92-101588 . 9 . - — I c 1 53?
CITY OF FEDERAL WAY BUILDING PERMIT PERMIT NO.: BLD92-2214
33530 First Way South BUILDING INSPECTION - 661-4140 ISSUED: 02/25/93
Federal Way, WA 98003 BY: FLF
661-4000 REVISION
SITE ADDRESS: 32709 30TH AVE SW
PARCEL NO.: 951090-0570
PROJECT DESCRIPTION: REMODEL — ADD 12 ' TO REAR OF HOUSE.
REVISION REC'D 4/14/93 .
= OWNER — - CONTRACTOR z — LENDER —
JO ANN UNDLIN BENCHMARK REMODELERS INC
09 30TH AVE SW 30521 56TH AVE S
_RAL WAY WA 98023 AUBURN WA 98001
838-9772 833-1003
BENCHRI0
BENCHRI096CD
BLD?:X MEC?: PLM?:X FLR--EXIST--PROP--- DWELLING UNITS: 1 COMP PLAN •SR FEES:
TYPE OF WORK:ADD USE:RES 1ST.: 942: 1494:sf STORIES • 0 REQUIRED PARKING..: 2 SPRINKLERS'' •' FINAL PLAN CHECK...* $ 552.18
CENSUS CATEGORY •101 2ND.: 650: 926:sf HEIGHT • 0.00 ft HAZARD CLASS •' BUILDING PERMIT....* $ 849.50
OCCUPANCY GROUP 3RD.: 0: 0:sf VALUATION REQUIRED SETBACKS FIRE FLOW • 0 gpm SBCC SURCHARGE * $ 4.50
:R3 OTHR: 0: 0:sf EXIST..$: 81200 FRONT • 20.00 ft PLUMBING PERMIT/SPK* $ 55.00
TYPE OF CONSTRUCTION BSMT: 0: 0:sf PROP...$: 159702 SIDE • 5.00 ft WATER SERVICE..:FED PUB WORKS-PLAN CHECK $ 35.00
:5N :? :? :? DECK: 0: 240:sf REAR • 25.00:ft SEWER SERVICE..:FED FINAL PLAN CHECK...* $ 30.00
OCCUPANT LOAD GAR.: 0: 0:sf RECEIVED.:09/23/92
0: 0: 0: 0: TOIL: 1592: 2660:sf IMPERV SURFACE: 0 sf SENSITIVE AREAS?.:Y
FUEL TYPES.:? ? FANS • 0 BOILERS/COMPRESSORS WATER CLOSETS • 2 URINALS • 0 TOTAL FEES $ 1526.18
GAS PIPING.: 0 ft HOOD • 0 0-3 HP • 0 BATH TUBS • 1 DRINKING FOUNT.: 0
FURN<100K..: 0 DUCT WORK • 0 3-15 HP • 0 SHOWERS • 2 SUMPS • 0
GAS HWT • 0 WOOD STOVES...: 0 15-30 HP • 0 LAVATORIES • 4 VAC BREAKERS...: 0
CONV BURNER: 0 FURN>100K • 0 30-50 HP • 0 SINKS • 1 DRAINS • 0
• 0 MISC • 0 5+ HP • 0 DISH WASHERS • 1 LAWN SPRINKLERS: 0
410 DRYER..: 0 AIR HANDLING UNITS FUEL TANKS ELEC WTR HEATERS...: 0 OTHER FIXTURES.: 0
RANGE • 0 <=10,000 CFM: 0 ABOVE GROUND: 0 LAUN WSHR OUTLTS...: 0
GAS LOGS...: 0 > 10,000 CFM: 0 UNDERGROUND.: 0
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 AGENT1----------*— ---E DATE '
bld_prmt 10/23/92 {
• • REVISION •
�.� City of Federal Way RECEIVED
v APPLICATION FOR BUILDING PERMIT APR 1 4 1993
PERMR# W cri/V2(4
PLEASE PRINT APPLICATION #: 74"' '2—2z/y
SITE LOCATION Address 2 Z 7O/ o t� 4 �j' 2 2
� €� S'zc./ f�-�/�. is�' " / �`6 2 >
Tenant (if known) Lot # Assessor's Tax #
./o4 ',c t I,t)&/AJ
Building Owner Name Address
zS,yy�1 4Ile_
City f4-- W - State AM- Zip Z.3 Phone
Nature of WorkX10 te_e_ //�,0li7/),,k1 , (Re1/(-Srory
APPLICANT '>
Name (F,M,L)
/cl/M-L £ !tW/t717
Address
