91-100164 9.1 - 10oI (a9
CITY OFBUILDING INSPECTION
FEDERAL WAY U I
L D I N G PERMIT 941-1555
#101
PERMIT NO. 91-0124 NR OWNER'S NAME TOM BRAATEN g ESS 510 SW 347TH WAY
CONTRACTOR TOM BRAATEN ADDRESS 33415 4TH PL SW FEl'�QE WAY CONT PHONE 927-3998
CONT. REG. NO. OWNER'S PHONE 927-3998 OWNER'S ADDRESS 33415 4TH PL SW FEDERAL WAY
TYPE JOB: NEW RESIDENCE XX ADDITION NEW INDUSTRIAL NEW COMMERCIAL COMMERCIAL ADD. INDUSTRIAL ADD. NEW PUBLIC PUBLIC ADD.
NEW MULTI-FAMILY (UNITS ) MULTI. ADD. SIGN GRADING OTHER
TAX ACCOUNT NO. #132202-0170 LEGAL DESCRIPTION LOT 17 CAMPUS HIGHLANDS III
ISSUED BY DATE OF ISSUE , DATE OF APPLICATION
BUILDING INFORMATION
ZONE RS 7.2 OCCUPANCY R3 TYPE OF CONSTRUCTION VN BLDG. SQ. FT. 4700
SET BACKS: FRONT 20 SIDE 5 REAR 5 STORIES _ HEIGHT LIMIT 30
PLUMBING NO. NO. MECHANICAL APPLIANCES AMT. AMT. BOND
WATER CLOSETS 3 ELEC. HOT WATER HEATER _- 0 GAS PIPING__ _FT. 3.50 BOILER
BATHTUBS 2 LAUNDRY DRAINS COMPRESSOR _ TANK(S) RECEIVED
SHOWERS 1 URINALS FORCED AIR FURNACE 10-00 AIR HANDLING UNIT NUMBER
LAVATORIES 5 DRINKING FOUNTAINS GAS HOT WATER HTR. 6-00 MISC
SINKS 2 MISC. CONVERSION BURNER BASIC FEE RETURNED
DISHWASHERS __I TOTAL FIXTURES15X5= 75-00 UNIT HEATER TOTAL MECHANICAL _2_0-_�0 AMOUNT
VALUATION 211, 122.18 SIJ PLANNING DEPT APPROVAL: 2-8-91 BK
PERMIT FEE }1 :-p-0 IDT? BUILDING DEPT APPROVAL: 2-12-91 KC
PLAN CHECK FEE 675.00 $180.50 DUE
PLUMBING FEE 75-DO
� •
MECHANICAL FEE 20_00
TOTAL BLDG. FEES _ '
PART P/C FEE (494. 50)DATE:
SEPA REVIEW AMOUNT:
WATER SERVICE $1,319. 00
WATER MAIN CHG. RECEIPT: /e-44S.B.C.C. FEE 4.50
OTHER FEES
AMOUNT DUE 1,319.00
ALL PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS STARTED. RESIDENTIAL AND GRADING PERMITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE.
I CERTIFY THAT THE INFORMATION FURNISHED BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY
REQUIREMENTS WILL BE MET:
OWNER OR AGENT . ...4,--. DATE _)4"---' '7"7 ri' I J
y Permit # I �� -``T
CITY OF'FEDERAL WAY
r-
BUILDING PERMIT APPLICATION
(10 ` - Please Print—
BOX 1 TENANT NAME:
—17,.., ''?.12.A.2.‘ �nl
OWNER "7-0-r, UW A r1 .t) SITE LOCATION /-01 4r I G u a a w //
OWNER'S ADDRESS 334/S ¢-f'' /7L- S.w. CITY fsDt0AL 147if7 PHONE 9z7.. 18
DESCRIBE JOB SwvLL.E reviiiL'( Qri d>r/v_stv ✓
THE PROPERTY IS OWNED BY: SINGLE/MARRIED PARTNERSHIP CORPORATION
BOX 2 CONTRACTOR'S NAME I °vv% T- 4,1•041----P-4 Cunv51_ :' -. CONTRACTOR'S REG. # ier'h fP.G1. 14Z-bi .
