Loading...
99-102445 ...........** .....•.40.1,.........n AK" 0 f'" .. W rr" -7 ill , - g *. 4:. "' 2." ?'„. 44 :.'z' Vg i I ''' ''''' '4:' :1 r ,- 1-, 4= F. -•(?, 'A.2 ,, r, -,* :cs t TIPP ,- cv 7.!...i r* '.-. ' - '- ..., f...s „4 ,‹: „ ‹: . ,; r* .. H 1,, ,,,,,,, = ,,7.1 rm g ' Z ' ' = r- 14 g? „ 1T. ,, .= ›. t : -- . ,i.1rz; 7"' ! : sE '4E ;8 7; :C. Ili -- c- 4 t . „ , c.., H -, i.4 (c; f-, i-a -1. e -‹ 7> AT. =c g '''''. ,› a, gg g t,„) =. ) - , " % = - =0 - - 2 C; m -- gg „ rr ,* r* r D ,,,, -C CD ...0 0 .4t, 4, p. a' I: *14° r' " : ; : : - - '. ,1! 3.3 77 f7.', ,4 fl c) l'a '';'' ; rl CD CN CD '0) U. "1 = 5F ZE "r :. :. :. .. .. .. " - :,.., ,.., g64 :,:, z, '4, ,.... .. t u D> ..-.0 .44 .-, * ... A ''' ' CO -" P'.. . ca ca ca ca. ca ca ca. ...r , . , ... t ea -- H CD x • = ("4 -co 0 * u .. .. Zil: . r- ,- 0 * 4 ..., gg -a •., , ...) aa --., ,,• .. 41 1 17 --,: r- 6 ...5 '` : 40 c= - D , ✓ -i i..- i ;. 4 a a ca , ; .. .a ma. 4 .1111111 U0 %) ;-. - ...‹ .... -.I - s...J c-. -- , -- 11 z 0 !", ii n A. P,• ...... -.... '.4.: :7 ; ,..1 H .... .,. .4.t! 0 •..., - rt 4,z, ...., It0 #N r: ..... ::-.---„- -a- - -• ma„,i p; h a - 1 az - - a•4 z• -_ ' 4- .ag i : f - , 7i, ,.. g ..... -4 441 e . ‘•:' ';'''' 211P : V. ' ' . , -. .M C2 Air • 74A ; A g2.. .. ..t,.--i n-A.,!, • 46 ik az P . ..... 0 r.... = u 4 g --. M 8 ; .., -- . • : ; : i , ? -,,,S=C P.. ,, .1i .. ; X 1 ** ** ..)N 1 ,VW, L4 ul !,,.. .....0. UM A.•4•4 .0. in Alf 4.4.....: ,..., .. .0, .. Ili Ic O t:; t•--4--'• " in I: ...0." A ‘... •••,(),A.-'•`-..-,.‘• \`- •' a g ; co _ H ,-., ,, P 0 .” 4 C. E -.., l'x..! , H zoo ::, 41111PP. - a,,, ,,,,t,,,:',,,`'h‘,,,• .;it\W,,,,, j,\ x ..i..-- c= 3> A7" ,„,, 7' r- i Ent .- ....4 =. Elp- .\-. -' • 3C 0... r- •• IF.. 044 - • • *4 < W •••4` N Z." W = 4. , ; a , - r" & .`"'` 7:-.". i . *III, =\` ' -**• '*".,,=* ' g mr .0 um .M1 C ' . , r . ,. ... „ , - , ,,..„, „ ...„, _. , , : .. „ . . . ,...... CD P4 . 44^ '. ,‘' 3 F‘••„ , 4 r.s 'PM' 1P. r.-.1 • • .' C: 1 ...4 .... 4 • , t... ', 1 ,41111,Z•4P -4- W 4*-NC:. - g aa g ..r.', row' r) 2 M? 0 DD A ) ..i(" Nit, ,..* 0 es r N 4'••-kf-1.•.-°''-'' 4 •.•• N Elie 0 ...., 4 :•.) 1424 *t•lAui :;••, ' 4 • .... Es 0 .. aafl 2D b O 4.1 A 0 fIC =C r-1 \ „, ....4 r* ,r) n •."7 la‘ •TI * =p ....* ,i--., rn ., ,c= f4 : Fig Sr z a , ,,, • „ c., .„ -- . , . : . - ,I. ig .. C2 2%. • : : . 4.11 ;1 g a 1 l: O rim / ?Mit I ' n< =0 PA, N :*.' ::.. • • • : ; .. ,''‘, ' , •.)* 111"A 4 ., aw 4: p . • : - • a ,, .:.. .. $r- ,-.7. tO , . • .. . . , ... , • ... rti .0 •• •• 0 CA022 N ; E LP--me r, p r.... f ilcDc= cz cr> * cD ..ca,, a" 1P SI -0* ; t (ft 4, „ " P 4 ' N 0 „ ..= , ON. U) .11m,, \\ - . -- , N .0 MM 8 C ,- g .......,42 . g ;i b -, . ;; \ , '. # ' - c a r, .0 M> -• .•- ..... 8 •••• rp. , lc emi =4 0-4. g PE go 13 m. mm .-, -c* =c 2C 00 .0 02 t...M im WA .A - -MM \ 210110 V A . ,..„ rai .m .t., ,,, ,..,... 3. . '''"'‘ r''' h * i44 4.s-- • a t. r-- C . . .. .,, \ _ -ri en , Cl ;; • • --• f Gt; : '4' '4 :. tlft rol • V' .‘, 74 54 , " " . .. " .. a . 