95-100353 t
9s, / 00353
CITY OF FEDERAL WAY BU I LD I NG P T PERMIT NO:
02/13/9522
33530 First Way South
Federal Way, WA 98003 Building Inspection Requests 661-4140 BY: FC
661-4000 EXPIRES: 08/12/95
** REVISED PERMIT **
ADDRESS:34507 PACIFIC HWY S
NO. : 202104-9107
PROJECT DESCRIPTION:plumbing - adding water closet & sink
AMENDED PERMIT - MOVING WALLS (TI)
OWNER CONTRACTOR = LENDER
sr
M. HARRISON *** OWNER IS CONTRACTOR ***
34501 PACIFIC HWY S
FEDERAL WAY WA
*** NONE ***
BLD?:X NEC?: PLM?:X FLR--EXIST--PROP--- DWELLING UNITS: 0 COMP PLAN .? FEES:
TYPE OF WORK:ALT USE:COM 1ST.: 0: O:sf STORIES • 0 REQUIRED PARKING..: 0 SPRINKLERS? .? PLM PRMT ISSUANCE.. $ 20.00
CENSUS CATEGORY •437 2ND.: 0: 0:sf HEIGHT • 0.00 ft HAZARD CLASS .? PLUMBING FIXT....93' $ 14.00
OCCUPANCY GROUP 3RD.: 0: 0:sf VALUATION REQUIRED SETBACKS FIRE FLOW • 0 gpm BUILDING PERMIT....* $ 45.00
:? :? :? :? OTHR: 0: 0:sf EXIST..$: 0 FRONT • 0.00 ft SBCC SURCHARGE * $ 4.50
TYPE OF CONSTRUCTION BSMT: 0: O:sf PROP...$: 2000 SIDE • 0.00 ft WATER SERVICE..:?
:? :? :? :? DECK: 0: O:sf REAR • 0.00:ft SEWER SERVICE..:?
OCCUPANT LOAD GAR.: 0: O:sf RECEIVED.:02/13/95
0: 0: 0: 0: TOIL: 0: O:sf IMPERV SURFACE: 0 sf SENSITIVE AREAS?.:?
FUEL TYPES.:? ? FANS • 0 BOILERS/COMPRESSORS WATER CLOSETS • 1 URINALS • 0 TOTAL FEES $ 83.50
GAS PIPING.: 0 ft HOOD • 0 0-3 HP • 0 BATH TUBS • 0 DRINKING FOUNT.: 0
FURN<100K..: 0 DUCT WORK • 0 3-15 HP • 0 SHOWERS • 0 SUMPS • 0
GAS HWT • 0 WOOD STOVES...: 0 15-30 HP • 0 LAVATORIES • 0 VAC BREAKERS...: 0
CONY BURNER: 0 FURN>100K • 0 30-50 HP • 0 SINKS • 1 DRAINS • 0
BBQ • 0 MISC • 0 5+ HP • 0 DISH WASHERS • 0 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
GAS LOGS...: 0 > 10,000 CFM: 0 % UNDERGROUND.: 0
PERMITS EXPIRE 180 DAYS AFTER , ANCE IF NO RK IS STARTED. RESIDENTIAL AND GRADING PERMITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE.
I CERTIFY THAT THE I 2,#TIO RNISED Y IS RUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FERERAL WAY REQUIREMENTS WILL BE MET.
OWNER OR AGENT DATE __ � _' l
d;,_.....
' • City of Federal Wa 0RECEIVED
yi FEB 161995
APPLICATION FOR BUILDING PERMIT
CITY OF FEDERAL WAY
WILDING DEPT.
r
PLEASE PRINT APPLICATION #: 3 w 1 ✓ ~ 0 1'2-2—
SITE
'2-2—
•
SITE LOCATION Address 3 t,! ,"'d 7 p.c /1/47 5c, e ! -L iej4L y
Tenant fin n t /I
Lfj0 Lot # Assessor's Tax #
IY rte, '
Building Owner Naame Address
7?
City State Zip Phone
Nature of Work
..............................
