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91-101827 CITY OF FEDERAL WAY c ) - I O6 �'7 33530 First Way South BUILDING INSPECTION Federal Way, WA 98003 BUILDING PERMIT 661-4140 REVISION PERMIT NO. 91-1456 NR OWNER'S NAME TOM BRAATEN CONST SITE ADDRESS 429 SW 347TH STREET CONTRACTOR TOM BRAATEN CONST INC ADDRESS 33415 4TH PL SW FEDERAL WAY CONT.PHONE 927-3998 CONT.REG.NO. TOMBRCI142DR EXP. 193 OWNER'S PHONE 927-3998 OWNER'S ADDRESS 33415 4TH PL SW FEDERAL WAY TYPE JOB: NEW RESIDENCE ADDITION _ NEW INDUSTRIAL NEWCOMMERCIAL COMMERCIAL ADD. INDUSTRIAL ADD. NEW PUBLIC PUBLIC ADD._ NEW MULTI-FAMILY (UNITS )MULTI.ADD. SIGN GRADING OTHER REVISION OF FIREPLACE TAX ACCOUNT NO. 132172-0110 LEGAL DESCRIPTION LOT 10 CAMPUS ESTATES ISSUED BY JOANNE JOHNSON DATE OF ISSUE _.-2- -2- —.7a._ DATE OF APPLICATION 5-15-92 BUILDING INFORMATION ZONE SET BACKS:FRONT _ - _ SIDE REAR HEIGHT LIMIT OCCUPANCY _ TYPE OF CONSTRUCTION CENSUS NO. - TYPE OF HEAT- _ BLDG.SQ.FT. STORIES PLUMBING NO. NO. MECHANICAL APPLIANCES AMT. AMT. BOND WATER CLOSETS ELEC.HOT WATER HEATER GAS PIPING FT. GAS LOGS RECEIVED BATHTUBS LAUNDRY DRAINS _ FORCED AIR FURNACE DUCT WORK SHOWERS URINALS _ GAS HOT WATER HTR. AIR HANDLING UNIT NUMBER LAVATORIES DRINKING FOUNTAINS CONVERSION BURNER MISC. RETURNED SINKS MISC. BBQ BASIC FEE DISHWASHERS TOTAL FIXTURES DRYER TOTAL MECHANICAL AMOUNT VALUATION PERMIT FFA. PLA4CHECK FEE $30.00 ONE HOUR PLAN REVIEW FEE @ $30. 00 KC 5-18-92 'LUMBING FEE CHANICAL FEE - PART P/C FEE SEPA REVIEW - PUBLIC WORKS - - S.B.C.C.FEE -- -. _ FIRE FEE DATE: `J - � - J L/V- OTHER FEES - AMOUNT: $30-00 AMOUNT DUE 30.00 RECEIPT: 0 17 I C 2 ALL PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS STARTED. RESIDENTIAL AND GRADING PERMITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE. I CERTIFY THAT THE INFORMATION FURNISHED BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY REQUIREMENTS WILL BE MET. _. . _._-t.,_ -----' OWNER OR AGENT .„.„,.----- ` - �- - - - _ -- DATE _-1-7-7--1 Z--- REVISION410 Pest # q(-- /els-6 N YL RECEIVED elY 1 51992 CITY OF FEDERAL WAY Rµ�#��__ BUILDING PERMIT APPLICATION — Please Print- BOX 1 TENANT NAME: ��,��;) OWNER K 0-1E�,/�✓�T J'- SITE LOCATION Me-r- Cai Al/WA-") OWNER'S ADDRESS Z-34-i - " � � �' CITY r=:="b Y..4c PHONE DESCRIBE JOB R-5 416►J o!.I r,'-if- A.A C cA, t4,1i4 7,. id-sem !" THE PROPERTY IS OWNED BY: SINGLE/MARRIED PARTNERSHIP CORPORATION L BOX 2 CONTRACTOR'S NAME'1 ( .T tisn— iAIC CONTRACTOR'S REG. # Card MUST be presented CONTRACTOR'S ADDRESS -, r `tom �i c -' CITY is. PHONE '7.