT FIRE DEPARTMENT APPROVAL C_ DATE 76 REMARKS: PUBLIC WORKS DEPARTMENT APPROVAL DATE - REMARKS: _ r TYPE OF JOB: NEW RESIDENCE RES. ADD/ALT NEW INDUSTRIAL IND. ADD/ALT NEW COMMERCIAL COMM. ADD/ALT NEW MULTIFAMILY— - _ (UNITS ) MULTIFAMILY ADD/ALT TENANT IMP.- ROOF OTHER OCCUPAN Y 6 Z TYPE OF CONSTRUCTION Q IV STORES I<�PT BUILDING SO. FT. `! @ it V' _7 6> = 1 Sco( J__ BUILDING SQ. FT. @ _ BUILDING SQ. FT. @ _ BUILDING SQ. FT. @ BUILDING SQ. FT. @ BUILDING SQ. FT. @ TOTAL SQ. FT. TOTAL VALUATION 31 ' 3 d EBUILDING PERMIT NO. PLAN CHECK FEE REC'D RECEIPT NO. PERMIT FEE = PLAN CHECK FEE _y r} -- PLUMBING FEE MECH. FEE 5-- d TOTAL FEES i' I_ _-. SBCC SURCHARGE `l' S Q ENERGY SURCHARGE -G AMOUNT DUE 00 BUILDING DEPARTMENT APPROVAL - - - - - - - - - ------------------- DATE _j ` Y - !Y Q _ REMARKS: ASSIGNED ADDRESS: 7/5/ SST RECEIVED ACCEPTED FOR FILING