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It If II ....4 II Il 12 II •• O 5,,,.� II # 44- H If I Ii 0 V3 bW ,I II II li (> -i-1 Z I-- II 11 If If !I FA A r If n if `..-- () PS) t1 ...., '1 II NI II N) -..4 \OII II 11 11 n c0-' Il (.r. c.++ .O II n 11 -,,,y N _p II --4 u> -4--- .O n 11 (i V U I II it 0 'J) 0 ., FF C.s N YI CON II 1 Ft II C/, O t+ III f ll 0 vON ` If - II n 11 0 BUILDINGDIVISION �, G • • 33530 First Way South �� E0 _ Federal Way,WA 98003 �� �/ (253)661-4000 Fax(253)661-4129 APPLICATION FOR BUILDING PERMIT P,eP4 rrr. DEPT 'v W 0 I PLEASE PRINT APPLICATION # 1»� 1s Site address �. Tenant name •�4� b 'Ala , 1 Lot# 1 �] Assessor's Tax# Building Owner's Name ---c0/41,\..) _ 0 Vi 1 . / NA,u 0 „ / Address c/ / 33 �7T City -i-ed cet3.- /,(J I State w Zip 9 MR 3 Phone (0 'rJ3s- [J6/ Description of Work Name (F,M,L) /N.�fi�' p Address 146 p3 s `',W` 33,0 f ,� City e - l� I State INNf/(I Zip cefoo 3 Conta P rson jucleir,0 Day Phone 3 0 Ot 7/ o e 7_3Fax n # in License IWa Business ess Federal u ede Company Name Address City State Zp Contact Person Phone Fax Contractor's #(card must be presented) Expiration Date Verified 0 Yes 0 No ............................................................................................ Name Address City State Zip Contact Person Phone Fax LEGAL DESCRIPTION /1/005E brcic 6-OPP-ok- (AlTropu P/ease Complete Reverse Side �1fjyf . . �'� IICToR)� :,., ;I ng Use 41111PProposed Use Permit includes: _"uilding 0 Plumbing ❑ Mechanical ❑ Other Type of Work: ❑ Residential 0 Ng,w 0 Remodel 0 #of bedrooms 0 Deck 0 Commercial 43--Addition ❑ Repair 0 Garage 0 Shed 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 0 Sewer Availability 0 On-Site Septic System Availability 0 Project Valuation $ Zoning I Lot Size Existing Bldg Valuation S KEN <` :<:' >' > `< < ` `? ` > DE: >:� . . . .<:.: For new residential only - Proposed selling cost: $ _ Name Address City State Zip I�ANICA L.:CsNTgiC7"t}R .......... Contractor Name Address City State Zip Contact Phone Fax License # Expiration Date Verified 0 Yes 0 No Contractor Name Address City State Zip Co-jtact Phone Fax License # Expiration Date Verified 0 Yes 0 No --R t Water Closets Sinks Urinals Lawn Sprinklers Bathtubs Dish Washers Drinking Fountains Other Showers Electric Water Heaters Sumps Lavatories Washing Machine Drains Intal;Fxture Count NIECHANICALAINIECOUNTEEMMi MECHANICAL EVALUATION ONLY $ Fuel Type (gas/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 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 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 ermit 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 d ense`gf 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 arise out of the chance o e city\`including its officers and employees,upon the accuracy of the information supplied to the city as a part of this application. Owner/Agent: ( ��, Date: n4- .� - CAC V � BUILovuo.Aw REVISED 5/19/99 _ . I { , _ • aw.............,94....0....1041.111, j..././••••• la.i..a,,"."......g. ......., uis " , . ,0 ,.....„ 0. • -- ;A ---7"-- ; 46 .• , .. CD .*M OD U Mg 5 ''' 4 -' 'A' gi' 4 ,7g 1 ;:g tZ 44 ,, <= ,m mm ..„1 u. g ...t,,,L. pr, ,, ,, rn cs, ..., C -- ..... -la 0 nts -40 = •• g u ...es, ..=. 000 0 Co =!, tra ..... r47. in r4 .' 1 .S.., r' Rg 2g It -- -- --4 r c* z> ' .. g'' 5"2 Z' g d ZE "e.'). i" tr.1 ON ''.1) C ''''4 : ' ' c=' " *' = :.:- •a ..-a .,-." 0 0 0.00 r.- at ., 4 5 41 • e'.‘ =° • C . .-e' '12' ee ' mr. . le..Ag1.i47g7ig :ca Ic, '.7ie,.=..,.,V.. •,.V .1.',m'. 2. rtr!. '=11Ng . rg ? r -ri'7";-13i ) ' "I .g7I.,T777 7 . !; . : . : I i7g .Zi 7 ,F? i ., . 3f , ‘ r, 4 4, : , + •- = ) = • -t icC = = = -t -< — 'l1D GCD i 7 4= 0 < " ' • Z t m ! - rt . 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