-7--1` EXPIRATION DATE — OR — I HAVE READ CHAPTER 18.27.010 RELATING TO DEFINITIONS OF GENERAL CONTRACTORS AND SPECIALTY CONTRACTORS AND CHAPTER 18.27.110 WHICH PROHIBITS ISSUING PERMITS WITHOUT PROOF OF REGISTRATION. BOX 3 CONTACT PERSON ¶„�, T .v PHONE `-1' BOX 4 SEWER DISTRICTf'F h -wAr4 WATER DISTRICT PrY BOX 5 ESTIMATED PROJECT COST 4-S-(3, 6''-"- EXISTING BUILDING VALUATION BOX 6 PROPERTY TAX ACCOUNT NUMBER LEGAL DESCRIPTION Gcr - iv C41% e 4-rc. (If necessary, please submit a separate page with the legal description.) K.C. Plat Recording # BOX 7 BUILDING SQUARE FOOTAGE: (Existing/Proposed) 1ST FLOOR / 2ND FLOOR / 3RD FLOOR _ I BASEMENT / DECK / GARAGE / BOX 8 ( ) SINGLE FAMILY ( ) NEW CONSTRUCTION ( ) MULTIFAMILY (NO. OF UNITS = ) ( ) EXISTING STRUCTURE ( ) COMMERCIAL/INDUSTRIAL TOTAL AREA OF PROPERTY SQ FT BOX 9 PLUMBING FIXTURES (including rough-ins) MECHANICAL APPLIANCES — BASIC FEE$ NO. WATERCLOSETS GAS PIPING, FEET $ BATHTUBS NO. FURNACE, ELEC. GAS $ SHOWERS GAS HOT WATER HEATER $ LAVATORIES CONVERSION BURNER $ 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 $ 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 THE ACCI ACC nF THF 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 "0/111P INE) G'311197'0ri ZONE SETBACKS: FRONT SIDE REAR HEIGHT LIMIT PLANNING DEPARTMENT APPROVAL • REMARKS: SEPA: EXEMPT NOT EXEMPT FIRE DEPARTMENT APPROVAL DATE REMARKS: f., PUBLIC WORKS D RTMENT APPROVAL DATE 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 TYPE OF CONSTRUCTION STORES BUILDING 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: PERMIT FEE kir , (c ��, F r�J i 1 a„� �� PLAN CHECK FEE d0 ` � PLUMBING FEE 30 k- MECHANICAL FEE TOTAL BLDG. FEES PART P/C FEE SEPA REVIEW S.B.C.C. FEE OTHER FEES AMOUNT DUE ASSIGNED ADDRESS: 5te--- e-- PARTIAL —PARTIAL PLAN CHECK FEE RECEIVED Amount Date Receipt# BUILDING DEPARTMENT APPROVAL RECEIVED BY T., BUILDING DATE C Ct ' ACCEPTED FOR FILING CITY OF FEDERAL WAY 33530 First Way South BUILDING PERMIT BUILDING INSPECTION661 4140 Federal Way, WA 98003 PERMIT NO. 91-1456 NR OWNER'S NAME TOM BRAATEN CONSTRUCTION SITE ADDRESS 429 SW 347 ST CONTRACTOR TOM BRAATEN CONST ADDRESS_ 33415 4 PL SW FEDERAL WAY 98023 CONT.PHONE 927-3998 CONT.REG.NO. TOMBRCI142DR EXP. 1/92 OWNER'S PHONE SAME OWNER'S ADDRESS SAME TYPE JOB: NEW RESIDENCEXXX ADDITION- NEW INDUSTRIAL NEW COMMERCIAL COMMERCIAL ADD. INDUSTRIAL ADD. NEW PUBLIC PUBLIC ADD. NEW MULTI-FAMILY (UNITS )MULTI.ADD. SIGN -- _GRADING OTHER ' ' 'AND GARAGE TAX ACCOUNT NO. 132172-0110 LEGAL DESCRIPTION LOT 10 CAMPUS HIGHLANDS 3 ELIZABETH SNYDER SUED BY DATE OF ISSUE / /"' / - q( DATE OF APPLICATION 10/16/91 BUILDING INFORMATION ZONE _ RS 7'2 SET BACKS:FRONT 20' SIDE 5 ' /5' _- REAR 5, HEIGHT LIMIT 30' OCCUPANCY R3/M1 TYPE OF CONSTRUCTION 5—N CENSUS NO. 101 TYPE OF HEATGAS