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FRI 08:49 FAX 2086614129 CITY OF FEDERAL WAY 2002
Bt wN cDmsroN
• 33530 Fust Way South
"ErPedcxal Way,WA 98003
r FM/ (253)661-4000
Fax(253)661-4129
717)
'PR-o.• c_T Y3g,42
2 , 4'APPLICATION FOR BUILDING PERMIT
PLEASE PRl yU7'6' 1"Y 52
• th' APPLICATION ft 1 EJ
.
nlCn s;t 1 ti�:fi+E�v` ' `';'s � s Address 3 10 � fa�fc. 5 0. F��At_ WAY
Tenant Of known) Lot# Aaeeaeor'S Tax I
U.S : PC ,TAL S.C'-.ACE
Bulldino Owner's Name SRM+ Addraaa
-City•
1State zip Phone
Nature of Work
Name(F,M,L)
GOSGG Ft -e-aTe.42T•o�
Address
oq t a 11-1 • •
CitY
_ State 1n)11/4 Zip a,c, 3
Contact Person Day Phone Other Phone
J LFax
ZACAe-- (4Z� 02-7-4tdS
_
Company Name
/11 E C.r=> 1Zia GT(C)r
Addreea l t
Et_Ll OT
City state W-A Zip 9 5t
Contact Person 1t N C��VES Phoria - Fax
��� Sera:
(2 .3) io(oi'(u71,5 (293)644. 49-715 t
Contractor's#(card must be presented) Expiration Date Verified 0 Yea 0 No
Name �c . CM,c,
Address 2: S /► -u AV" t 01
City (..._yM e t A ) . State �}�. Zip 96506
Contact Peraon Phone
3Wo�19-i-' 9 Fax
LEGAL DESCRIPTION
(o/J 2c), T. 2.1 t.1. , [2. 4 .M,
Please Comatete 14 ffl=SA _c ae
09/26/97 FRI 08:49 FAX 2086814129 CITY OF FEDERAL WAY a003
� t r t
' ii`rttY; '' v �t -`,.' ' N Exstng Use M1t. N4N91,_.‘03C. (Proposed Use 5+4h
Permit Includes: 0 Building_ ❑ Plumbing 0 Mechanical Anther
!hips of Work: 0 Residential -• New 0 Remodel 0 Number of Units 0 Deck
—....r ro• ,—•1e = Addition ❑ Garage 0 Shed ^'— 0 •. er
Enter 1e Floor 'j`cc ea ft 2nd Floor sq ft 3rd Floor eq ft Exi oor Area ...,E sq
Area Basement 9,04,1 s• • Decks ea h :'Garage se h. opened Total Area € - eq ft
Water Availability 0 Sewer Aveilabili 0 On-Site Septic System Availability 0 Project Valuation 0 , MO
Zoning J Lot Size t s5 • . . •. •,
14EL4 e,LA 1 t-01r•t(7 a " CecSS Doc-x.- rrfa - t_t-vy„- 29', L-ESto sR.FT.
%.,,"7:.:%•,,;<' .,; L;.. '''."."::••••:',,:-...--,-.-v ,.,..a Ao0-Ong Butte,. a BAT1-Ee ' 1'E4( " (O Sez
;;'''''14''• " ,• I,x-15 .�-r.
Name — IeZ svft.FT (L .J.kf )
Address
Qty State ----6 _
01
•
Jl»"La.'f..n t0>o*.',F a..::,mow:,;
Contractor Name - Address
City
State Zip
Contact
Phone Fax
License 0
Expiration Date Verified 0 Yes O No
i71 '';`7,Y".to.� 4 eater ur ' :r.:7,77,1•',1,7::::',-„:`:`•:
Contractor Name
Address
City State Zip
Contact Phone Fax
•
License it Expiration Date Verified 0 Yea 0 No
Water Closets Sinks Urinals Lawn Sprinklers
Bathtubs Dish Washers Drinking Fountain Other
Showers Electric Water Heaters Sumps
Lavatories .»,
Washing Machine Drains f'-f"iture,„>;p jj, lti::
MECHANICAL EVALUATION ONLY 3
Fuel Type (electric/other) Gas Dryer Air Handling < = 10,000 CFM 15-30 Tons
Length of Gas Piping Range Air Handling > = 10,000 CFM 30-50 Tons
Rim <100K BTUs Gas Lop Unit Heater
504-Tons
Furn >100 BTUe Fans NGscellaneous Fuel Tanks
Gas Hwt Hood I Boilers Above Ground
Cony Burner Duct Work 0-3 Tons
Underground
BBQ's Wood Stoves 3-15 Torts .ra ° "6441^
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 tem authorised by the owner of
the above premisca to perform the work for which permit application is made.[further ague to ave harmless the City of Federal Way as to any claim(including ooets,expenses,and
attomeya'fees incurred in investigation and defialse of suck claim),which may be made by any person,including the undersigned,and filed against the City of Federal Way,but only
where suoh claim arises out of the reliance of the city.including its officers and employes,upon the accuracy ofthe information supplied to the city as a part of(hies application.
Owner/Agent: [y,.4,V V Date: 9 /2.f3/97
...An
ne+.es e/see,