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• " k `�w --.n �'{s�l / BUIIDINGDIVLSION
OTYr .
OF ~U� /Y 33530 First Way Swath
REVIEWED Federal Way,WA 98003
(253)66�Y 4000,..� UV66129
RECEIVED � -g
10 99 1 199P
I
APPLICA70 FOR BUILDING PERMIT
±---
0 I Y J-rtDtHAL.WAY �
BUILDING DEPT. 3,8- ,,,[ ` Z
PLEASE PRINT APPLICATION #
1 `idaMM ^z''`<z^::_::>^:< ,w c:^:::<<k> Address SO 0 O w Z./ /A/F
Tenant(if known) Lot# 5 Assessor's Tax#
Building Owner's Name/r /.4, (---7 Address'94/` , .28.0 . "7 5C
City 4'1 c 4.*✓✓ I State (�JA'• Zip 782)Z Z I Phone 360-ge Z- Zz3`-
Nature of Work ,tif1.---b✓ L_ ",.....J 5,i
Name (F,M,L) /�/
i-C f ✓nC1fyg S
ie
Address '- � / `� >� ' /
City ^./([J/�7 4QtiCJ > State C//r• Zip 7ff2 2._
Contact Person - Day Phone Other Phone Fax
�/� _ � A 3 �Q 31)- 25 3ecv - k)Z-16/.
filiJ WINGG:::CONT1 ACiali»:>:::>::»:>:>::>:>:»ii
Company Name), ' ' 7....--• /
Address 3 ,9/6_, FrQ y., ,7 `
City i./Le,fle-GAG.- State L.-' A
Zip 9e7)2_Z--
Contact Person :r r- Phone Fax
Contractor's #(card must be presented) ./ Expira} Dom�}} Verified Yes ❑ No
likiaigallESSEEMEMI
Name i iyeegtzzr
Address ` js--
/9?-c=' / /(
City e J ) im/Li/G State 6/
/4-i Zip Yee.)'7/2--
Contact Person Phone Fax
LEGAL DESCRIPTION ,�/
I e_Z/ 7 r
Please Complete Reverse :,1de
r
•
TR. Fe:>:::::>: »>: »:>:>:> ??:::>: :::::::»s:::>:<:>::>:?::>::>:. Existin Use 1 . } r►"
L.....,...._, ,.._.... .;..:;:: :: . .::.::::...:: .:'.; .:'.,_ .:. g ��i� 'r✓G. 'Proposed Use�J GCC' "77/c- v
Permit includes: Building ,Plumbing 411 Mechanical ❑ Other 1
Type of Work: Residential New El Remodel ❑ Number of Units— ❑ Deck
❑ Commercial ❑ Addition ❑ Garage ❑ Shed ❑ Other
Enter 1st Floor/i (' q ft 2nd Floor sq ft 3rd Floor sq ft Existing Floor Area sq ft
Area Basement ft Garage -4,j� sq ft Proposed Total Area sq ft
Water Availability j Sewer Availability Atl On-Site Septic System Availability ❑ Project Valuation $ /2d�C'Xl�
Zoning Lot Size Existing Bldg Valuation $
S-IJ rr J
Name �—' Address
City State - I zip 9�3 8
kiiiiiiiiilealailifigadiVERil
Contractor Name Address
L-Lc�/ , �� S
City JS g17
State 6.}4. Zip ysr 2,-9
Contact r r� Phone Fax
/0-19 • / 5-e---- /1/2.5=31/- 29.
License # ,O,S/ e=-� *.- /g 3 27/9 Expiration
Date.y7 . Verified ❑ Yes ❑ Nc
y ♦ YW !4 ` i %< iiiir iii
Contractor Name �� Address/1 ,
City 91 / %t 4 State Z-z//47. Zip 03Er- �r_
Contact hone e
7,-/V-Z4 Y`2 Fax
License # �C./&t-T 22/ i✓ Expiration Date.9/ Verified ❑ Yes ❑ No
Water Closets Z_- Sinks / Urinals Lawn Sprinklers
Bathtubs 0/ Dish Washers / Drinking Fountains Other
Showers 7.--- Electric Water Heaters Sumps
Lavatories 7--- Washing Machine _Drains 76tl Ftttttire::66Ut' ::;>:;;>>?
kil¢i1VIiAea11V..X`.eiiiiii'1'......................... MECHANICAL EVALUATION ONLY $
Fuel Type (electric/other)"...47: 6/t5 Gas Dryer Air Handling < = 10,000 CFM 15-30 Tons
Length of Gas Piping ''j! 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 0 6-Ld Hood I Boilers Above Ground
Cony Burner Duct Work 0-3 Tons Underground
BBQ's Wood Stoves 3-1 5 Tons Total'Unit Count
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 awaer 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.
r
Owner/Agent: , Date: 3 '1 ' /
BUILDING.APP
REVKED 8/26/97
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