Card MUST be presented
CONTRACTOR'S ADDRESS 3g- -I Scvpl---t‘ l9i_ fW CITY / -1,v1Y( PHONE `77-7-- 3198
EXPIRATION DATE / - / -q Z
— OR —
I HAVE READ CHAPTER 18.27.010 RELATI O DEFINITIONS OF GENERAL CONTRACTORS AND SPECIALTY CONTRACTORS AND
CHAPTER 18.27.110 WHICH PROHIBITS ISSUING PERMITS WITHOUT PROOF OF REGISTRATION.
BOX 3 CONTACT PERSON I o 01, .1;),e_AA\--T -.," PHONE 9 z7-3118
BOX 4 SEWER DISTRICT fFD -*✓A`( WATER DISTRICT > b—ki/t1-
BOX 5 ESTIMATED PROJECT COST +00/oc>0.o EXISTING BUILDING VALUATION
BOX 6 PROPERTY TAX ACCOUNT NUMBER / 3z-Zcz-- 0/70
LEGAL DESCRIPTION G Cr 17 G4rt eus 14-1(.44L4&i ,S _ 771 _ / -),("9
(If necessary, please submit a separate page with the legal description.) Y4
K.C. Plat Recording # (. .
BOX 7 BUILDING SQUARE FOOTAGE: (Existing/Proposed) 1ST FLOOR 26`f'3 / 2ND FLOOR I z 3 t /
3RD FLOOR / BASEMENT —/ DECK —7 GARAGE `lZ l J
BOX 8 (✓) SINGLE FAMILY ( vEW CONSTRUCTION
( ) MULTIFAMILY (NO. OF UNITS = ) ( ) EXISTING STRUCTURE
( ) COMMERCIAL/INDUSTRIAL TOTAL AREA OF PROPERTY /()CDU SQ FT
BOX 9 PLUMBING FIXTURES (including rough-ins) MECHANICAL APPLIANCES — BASIC FEE$
NO. 3 WATERCLOSETS GAS PIPING, FEET $ 3:.v
Z BATHTUBS NO. I FURNACE, ELEC. GAS ty-7 $ /G t oc,
/ SHOWERS I GAS HOT WATER HEATER $ C2- ) C)
.S- LAVATORIES CONVERSION BURNER $
z--- SINKS BOILER, SIZE BTU $
/ DISHWASHERS AIR HANDLING UNITS $
ELECTRIC HOT WATER HEATER HEAT PUMPS, SIZE $
/ LAUNDRY WASHER OUTLET UNIT HEATERS $
URINALS AIR COOLING UNITS, SIZE $
DRINKING FOUNTAINS COMMERCIAL HOOD $
SUMPS, SPRINKLER VACUUM BREAKERS OTHER $
DRAINS $
OTHER $
[5- TOTAL FIXTURES $
X 5 = 7 5- c o TOTAL MECHANICAL FEE $
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 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 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.
OWNER/AGENT: �, DATE: " .—c---
ANP-008 3/90
OFFICE USE ONLY (PLEASE DO NOT WRITE BELOW THIS LINE)
ZONE R57.ZSETBACKS: FRONT 2° SIDE S ' REAR - .gf HEIGHT LIMIT .3d
PLANNING DEPARTMENT APPROVAL S I i"0)`"
REMARKS: As...
SEPA: EXEMPT G'"� NOT EXEMPT
FIRE DEPARTMENT APPROVAL FC--' DATE 2 /Z -47/
REMARKS: .
