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19 BU[k i?INQ l INAL .. 11 1e/( , - ��a ( �.v��; to ,.e.._ o... (mac. 'F�•'►ti
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CD0193(Rev 4/97)
01-'30.9 THt' 10: 00 FA.Y °066614129 CITY OF FEDER - 1]O03
r7
BUILDING Div jox
33530 First Way South
Fry. FEB 2 7 1998 Federal Way,WA 98003
7:
Oh`` 6514000
CI fY tJr FcDE%dAI mew (205)05614129c:
BUILDING DEPT,
APPLICI- J ION FOR BUILDING PERMIT
LEASE PR/NT' s�PPUC:,i;r3 # ?)\--____ 6 sC2
1k totA yS€ 3 ..oras: 3+`. . yy . "2.-i''3 (1
Tenant Of knowfn) LECi'L ti-T7o4Ct4f-O iiAsaeseor'a Tex
__i___.___._..___.___
— --_
:uildrnOwner's Nan-. MFE <7ASS ` AcdrOSrJ342 S W 2c.3r� -
_ � _ iCin• ��`0E-p'�- n, 1; .« &A f ?3o3i — Phone, ((IA--.c-/
SjEb _j
Nature of Wury &A/C.L65E ¢vat' a.EG/‘. i
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1? t Via» n m* ,__:.,a... _v .._.._._______--__ - _— -- __
Name (F,M,L) i
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(2z3 6•2itcl AA= E _ _ _
Circ !�C ::ate �—1___ — L'' j Ge � 9-
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Contact
Per
son i^ y PhoneOiher Phone i X
{o�LA +s'� 53" '22.•5'21. 1._.a1 5S3. 22, 2e '. j
Comp ism,' Name j
City V____6(SLE vAc t.e S'
- 3 nt9 W re--- i:::.:1 J rya 38
Contact 'dr30n ~l Pherie ;Fox
Ta i GL 14 A t 414 T ------ W- -----..— I't?-5, 432.4512 1 42.5.432. 8j
Contractor'; rt ,caa rnua;tie resented) l Explr;,tion Date r VarifAd 0 '65—s-7-7-1;_, No
yy����, :� �. Y �
Aadrass ,
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Gr ._ — _..-�_—.__. 1State ___ i� J
Ccrtect Ferw:, lane !-ax
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____(..friCell.-0i
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01.30 97 THU 10:01 FAX 2066614129 CITY OF FEDERAL WAY X 004
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7.,.„,;,..:,....„„.:,..„,,, k ..wt kz a- >; izesico•acejPropoeed Uae g(c.S(Y»'e C.C.1 t , rte, F�clsnnp Deenit includ=e: ji Buildin 0 Plumbing 0 Meehenloei —T 0 Other
Type of Work: C Residential
0 New Remodel • 0 Number of Units_ _ 0 Dock
0 Commercial ❑ Addition _ 0 Garage ❑ Shed ❑ Other
Enter 1st Floor I 335" sq ft 2nd Floor �!G sq ft 3rd Floor sq ft !Existing Floor Area :11:S(3 sq ft
Area Basement j 44'L sq ft -. Decks sq ftGarsge sg ft Proposed Total Ares 315( sq ft 41.
aWeter Aveilebiii Q Sewer Avoilebilit_ --_ On-Site Septic System Avellebiflty C __Project Valuation $ �Oi Occa , F,
)Zoning V 5-q. / T1'L_at�Size __jZ,1 l , --_ Existing Bldg Valuation__S JI ,r /-
4 -k AR*4 -Tb 13E_ w C.t.a�,EO = I q'I, s>
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eggriatiiit4t7MOUNTF,MiKSM IN)/AS _
6Watar Closets Sins iUrinals 1{
Lawn Sr;rnKi*3re ,
Bathtubs I.Dish Washers Drinking Fovnteirs I Other
'Showers I Electric Water Heaters I Sumps I
Lavetoriea J Washing Machine I Drains - 'To1'al..Fia2tirt ttiunL
- - '" MECHANICAL EVALUATION ONLY $ I
I Fuel Type (electric/other) 1 Gas Dryer -._. Alr Hondlino <_= 10,000 CFM 15-30 Tons I
I Length of Gas Piping Lange — Air Hendlins ?-__La 10.000 FM C 1 30-50 Tens i
Furn <lOCK BTus iGas Log -_-...__.. Unit Heater 1 SO-k Tone I
Furn >100 BTUs J Fane _._ I Miacelteneous -__--__ Fuel Tonka (
Gas Hwt I Hood Boilers Above Ground __..__
Cony Burner I Duct Work 0-3 Tone Underground
I BBQ's --....Wood Stoves - - 1 3-1S Tone i•otaf.iUnit.CM.Int
M DIMER: I certify under penalty of perjury that the informationfunnishcd by me i;true and comet to the best of my knowledge,and further,that I am authorised by the owner of
hesbovo premises to perform the work for which permit application is made.IR/niter as tc to save ha nticmi the City of Federal Way as to any claim(including costs,expenses.and
moneys'fez incurred in investigation and defense of such claim),which may be made by any person,including the undersigned,and film against the City of Federal Way,but only
vim such claim arises out of reliance of th tiding its officers and employees.upon the=curacy of the information supplied 10 the city as a part of this application_
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:aenur;Agent_ _ ---- • Date: / B
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