98-101051 II
n c cn rn 7C7 D O� CO +�
1 Z A ® X -n n 7 k A k A Al m r= o -D m W (D
m -; m � z m vocz L C7 W
3 78 m v v NJ NI z m v7 A m m m D v 0 0
,..r A v 0 D 0 7C 0 A n A r,
0 N m z r z r vl a [n 2 C -n •
o �7 ,� -< vm > mm 0. I-
t./1
-1 C —
VN V) m N A N A Vl W 0 Z -n
s, D I 1 m J 3 VI E w O O �J N h m
rn X< cn J CT m m p� p
-< (/� ' m
n�i m m m D-1 -Z C' 70CJ V O D D
3 0 Z iv
w � CD
Z o n
11
.3'./ .io.ao� w F, 14' WO C
i' OO in O �
H,
� Di 0 U]
o
z m O x W W
X 1 0 11 0
\! 11
C m m o 01
z A
z RI
O C its x -n
r
w A0 0Xi
H
m •v M• y m
J 7
in
C 7)
m
D v
Z
m
0
o I
O 0 1v tNic � �� p
X m � w c> o� �
X)
X w x A
n 9 H „ L„ > 1 a �7
H 70 rz v4 w7 � � �7 /�
T o� ODTO X77 ` ,
N A 3 A
O tl
b 7C N D A -7‘3
_�
T O f1 N 0 0 D
D
CO H IA w 1 O
cmi) 0 H w u,� r
0 o
vi z -
p Z 4-s
o m
T w z
m
PS u4-< -71
tri n
y C ) I z V1+
O > 0
7j
m
m m (-) V
O _
O
"' Z Z
m• m
D 0 T
0 0 - N
17 = W g
DN co
� -
5 � � m
> H
• m
L
�I •
-� m m
m' { r N T •• A
v v
O T A N
T m
m z v
T N r 3
m
O m1
m A
XI
T cn
> m cn
r m c
MI
mmo
z
> m
m
xim
fJ
C W to K1
73
T u) Z
zw t lr o m
o 00 p
(n 0 00
00
\ ob
o co ,p m
CO -< 4o
T O N O
O 1
�� G
71
0 1/40
Agit
03 1/40
°
03/26/98 THU 12:05 FAX 2536614129 CITY OF FEDERAL WA) [Z1002
4 I
.A
J -.77cuij •
• BUILDING DIVISION
p.tcr RECFYVET 33530 First Way South ,
214EX) IFIL_ , Fccieral Way,WA 98003
te,a24 i- OZ -3 qi-oc-, MAR 3 1 1998 (253)661-4000
Fax(253)6614129
Loss, 60 - 4 -i
APPLICATION FOR BUILDING PERMIT
MILLI'kVATIk%4 EP )61 A-0o(5'9
icalloaticummtuiiiitto, .r„,„„,
Team(it Mewl) Lot I Accoocoro Tax if
Kl-eyi7,2e271 e%9/ ' Q.,0-2)
Building Ownør' Name
.ZIR 4/ 6'67de, Address 3.4_,,1; ,5.4.e.,7..... 3-3e.,iwz71 57
CRY 4' ) 2e".yiy State 14/A'ciii71- zip Phone
Nature of Work f r,,,,p-e: -- -/1-7,_,A.,
IiiiirniptaltitpaNOPM
i 1 1 i Alai II I 16111111ifilllillilinolgailliii
Name(F,M,L)
Address
rity
Contact Pxrdk . /5......,
,,r•-•'''Le ,Mtalr
Day Phone 55
..2 3... 7.1373 .zot:er Phoria 7?.-ax--
172'e--9 Z5-3-057
3..tle
Z.enc7
ittlfM04:0 OA : 'ttratrawAmez
Company Name .-------, _._
7.A.'/I i/2 pi,e&-- 1,ite:727e3.01
Address
/epA../...,,
City , 14/149-' State k/4-45,5L- Zip
Contact Person PPhone Fax ete; liz,z_. 2...,,-,- g45 7 9'373 21:5.55.7 z e 5?
Contraatorre#(cord,r3 be presented) Expiration Date Verified 0 Yes 0 No
, ”realtiNgitMESINV i ;
Name
Address
City
State Zip
Contact Parson Phone Fax
LEGAL DESCRIPTION
Please Complete Reverse Side
,.,
•
11
03/26/98 THU 12:07 FAN 2536614129 CITY OF FEDERAL WAY VI 00.3
4
a
•
I tit.04 �a ks,.. �s�4,. yS-``$Y .6VA Existin Use 7
:..�, ,,,.... .s: .„, g 4X1/4/ � Proposed Use �'i , <?W-
'
• Permit includes: ❑ Bdilding C Plumbing ❑ Mechanical ,Other / . ,LZ _-
Type of Work: ID Residential ❑ New 0 Remodel 0 Number of Units 0 Deck ie -74v
X Commercial 0 Addition C Garage 0 Shed 0 Other
•
Enter 1st Floor eq ft 2nd Floor sq ft 3rd Floor eq ft Existing Floor Areae ft
Area Basement eq ft Decks sq ft Garage sq ft Proposed Total Areaeq
sq ft
'Cii>
Water Availability 0 Sewer Availability 0 On-Site Septic System Availability 0 Project Valuation b AO 6:,e ---
• -�,
Zoning Lot Size Existing Bldg Valuation 6
IC d: 4 g ��3..Y f�tiv
if
Name
Address
City State Zip
..se, r# s IN' z.'3” erL',11".. . ).74
Contractor Name Address
lam- ''�' I
City State zip
Contact Phone Fax
License# Expiration Date Verified ❑ Yes C No
Contractor Name Address
City State Zip
Contact Phone Fax
License# Expiration Date Verified 0 Yes 0 No
e y ilDa>ay. c x xlig<
Water Closets Sinks Urinals Lawn Sprinklers
Bathtubs Dish Washers Drinking Fountains Other
Showers Electric Water Heaters Sumps
Lavatories Washing Machine Drains t* l 5tvr?? ij.t6 ;t
til r�.s u. ,Y�r o-,i.;at h s-; 3>.}
c '33atidig C Jf` etfa7',.l MECHANICAL EVALUATION ONLY
Fuel Type(electric/other) Gas Dryer Air Handling < = 10,000 CFM 15-30 Tons
Length of Gas Piping Range I Air Handling > = 10,000 CFM 30-50 Tons
Furn <1OOK BTUs Gas Log Unit Hector 50+ Tons
Funs >100 BTUs Fans !Miscellaneous Fuel Tanks
Gas Hwt Hood Boilers Above Ground
Cony Burner Duct Work 0-3 Tons Underground
BBO's Wood Stoves
3-15 Tons •TrstiaE:Unit>yo nt ,.,.
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 em 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 Med 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.
r� ry
Owner/Aunt: /,r .-:•_•., =..-- Date: ( 9 '
•
ne,...co see arxsrc r
X
6