PUBLIC WORKS DEPARTMENT APPROVAL ,-c DATE 2.-- /2" - cq
REMARKS:
TYPE OF JOB: NEW RESIDENCE RES. ADD/ALT NEW INDUSTRIAL IND. ADD/ALT
NEW COMMERCIAL COMM. ADD/ALT NEW MULTIFAMILY (UNITS )
MULTIFAMILY ADD/ALT TENANT IMP. OTHER
OCCUPANCY is TYPE OF CONSTRUCTION V re STORES
L,vIvt. 1-Sr- BUILDING SQ. FT. 2-v`"(3 @ C5- VO = 1110q6 7
-2_,P--40 BUILDING SQ. FT. iz36 @ „ _ �3 2-S Li
b coe-cv e BUILDING SQ. FT. QZ-1 @ 17- 30 = 1 5g31, 3 o
`/ BUILDING SQ. FT. - @
BUILDING SQ. FT. @ =
BUILDING SQ. FT. @ •AkOd c he' = 0 - Is 5
TOTAL SQ. FT. TOTAL VALUATION Z( 3 ( Z Z I g
BUILDING DEPARTMENT REMARKS: PERMIT FEE f o 3q. 00
PLAN CHECK FEE rb 75.
PLUMBING FEE 75-- "0
MECHANICAL FEE -2-4) - `"a
TOTAL BLDG. FEES 18G 5. v
PART P/C FEE (.01V(5-t.)
SEPA REVIEW
S.B.C.C. FEE N(.SO
OTHER FEES _
AMOUNT DUE _ 1311 Co
ASSIGNED ADDRESS: S 1 C S. w< 3`1 7 ` Wa Y
C' ‘\*
`'e''' PARTIAL PLAN CHECK FEE RECEIVED -
% j \c \ unt 4 4. 5 a Date 2 `> y Receipt# 1 '1 -I
FES or. .-oN,
BUILDING DEPARTMENT APPROVAL
'. BYMP DATE4 ACCEPTED FOR FILING
CITY OF BUILDING INSPECTION
FEDERAL WAY BUILDING PERMIT 941-1555
REVISION
PERMIT NO. 91-124 OWNER'S NAME TOM BRAATEN CONST JOB ADDRESS 510 SW 347TH WAY
CONTRACTOR TOM BRAATEN CONST ADDRESS 33415 4TH PL SW FEDERAL WAY CONT. PHONE 927-3998
CONT. REG. NO. TOMBRAI142DR OWNER'S PHONE 927-3998 OWNER'S ADDRESS 33415 4TH PL SW FEDREAL WAY
TYPE JOB: NEW RESIDENCE ADDITION NEW INDUSTRIAL NEW COMMERCIAL COMMERCIAL ADD. INDUSTRIAL ADD. _ NEW PUBLIC PUBLIC ADD.
NEW MULTI-FAMILY (UNITS ) MULTI. ADD. SIGN GRADING _ OTHER REVISION
TAX ACCOUNT NO. 132202-0170 LEGAL DESCRIPTION LOT #17 CAMPUS HIGHLANDS DIV III
ISSUED BY JOANNE JOHNSON DATE OF ISSUE / I 7 �7 r DATE OF APPLICATION 6-11-91
BUILDING INFORMATIONil
ZONE OCCUPANCY - .. TYPE OF CONSTRUCTION BLDG. SQ. FT.
SET BACKS: FRONT SIDE REAR STORIES_._ HEIGHT LIMIT
^
PLUMBING NO. NO. MECHANICAL APPLIANCES AMT. AMT. BOND
WATER CLOSETS ELEC. HOT WATER HEATER GAS PIPING FT. BOILER
w RECEIVED _
BATHTUBS LAUNDRY DRAINS COMPRESSOR TANK(S)
SHOWERS URINALS FORCED AIR FURNACE AIR HANDLING UNIT _ NUMBER
LAVATORIES DRINKING FOUNTAINS GAS HOT WATER HTR. MISC.
RETURNED
SINKS MISC. CONVERSION BURNER _ BASIC FEE
DISHWASHERS TOTAL FIXTURES UNIT HEATER TOTAL MECHANICAL _. AMOUNT
VALUATION
PERMIT FEE
PLAN CHECK FEE 30.00PLAN REVIEW FEE $30.00 FOR REVISION
PLUMBING FEE
MECHANICAL FEE .
TOTAL BLDG. FEES
PART P/C FEE _ DATE:
SEPA REVIEW
WATER SERVICE AMOUNT: $i n_n n
WATER MAIN CHG.
