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SETBACKS & FOOTINGS
i
Date By
FOUNDATION WAILS
Date By
PLUMBING GROUNDWORK
Date. By
...................................................................................
..................................................................................
..................................................................................
I, R FRAMING ...I!:
Date By
SHEAR WALLS
Date By
............ .....................................................................
PLUMBING ROUGE-IN
Date By
GAS.PIPING 'I
Date By
MECHANICAL ROUGH-IN
Date By
MECHANICAL IOTHEER)
Date By
FRAMING
Date By
INSULATION
Date By
GWB',- 1ST LAYER.:
Date By
GWB>- 2ND LAYER
Date By
SUSPENDED CEILING •
Date By
PLANNING FINAL
Date By
ENGINEERINGFINAI
Date By
rFIRE FINAL.
Date By
BUILDING FINAL
Date /t0',"?9ib By /4 11
OTHER/
Date By
OTHER
Date By
CD0193
9n1oo
�j1i �(n/ BUILDING DIVISION-
IVISION }
CrrYOF G \t .G 1.,' �i 33530 First Way South
E�EfZAL_ ,,, �' ,t I Federal Way, WA 98003 ,
uV � '"`'�- 11v j I I y t t_ (206) 661-4000
i �� CJ4.t IS OM1 V.v. !� t � Lt�t�E'CK ULI4, Fax (206) 661 4129
3EP 12..1996 (34t c,kn- k Ci-06 I `r � ��es r �,6�� bbl " � , k,,
TY 14
APPLICATION FOR BUILDING PERMIT-
1
ERMIT ������)i y��"�
;99I
FDNG DEPT,WAY ( u
PLEASE PRINT • APPLICATION#: Uq _ 62-)37
Address
n
.Sr.ig::��:/���6�;/��:`;i;i;;asi:3asisisisi:3?iY1i<�ii2'::�::< C.r nil
Tenant (if known) Lot # Assessor's T #
(32 ion`- c/
l3ui g �t���Ne �� �M�I-lei ' "`'1 ��r Address2S(j s. LA) • `.'2 S/t RA)
��' rj
City _ State - Zip -{ Phone
Nature of Work J1C,j fj ) (two ,I (t "k S/S1"vY)
% .. L "k i 2 i E ? E '? i2'i:sE:::ir: :::::<::>E`i
Name (F,M,L) ��
/ .11 yam?0,1/rf gvSe tali �. ,4 i rrn . I.,e
Address/ -2,)- 16'' ���z
City / /0,4 f State 4,24 Zip 470_
Contact Person IDay Phone Other Phone Fax
IDNCONTRACTOR>>>` > > `
Company Name
Address
City State Zip
Contact Person Phone Fax
Contractor's # (card must be presented) Expiration Date Verified ❑ Yes 0 No
Name
Address
City ,State Zip i
Contact Person Phone Fax
LEGAL DESCRIPTION
r
P1ease_Lomplete_Reverse Side
PA';�"'•:i::':'`>>``if:Ea:;:::<::::Y` E:p<E:<::'::::i::iE:N>ii:.
sting Use Proposed Use
r
Permit includes: 0 Building Plumbing 0 Mechanical 0 Other
Type of Work: -12' Residential ❑ New ❑ Remodel ❑ Number of Units_ 0 Deck
❑ Commercial ❑ Addition ❑ Garage ❑ Shed ❑ 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 ❑ Sewer Availability ❑ On-Site Septic System Availability El Project Valuation $
Zoning I Lot Size _ Existing Bldg Valuation $
iiiiiiii&N:FJ 3 :
J :'i iii ii "i i `:i iii ii!:iii?i::::i:?'`'i:'i'
Name Address
City \`` State Zip
C,y�ryy/�, '�yfiC�� L::i::i::ii]
AlIC4'�A.1J4i:i! ��::::�i?i:ii�:ii ����.� .::::i:::::-.�...�..
Contractor Name Address
City State Zip
Contact �,` Phone Fax
License # '� Expiration Date Verified ❑ Yes ❑ No
----,--
•.,PLUMBING.CIONTRACTORmummaim
Contractor Name �/ Address �,,
City /' State Zip
Contact Phone Fax
License # Expiration Date Verified ❑ Yes ❑ No
il 4,0(kilt'', 73ofc to GJ 0 Ic .C,..erk; va<
/4 Ck rl e 'he�c.c f. t7
iz
s
1
Water Closets Sinks Urinals Lawn Sprinklers 1
Bathtubs Dish Washers Drinking Fountains Other
Showers Electric Water Heaters Sumps
Lavatories Washing Machine Drains 'biel Fixture Count
:;;:.;> :<:>::: :>;< »KECHANW1tiNITCQUNT. >. €<
MECHANICAL EVALUA
TION ONLY
Fuel Type (electric/other) Gas Dryer Air Handling < = 10,000 CFM 15-30 Tons
Length of Gas Piping Ranee Air Handlin. > = 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.
Owner/Agent: /K�' ("j/1 1/"JA/b Date: 1b/q4
Duao,Nc.Avv f//7
REVS.8/21/9G