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SETS c kS & FOOTINGS •
_ Date 7—zS--qK By �„/�/,
FOUNDATION WALLS b%-p-c" /7,tcvslcSo f` o'.17,4^" /.�auiri✓.e-G-e Aiir.,r- cu./r 1,4-crime.
Date V-.-/--Fq B-C --50,../ New* Tv Vans 6.-./ Lim -Sag-s F..nto-f~tnP
PLUMBING,GROUNDWORK:
Date --/Z., f' By
G ;/. te%l�i -,145'i'✓
Date i .-- /<_45 By qt
SHEAR WALLS
Date/0—c—4 t'( By /41)
PLUMBING ROUGH-IN
Date G���1 Qom_ By
0l, 1
GAS PIPING
Date /j,. - V By
MECHANIC1kL OU: H
Date , / /7 By 44
MECHANICAL (OTHER)
Date t By
FRAM G gyp..f 7
D. e �, - By
INSULATION
Date/7196..9''1 Be
GWB - 1ST LAYER ,
Date/2c./3 9 ' By ).jr),
GWB '- 2ND LAYER
Date By
SUSPENDED-CEILING
Date By
PLANNING-FINAL
Date By
ENGINEERING FINAL
Date By
FIRE FINAL
Date By
BUILDING FINAL
Date By
OTHER
Date By
OTHER
Date By
CDO193
arres G
•
City of Federal Way
- IVSD
t4V4` - APPLICATION FOR BUILDING PERMIT
APR 2 91994
N7GITBV LDING DEPT.OF FEDERAL A�
PLEASE PR/
R%/(p 1, APPLICATION#: �-`+ma y �3 S
S E I OGATION Address r f'de r h l wilt/ Gtr $O 2
Tenant (if known) Lot# Assessor's Tax#
[3)tctcst" l'--IS OFF L'T'78)K 1`15 4(,7o--colt-0(40
Building Owner Name �{{ Address
1)1\01 G L ,j - (u ra r Ccr1ff 1'1&CvI PCC I C t L�- K1t no.zb lel `-SS `1 �j w 3Z2_t(!( 517
I-
City ed e rcL� jai,. State `AJ A N Tip 1 �� Z?� Phone e_C
Nature of Work GL'11P� J �c� s� Lo/ PL, / ✓'
:APPLICANT .
Name (F,M,L)
C)A-Mt L Cu?(lA,V AND t-tchK PAIR ICI A IKL.iNCs�F3rtt_
Address
295c) S.w .. 322nd 54,
City Fed-eral vgAy State (:v/4- Zip C)Kd2,
Contact Person Day Phone Other Phone Fax
-"Ph--r o2 -DA-fa] (.2.06) [pig I- 7335 344 eiz-
•
[ XLDING CONTRACTOR;
Compan Name ff I
1 N t�11�C 2 ttOrre S T(C' .
Address
City Ft,der lLocul State (,`; Zip 'i80 2 ??
Contact Person Phone Fax
M. - Orlgeble I- _3735
Contractor's # (card must be presented) Expiration Date Verified ❑ Yes ❑ No
P‘NN(`\-N ion 2.--c ck
GHITECT
Name
Address
City State Zip
—4
Contact Person Phone Fax
LEGAL DESCRIPTION
Lor- t3, wesr 14Srr• or-r LcT1) a(acK2 . 'fAP HM icr . S'aJ, VOL 52
t it.z+-s , KING C, .NITy , •
- SI( 2r • : No. 5'S, -0400 KeCc,--is,- .. e r• '.rd (rig
G (2_ , IN Ktt .. Couvry , txa4srltNETLJ&V.
Please Complete Reverse Side
CD0492(F
,
STRUCTURE Existing Use ( + i Proposed Use ` '
Permit includes: Ill Building d Plumbing Q Mechanical ❑ Other
Type of Work: l Residential ❑ New ID Remodel ❑ Number of Units CI Deck , �
❑ Commercial ❑ Addition ❑ Garage ❑ Shed ❑ Other
Enter 1st Floor )`7 ±3 sq ft 2nd Floor I, sq ft 3rd Floor sq ft Existing Floor Area L sq ft
Area Basement 1-2)::),1--1sq ft Decks :-;., >. sq ft Garage ,- sq ft Proposed Total Area 5-11(' sq ft
Water Availability ❑ Sewer Availability ❑ On-Site Septic System Availability ❑ Project Valuation S
Zoning f25 - kr d —I Lot Size I . . Existing Bldg`Valuation $
Name Address
a'1
City State Zip
............................................................................................
...........................................................................................
............................................................................................
...........................................................................................
...........................................................................................
............................................................................................
...........................................................................................
Contractor Name Address
—FR‘—1Q0NA 1--1CRrn,'j G A-I') CoNii7t i iodel 1 t( . (z-(Z 3 Cle-'-)f..;(,.,od ati-Q. - S t).
City Tf}CprYl() State Lc.A. Zip `')$'x`1`1.— Il )
Contact Phone Fax
Ro6 L-1-2, C342_a1nEytr= -7v6-5Y4 : i-F 1
License # -r—p L N( I . CI 4C 3 _ Expiration Date ci(ci,i Verified ❑ Yes ❑ No
...........................................................................................
...........................................................................................
...........................................................................................
PLUMBING CONTRACTOR.>
Contractor Name Address
-i=�L -PLUm 1 C-- (_, Zig i.U. MA-In $T
city Sl.b'Y)N1 12 State (AA-- Zip c1 SY ?. 9 6
Contact P T.=A//� -L (hone Fax
5 6f,) x6- --K2Z<_
License # Expiration Date Verified ❑ Yes ❑ No
...........................................................................................
...........................................................................................
............................................................................................
...........................................................................................
PLUMBING FIXTURE::COUNT
Water Closets 5Sinks Urinals Lawn Sprinklers
Bathtubs Dish Washers 1 Drinking Fountains Other
Showers 1 Electric Water Heaters Sumps
.................................................................
..................................................................
Lavatories 6 Washing Machine \ Drains Total•Fixturo Caunt
MECHANICAL UNIT COUNT
Fuel Type (electric/other) 0$,,...5;, /[,t Gas Dryer / Mr k+a{adlrfiily9CLC�A1.> 15-30 Tons
Length of Gas Piping 40673‘ Range f` Air Handling > = 10,000 CFM 30-50 Tons
Furn <100K BTUs Gas Log Z Unit Heater 50+ Tons
>100Us / Fans 6. Miscellaneous Fuel Tanks
Gas Hwt I Hood 1 Boilers Above Ground
Cony Burner Duc,.t Work yes- 0-3 Tons Underground
BBQ's Wood Stoves 3-15 Tons Total Unit Court:
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.
')wner/Agent: A/ _, / 1., . / 40',...1. / Date: [:rLGX ,19 / 97
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