97-103900 --opn O "U U) O) N W O
Z 70 xOD #7� #� mAtCnE m fD -�
T 0 . 0 m .. m w m L n +j , W
3 77 T 0.--. ON NZ mO-0T m D
MOD07C A �O � m O O
O NT zrzr D rn C) 1- 0 O m m
0 < vmDmm r.p� O
V 2 �mmiU3 ) ESO Z 73 CO M
m
M
m 3< cncm
J <D .T. m • m 0
'
J < < ' Cl)U)
ru
0 70 D < D
J CON w co W
J00 0
,J J O,J O� w O O W O C
Z rP ° W
r
ki
•
Z mox H
T 1 x 0 V
4, C Z 73
m
z Q° ',Dr
Cn
-n Ctli
mn
1
OP' co
ITT ti m
J
C
m
D m
z O
N O N 21.
0 0 0 0
O
M
n ~ 77O-C) z
11
-" P DOOR m m
713-OI 70 r�Hr -r D - "l n �7 ^
f] g �mz
M ( m
CO b 3 D (n
= O •Or- o
m C) o - D
CO D H w m m
� y o jj
-1
O D^ x Z 70 m z
bd —1
Lai
Z D 0 H
Z '� m
m m
- 4� /�
m Z z
v co m
-� �
m m 7C Ul 9
y O► V
71 > N W
n � b n'1
CO vm r
0 m
o
n m o H
Le)
p -nAy
m _
T T X
rte-a
m Q
z TinCa
D m v�
r m C
{ � � m
m 03
p
C
69 to to
53co
Cn
1.4
C O
Z �o m :.
ccn o 00 n
1-1
F
H Ib
CO
H �\ v
m A
��
N �1 V
t/26/97 FRI 08:49 FAX 2066814129 CITY OF FEDERAL WAY f 002
BrJJLDINGDIVISION
MVO? • 33530 First Way South
Federal Way,WA 98003
+N• r° (253)661-4000
Fax(253)661-4129
f‘‘._ Y3&i42
LIGATION FOR BUILDING PERMIT
PLEASE PRINT emo em? d /1d,L� APPLICATION# J DOS-Jr
t tt
Address 3�3v t 9 ^ye- 15 . U,)A
Tenant(if known) Lot# Assessor's Tax#
O S : 'Pc,STAL Sc4?/ E
Building Owner's Name SAMA Address
City I Stale Zip J Phone
Nature of Work por...,uks
Name(F,M,L)
G O SGc) p_E P oT C"Ti c N1
Address •
t C7� l D 1 1—1
City la\rz .tit:
_ State WA Zip
Contact Person De Phona Other Phone
...)e-FF Ce-t-; r " (1.4
Ph cos FaxC�2s�8e?-747 }
.��1 n•.. .fir tP.^a.Rb'1.! t y::'� 2:Y.�rr<� �
Company Name
AY ez4E-.' £c -t i -t c t c r,
Address
CityTt_-� State W-4\ Zip 9et.tt6
Contact Person .3GtkN Phone -1s'E}�+rte Fax
(2S'S,
(a.'1-(4'734e (2s3)&64-(07 t
Contractor's A(card must be presented) Expiration Date Verified 0 Yea 0 No
•
Name C 2 . (An,C Sc?L.i A2c O>
Address Z3Gj f /-�L Ate=,
City (—Y M P I A , ,�) . State i d,c), Zip 90SCtb
Contact Person Phone Fax
(3‘,0--)159.-43-
LEGAL DESCRIPTION
.. S °NI 2c>, T. 2.l 1.1, R 4E. VA/,m,
�FPJo+ VSAM(, LA ,
P/ease Complete Revise Side
26/97 FRI 08:49 FAX 2066614129 CITY OF FEDERAL WAY 21003
' ;•.o .>`-Y.W;< � Y�,.l•ea�1•>:r;....::, ,.a,:•55 I`N4. N4N�ir‘n1L� Propoeed Use 5,4/�ttG
�t'i3''�, 'l< ( %. sj 1^f ; Existing Use in-
, PermR Includes: 0 Building 0 Plumbing 0 Mechanical iI"bther
Type of Work: 0 Residential New 0 Remodel a Number of Units 0 Deck
- •••sera Addition 0 Garage 0 Shed 0 • . or
Enter 1a Floor .JET eq ft 2nd Floor sq ft 3rd Floor eq ft Exi oor Area .=SEE _eq
Area Basement p,Ett ..1 s Decks eq ft Garage eq ft. oposed Total Area t -t-N.+:o e• ft
Water Availability 0 Sewer Availability 0 On-Sits Septic System Availability ❑ ` Project Valuation it
Zonin, I Lot Size
i.lE1/4 gU 1 —01r4, 's " `O 5 POC-l<. Fr&C-1•t_try"_ 2.1', A4540 so?.FT.
ki .,' Vic: ' i y:. ;{ Ao p-or-1 elLA t i.Q• " BATTt�y A.s.1,4 ° " — 3,`-F5lU SGz. F�I'.
I f . :'„.:.-,...-...,;.:6- ,-P <v ,,-,,' . — 1 Z7,--‘ Sit. F--T. (G.AAoF1)
Name
Address
city State I Zip
Contractor Name Address
City
State Ep
Contact
Phone Fax
License p Expiration Date Verified 0 Yes ❑ No
( i
�,F 'S'1 )Y � r x .mA'ry, ' ,'1:."1.7,7.=,"'V :3
Contractor Name Address
City State ZiP
Contact Phone Fax
Ucenee ifExpiration Date Verified 0 Yes 0 No
w
Water Closets Sinks Urinals Lawn Sprinklers
—
Bathtubs Dish Washers Drinking Fountains Other
Showers Electric Water Heaters Sumps
Lavatories Washing Machine Drains , s,: ” y ¢>;
,
' -;':1;41...;::;',1'..T1',` ''` JG ; i ' " ' MECHANICAL EVALUATION ONLY $
'
Fuel Type(electric/other) Gas Dryer Air Handling < = 10,000 CFM 15-30 Tone ,
,Length of Gee Piping Range Air Handling > = 10,000 CFM 30-50 Tons
Furn <100K BTUs Gas Log Unit Heater 50+ Tons
Furn >100 BTUs Fens , Miscellaneous Fuel Tanks
Gas Hwt Hood Boilers Above Ground
Cony Burner Duct Work 0-3 Tons Underground
BBQ's Wood Stoves 3-15 Tons 11Y- " :AA1:x
DISCLAIMER:I certify under penalty ofpetjuty thatthe information futnisbed by me is We and correct to the best of my knowledge.and funher,her,that I am authorized by the owner of
the above premises to perform the work for which permit application is made.[further ago,to save harmless the City of Federal Way as to any claim(including costs,expenses,and
aUomcya'fees incurred in investigation and defense of suds claim).which may be made by any person,,including the undersigned,and filed against the City of Federal Way,but only
where such claim arisen out ofthe reliance of the city,inctuding its officers and employees,upon the accuracy etthe information supplied to the city as a part of this application.
Owner/Agent: f� ,r (F t- t _ f
v' d `aa.-`--�`u-''-- •
Date: 9 1 2i3f ei
meweaOM