S.B.C.C. FEE RECEIPT:
OTHER FEES
AMOUNT DUE 30.00
ALL PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS STARTED. RESIDENTIAL AND GRADING PERMITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE.
I CERTIFY THAT THE INFORMATION FURNISHED BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY
REQUIREMENTS WILL BE MET:
OWNER OR AGENT DATE ' ? 9--q I
Perm# (") '� 2-4RECEIVED •
1
JUN 1 1 1991 CITY OF FEDERAL WAY
eTni
ow OFFE,DER-WAY BUILDING PERMIT APPLICATION
131.11LOINGr4, — Please Print—
BOX 1 TENANT NAME:
OWNER aw -PtA i€JJ S6-01.) . SITE LOCATION 5-/0 S.w, �7h`` (Ain
OWNER'S ADDRESS 334 S- 1-f\ ec• S.w. CITY r- --W.4441. Lr'ir PHONE 47-7-3`z1E3
DESCRIBE JOB RVs IDc �•
THE PROPERTY IS OWNED BY: SINGLE/MARRIED PARTNERSHIP CORPORATION
BOX 2 CONTRACTOR'S NAMEI inn II-AATE) ) (.0,usTtLvawi.) CONTRACTOR'S REG. # It"?CACS I 1-2- .
Card MUST be presented
CONTRACTOR'S ADDRESS 331-/S- P4 S. i CITY A''Ak PHONE ?-7- t`t&
EXPIRATION DATE /-�-�Z
— OR —
I HAVE READ CHAPTER 18.27.010 RELATING TO DEFINITIONS OF GENERAL CONTRACTORS AND SPECIALTY CONTRACTORS AND
CHAPTER 18.27.110 WHICH PROHIBITS ISSUING PERMITS WITHOUT PROOF OF REGISTRATION.
BOX 3 CONTACT PERSON1 pN1 3t.. PHONE `tZ7-3`11 f3
BOX 4 SEWER DISTRICT >%D -A&., LAZ4Y WATER DISTRICT D-E{At WA
BOX 5 ESTIMATED PROJECT COST 375-20 EXISTING BUILDING VALUATION
BOX 6 PROPERTY TAX ACCOUNT NUMBER *' 13 2- z.. -- 6170
LEGAL DESCRIPTIONG.OT 1 1-7 Dlv if/cJn) MP's 4i4j;tzC-Ji S
(If necessary, please submit a separate page with the legal description.)
K.C. Plat Recording #
BOX 7 BUILDING SQUARE FOOTAGE: (Existing/Proposed) 1ST FLOOR `''ZOO / 'T>4l_ 2ND FLOOR /
3RD FLOOR J BASEMENT / DECK / GARAGE /
BOX 8 ( vrSINGLE FAMILY ( NEW CONSTRUCTION
( ) MULTIFAMILY (NO. OF UNITS = ) ( ) EXISTING STRUCTURE
( ) COMMERCIAL/INDUSTRIAL TOTAL AREA OF PROPERTY SQ FT
BOX 9 PLUMBING FIXTURES (including rough-ins) MECHANICAL APPLIANCES — BASJ.G FEE$
.NO. 3 WATERCLOSETS GAS.PIPING, FEET ' $
z- BATHTUBS NO. FURNACE, ELEC. GAS V $
I SHOWERS / GAS HOT WATER HEATER $
LAVATORIES `CONVERSION B •NER $
.INKS BOILER, SI - BTU $
DISHWASHERS AIR ' • : ING UNITS $
ELECTRIC HOT WATER HEATER HE, ` MPS, SIZE $
LAUNDRY WASHER OUTLET 'IT HEATERS $
RINALS AIR COOLING UNITS, SIZE $
DRINKING FOUNTAINS COMMERCIAL OD $
SUMPS, SPRINKLER VACUUM BREAKERS OTHER $
DRAINS $
OTHER $
I $ TOTAL FIXTURES - $
TOTAL MECHANICAL FEE $
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 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 RELIANCE OF THE CITY, INCLUDING ITS
OFFICERS AND EMPLOYEES, UPON T • ".= • - : THE INFORMATION SUPPLIED TO THE CITY AS A PART OF THIS APPLICATION.
