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Tenant name D L1� OD 1 � Lot # Assessor's Tax # Building Owner's Name Address Cit r b ►_ WA State WA Zip Phone Description of Work '-r F— � PW f j OTir b F, Gf1,�,V-wa 9 1 i I c (3 —,,�R A 9 D lTio;J Name (F,M,L) twoQ v 1� Address City State 6 Zip 177ID70 Contact Person u� ' Ju Day Phone 5�i� ((-7 x5 - Other Phone - -;�j Fax '5D-�>- 5-87-927 Federal Way Business License # Company Name Woo D ur2N Go►ti5 • GC, . Address City W©O D e VuP—N1 State O 11L zip 70`7 k Contact Person �K'PpC]UG LAS Phone 3 98 l —�5o y- Fax �(S l -a8 _ I Contractor's # (card must be presented) wooDG,�, 2—o, T t— Expiration Date Verified ❑ Yes ❑ No fi HITECT . Name 1" t� n Address City State Zip Contact Person Phone Fax LEGAL DESCRIPTION i G ...... .: existing Use 'roposed Use Permit includes: rBuilding ❑ Plumbing ❑ Mechanical ❑ Other Type of Work: ❑ Residential Commercial ❑ New ❑ Addition X Remodel ❑ Repair ❑ # of bedrooms ❑ Garage ❑ Deck ❑ Shed Enter 1 st Floor Area Basement sq ft s ft 2nd Floor Decks sq ft 3rd Floor sq ft sq ft Garage sq ft Existing Floor Area sq ft Proposed Total Area S�P sq ft Water Availability ❑ Sewer Availability ❑ On -Site Septic System Availability ❑ Project Valuation Is 000 Zoning Lot Size Existing Bldo Valuation I S For new residential only - Proposed selling cost: $ Name [ Address City -4*- State Contractor Name I Address city State zip Contact Phone Fax I License # I Expiration Date - I Verified ❑ Yes ❑ No --- -- ------ --- --- Contractor Name Address City_ State Zip Contac. Phone Fax License # Ex iration Date Verified ❑ Yes ❑ No R.LLI.MBING,' I F Water Closets Sinks Urinals Lawn Sprinklers Bathtubs Dish Washers Drinking Fountains Other Showers Electric Water Heaters Sumps Lavatories Washing Machine Drains Total Fixturo Count MECHANICAL EVALUATION ONLY $ Fuel Type (as/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 <IOOK BTUs Gas Log Unit Heater 50+ Tons Furn > 100 BTUs Fans Miscellaneous Fuel Tanks Gas Hwt Hood Boilers Above Ground Conv Burner Duct Work 0-3 Tons Underground BBQ's Wood Stoves 3-15 Tons Total Unit Count DISCLAIMER: I certify u the above premises to perfc attomeys' fees incurred in i where such claim arisesAw, Owner/Agent: 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 far which permit application is made. I further agree to save harmless the City of Federal Way as to any claim (including costs, expenses, and qd defense of such claim), which may be made by any person, including the undersigned, and filed against the City of Federal Way, but only of the city, including its officers and employees, upon the accuracy of the information supplied to the city as a part of this application. Date: / S ` 1 BUILD-Av RU.E0 5118199 0— Kd) zc rl t ,7 fl 6z -77, am 11Z 7 Z, tv Ln K= O cz r-) p <m, G 14 C r : en qo me S ul G r-5 Y. da CA :-c A = m. Ic — 0-- — t C,'h mac, A mzz, --A ---i ILI 'n tg CM, 3:� C3 Cl C if A M, ALI-2 U3 7.7 LA N4 %4 1 SETBACKS & FOOTINGS Date By 2 FOUNDATION WALLS Date By 3 PLUMBING GROUNDWORK Date By 4 SLAB INSULATION Date By 5 FOOTINGIDOWNSPOUT DRAINS Date By 6 UNDERFLOOR FRAMING Date By 7 SMEAR WALLS Date By 8 PLUMBING ROUGH•#N Date By 9 GAS PIPING Date By 10 MECHANICAL ROUGH -IN Date By 11 FRAMING Date _ By 12 INSULATION Date By 13 GWB - 1ST LAYER Date By 14 GWB - 2ND LAYER Date By 15 SUSPENDED CEILING Date By 16 PLANNING FINAL 17 Date By PUBLIC WORKS FINAL Date By 18 FIRE FINAL Date By 19 13UILDING FINAL Date By 20 OTHER Date By CDO193 (Rev 4/97)