4 '...., H , . „ a . , ,... ..............a................*,..„,,,................ Et M + 'i 0 4 N ' 0 4 .M 81 4 02 AA.•‘;'\-)%C"\-• 004 ii v \ II --0 re: 1.1 <. F3 1 et• t \ . -0 a> ''''' C; 4; 2! -42 g It t 0 rn .... ,- A " , . ... 3 - -, „. .,,_ ..., - za . -- ' \ a , r. . -- „a a m, H \ ma - r. . „ 3> 4-4 ...."4 t u 1 ko, i -0 C41 0"4 -.1 F c* ! mc h H V \a, . r- r 0, , it 70 - rn ?VA '30 ....0.1 0 u 0 r... t", a ** e> 40 P4 is N ti .s C Or 11 • C . 0 ''' H H A 144 CN t- V PE « . e- * A 2 0* *• ..' a g ..... ..‘....: 1 ; •E••••••••••••.,50.1. ..1. ;-; # u .fro* a 4 11 4 1, 4 4- 14 *444,, ,C1 4,44 44. 4 n M \*0 CO 4,- CA> LAP m* n 4 a . • • • ti ;I I, , u H ,r.. ca 4*.) ,: CD CD ; H . ,.) n u .......--.....--a 1 ..............0 • • ..„..„,„.„.,.........................A.......................... • I 1 S.FTBA CS &>=©oTINGS Date By ................................................................................................ ................................................................................................. ................................................................................................ 2 ................................................................................................. Date By ................................................................................................. ............................................................................................... 3 PLUMBING 4 NOUNL?1N0111C « > :,m ........................................................................................ ....... ............................................................................................... Date By ................................................................................................. ................................................................................................. ................................................................................................. ................................................................................................. 4 SLAB INSU,LATION: :::>:[>€>?> : €> > Date By 5 F44......7....1....N.....0..........DO.........W..........N............F..........?....U......T.......D.......R......A.......1...N.......S............<.....>....>....>...:[...>.[:. ............. ................................................................................................ Date By 6 UNDERFLCtRF#iAM1NG>>>[> > > >[ > >[ »» > ................................................................................................ ................................................................................................. Date By ................................................................................................ ................................................................................................ ................................................................................................ 