City 126-'-.7?-z7202- a)14-4/ State lti/g Zip ,Qe)Z2J
Contact Person Day Phone Other Phone Fax
�/
Y1'�/19Z 66;
BU LDTNG CONTRACTOR;
Company Name
45 ti'4::/(M zK- ,A''"-,12 6O/r�-L4l2S jAJ C
Address
3 -L
rL,, 7711
City /?�! e2A, State Wy9- Zip `��-o�22-
Contact Person Phone Fax /
Citi C40/06 b33 /0O3
Contractor's # (card must be presented) Expiration Date Verified 0 Yes 0 No
•
ARCHITECT (�(
Name y _
Address
•
City State Zip
Contact Person Phone Fax
LEGAL DESCRIPTION
N \rb(
Please Complete Reverse Side
CD0492 IRev 4/93)
411 0
STRUCTURE Existing Use Proposed
r... _ Use
se
Permit includes: ❑ Building ❑ Plumbing ❑ Mechanical ❑ Other
Type of Work: ❑ Residential ❑ New ❑ Remodel ❑ Number of Units ❑ Deck
❑ Commercial ❑ Addition ❑ Garage ❑ Shed Other ,'I &1I/St, /
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 ❑ Sewer Availability ❑ On-Site Septic System Availability ❑ Project Valuation $
Zoning Lot Size Existing Bldg Valuation $
LENDERititi" ,
Name
Address
City
State Zip
ECHANICAL CONTRACTOR `j
MJ
Contractor Name / �' Address
City State Zip
Contact Phone Fax
License # Expiration Date Verified ❑ Yes ❑ No
PLUMBING CONTRACTOR A-j7,/ -
Contractor Name Address
City State Zip
Contact Phone Fax
License # Expiration Date Verified ❑ Yes ❑ No
PLUMBING FIXTURE COUNT 41/4
Water Closets Sinks Urinals Lawn Sprinklers
Bathtubs Dish Washers Drinking Fountains Other
Showers Electric Water Heaters Sumps ,
Lavatories Washing Machine Drains Total Fxture CountY. .
MECHANICAL UNIT COUNT A)/
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 Burner Duct Work 0-3 Tons Underground
BBQ's Wood Stoves 3-15 Tons Total Unit Count
DISCLAIMER: !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 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.
Owne A g e n' v It :���G V Date: — j ^ S/3
!/
CITY OF FEDERAL WAY BUILDING PERMIT PERMIT NO.: BLD92-2214
33530 First Way South BUILDING INSPECTION - 661-4140 ISSUED: 02/25/93
Federal Way, WA 98003 BY: FC
661-4000
SITE ADDRESS: 32709 30TH AVE SW
PARCEL NO.: 951090-0570
PROJECT DESCRIPTION: REMODEL — ADD 12 ' TO REAR OF HOUSE.
— OWNER CONTRACTOR LENDER
JO ANN UNDLIN BIG BOB'S CONSTRUCTION
32709 30TH AVE SW 123456789 SR 99
FEDERAL WAY WA 98023 FEDERAL WAY WA 98999
.9772123-4567 987-6541
BIGBOBCONSTR
III
BLD?:X MEC?: PLM?:X FLR--EXIST--PROP--- DWELLING UNITS: 1 COMP PLAN •SR FEES:
TYPE OF WORK:ADD USE:RES 1ST.: 942: 1494:sf STORIES • 0 REQUIRED PARKING..: 2 SPRINKLERS? •7 FINAL PLAN CHECK...* $ 552.18
CENSUS CATEGORY •101 2ND.: 650: 926:sf HEIGHT • 0.00 ft HAZARD CLASS •7 BUILDING PERMIT....* $ 849.50