BLDG.SO.FT. 4559 STORIES 2- PLUMBING NO. NO. MECHANICAL APPLIANCES AMT. AMT. BOND WATER CLOSETS 4 ELEC.HOT WATER HEATER GAS PIPING FT. 3.50 GAS LOGS _ BATHTUBS 2 LAUNDRY DRAINS 1 FORCED AIR FURNACE GAS 10.00 DUCT WORK RECEIVED SHOWERS 2 URINALS _ GAS HOT WATER HTR. 6.50 AIR HANDLING UNIT NUMBER LAVATORIES 6 DRINKING FOUNTAINS CONVERSION BURNER MISC. SINKS 2 MISC. BBQ BASIC FEE RETURNED DISHWASHERS 1 TOTAL FIXTURES18 X $5.00 DRYER TOTAL MECHANICAL 20.00 AMOUNT NONE VALUATION $231,075 PLANNING DEPT APPROVAL = DEB BARKER "NO STRUCTURE SHALL ENCROACH INTO ANY BUILDING SETBACK LINE OR EASEMTNT, SHOWN OR NOT SHOWN PERMIT FEE $1102.00 THIS PERMIT DOES NOT ALLOW FRONT YARD INTRUSIONS OR PILLARS "LAN CHECK FEE 716.00---$188.00 PER KING COUNTY CODE & FWZC 115.115. " LUMBING FEE 90.00 MECHANICAL FEE 20.00 FIRE/BLDG DEPT APPROVAL = KEVIN ELLIS PART P/C FEE (528.00) ---PD 10/16/91 SEPA REVIEW #4107 PUBLIC WKS DEPT APPROVAL = TOM COLLINS "ALL BUILDING DOWN— PUBLIC WORKS 45.00 SPOUTS, FOOTING DRAINS AND DRAINS FROM ALL IMPERVIOUS SURFACES S.B.C.C.FEE 4_50 SUCH AS PATIOS & DRIVEWAYS SHALL BE CONNECTED TO THE APPROVED FIRE FEE - DATE: //,- 1-- ‘11 PERMANENT STORM DRAIN OUTLET AS SHOWN ON THE OTHER FEES AMOUNT: /L-/•-{l 57) APPROVED CONSTRUCTION PLANS. " AMOUNT DUE $1449- 50 RECEIPT: C'/ 4 ALL PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS STARTED. RESIDENTIAL AND GRADING PERMITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE. I CERTIFY THAT THE INFORMATION FURNISHED BY M •ND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY REQUIREMENTS WILL BE MET. _____ _ OWNER OR AGENT /" d-- "---a- DATE // - / - / / • Perm. 9 /— / 7s,, AsEcEivED CITY OF FEDERAL WAY OCT 1 6 1991 BUILDING PERMIT APPLICATION I-5-.2 i � , — Please Print—OF FEDERAL vii /e7l/O 7 BOX 1 TENANT N ANTE: ----1--o � 1.� c T,) (-I)Iv ST INN_ - OWNER /ow, 1�!-ACour 0-4 SITE LOCATION _.off 4- 10 '►V - GA-A114. V1 -b OWNER'S ADDRESS 33+ic 41 PL- S.u3. _CITY FEDI.- /id/Pt PHONE 1 Z7-S11 8 DESCRIBE JOB 11,D THE PROPERTY IS OWNED BY: SINGLE/MARRIED PARTNERSHIP CORPORATION V BOX 2 CONTRACTOR'S NAME 1�orvi -.- M-41159-4 GowsPr- /J CONTRACTOR'S REG. #r 1 ft n Cara UST be present CONTRACTOR'S ADDRESS . �4- s � i. ' ec- <,w CITY CITY F ) --WA'' PHONE crZ - 7 �`►6J EXPIRATION DATE 1 - / - q Z. — OR — I HAVE READ CHAPTER 18.27.010 RELATING TO DEFINITIONS OF GENERAL CONTRACTORS AND SPECIALTY CONTRACTORS AND CHAPTER 18.27.110 WHICH PROHIBITS ISSUING PERMITS WITHOUT PROOF OF REGISTRATION. BOX 3 CONTACT PERSON 1 004 -e-A i•-) PHONE `7Z7-3I9$ BOX 4 SEWER DISTRICT FOD -WA'( WATER DISTRICT -Wi4i BOX 5 ESTIMATED PROJECT COST 4-8S- 6s EXISTING BUILDING VALUATION _____ -r_ BOX 6 PROPERTY TAX ACCOUNT NUMBER 32_. 