7 Ate.. A .. _....... :::............................................................................................. ................................................................................................ Date By ................................................................................................. ............................................................................................... ................................................................................................. ... .......................................................................................... 8 P:LVIIIIBINP RCJU:GH=IN>:<:<:>::>:»> >:>::>:<E.::::>>> :>:> .... ..................................................................................... .... .......................................................................................... ... ................................................................................................. Date By ................................................................................................. ................................................................................................ ................................................................................................. ................................................................................................. ................................................................................................ Date By ................................................................................................. ................................................................................................ ................................................................................................. 10 ................................................................................................ ................................................................................................. ................................................................................................ Date By 11 Date / � + By./', ✓ 1 ............................................................................................... ................................................................................................. Date By ................................................................................................ ................................................................................................ ................................................................................................ 13 ............................................................................................... Date ?_L 8 - 1-e? By e c),./7 ................................................................................................. ................................................................................................. 14 l(Il R....gNQI,A..EFS..................................................... Date By 15 ................................................................................................ ................................................................................................ ................................................................................................ Date By .................................................................................................. ................................................................................................. ................................................................................................. 16 PLA.N:.NIN1�3 FINAL `:'` Date By ....................................................................................... ........ ................................................................................................ 17 ................................................................................................. ............................................................................................... ................................................................................................. Date By ................................................................................................. ................................................................................................ ................................................................................................. 18 ................................................................................................. ................................................................................................ Date By 19 Date By ................................................................................................ zu Date By CD0193(Rev 4/97) 1 CITY OF =CC^^EFKQ' �� 33530 1ST WAY S0UTH BUILDING DIVISION FEDERAL WAY, WA 98003 66 1 -4000 NOTICE CORRECTION ADDRESS: 1 UL 1 1 S Vv 1/0 PERMIT #: ✓Li" OVV 1 VIOLATIONS OF CITY AND/OR STATE LAWS ARE LISTED BELOW: ` ) IOUA 4 1 ` \rlw t _` t to\-\\(\ v v mg-Ns \.yy. tn. ,zt---- br \\-e,. 5y1 Y\ V\V-4)\\e - .tn ( 0 a - -1 Dw‘ ma"`0 ate. . -c ' --FC'D‘M -) \41 \ dor i2, 4- CT2orN e.b_6(4 - �� b - , . k-r►-v\L -►s 11e. - A.\I c • IIIMI AIM" A . LOA Ci - • 11.1111111111111111111.111111111111 YOU ARE HEREBY NOTIFIED THAT NO MORE WORK SHALL BE APPROVED UPON THESE PREMISES UNTIL THE ABOVE VIOLATIONS ARE CORRECTED. WHEN CORRECTIONS HAVE BEEN MADE, CALL 661-4140 FOR RE-INSPECTION. , \'° \I 1 DATE INSPECT❑R FOR BUILDING DEPARTMENT DO NOT REMOVE THIS NOTICE CD --.-•.-...” ME rri II 11 If 1 .--"--------, 13 z a> N.) -n CO () Dar en 30 11 OD 3 G-7 00 G-3, -,1 II - 0 - "4 " 0 rn -4 Cc. 11 3D 0 0 L11 r-D to 1-1 ,, rn mg H 3> 3> 3> CO X> CC 0 en Cm -< to rn rn -c r- H 4,-- nn 4-- 3 CD __ 20 = I-I II Go 0= cm.0 0= 20 GO rn H rn 0= nD C') 3 -c. 0 II I ND rn 0•••• C) 3 kJ ' r0 CO O. tin H -4 -4 H G-) .= 0= r- H CD rn C cr. nn -7 H H Cm t,) 1-4 CO 0= CD 1-1 Ln H r- cn CD nc ,N 10 H nm n0 CC - H H nn 4-- .4=, rn 70 -n It C7 Do CO 3 1--, N4 -A n CD 3> C7 3> un CD >,C " II Na 20 CC 2D nnm 0\ 7 0 -.6 rM fi On -C •- --1 CD c, -C II •• - 37-- •• -n .