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94-101539
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Mob L2 To_rk I1, Building Owner 7.7 e Address rin -+ �n �r1� n/ta � heWS ► .? ) 3 ► s+ P\Ye sLt) i ► a Cityl3e.ti'(✓lg1'1Glry1 (State VfA Zip ggOa.3 (Phone Nature of Work -) Mob 11,2. oy,22 52-x.._ 11f I4/ (i'C' = 4C 'CD Name ,L) t<-e r I n 1 Nt o..-.1-4-h 2 v∎iS Address i 3 8 5 +-1 13 i -14-o n "-K ci -11 Ll 8 I City '$e t `,In 'IC.:l YY1 State W A Zip 4?,j/p Contact Person vn,Q_ Day Phone Other Pho Fax 1 co-7c, - Co 5a C _I T lil ✓�� (BUILDING CON TR ;CTOR Company Name --e_-t--e s M.o b I I {-i-o m 2. M o v e r s Address ca L S 14 ' -P0. 1-ri c [4.y S. city '_s Mo i nom$ 1 State WA Zip Contact Pero Phone Fax KQ+hy Les() GoyY `P-c--te50-n. ►-800-992-afa. Contractor's #(card must be presented) Expiration Date Verified ❑ Yes ❑ No FE `r E R N C 2-2-1 3 M.13 Name Address City State Zip Contact Person Phone Fax LEGAL DESCRIPTION s-e-e_ ail-c cJ d Please Complete Reverse Side CD0492(Rev 4/93) f ISTRUCTUR I fisting Use I Proposed Use Permit includes: Building ❑ Plumbing •❑ Mechanical ❑ Other • ' Type of Work: l_Residential ❑ New ❑ Remodel ❑ Number of Units_ El Deck '❑ Commercial ❑ Addition ❑ Garage ❑ Shed ❑ Other Enter 1st Floor . d sq ft 2nd Floor sq ft 3rd Floor sq ft Existing Floor Area sq ft Area Basement sq ft Decks sq ft Garage sq ft Proposed Total Area sq ft Water Availability yl Sewer Availability 7 On-Site Septic System Availability ❑ Project.Valuatian S Zoning \ [Lot Size '; Eiai;<tin Bl :l :<;:'s»::>:; >>«> .»<> >>> >?> >'><> 6tX) Name Address City State I Zip MECHAINIC CONTRACTOR t >« » Contractor Name Address City State Zip Contact Phone Fax • - License # Expiration Date Verified ❑ Yes ❑ No VII3IlIN O A .R:: > :» :> €::>€ .Contractor Name Address City State Zip Contact Phone Fax License # Expiration Date Verified ❑ Yes ❑ No liiiiiui6:id::lifthdijki.IIIeobiaobg Water Closets Sinks ' Urinals Lawn Sprinklers Bathtubs Dish Washers Drinking Fountains Other Showers Electric Water Heaters Sumps _ > » > > >La vatories Washing Machine Drains TBtikFizc�o>Courit > >< > 1Wic,4ANICAI UNIT,:CQ 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 Underground .................................................................. ................................................................. BBQ's Wood Stoves 3-15 Tons Total>Unit Count' «:i<j!::>:>:>::>:»»»» ................................................................. 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 application. ✓�'� Q q Owner/Agent:- 1�1,-�j ► Date: v r I 1 • FROM : Panasonic TAD/FAX • PHONE NO. : +206 661 9945 AII,Aug. 15 1994 04:55PM Pi . HIGHL E PARK SPACE 12 PEDESTRIAN WALKWAY ....... 1 ..... 7 /7/ /it .. R e-0.4: i // ,,/ ,, / `- iir SEWER �• ico;zeds" ff./ , / •r1 it / / �/ //I/'" ', 1 46, 01 .// ,. . N CI /. ,/,/ ' ., /r �r CARPORT d' �Celt/5i7A/4) / r i r / /OA- � ,i, i, V. lii. nl /, ' 1, // PARKING 'i" l /; ' / � SPACE 17 010 ',.// -----------*--' Z A.61., ' Z = 0' ROADWAY, SCALE: 1" = 10' , DRAWN 8Y: R.Leustson SITE PLAN APPR(V5L , Permit Number. ,J 9 .--a6 Approved By: -.. : REVISION DATE Dee: fir- r .._....,,,,0• . Comments: � ;,,,�,,,,,,. AUG 15 1994 . , Bu)qy-©629 F,//6 I.& • •A w <- as -n .. -, A ..r w a1 O ' t6 W 1-1 m rn tl G G c.n . 7t7 rn r 1 i rn w fe s .� : r, �e r-+ r�' a w _ s ve j '' -n cm, rn8e - 0 • C 11. (Jl -I Sit t s r- d c rn cn rn w a v rb - s rn al .• .. rl fD W -C ,=, -n w rn Cs m tic - -, i o b n now a •• i 1 a rn w s ua r' Ri R1 A -, 0 z> ." srn C r § ran � '"' $ - - ? — -, .. 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