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G 33530 First Way South __— �ni-�L Federal Way,WA 98003 uv (253)661-4000 Fax(253)6614129 APPLICATION FOR BUILDING PERMIT i)-NAL WAY PLEASE PRINT 71NG Or APPLICATION # B Lncies-O53'i nAddress Tenant(if known) /, Lot# Assessor's Tax # C c:f5;:yd-0--1 i'll d4,t, . Sco.c 6'cr3�5L b;1)2. # /4. Building Owner's Name /�J Ad:15,5) 4,2_s'(,,(A J City State 6t/A— Zip /E`UC_3 Phon67.53C5/-` R/2 Nature of Work Pi&lie.&L 2 )(4 asa- k -4- & -- 14),- --4.61,0 AllIFInaupa............................................................................................ Name (F,M,L) /'V T ��1 Address ! ) 3� f f ,„- City red-O-Al d 1t/ r7L (/� /'((�`i� State ti-1/1- Zip 5J(1 cO3 Contwt Person �--,ji Day Phone Other Phone Fax CeS2C 1 J Mt_CA44•� mss,- 57 _Z. 35-E9-- :::>:>::::>::;::>::>::>::>::>::>:::>::»>::>::;>::;;::::: Company Name y;// ;S /' L � 1 Address 2,-7--?32 a 3� (..5 _ L 1 V City Ce.C9-+.r •• (- State 1.42.4--- Zip 9 Mc.)?j Contact Person G Phone Fax ��`k v lC�C.� 253-S31-otI'z Contractor's # (card must be pres ed) ei, Expiration Date Verified 0 Yes 0 No Name Address City State Zip Contact Person Phone Fax LEGAL DESCRIPTION Please Complete Reverse Side • $711,PPMV:Re Man NERNME Mt xisting Use Proposed Use Permit includes: 0 Building 0 Plumbing ❑ Mechanical ❑ Other Type of Work: Residential 0 New ❑ Remodel 0 Number of Units ❑ Deck K 0 Commercial ID Addition ❑ Garage ❑ Shed ❑ Other 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 El Project Valuation $ 0 Zoning J Lot Size Existing Bldg Valuation $ .....................................:............:......................................... Name Address City State Zip ......................................................................... ............... ................................... .................................................. ......................................................................... ............... ................................... .................................................. *��.«/t......+`��()...�5��rly.����?r��...�(�?y�y.�/���y.�ry!.....�y..................... 11!F�•Ei,R:Hl!NI•t'e�/'.1/i�4�!:\'7t�lii'F:l!'AUC:7:OF.7s naum Contractor Name Address City State Zip Contact Phone Fax License # Expiration Date Verified ❑ Yes ElNo P::U;;.:;:::N:;:.::::.•CON._...,.ALTO i i PON "�'. .1�........ ............. Contractor Name Address City State Zip i Contact Phone Fax License # Expiration Date Verified 0 Yes ❑ No t 11 ..........................................................................:..........:...... Water Closets Sinks Urinals Lawn Sprinklers Bathtubs Dish Washers Drinking Fountains Other Showers Electric Water Heaters Sumps ............................................................... ..................... ........... ...................... ... .. . ...................... ................. .. ..................... ... ..................... ....... Lavatories Washing Machine Drains Total ixtura:Count ......................................................................................... ... ...................................................................................... .......................................................................................... ... ...................................................................................... .......................................................................................... ... .....:A.::.: ......'.. ::_> :.':.>..: ::< > »?<>; ;? MECHANICAL EVALUATION ONLY ........................................................................................... 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 Furn <100K BTU 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 Tbt81 Unit Count DISCLAIMER: I certify under penalty of perjury that theinformation furnished by me is true and correct tc 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 re iance of the city,including its officers and employees,upon the accuracy of the information supplied to the city as a part of this application. Owner/Agent: r A, .,E Date: 5-4.0.--,S/ BUILDING.Avr I REVISED 8/26/97 . - nan--7-1*•***••••4• *A-- : a.,. ,_ , r - ..... A* rz =" M A, 0.., ..,0 . •• CD •• .....4,. * ...--, -, p2 :, ..''.. t",' I' S."' kr c i „„. t-• I'M MN .1 q-1 ZIL ,40 co en .....= ,0 t" n ft _ rm = Q l'" ',... "I" 2F c ..5 u.' 4 '"' ,„ ,,-- "' 7.. -" 7. 'A r- A„; cz, ,' c, 7, 4,,, 4=4 4.< M 1 5 „, , , ,,.., --. ',..,,, 7..; .5 zg ,- -c .. .= ... -- .., == -. /' -.':-. r- 1',.,f f.:::.,! ,.'''',.4. ,.z -- -, -"- ,..4 ro.A h ca - ve • 65 ..., s: , -4 .--., .- r"? '',.._ ,, p -- 2> 2„,,a • ‘4, 4'.., = . C' =I U Sg * g & 7,,, .:... c, r-7.7. nn 0 ' • ." ' • • ' 22 le sil; ? :. . :. . (,, - - - -„, i 5.7 i'7,7, .. '4..4,- c› c. .. ., }} N '-'.1 SG • — - A.. v., rm a • ••••4 II N 04:1 CAA, '..s" ..4 '''`f 'I:: '-." ..7; V ;_-",..- ..0., ...," g .. 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P "} N.4 r 7, ..ago.,.....e....................... ....**•.............,....*...,.... ....' ...notro, • , , • SETBACKS &FOOTINGS Date By 2 FOUNDATION WALLS Date By -.....----""""""""".••••••••••••••••• 3 Date By 4 Date By 5 0::',10T1140113.0.)1.VOSPQVrt).1tAitilS.M:::::.*:.:i*i:i:i:i:i:m:i:...:i:•: Date By 6 UNDERFLOOR Date By 7 Date By 8 PLUP4BINEVROU.(1Wifti]iiii:::i.:::::K::::::::*::::::::•-•-•::::::•••••••••••••••••••••••••••••••••••••••••••••••••••••...•.:::::::::::::::.• Date By Date By 10 Date By 11 Date 1,-(s-qt. By 12 Date 1'1, —eitiT By 13 Date —Ci By 14 GWB-2N0 LAYER Date By 15 OUSPENI:JELYCEILIN.0]::: :???? ::::•::: ::ami.,-5:::::mo•?:x•x::::::::. Date By 16 PLANNING Date By 17 PUBLJ :WORKS FINAL Date By 18 FIRE FINAL Date By 19 B Date By • 20 Date By CD0193(Rev 4/97)