OCCUPANCY GROUP 3RD.: 0: 0:sf VALUATION REQUIRED SETBACKS FIRE FLOW • 0 gpm SBCC SURCHARGE * $ 4.50
:R3 OTHR: 0: 0:sf EXIST..$: 81200 FRONT • 20.00 ft PLUMBING PERMIT/SPK* $ 55.00
TYPE OF CONSTRUCTION BSMT: 0: 0:sf PROP...$: 159702 SIDE • 5.00 ft WATER SERVICE..:FED PUB WORKS-PLAN CHECK $ 35.00 ,
:5N :? :? :? DECK: 0: 240:sf REAR • 25.00:ft SEWER SERVICE..:FED
OCCUPANT LOAD GAR.: 0: 0:sf RECEIVED.:09/23/92
0: 0: 0: 0: TOTL: 1592: 2660:sf IMPERV SURFACE: 0 sf SENSITIVE AREAS?.:Y
FUEL TYPES.:? ? FANS • 0 BOILERS/COMPRESSORS WATER CLOSETS • 2 URINALS • 0 TOTAL FEES $ 1496.18
GAS PIPING.: 0 ft HOOD • 0 0-3 HP • 0 BATH TUBS • 1 DRINKING FOUNT.: 0
FURN<100K..: 0 DUCT WORK • 0 3-15 HP • 0 SHOWERS • 2 SUMPS • 0
GAS HWT • 0 WOOD STOVES...: 0 15-30 HP • 0 LAVATORIES • 4 VAC BREAKERS...: 0
CONV BURNER: 0 FURN>100K • 0 30-50 HP • 0 SINKS • 1 DRAINS • 0
BBQ • 0 MISC • 0 5+ HP • 0 DISH WASHERS • 1 LAWN SPRINKLERS: 0
GAS DRYER..: 0 AIR HANDLING UNITS FUEL TANKS ELEC WTR HEATERS...: 0 OTHER FIXTURES.: 0
RANGE • 0 <=10,000 CFM: 0 ABOVE GROUND: 0 LAUN WSHR OUTLTS...: 0
C TOGS...: 0 > 10,000 CFM: 0 UNDERGROUND.: 0
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 2.
aP/�/ C DATE 2_S ig
/
bld_prmt 10/23/92
, ..` _ - F
0 5 ami (3L 0 ? — -27 /`/
E; LP 23 12992 CITY OF FEDERAL WAY Le-61I�-/_1 (�
. �., " .�rdra�BUILDING PERMIT APPLICATION 4—�—i
ts,arc�:.iaaJw+,
- Please Print—
BOX 1 TENANT NAME: J0�Nr.1 Lii k i Ki
OWNER 30 Aiskr.► 13).10t_ANI SITE LOCATION
OWNER'S ADDRESS '3'Z'?o9 '3n-ti, /We. c-2_ , CITY ft,)`j2-AL WAN'PHONE ?Ai'l) 117Z
DESCRIBE JOB it. EA-- L&D+) j2' 1 _. Z c.
i -it V4cAil E
THE PROPERTY IS OWNED BY: SINGLE/MARRIED x PARTNERSHIP CORPORATION
BOX 2 CONTRACTOR'S NAME (3E44 C 4AMAi2M-- :\ Z C2—c CONTRACTOR'S REG. # rt ;2-10ci4•Cp
5u( Card MUST be presented
CONTRACTOR'S ADDRESS --" r1 kin 6 -IE
. F.6 W� 1-CI ALWA1124,1 PHONE -443r3r-2.-8 ..4774-
EXPIRATION DATE
— OR —
I HAVE READ CHAPTER 18.27.010 RELATING TO DEFINITIONS OF GENERAL CONTRACTORS AND SPECIALTY CONTRACTORS ND r,
CHAPTER 18.27.110 WHICH PROHIBITS ISSUING PERMITS WITHOUT PROOF OF REGISTRATION. , `. .e.'_.,-05 4.52_,.
BOX 3 CONTACT PERSON -.2"-it - ...4=._-1—.= r_. . , 6,/ PHONE' ='
BOX 4 SEWER DISTRICT (3tAAi --) WATER DISTRICT
BOX 5 ESTIMATED PROJECT COST 11:3,cX ) EXISTING BUILDING VALUATION SIr2c
BOX 6 PROPERTY TAX ACCOUNT NUMBER el'=)(O9 0- 05 70 05
LEGAL DESCRIPTION J&f F-31 pF- \.ilc7Gl� 'VALE, � pPQ- PLd >r2-DED 'tNi
VC)LUMS. i,� of Pr , AC 2� , )IIx �,r r tc, re AL_
(If necessary, please submit a separate page with the legal description.)
