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DH - m O r mZ tii D O O -0 O o > 0xmrn m 7C \ D to 0 1\ 5 XI0 \ r 0 r H '^� m o m o !f T m y MIMI \ n \ r 3 x •• v -< m m Ill 1:)T, T n n m ( m m D v � --4 b m H z i x n b m m c H D Tz 0 m z D Nm • rn 73 *• m IT C to k0 40 -,-1 7 W m Z Co N NJ C O Z 'o 'o o m .. -I v, in o O (1) 0 0 0 W r Co w N m M� p C %0 p ki w W .�- Permit c r,�3 -o1 3 1 eioi;� �vnsul4cv� CITY OF F5SDERAL WAY ti tBUILDING PERMIT APPLICATION —hint rrsnl- BOX I TENANT NAME; - OWNER *' VFj, f •r' 81Ti tOCATI• { "LP�OWNER'S rams 't DESCRIUE J09 1 � THE PROPERTY IS OWN.. DY: SINGL AIRRIED. e r• r, - BOX 2 CONTRACTOR'S NAME ' ' Aa `r - RARTN R3H CORPOHAI'IOh �' CONTRACTOR'S ADORE_ '�...e`Z2f- - ,-,.,-CONTRACTORS AEG.# S , ,ptit�ri EXPIRATION DATE - , _±.4617___CITY _-,.'� .� PHON I WADE REAO CHAPTER 18,E7.010 RELATING TO DEFINITIONS OF GENERAL CONTRACTORS AND SPECIALTY CONTRACTORS AND CHAPTER 18,27,110 W I H PROHIBITS ISSUING PERMITS WITHOUT PROOF OF REGISTRATION. OX 8 CONTACT PERSON t A BOX 4 SEWER DISTRICT - PH" }'.+4 WATER DISTRICT BOX 5 ESTIMATED PROJECT CO' EX13TING eUILLINt3 v,�Li1ATI0N BOX 8 PROPERTY TAX ACCOUNT�UMBEr� LEGAL DESCRIPTION _ _-_ ______ _,,,, �T (it necessary, -- plead submit separate pap.with the leq�t diurlption.) --7 — - K.C, PI!!t Record► • ._..`..__ � HOX 7 BUILDING SOt1ARE PO TAR: (L:xIstingfPr©pos:ed) 181 FLOOR —� 2ND FLOOR s ORD FLOOIL _____' ., BASEMENT�,�/ DECK.i ---- BOX 9 ( ) SINGLE FAMILY _ -*. ( ) MULTIFAMILY(NO. OF'UNITS - -- ( ) EXISTING COG$TRUCTIUN ( ) STRUCTURE ( ) COMMERCIALJINDUSTRIAL TOTAL AREA OF PROPERTY fic)FT BOX 9 PLUMBING FIXTURESIncl'dln ( A rough-Ina) MI:CliANIO�It APPLIANCES-- BASIC P!E 8 ' Pa___�^__WATERCLOS TS OAS PIPING,FEET_._• ..___,: . BATHTUBS NO. FURNACE,ELEC._-„ GAS .. $ . _SHOWERS 1 =GAS HOT WATER BEATEN $ ,, _, LAVATORIES __CONVERSION BURNER 5 , siNKS I __. .BOILER, SIZE dTU $ _ _..._,_ _DI5IIWASHEI�S _AIR HANDLING UNITS $ ' -- ELECTRIC H WATER HEATER _HEAT PUMPS, BILE $ --- LAUNDRY ...LAUNDRRY W SHER OUTLET UNIT THEATERS $ __,..-- URINALS _MR COOLING UNITS,SIZE______ 5 ' -- DRINKINCI FO HTAINSCOMMERCIAL HOOD $ ._______ SUMPS,SPRI KLER VACUUM BREAKERS OTHER�, ...: - _ 8 i .__e_� DRAINS _ $ - F _ OTHER .�. �, :- IR _^ TOTAL.FI XTURES TOTAL MECHANICAL FEE 5; --- ICERTIFY UNDER PENALTY OF PENURY THAT THE INFORMATION FURNISHED BY ME IS TRUE ANO C{1RRECI TO TI14'BEST OFMY KNOWLEDp1: AND FURTHER THAT I AM AUTHOR ZED BY THE OWNER OF THE ABOVE PREMISES TO PERFORM Tfslr WOREPOR WHICH PERMIT APPLICATION PS MADE,I FURTHER AGREE TO SAVE:HARM LESS THE CITY OF FEDERAL WAY AS TM?:Y CLAIM(INCLUPINO COSTS,EXPENSES:AND ATTORNEYS' FEES INCURRED IN INVESTIGATION AND DEFENSE OF SUCH CLAIM),WHICH E MADE BY ANY PERSON,INCLUDING TyE UNDER&�t�NiEO, AND FttrD AGAINST THE CITY OF 54ERAL WAY,RUT ONLY I�ACY OF E THEUHERE INFORMATIOr� I LIED TOM ARISES H CITY A8 AI AA t3F TIS SCNPPLIGATiON G ITS OFFICERS AND EMPLOYE ,UIQ THE ACCURACY J/YY11 f�I1'l MATE .LwYr —..=,...- ,;........,..' e,a • 0