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P Tenant (if known) Lot # ) ax 2 Buil / O/n lNa 414 ` /` , Addro$ (,,,,,...,6c City `+ s '17 9iltiS toed4 Zip q Ae Pho,ei .Z4 .77Q Nature of Work 4.e/j/aLe 4V S iheA- je ...................................................................................... . ..................................................... ................................... ............................................................................. ........ . .................................................... ...................... ........ .. APPLICAN : » .:0<<< »> ir: pii.. . ................................. .. ...... .......... .. ............. Name (F,M,L) r Address &9/ El / ol City /e/Gli/,Le. State ea', Zip T,1 - Contact erson Day����1 ��rl�f l� n� Other Phone ‘2, /c� c�(�2.r ? l 97 ,.iiiiitiiii:idlibiiiiii4:6.ifo./diiiillii17111E 111 ei vt fe, / ;) Company Name fJ/I( CIé' /, , Address City State Zip Contact Person Phone Fax Contractor's # (card must be presented) Expiration Date Verified 0 Yes 0 No ....................................................................................... ARCH TELT:;:.:>:<> <::> :::::>: <it :>:::><::> ::::>;:>: :.;:.;:.» Name Address �V City State Zip Contact Person Phone Fax LEGAL DESCRIPTION daeACel Please Complete Reverse Side • ' Ew 9 Us t- Pro osed Us:" -` Per includes: 0 Building 0 Plumbing ❑ Mechanical ' 0 Other Typ; of Work: 0 Residential ❑ New ❑ Remodel ❑ Number of Units ❑ Deck o' ❑ Commercial ❑ Addition ❑ Garage 0 Shed 0 Other Enter st 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 61,--- Sewer Availability U On-Site Septic System Availability 0 Project Valuation $J/760 TQ? Zoning Lot Size Existing Bldg Valuation $ tEN ;�:'. i i?' m `'± %:'`'i'' in Name Address City State Zip MEOH.. ..I«..l'.r�.ill..i'I .C' f'R ............... Contractor Name Address City State Zip Contact Phone Fax License # Expiratio. Date Verified ❑ Yes 0 No Contractor Name / Address City State Zip Contact Phone Fax '�tE \i- k Nt # Expiration Date Verified Cl Yes 0 No Water Closets Sinks Urinals Lawn Sprinklers Bathtubs Dish Was •rs Drinking Fountains Other Showers Electri. ater Heaters Sumps . ................................. .............................. ..................................... . . . .. .... ... . Lavatories W . ing Machine Drains Total FixturaCount,,; ihtl.ECHA.. C:>..' <':,,.N..>:: >.}iieiifs?'ma i'i 1�.1111.�A�...�;71�iI�'.�oL�.N'�'.........._ :. 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 BTUs Gas Log Unit Heater 50+ Tons Furn >100 BTUs Fans Miscellaneous Fuel Tanks Gas Hwt Hood Boilers Above Ground Cony Burn, Duct Work 0-3 Tons Underground BBQ's Wood Stoves 3-15 Tons Total Unit Connt 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 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 inv stigation an• defei e 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 ,f relian of th city,including its off: and employees,upon the accuracy of the information supplied to the city as a of this application. �/ 91/...-,. iig Owner/Agent: / � Date: �Q�p ,�� i • OUilor,G.Am 4a,..:,,,x L4(let / ffEv¢cu 12/11/00 (")i ```