K.C. Plat Recording #
BOX 7 BUILDING SQUARE FOOTAGE: (Existing/Proposed) 1ST FLOOR 9t"Z/ 1 14- 2ND FLOOR 4,1" 92.4,
3RD FLOOR / BASEMENT / DECK / GARAGE /
BOX 8 ( ) SINGLE FAMILY ( ) NEW CONSTRUCTION
( ) MULTIFAMILY (NO. OF UNITS = ) ()c) EXISTING STRUCTURE
( ) COMMERCIAL/INDUSTRIAL TOTAL AREA OF PROPERTY SQ FT
BOX 9 PLUMBING FIXTURES (including rough-ins) MECHANICAL APPLIANCES — BASIC FEE$
NO. 'Z WATERCLOSETS GAS PIPING, FEET $
1 BATHTUBS NO._ FURNACE, ELEC. GAS $
'2- SHOWERS GAS HOT WATER HEATER $
LAVATORIES CONVERSION BURNER $
I 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 $
!, 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 THE ACCURACY OF THE INFORMATION SUPPLIED TO THE CITY AS A PART OF THIS APPLICATION.
OWNER/AGENT: `...t"u,„ ,.42....e
DATE: '03 ig_2______
ANP0083/90
CITY OF FEDERAL WAY BUILDING PERIVI I T PERMIT NO.: BLD92-2214
:- ::3O First Way South BUILDING INSPECTION - 661-4140 ISSUED: 02/25/93
Federal Way, WA 98003 BY: FLF
661-4000 REVISION
SITE ADDRESS: 32709 30TH AVE SW
PARCEL NO.: 951090-0570
PROJECT DESCRIPTION: REMODEL — ADD 12 ' TO REAR OF HOUSE.
REVISION REC'D 4/14/93,
= OWNER v—®= — CONTRACTOR LENDER
JO ANN UNDLIN BENCHMARK REMODELERS INC
32709 30TH AVE SW 30521 56TH AVE S
FEDERAL WAY WA 98023 AUBURN WA 98001
6.772 833-1003
BENCHRI096CD
BLD?:X NEC?: PLM?:X FLR--EXIST--PROP--- DWELLING UNITS: 1 COMP PLAN •SR FEES:
TYPE OF WORK:ADD USE:RES 1ST.: 942: 1494:sf STORIES,,.,....: 0 REQUIRED PARKING..: 2 SPRINKLERS?......:? FINAL PLAN CHECK.,.* $ 552.18 '
CENSUS CATEGORY •101 2ND.: 650: 926:sf HEIGHT • 0.00 ft HAZARD CLASS •2 BUILDING PERMIT....* $ 849.50
OCCUPANCY GROUP 3RD.: 0: 0:sf VALUATION REQUIRED SETBACKS FIRE FLOW • 0 gprrh SBCC SURCHARGE.....* $ 4.50
:R3 OTHR: 0: 0:sf EXIST..$: 81200 FRONT • 20.00 ft PLUMBING PERMIT/SPK* $ 55.00
TYPE OF CONSTRUCTION BSMT: 0: 0:sf PROP...$: 159702 SIDE • 5.00 ft WATER SERVICE..:FED PUB WORKS-PLAN CHECK $ 35.00
:5N :? :? :? DECK: 0: 240:sf REAR • 25.O0:ft SEWER SERVICE..:FED FINAL PLAN CHECK,..* $ 30.00 ,
OCCUPANT LOAD GAR.: 0: 0:sf RECEIVED.:09/23/92
0: 0: 0: 0: TOTL: 1592: 2660:sf IMPERV SURFACE: 0 sf SENSITIVE AREAS?.:Y
FUEL TYPES.:? ? FANS • 0 BOILERS/COMPRESSORS WATER CLOSETS • 2 URINALS - 0 TOTAL FEES $ 1526.18
GAS PIPING.: 0 ft HOOD • 0 0-3 HP......: 0 BATH TUBS..,.......: 1 DRINKING FOUNT.: 0
FURN<100K..: 0 DUCT WORK • 0 3-15 HP.....: 0 SHOWERS • 2 SUMPS • 0
GAS HWT • 0 WOOD STOVES...: 0 15-30 HP • 0 LAVATORIES • 4 VAC BREAKERS...: 0
CONV BURNER: 0 FURN>100K.....: 0 30-50 HP • 0 SINKS • 1 DRAINS.........: 0
BBQ • 0 MISC • 0 5+ HP • 0 DISH WASHERS • 1 LAWN SPRINKLERS: 0
GA DRYER..: 0 AIR HANDLING UNITS FUEL TANKS ELEC WTR HEATERS...: 0 OTHER FIXTURES.: 0
R • 0 <=10,000 CFM: 0 ABOVE GROUND: 0 LAUN WSHR OUTLTS...: 0
G LOGS...: 0 > 10,000 CFM: 0 UNDERGROUND.: 0or 1
ALL PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS STARTED. RESIDENTIAL AND GRADING PERMITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE f ,, —, d
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 R: IR: 1 S VILL BE MET.