• 3 -rs ii H 4 a> GM •--, 3> )C 0 Gn rn DD • CD N-, nD H -4 -7 -a "'' r-, il H I-4 r- 3= -4 H C.) H. 073 0\ 4'3 0 Gn -4 431 11 • DO 0= • Yr 0= nn H rn -< 3> 3 H H CD rn = 4-3 H - • rn • • 0') CO 11 r- CD -4 C7 3 4 H CN UE 07 H --i 1--' CO H I---, -31 "p,.... 3> N3 200 0 . - 0 = co nn 2o on h II GO 3> ND CO -, cr., 2. Gn 7',G C') H H 3,3 -< CD 3> II n .. tm .. --I .. CD CD s.. .a II H CD -4 -C 0 4--1 i.-7. ,,C, 4"..- Z -I ''n-A 1-.., H 11 •,.. 2o -..... cm 2o -4 .. II U Dc = H - = co H co CD CD CD CD CD CD ("1"..... ".4 rM = H it 26 1g H -,-, -4 11 co H H H O CD -N -7 H - r, 0 CC rn -4 • 3 • 11 11 II It II ...., :: .,› "c' --:4 3. nD Ill 44 0 11 rio u • rn r- H A H a> GM .43 -4 CO 0 1.,..., I) M 0 ON 0 co co ;-, N c) 4, n ;0 \„0. 0 D.) W m 0..< ct• t) 0 v m Z H co DO 11 II , -2.- en •..... 11 rn 11 g F-i HU) -5:: DJ D i 1Izz>=r 31> II II 0.7 CD - V CM 0 , OY nn 0 n CD -4 F- -.4 -.4 H H - H -4 11 tr rra 11 H H = 11 11 --1 F-' Do H 11 H 0 II H }--1 CO \C CD I CO Z 1 mr u ii if e> II , . ;I: '''...j 111 ..... ,,-,.. M El irg E F. E ii 11 --'''' :52 ret:7.17.: tSi:''''''' ::-..1, IIIi -1':-i !!:',4,1 CD 1111 0 CD N.:1 OD 0 7> n -7- 0 0 CI e.. C2 4-fl H H -- DIC 2> 11 en ac CD -4 e2 cr. u C" - >.c -4 7* - - - 3 . H H " --i 0 rt- me H 1.--.. .-. 7= -,11, ' (-1 H cm CD 3> r rm rn H .. - 7m tv ,...., 4 CD CD CV CD CD r- ,..." 4-4 co 3 CD -4 0 CD CD 7,, v., ,= v., 14 •' ,• :: il >< 11 r- II .4 H. M1 H - Cl) 14 ,, ii :1 0 , II = CO CO :7 i -In 11 CD CD 1-4 n , ,-. -4 It ..01 ... „ „ . . . .,.. . CD .0 . !...... 0c:N Hu H, .-.. ‘,',.'•- :',, ,.', fI4" es1 UHI0 U u--,, -< C1 C-1 C) 1 3 2I 1 ... u -4 • ..) r1 f e rH 4 cm om n CD CD Ln CD CD CD cn c..., CD n CD CD cn-.cn qn CD CD CD 4- 41 CD H H -4 1-4H PM CO II = 0 11 of On (>3 U) (1) u-, (.11 01 , I 73. H ?I -. .4, -,, -. -4, -o, -'4' -. Cl ..4 It H 34 H H a> H r- II ,- 11 ,4 II 4 " H• rn mi Ln 0 0 II CD u 4 ME -4 H 11 n tO 20XY Oil 'c ill CO = 70 II nn [xi II :>7 -,, , ) -' ,-, ,,-, , '11:,en II II t=1 --I 11 CD 11 rn ,0 -< ,..., --I :4-: if 4,'0 II II = I-, rn 11 CC 3> rn cm GO ).---, 0,7 0 Nn fl r-i c..7., Pr..r= , .-,---4 ,-) r=1 Ht,.., II 1--'' (-1 to II 7= CO r- CD C7 7,4" 4 4 r- H on ,7 r,, <77 Gn .0 r-.H en H H Gn 0 • H CO C7 4- 1 A 1-+ C.,) rn H 1-4 On H rn 4c -4 Cr, GO CO 7.., H +c-.. H - a 72 H 0 rn 3> -4 CD CD -4 cm E rf-f gc H. Inn me 0 Cl') 3 CD -4 0--- 0 e2 .4.4-4* ,-.., -, 1":0 1, GG). H UM 0 !N. ,,, C") re, H 2,1, 0') 4- m= -4 -4 CD 3 rn 11 11 r,...) n ---- c:::, ,- :3 -1=y4 --4 U') H co 23 Cl) • CD 0 m= • cD h -• c:,: n H 3> 0= 0= ,-- 7 • E )-4 11 C": CD • m= 0= • • 3 H CD • a= II M6 n n, --.4,,, La ..„ _ --I 1:0 v Dr CC no n cN. •- ,--4 '71 'Cl it z. === CD r11 II 0 3 33 0 ----- •--4 11 rrss n 1 mm is • t=) 4-4' 1, ND on V Mt n 0-4 en 1-1 .tE- -4 -4 n -- -- cm in -• 11 II on -4 co If a= U 0 en 3> H CD H .47 ,:D .11 On H rn2D a•--4 r H CD CD CD CD CD CD CD 77 H r-, 4.7 ,:r) ,., c7 -1, n0 t CD 60 0 co 4 11A il DM II M 7>I H !I ,, --I 1 cm me H P At -4 II z) i CD 1 -4 CO H 0 g 1.4 1 3> ' C') ; 0 1.