17z- -- 0 no LEGAL DESCRIPTION L T 4C LO t PuSoH-l-��I5 "T/1:-7-- (If necessary, please submit a separate page with the legal description.) K.C. Plat Recording # BOX 7 BUILDING SQUARE FOOTAGE: (Existing/Proposed) 1ST FLOOR !`r(0Z- / 2ND FLOOR 1,671-0 / 3RD FLOOR -----/------- BASEMENT — / - DECK -----7— GARAGE c7 7 / BOX 8 (14 SINGLE FAMILY (✓f NEW CONSTRUCTION 3 a _20 ( ) MULTIFAMILY (NO. OF UNITS = ) ( ) EXISTING STRUCTURE ( ) COMMERCIAL/INDUSTRIAL TOTAL AREA OF PROPERTY SQ FT BOX 9 PLUMBING FIXTURES (including rough-ins) MECHANICAL APPLIANCES — BASIC FEE$ NO. 4- WATERCLOSETS GAS PIPING, FEET $ 3.5 -U 2- BATHTUBS NO. / FURNACE, ELEC. GAS rd $ /0-"c2 Z' SHOWERS / GAS HOT WATER HEATER $ e S 0 (v LAVATORIES CONVERSION BURNER $ _ Z" SINKS BOILER, SIZE BTU $ I DISHWASHERS AIR HANDLING UNITS $ ELECTRIC HOT WATER HEATER HEAT PUMPS, SIZE $ 1 LAUNDRY WASHER OUTLET UNIT HEATERS $ URINALS AIR COOLING UNITS, SIZE $ DRINKING FOUNTAINS COMMERCIAL HOOD $ SUMPS, SPRINKLER VACUUM BREAKERS OTHER $ DRAINS $ OTHER $ l B TOTAL FIXTURES $ X 5 -- 10 - GC 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. rte_ OWNER/AGENT: -m"`- DATE: /0 -'6-11 ANP-008 3/90 •OFFICE USE ONLY (PLEASE DO NOT WRITE B•W THIS LINE) ZONEI 7Z SETBACKS: FRONT a0' SIDE , REAR &--( HEIGHT LIMIT r PLANNING DEPARTMENT APPROVAL /o/ /rl/ REMARKS:-NO 5trUC '-e 64 2( / ;zi.),...e,tiA--t4:4,4:z �fr� 5-! G% PV-6 ' ev 7i, u // SEPA: EXEMPT I/ NOT EXEMPT FIRE DEPARTMENT APPROVAL <_ . DATE (0 " Zy 91 REMARKS: PUBLIC WORKS DEPARTMENT APPROVAL TG DATE (o`2-F-1 REMARKS: /1-t t Bu,i`or 6 va.-‘ ,.ti Sezeou f-S Fo-6-,z..rte D C 4„/,-, ae,4-,,/S F�j.,.t d'�L %/✓��g.440 s St,Gl2_,=,. .&f T e{ ,4 s !'4 77 o-S .Qiv ' i:9,2(../ 4.444-441" S!/!J Lz- 8e e- e•t/ Com,, 7' T4 ,4,,,e-07../).5_,6) i.'�'._,+-cs.ic.I'En,T ç7 ,.., .pl. ilitik/ Gu ,rZ , s i e / -r'2d. /J /--7t-4170,S 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 12,3 TYPE OF CONSTRUCTION V./f/ . STORES 1^114/114.1 i-S `BUILDING SQ. FT. V{6 - @ i Z. 'Q O = 1 f3 VT, `, -1 Z" BUILDING SQ. FT. 16 if O @ 1' _ t (15-S-6 6CiVa-ye. BUILDING SQ. FT. 4r 7 @ !e- 30 = f1$( 3, f' BUILDING SQ. FT. @ BUILDING SQ. FT. @ J _ BUILDING SQ. FT. �( f, @ /140 ( ! Z QO 8.5 s0 TOTAL SQ. FT. J i TOTAL VALUATION BUILDING DEPARTMENT REMARKS: t(0 Z PERMIT FEE PLAN CHECK FEE la 7/6 PLUMBING FEE • (7 0 MECHANICAL FEE - - LO TOTAL BLDG. FEES PART P/C FEE (ec &"") SEPA REVIEW -,( _i-- s-:°� S.B.C.C. FEE \ ` 5-0 OTHER FEES /�(� AMOUNT DUE s44l co) ASSIGNED ADDRESS: LI 19 3 . 4 3 y 7 S f. 14Fr Ei i to PARTIAL PLAN CHECK FEE RECEIVED ) Amount -S Z 8 aDate /0 -It.