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BUILDING DIV SIGN
arroF . • c w 33530 First Way South
ms
E _ 4- Federal Way,WA 98003
uv (253)661-4000
JUL 2 8 Fax(253)661-4129
APPLICATION FOR BUILDING PERMIT
PLEASE PRINT APPLICATION #
«z: Site address
"b
ciV . S
3 � •
Tenant name Lot# Assessor's Tax#
Building Owner's Name Address
Tze-Sc oracEs wA•4
City KWC-V. State WAc' Zip CIAO 2j 2j Phone 4•Z‘;'c'-1 O19
Description of Work ...4.34-3T
Name (F,M,L) wo6 A4Z-Ct4l 6.6GrV M i -gcloi2.6
Address (2'9
City •� ---tr-t_e.... State /J4 Zip -16I6I
Contact Person Day Phone Other Phone Fax
W6 - 02,36 266-'5413-ov\-1
...........................................................................................
n
Federal Way License ce se # 05 670
Company Name
ALP RIC-ft 4 lic`c.$sCc1Az
Address
7/0-1R-
City
City 'f zT State wk.( Zip 160Z I
Contact Personjovw-Row T Phone41/5'165-1;13 zi•7--186-10 le)
Contractor's # (card must be presented) Expiration Date Verified 0 Yes 0 No
............................................................................................
...........................................................................................
............................................................................................
...........................................................................................
............................................................................................
ARCKtTEc1<'.> >> <':<[ < < >><> `'<>'><'> »>»»[
..................................................'.....�...-...............................
Name ATn5'l'-n
Address ('
City State Zip
Contact Person Phone Fax
LEGAL DESCRIPTION
Please Complete Reverse Side
%�iR.��- M > ::» :< < >>> > :;. Existing Use �� 7r�� Proposed Use tDIc1/41.- col,
Permit includes: X Building 0 Plumbing 0 Mechanical 0 Other
Type of Work: 0 Residential New 0 Remodel 0 #of bedrooms 0 Deck
^Commercial 0 Addition 0 Repair 0 Garage 0 Shed
Enter 1st Floor ----" sq ft 2nd Floor ias-7 sq ft 3rd Floor '' sq ft Existing Floor Area sq ft
Area Basement sq ft Decks sq ft Garage sq ft Proposed Total Area n A �
sq ft
Water Availability, Sewer Availability X On-Site Septic System Availability 0 Project Valuation $ I O
Zoning l7L Lot Size Existing Bldg Valuation $
tDt i.:::':::ii; ` 3':^::::i::::`>:':<; :i::'::;;:i :`ii:i::i
For new residential only- Proposed selling cost: s
Name Address
City State Zip
MECHANICALCONTRACTORMEMME
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�Fp
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Contractor Name Address
City State Zip
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License # Expiration Date Verified 0 Yes 0 No
P UNIBtIVG PI ::<: :>:> .. .>......'..<.: sss>€: i<€€€> >
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Water Closets Sinks Urinals Lawn Sprinklers
Bathtubs Dish Washers Drinking Fountains Other
Showers Electric Water Heaters Sumps
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Lavatories Washing Machine Drains Tgtef fixture iiul9t.>>:>::
i:ErrCfiiAAIhtL4Tr UiT : : :: E •AV1ECr1 MVlChL ;EVALUKTCON ONLY $ 1
Fuel Type (gas/electric/other) Gas Dryer Air Handling < = 10,000 CFM 1 5-30 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 170:tel:UnF.1:.CoUni::...
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.
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Owner/Agent: �, ,1,F� Date:
BUILDINc.A� , 717,25/1/
Fi[visco 5/1 B/99