1
{
OWNER OR AGENT �..�.�. DATE � . �bld_prmt 10/23/92 (- —'--' :--1.----V ,, f4,
a ATE
D
CITY OF FEDERAL WAY BUILDIG P I aT PERMIT NO.: RLD92-2214
::.3630 First Way South BUILDING INSPECTION - 661-4140 ISSUED: 02/25/93
Feral Way, WA 98003 BY: FC
F61-4000
SITE ADDRESS: 32709 30TH AVE SW
PARCEL NO.: 951090-0570
PROJECT DESCRIPTION: REMODEL - ADD 12 ° TO REAR OF HOUSED
OWNER — CONTRACTOR LENDER
JO ANN UNDLIN BIG BOB'S CONSTRUCTION
32709 30TH AVE SW 123456789 SR 99
-
FEDERAL WAY WA 98023 FEDERAL WAY WA 98999
9772 123-4567 987-6541
BIGBOBCONSTR
BLD?:X MEC?: PLM?:X FLR--EXIST--PROP--- DWELLING UNITS: 1 COMP PLAN •SR FEES:
TYPE OF WORK:ADD USE:RES 1ST.: 942: 1494:sf STORIES • 0 REQUIRED PARKING..: 2 SPRINKLERS' .7 FINAL PLAN CHECK...* $ 552.18
CENSUS CATEGORY •101 2ND.: 650: 926:sf HEIGHT • 0.00 ft HAZARD CLASS .7 BUILDING PERMIT....* $ 849.50
OCCUPANCY GROUP 3RD.: 0: 0:sf VALUATION REQUIRED SETBACKS FIRE FLOW • 0 gpm SBCC SURCHARGE * $ 4.50
:R3 : : OTHR: 0: 0:sf EXIST..$: 81200 FRONT.........: 20.00 ft PLUMBING PERMIT/SPK* $ 55.00
TYPE OF CONSTRUCTION BSMT: 0: 0:sf PROP...$: 159702 SIDE • 5.00 ft WATER SERVICE..:FED PUB WORKS-PLAN CHECK $ 35.00
:5N :? :? :? DECK: 0: 240:sf REAR • 25.00:ft SEWER SERVICE..:FED
OCCUPANT LOAD GAR.: 0: 0:sf RECEIVED.:09/23/92
. 0: 0: 0: 0: TOTL: 1592: 2660:sf IMPERV SURFACE: 0 sf SENSITIVE AREAS?.:Y
FUEL TYPES.:? ? FANS • 0 BOILERS/COMPRESSORS WATER CLOSETS • 2 URINALS • 0 TOTAL FEES $ 1496.18
GAS PIPING.: 0 ft HOOD • 0 0-3 HP • 0 BATH TUBS • 1 DRINKING FOUNT.: 0
FURN<100K..: 0 DUCT WORK • 0 3-15 HP • 0 SHOWERS • 2 SUMPS • 0
GAS HWT • 0 WOOD STOVES...: 0 15-30 HP • 0 LAVATORIES • 4 VAC BREAKERS...: 0
CONV BURNER: 0 FURN>100K • 0 30-50 HP • 0 SINKS • 1 DRAINS • 0
BBQ • 0 MISC • 0 5+ HP • 0 DISH WASHERS • 1 LAWN SPRINKLERS: 0
GAS DRYER..: 0 AIR HANDLING UNITS FUEL TANKS ELEC WTR HEATERS...: 0 OTHER FIXTURES.: 0
RANGE • 0 <=10,000 CFM: 0 ABOVE GROUND: 0 LAUN WSHR OUTLTS...: 0
G
OGS...: 0 > 10,000 CFM: 0 UNDERGROUND.: 0
L 1
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 ( Ajl/vk I G/L/!//G�:/C-1;, DATE �/ l3
bld_prmt 10/23/92 vV (((
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