--1 Receipt# `-f/© 7 flrr t 6 wi Ctf y dN ;� BUILDING DEPARTMENT APPROVAL BUt '4► pr"I' BY DATE I© -2.6(- I ACCEPTED FOR FILING 1 CITY OF FEDERAL WAY Federal33530 Way,I ` WA98003 BUILDING PERMIT BUILDING INSPECTION 6614140 PERMIT NO. I OWNER'S NAME SITE ADDRESS CONTRACTOR ADDRESS CONT.PHONE CONT.REG.NO. . _ EXP. OWNER'S PHONE OWNER'S ADDRESS ' TYPEJOB: NEW RESIDENCE– ADDITION NEW INDUSTRIAL NEW COMMERCIAL COMMERCIAL ADD. INDUSTRIAL ADD._ NEWPUBLIC 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 TONE SET BACKS:FRONT SIDE REAR HEIGHT LIMIT – CCUPANCY TYPE OF CONSTRUCTION CENSUS NO. TYPE OF HEAT _ BLDG.SQ.FT. — —_ STORIES PLUMBING NO. NO. MECHANICAL APPLIANCES AMT. AMT. BOND WATER CLOSETS ELEC.HOT WATER HEATER GAS PIPING _FT. GAS LOGS RECEIVED BATHTUBS LAUNDRY DRAINS FORCED AIR FURNACE DUCT WORK SHOWERS URINALS GAS HOT WATER HTR. AIR HANDLING UNIT _ NUMBER LAVATORIES DRINKING FOUNTAINS CONVERSION BURNER _ MISC. RETURNED SINKS _ MISC. BBQ _ BASIC FEE DISHWASHERS TOTAL FIXTURES DRYER TOTAL MECHANICAL AMOUNT VALUATION PERMIT FEE PLAN CHECK FEE PLUMBING FEE MECHANICAL FEE _ ART P/C FEE .,EPA REVIEW PUBLIC WORKS – S.B.C.C.FEE – FIRE FEE DATE: OTHER FEES AMOUNT: AMOUNT DUE – RECEIPT: 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 REQUIRE TS WICc 7 BE MET. +// 1/ OWNER OR AGENT _ _ _, DATE CITY OF FEDERAL WAY . 33530 Federal First Way, W 98003 BUILDING PERMIT BUILDING INSPECTION661-4140 PERMIT NO. OWNER'S NAME SITE ADDRESS CONTRACTOR ADDRESS CONT.PHONE CONT.REG.NO. _ EXP. OWNER'S PHONE OWNER'S ADDRESS 'TYPEJOB: 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 ft)NE SET BACKS:FRONT _ .SIDE REAR HEIGHT LIMIT CCUPANCY _ TYPE OF CONSTRUCTION CENSUS NO. _ TYPE OF HEAT BLDG.SQ.FT. STORIES PLUMBING NO. NO. MECHANICAL APPLIANCES AMT. AMT. BOND WATER CLOSETS - ELEC.HOT WATER HEATER - _ GAS PIPING FT. GAS LOGS RECEIVED BATHTUBS LAUNDRY DRAINS FORCED AIR FURNACE DUCT WORK SHOWERS URINALS GAS HOT WATER HTR. AIR HANDLING UNIT - NUMBER LAVATORIES DRINKING FOUNTAINS _ CONVERSION BURNER MISC. RETURNED _ SINKS MISC. BBQ BASIC FEE DISHWASHERS TOTAL FIXTURES DRYER TOTAL MECHANICAL AMOUNT VALUATION PERMIT FEE PLAN CHECK FEE PLUMBING FEE MECHANICAL FEE MART P/C FEE EPA REVIEW PUBLIC WORKS S.B.C.C.FEE - FIRE FEE - DATE: OTHER FEES - AMOUNT: AMOUNT DUE - - . _ -- RECEIPT: 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 __ o _m O O o o U) �, Z • r > m o E -IH I \i m D m H 3 m u 0 STS 0m co -F--7--- - O \ r• i z �� w z N n m 14 • N N ti s O — • c -o > z 0 COpT CO > CO z C'` E -lam • �• a \ o o Z 0 o O -a o m c cn m m -I 1. ; 13 D _ 33 O a � -4 v I '6b �. O13 I- ZO C N O O j 71 to I'1 c-\ 2 m NI . D D m D C i C m r m = m K ~+ , OGs% Z i Z D n O C` ( 1) H D O �� z i� Z ! o \ • \i m O cl tU W Z W r \ 4 IS 1 e gl T ` J 1 I I I I I �. .