OWNER/AGENT: - 'DATE:
ANP-008 3/90
•
OFFICE USE ONLY (PLEASE DO NOT WRITE BEO THIS LINE)
ZONE SETBACKS: FRONT SIDE REAR HEIGHT LIMIT
PLANNING DEPARTMENT APPROVAL
REMARKS:
SEPA: EXEMPT NOT EXEMPT
FIRE DEPARTMENT APPROVAL _____ DATE
REMARKS:
PUBLIC WORKS DEPARTMENT APPROVAL DATE
REMARKS:
TYPE OF JOB: NEW RESIDENCE R ADD/ALT NEW INDUSTRIAL IND. ADD/ALT
NEW COMMERCIAL _ COMM. ADD/ALT NEW MULTIFAMILY (UNITS
MULTIFAMILY ADD/ALT TENANT IMP. OTHER
OCCUPANCYTYPE OF CONSTRUCTION STORES
'BU/ILDING SQ. FT. @ _
BUILDING SQ. FT. @ _
BUILDING SQ. FT. @ _
BUILDING SQ. FT. @ _
BUILDING SQ. FT. @ _
BUILDING SQ. FT.
TOTAL SQ. FT. TOTAL VALUATION
BUILDING DEPARTMENT REMARKS: f\42,A) (`5(0 b PERMIT FEE
PLAN CHECK FEE
PLUMBING FEE •
MECHANICAL FEE
TOTAL BLDG. FEES
PART P/C FEE
SEPA REVIEW •
S.B.C.C. FEE
OTHER FEES
AMOUNT DUE
ASSIGNED ADDRESS: 5�-�-
PARTIAL PLAN CHECK FEE RECEIVED
Amount Date Receipt#
BUILDING DEPARTMENT APPROVALf - r
RECEIVED BY DATE (0.— ( 3. �I ACCEPTED FOR FILING
CITY OF BUILDING INSPECTION
FEDERAL WAY BUILDING PERMIT 941-1555
PERMIT NO. OWNER'S NAME _ JOB ADDRESS
CONTRACTOR ADDRESS CONT. PHONE
CONT. REG. NO. _ OWNER'S PHONE OWNER'S ADDRESS
TYPE JOB: NEW RESIDENCE ADDITION NEW INDUSTRIAL NEW COMMERCIAL COMMERCIAL ADD. INDUSTRIAL ADD. NEW PUBLIC PUBLIC ADD.
NEW MULTI-FAMILY (UNITS ) MULTI. ADD. SIGN GRADING OTHER
TAX ACCOUNT NO. LEGAL DESCRIPTION
ISSUED BY DATE OF ISSUE DATE OF APPLICATION
• BUILDING INFORMATION
ZONE __ OCCUPANCY TYPE OF CONSTRUCTION__ BLDG. SO. FT.
SET BACKS: FRONT SIDE REAR STORIES _ HEIGHT LIMIT_ _
PLUMBING NO. NO. MECHANICAL APPLIANCES AMT. AMT. BOND
WATER CLOSETS ELEC. HOT WATER HEATER _ _ GAS PIPING FT. _ BOILER
RECEIVED
BATHTUBS _ LAUNDRY DRAINS COMPRESSOR - TANK(S)
SHOWERS URINALS FORCED AIR FURNACE AIR HANDLING UNIT _ NUMBER
LAVATORIES DRINKING FOUNTAINS GAS HOT WATER HTR. MISC
RETURNED
SINKS MISC. CONVERSION BURNER BASIC FEE _
DISHWASHERS TOTAL FIXTURES _ UNIT HEATER TOTAL MECHANICAL AMOUNT
VALUATION
PERMIT FEE 9 y �`+tf �y ♦ �s A� FOR REV'SY
R t FiE"x P '.: 3 0 R 0 0 IO
PLAN CHECK FEE _
•UMBING FEE
CHANICAL FEE
TOTAL BLDG. FEES _ f'. f , tr^ J
PART P/C FEEI'.