----. CD On H 11 li 0 II -4 • -11 Do II r- rn CD On r- co to 3 0 0-4 y... CU ro H II C7 II re 3> H 7> r- 4-4 4"4 3> mc 7> n> E = f,.. ,.., C0 H cm H DO H 1-=" = 62 n C rn Gm 0= 4= CD -4 -4 H na 4.7 ,,, -,n ,,,,, .0 =M H Me H H nD-44/) -4 . . II 7c rn mc Yr a> OM mc rn H rn m . • 0 C.: 0 "M. H l'.. H H f i "TI wDIC H Ln -4 nn 33 U 2o H 3-"! n II D .....-. MC e Q) H 3 3 CD 2D H . .0 0 . 4.0,• ,r,- DO Hn n .... r- 2c H On -. 3> 2D c0 c= rn H - 7Iji en 0 o m r-13 a. I 1111 3:g H 11 m . nH gC rm H ..f.) cm 4-4 Do 3 rn CO r- H on tra on CD I CC , H S, 0 0-1 I-.! = H :a= - 0 ,-r, 70 GO • . U) u no - 4,, ,7 S • rn H -n - 77. H 4 II II !I II 0 x t....., 3> co • • -4 H a> on n en , 1 :7,3 c H -n 0 1 CD H H II CI 1, rM CO 11 r- nm II rn ,X, ,4 11 MO II It C: -133 11 •- 3 11 II 11 n> rn H cm (.0 II On H No H H CD Dig >4 O II • I MB 0 60 nO 11 II . H 0 n li 3> 0-4 11 It •• • 11 r•-• it 11 i"- - -4 -4 PO H .. , 5 .., D II rn II If rt- -- - rm = MI 11 II 11 e•-•. f.)) ,II ii _ . . - 7 rrt it u ) 7 c 3 II -4 II II CD H CD CD CD CD CD 0 CD co H cD I..> , > 4.3 CD 11 Ln H H ----'-.. .• 1, , 0 mc H II I,GnO rn H H (>3 H Dc H H ,2 H 4, H .-4 H H Ln -.,,, 3__ r- -4 '1'1 H H -4 n n *- !r,) 0-4 3-fl H II = H li Cu -4 rn = H CD r- CD -EZ CO CD CC 11 cr. cm 0= -"3 ,c on U *4 H H ICA m> PO n -4 32 33 a> 2:7 DO II res .,-., ..r,, ., n> no n me n n S 4 .s .7ss CU H mc = 7> c) 3 I., 1-.1 H 7= 17.i...: -4 y0 r4 33 H II H CN' T----.." r- 0 H rn z 3---4 no mc cc H cn rn cr, rn 3> .4 II -4 11 4 1••••1, nn nn 11 co yr ..4 Mo 3 CO CO 7> n 1,-4 co D0 1-4 - n 0 yr r- fl 4 Do 27 2D 0= ' nn me II II rIn 11 11 11 0. =c nr ) nn ,_. 4.... , e", r3-411.I 1n n0 on 3 Cm H. I-4 c, 4-/34-/3r.:I I-- II II II E ...-1 20 H -I 33 US o 0 4= n. re, n c-1, H II i r--- "'4 H >< .4 >, II rn 21 2D AC r- 2D H 0-4 H H 1 -4 1g '11 -4 mc rn nn 11 H -4 11 II 4S- [ C yr DO 0 If 3> , , ,.•-4 • cr. D „ 1 67 -4 11 33 '- con c 11 Da H 11 1 "M MI n rn nn • 3 H nn >-> 0, 1.1 C2 H 4., i II Ln 2.. • -4 0 3> • I/ "4' 11 r- I -rt CO , • cr. 9 co - - - H H rn CD nn nn n .. ... .. H nel - H 7= IMO II II . '-C - •..) H rm u CD • H to n en m Ln 0 CD 0 0 CD 0 0 CD 11 -.7 .'.:) ...) 4: rn n33 0 Ln 0 H H 70 H MY H H 3> 11 11 H r- H II DC DC H f ,.i..; II 11 II m> em H If IC H H • p ...t H li 33 II • 11 11 CM 11 • --I nn H H II = 11 0 . -- , nn H -4 11-.4 H ---, r'm 11 3> H H OD H 3> Ln 0 >C H II co nn CO "0 =C 11 , to C'=‘ C r-- 11 20 II H -o 4- H 4"4 3> II 3> H H DC P rn .. 2-- 0 H -4 II II m., -1 rn - V 4.', -- Cl') Ii H H co co 3> ,4 4-", H n it 1-1. 70 I I! If >< co 0-4 P ' r•-•, r•-> Cl n OD H It -0 CO H r- ili mc 7.c 2e H • H H 1-4 - --I fl ch H H 33 en oo -sn II 40 I/ H 7a O H co 0 mc rn rn H rn 3 .-4 m If .• 11 H M 0 Z 11 • 3 -I II 4,4 11 II M6 11 •I 11 44, II 11 (..1) W'' 0 inn CD •-4 II H .1 11 • 11 li it II " 0 11 11 II 0 H 0\ W 11 11 11 II II 11 H II N) m•-..,. r ...e. . 401*far 11 11 II 11 11 11 "•-•,,, (-)N) U 11 11 11 11 N....) N) UI %.10 ii u ii u if if u u 1\3 ',... \,..0 H -4 4-- H CO -e- 07 C -4 H H H H • • • • 11 11 11 \...0 ,4D 0 , H Ln on Ln CD 11 H. H 0,7 C7 oo CD H U H ,z, .r". 11 II II II II II 11 11 CD !NJ BUILDING Drvrsto, Quo, i— • 33530 First Way Souf F�EI- L Federal Way,WA 9800_ uV (253)661-400, Fax(253)661412' AN 2 51999 GI�YOFFEI� ALwAAPPLICATION FOR BUILDING PERMIT o.