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T H' ><'Address CO Vf $I't' It��t�'�IOI�>«<:>::>:::>:::;;::>:::::::>:>;:::>::>:»:::.::<. 34 l� 11 t' � �crr' • -�bt�� �'f w� 8002 Tenant(if known) Lot#,1,( fe 3aN Assessor's Tax# 21541-4' Dl to—o Address Building Owner's Name f�w� � yo -f+H 6 -.4 R� h V'CI", i2-5-el►t441 SMP tS21 NE- Otti sT•� s� �rx� City GJ' tTrl,- State W,V Zip SOO 0 ,Phone C42)SCp?—c4 p Nature of Work 'a(14fl NY-=1 j �t�'<h1T �✓FAt G V') ,acciv' (:-1 Ni6%1 for i Nt f i2e, V"--vee p -1C RO 1/1ttaiptujm . impoicANTEmmangemmimmim Name (F,M,L) e'1Pcup Address l C>�121 NE e5v* City 5�A T'Ti.. State WAC Zip Contact Person (< Day PhoneC4L .7.602 Other Phone Fax tp2 O+ 34. ligiciAbiidhigiiii6iginimmi FEDERALWAY BUSINESS LICENSE # Company Name Address City State Zip Contact Person Phone Fax Contractor's #(card must be presented) Expiration Date Verified ❑ Yes ❑ No ........................................................................................... ............................................................................................ ........................................................................................... ............................................................................................ AIEkf'; CT..................................._........_.............. ........................................................................................... I Name / GY�If'�fiE -' .6+I�GF i(TEG(S �N W fZ1�t+T� r• G. Address City ‘V(rAT1"(,,,E State WA Zip '1010 t Contact Person th artRe.IJ i1 toH.4m / (� Pegre,e),. .2.0) 4 Fax 421.2, LEGAL DESCRIPTION ,( ) 7T-. t / 5A1. Ce61►'`MI�US MErjjG�cl. GENtTria ► t Nd 1 AGGOI i .11-1 44T' 1_0 VV W ME' (12.. pP,eiC^ ,•NP 4- t tom( I4t16 czuNT"Y / Wish r N6rrN ( ATT.4T1-1E17) Please Complete Reverse Side U !3 ��G '�.:. �d�f3ilr.::. .:.;;...:_......:::.:. a xistin 9 use w. Proposed Use 'r•r'Ie--65 1 Permit includes: * Building ❑ Plumbing ❑ Mechanical ❑ Other Type of Work: 0 Residential ❑ New 'i• Remodel ❑ Number of Units ❑ Deck fit Commercial ❑ Addition ❑ Garage ❑ Shed ❑ Other Enter 1st Floor tj ri-(p sq ft 2nd Floor sq ft 3rd Floor sq ft Existing Floor Area ?�11-1-4,9 sq ft Area Basement 1 sq ft Decks sq ft Garage sq ft Proposed Total Area ) (f-(e' sq ft Water Availability fg' Sewer Availability ❑ On-Site Septic S stem Availability ❑ Project Valuation $ C2 O ) Zoning OP 1Lot Size - 12,E `t� Existing Bldg Valuation $ 11 ` 2-10 ciDO LENDER::>::> „?.::>:::>::>::>::>::>::>::>::>::::>::>::>::»-:<:»::>::>::>:::;:>::>::>::::>::>::»::>::>: Name Address City State Zip 04E0HA LGA + ON>...,.... ........ ':': ` >::::::?>:' Contractor Name Address I City State Zip Contact Phone Fax License # Expiration Date Verified ❑ Yes ❑ No .;_' SIIwisi.<::>:<>>`::: ;,>::t :; . i>'' <<'«>> > > > ? Contractor Name Address City State Zip Contact Phone Fax License # Expiration Date Verified ❑ Yes ❑ No Water Closets 2. (E) Sinks I (N) Urinals N•A . Lawn Sprinklers f. ,r . Bathtubs Dish Washers la •A Drinking Fountains ('1./A. , Other Showers Electric Water Heaters 14 •A Sumps g A. Lavatories 2(e)) 56N) Washing Machine N•A Drains N.,Lt, TOtel Fixture Count C CAI+ N#tCQU � : :Xlfii 1N bt MECHANICAL EVALUATION ONLY $ ,: UN ,. ;:. ;; 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 Unrt,Oedd 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 att,,meys'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. Owner/Agent: ...4Date: Jo . 2z . lei BUILDING.AFP REVISED 8/26/97 • • h .:....:::::...: v::::::: r..:..,:L,+.•nvn•?.thv.:::::Al•:..nx•n tr},. ,•'� •i:tii: .. ..... ..n..........................................:.... .... ... 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P tR!.. '1g3 -7 ' 4: ;* - aC60# 4 ,.i...,5. ti.5-.5.t,5,5'5 .5404aj . , _.- ______ ___ __ 4.., _ . , CKS&FOOTINGS • Date By 2 Date By 3 Date By 4 Date By 5 F00161aXIOWNSPOLITDRAINS::Mnam ; Date By Date By 7 SHEAR WALL-$.::monmNma:.]Nm.::: .: ::E::ug •:•:•:•:•••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••• Date By 8 Date 11 J 91 By .z3-74-• ••• •-• . ......... .. .. Date By 10 rectii.ititOROt.i.014.141.4tP.,N .:E=.,nam:a::. Date By 11 FRAMING 2-2 2._91 k.,L,J(5 Date3 ct,k By 12 1.0410:1-04t.i.O. Date -- CBy 13 4.011%*".0.**0#1111111.101.1.1.11.111iiiiMPIE f -Z. r b Date By ( 46 "Li _ 14 GWB Date By 15 4 perd4-1 41E: Date 1-2/i-ft By 16 Date By 17 Date By 1)?# 18 FIRE FINAL Date \ olot By . 19 Date - -ek- CI 6f By ............. Date By CD0193(Rev 4/97) 16q2-1 AI co,3