SEPA REVIEW
WATER SERVICE
WATER MAIN CHG. I j
S.B.C.C. FEE
OTHER FEES
AMOUNT DUE
ALL PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS STARTED.'RESIDENTIAL AND GRADING PERMITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE.
I CERTIFY THAT THE INFORMATION FURNISHED BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY
REQUIREMENTS WILL BE MET:
OWNER OR AGENT DATE
CITY OF BUILDING INSPECTION
FEDERAL WAY BUILDING PERMIT 941-1555
PERMIT NO. OWNER'S NAME _ JOB ADDRESS__
CONTRACTOR ADDRESS CONT. PHONE _
CONT. REG. NO. OWNER'S PHONE OWNER'S ADDRESS
TYPE JOB: NEW RESIDENCE ADDITION NEW INDUSTRIAL NEW COMMERCIAL COMMERCIAL ADD. INDUSTRIAL ADD. NEW PUBLIC PUBLIC ADD.
NEW MULTI-FAMILY (UNITS ) MULTI. ADD. SIGN GRADING OTHER
TAX ACCOUNT NO. _— LEGAL DESCRIPTION
ISSUED BY — DATE OF ISSUE_ _ DATE OF APPLICATION
• BUILDING INFORMATION
ZONE _ OCCUPANCY TYPE OF CONSTRUCTION BLDG. SO. FT.
SET BACKS: FRONT SIDE _ REAR STORIES. HEIGHT LIMIT
PLUMBING NO. NO. MECHANICAL APPLIANCES AMT. AMT. BOND
WATER CLOSETS ELEC. HOT WATER HEATER GAS PIPING FT. BOILER
RECEIVED
BATHTUBS LAUNDRY DRAINS _ COMPRESSOR TANK(S)
SHOWERS URINALS FORCED AIR FURNACE AIR HANDLING UNIT NUMBER _
LAVATORIES DRINKING FOUNTAINS GAS HOT WATER HTR. MISC.
RETURNED
SINKS MISC. CONVERSION BURNER BASIC FEE
DISHWASHERS TOTAL FIXTURES UNIT HEATER TOTAL MECHANICAL — AMOUNT
VALUATION h �� +' ii{a D APPROVL ,2w�S.
PERMIT FEE _.._
10 4 nu nnIUG nip APPRO AT,. 2—i 7—s �.
PLAN CHECK FEE _ • '..30 .. f-T,
UMBING FEE ___
imptCHANICAL FEE :''/ J
TOTAL BLDG. FEES LI
J
PART P/C FEE t l
SEPA REVIEW ,th.;sv e. `ti'1 y amu..:30
WATER SERVICE
WATER MAIN CHG.
S.B.C.C. FEE
OTHER FEES
AMOUNT DUE
ALL PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS STARTED. RESIDENTIAL AND GRADING PERMITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE.
I CERTIFY THAT THE INFORMATION FURNISHED BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY
REQUIREMENTS WILL BE MET:
OWNER OR AGENT DATE
• •
•
"SET BACKS AND FOOTINGS 6K O.K TO POUR FOUNDATION WALLS Q IC, PLUMBING GROUNDWORK
DATE 3'd-c1 -1' BY_Y \J VY\._...- DATE 1/-: '_ l _.BY int..)"l DATE .....- — BY ...-
PLUMBING ROUGH IN WATER LINE O.K. _ MECHANICAL INSPECTION
DATE BY G53_....-_-_. GAS PIPING O.K. -"c r1 _ DATE _a- 27-9/ BY _. 3
O.K..KE..
TO ENCLOSE
FRAMING er INSULATION / WALL BOARD AND FIRE WALL
DAT ...��'.."LL BY NIA/ DATE 27`9L...._ ..BY DATE 7-5-9/_ BY /73
FINAL O.K. TO OCCUPY
DCD PSD FD
DATE/6 "+7.97 BY /75
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