�PING DEPT. PLEASE PRINT APPLICATION # 619- Site address r ,�I 'ala � e�v� ,:;fit;` `�N J% �l~l��lZtili.. V'�R� , Wit 9f>02.?i Tenant name , Lot# Assessor's Tax # Building Owner's Name + Address City State Zp Phone Description of Work //{A�i� Gid , 1-it1�r� t`✓ t. ..JA.l....................1��.3l.!!.�t.......................... .. .................................. 'ir'5A►4:f%:i'-�[>i['iii' > �iii>`" '<?i'i'iiii:':':?iiii `ii' `>3i`; .. ............................................................... , Name (F,M,L) CZ' v�e<I/s 611'e-de Address q// eiei?V7" Ate. MP I-#2c. City 'Rc'I\1rtl\S State VQ14' Zip936,555 Contact Perso Day Phi...3.2;625-427/-63z° Other Phone Fax rt,,r/h 4/3o r 4'25-27/-63z UA C 1,-11041 ouit ll�lG C:ON'Tt CTof _::. {►l W�%`�'� Federal Way Business License # Company Name Address City State Zip Contact Person Phone Fax Contractor's # (card must be presented) Expiration Date Verified 0 Yes 0 No • Name Address City State Zp Contact Person Phone Fax LEGAL DESCRIPTION Please Complete Reverse Side 111!----------------IIL-------------------- STRUCTURE 'I Existing Use Proposed Use Permit includes: 0 Building 0 Plumbing 0 Mechanical 0 Other Type of Work: -❑ Residential 0 New 0 Remodel 0 #of bedrooms 0 Deck 0 Commercial 0 Addition 0 Repair 0 Garage 0 Shed Enter 1st Roar 1\2O 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 Availabili 0 On-Site Septic System Availability 0 Project Valuation S :500:- 1 Zoning 0 ,,\\ Lot Size Existing Bldg Valuation $ {''r,:y::iii'iii::is:�SY:;j:ri:}j i:..',q";iii (�F-ft Si$iii:;;4j:;fi:iiM:::�Y:'',E tN^.�.' �jxw!]j!n,'C^ew4^: iJLil•�?::ti:•`•�.`;.<::�::.',v'ii'riiii::?{•ii::�:i:�iiiiYi+..i::i�i+'�r•ir::i}:L•:r•�.}i:Li _.._LE .::::::::.:: ..::::..::<.:.:,�:...:<.<>:>:::.::<:i«.k::.:: For new residential only - Proposed selling cost: $ Name \ Address / _ City \ State Zis / kiiMMIME E N CAL'COrNTRA R Contractor Name \ Address City \ State Zip Contact \— Ph e Fax N License # / Expiration Date Verified 0 Yes 0 No 11.k.UhltinNateriinTiAcTORMEMOM \ / Contractor Name / Address City State Zip Contact Phone Fax i License # Expiration Date Verified 0 Yes 0 No / . O U1 I G.fIX Al COUNT. i Water Closets Si:Xs Urinals \ Lawn Sprinklers Bathtubs ish Washers Drinking FountaiT Other Showers Electric Water Heaters Sumps Lavatories / Washing Machine Drains \ 1: tal Fixture:Count // MECHANICAE.€NIT`CD MECHANICAL EVALUATION ONLY $ Fuel Type (gas/electri other) Gas Dryer Air Handling < = 10,000 CFM 1,5-30 Tons Length of Gas Pio. g Range Air Handling > = 10,000 CFM 30--5 Tons Furn <100K s Gas Log Unit Heater 50+ Ton Furn >10 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 Totaf 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 i\ttvestigation 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 an 7of the reliance -th ,' eluding its officers and employees,upon the accuracy of the information supplied to the city as a part of this application. Owner/Agent: • N•)92 Date: (Q)z5 97 alao.m.Ar. .. RE YeEU SI18,99