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CO 31 N .-+ .-+ }i ii 1{ -v m U N II 11 H ,O Co N Cr F1 11 1I O H b Cl) 1--, CD W 11 II II It CD CD CD CD CD 31 It II '-.{j ^y1 11 n 11 II II II It II - - BUILDING DIVISION G 33530 First Way South - � L E C E I\!E D Federal Way,WA 98003 661-4000 OCT 2 61998 Fax(253)661-4129 a1" -'iDI•r�Nv.ertilatTW. AY . G DEP APPLICATION FOR BUILDING PERMIT PLEASE PRINT APPLICATION # 1 LO�g— 07 4 3 Iii' ;a * i :::iiii::.:iiii.:;:.:.:.;:::.;:i::.»:,:; ::> Address '7 4.y7 Pr[c i,ccc 14.1� , Tenant(if known) /� Lot# L Assessor's Tax# �A lli-- ilk'::) ( dl. Building Owner's NameAddress �4-O41 mt f City State Zip Phone Nature of Work r.,)Fp=/%e t l.S i/ 4 j.i. i) Name (F,M,L) ) tc;?, iPtii1 I, Ai l Address y 1 ix „..) &.,...t. - -$T-,-,, ' City ', -C a tr'(. State fr(.j ot Zip ( / t. Contact PersonDay Phone Other Phone Fax i✓A ( .2 ) "7/3- S TseA f/-- l5 A--`i� 7.S j • ,'W 14';V Company Name Z )t `, ti %d ess Cityi State Zip Contact Person Phone Fax Contractor's #(card must be presented) Expiration Date Verified 0 Yes 0 No BVkkBTECT::.;:.:.:.:.:.:.:.;:;;:.;:.;;:;.;;:.;:...;:.;:.:.:.;:.;;,<.:>::>:><>:::::>::>::>iM Name it.L/V,L, Address City State Zip Contact Person Phone Fax LEGAL DESCRIPTION l.t 4 c.-L.L '--1 c-,7 e-- • Please Complete Reverse Side • Existing Use '9 1 '� Proposed os ed Us e Permit includes: 0 Building 0 Plumbing 0 Mechanical 0 Other Type of Work: 0 Residential 0 New 0 Remodel 0 Number of Units 0 Deck 0 Commercial 0 Addition 0 Garage 0 Shed 0 Other Enter 1st Floor 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 0 Sewer Availability 0 On-Site Septic System Availability 0 Project Valuation $ /f.�c✓- Zoning Lot Size Existing Bldg Valuation $ LENDER <':< <iNai i< iNiNg«> < > ;M: Name Address City State Zip ..;.;.;::.;.;;;; .;.:;;;;;;:.:.;:.::.:::::.:.: Contractor Name Address City State Zip Contact Phone Fax License # Expiration Date Verified 0 Yes 0 No PLUM :>::>BINGXONTRACT.OR: imimimiNiM Contractor Name Address City State Zip Contact Phone Fax License # Expiration Date Verified 0 Yes ❑ No i . ka t Water Closets Sinks Urinals Lawn Sprinklers Bathtubs Dish Washers Drinking Fountains Other Showers Electric Water Heaters Sumps Lavatories Washing Machine Drains •Tota) Future Count I� E411 � �7VC�tt� # MECHANICAL EVAL A TION ONLY $1 . : ,,.:::.:::::::::::::::..: 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 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. 4,- Owner/Agent--- L:- •-• Date: /./ -. r`) f BUILD EvLD 126 P •RS EvEo 8!28/97 3Ep-23-98 WED 09:32 ABC-PACIFIC FAX NO. 2848621 P, 02 + . \• NORTH SCALE: 1H- /DO I Sou, h /irie of The North 2D0feet of the SEX HE%4 /7-2/-4 ! p /O'WaAer�Sm 7� I �.ok. �' N89°43'47"YY 6/2.7Z' --� D -..` 33.3/' �`; ..._.. Sfi/ 1.0/ /ine ��r ProposedN. ed o i �° !tet Zi , 'Q I o o 443 NI- L _.- -IN r i , $ ' oO i I .5"'easement; ' c� ingQrr eareSS, Q 32 7-7 '. 1-c0 I ,t'f t-n3td//ot/on V C / - r, and 5i3iii09 k r6 lQ `- N89°43'47"iY i 6/3./6' 1 South //, e of the North 450 feet of-tile S.-Y4NEY4/72/-4' 1 50' ` O 1 3 tiThus PO/NT OF 856/NN/AIG 1I ; zs easement for t toss. •S 2,7W,14), t \. t)4 i -,j7 �� °' ,may+ rryl o, O .SE corner of the 5E%4 5o '1'17 // e of tN`,'4 he /7-2/-� l NE/4 /7-2/-4 ss, - / ril/c A/8964/.44"W 659./7' -" Do Not Write Below This Line 0 Approval is hereby granted subject to: 0 Disapproved because : ill , 41Ik .,-- -