APPLICANT
Name (F,M,L)
e,'EA ek. /9/:s 1 Aft._/.5'c.,
Address
3qc1 7 //— /4 5-0
City{‘tofm 0.4_ 0,14,7 State Zip
onta,/f'IIiiP1,4soi f1 sr ffJ Day
l? ie� i �( Oth �oneO�d Fax
Ii Lr .[/ 9 [/
f
BUILDING CONTRACTOR
Company Name
Address
City plat LState Zip
Contact Person ( Phone Fax
Contractor's # (card must be presented) Expiration Date Verified ❑ Yes ❑ No
ARCHITECT I
Name
Address
City State Zip
Contact Person Phone Fax
LEGAL DESCRIPTION
• ' ,
Please Complete Reverse Side
CD0492(Rev 4/93)
STRUCTURE Efig Use [sed Use
Permit includes: ❑ Building ❑ Plumbing ❑ Mechanical ❑ Other •.
Type of Work: El Residential ❑ New ❑ Remodel ❑ Number of Units ❑ Deck
El Commercial El Addition El 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:❑ ; Sewer Availability ❑ On-Site Septic System Availability ❑ Project Valuation $
Zoning ' ` r Lot Size Existing Bldg Valuation $
LENDER .. ..•e',T'44 ' ,'. ti.," - , .,•• ..
,.
Name Address
City State Zip
MECHANICAL CONTRACTOR
Contractor Name Address
City $' . ,', State "-. ' • • 'Zip' -
Contact • Fhone Fax '• :S
•
License # Expiration Dafe y•• '.. 1/erlfie' ' '10'`�eea1❑ No
• ,,
' t' t • •
PLUMING CONTRACTOR
Contractor Name Address
City , State Zip .
. .t ' t•
%
Contact Phone t ? Fax
License # Expiration Date, ,. Verified Q "les, CI No
_ s<
PLUMBING FIX' REVD
Water Closets Sinks Urinals Lawn Sprinklers
Bathtubs Dish Washers Drinking Fountains Other
Showers Electric Water Heaters Sumps
............•.•.•.•... .......•............. ...................
•
Lavatories Washing Machine Drains Total>Fixture:Counr <_ :<>': :`:>:::>::
................................................................
...............................................................
..............................................................
...........................................................................................
............................................................................................
MECHANICAL
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'IUnit Count
DISCLAIMER: I certify under penalty of perjury that the infor tion 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 rk for which permit a plication 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 inve Ition def se o such claim),which may be made by any person,including the undersigned,and filed against the City of Federal Way,
but only where suc lai arises o of the elianc oft City,including its officers and employees,upon the accuracy of the information supplied to the City as a part of this
application. 'ft.,
Owner/Agent: Date: 2. .....—/et........9, f----
�
A l 4" ' 1 i- � - - •
+_' • 111
•
I. i C
.. 1 e ;" { -,'.,- it. _.�� � .
•
'�
•
VC= ! 1 I
b i �^
i' , i i 1 40 ;
;i
Z
y_
:--.`:.....--..i•.77 :.4
..,:_:,-- ,.•
:-,
- - r - -
•
' i
as- -
- •--- - - ,i -YY ..-. ...-.
CITY OF FEDERAL WAY BU I LD I NG P T PERMIT NO:
02/13/9522
33530 First Way South
Federal Way, WA 98003 Building Inspection Requests 661-4140 BY: FC
661-4000 EXPIRES: 08/12/95
ADDRESS:34507 PACIFIC HWY S
NO. : 202104-9107
PROJECT DESCRIPTION:plumbing - adding water closet & sink
OWNER — - CONTRACTOR • LENDER
M. HARRISON u_= OWNER IS CONTRACTOR =u_
34507 PACIFIC HWY S
FEDERAL WAY WA
**I NONE 1st
BLD?: NEC?: PLM?:X FLR--EXIST--PROP--- DWELLING UNITS: 0 COMP PLAN I FEES:
TYPE OF WORK:ALT USE:COM 1ST.: 0: 0:sf STORIES • 0 REQUIRED PARKING..: 0 SPRINKLERS? •? PLM PRMT ISSUANCE.. $ 20.00
CENSUS CATEGORY •800 2ND.: 0: O:sf HEIGHT • 0.00 ft HAZARD CLASS •7 PLUMBING FIXT....93k $ 14.00
OCCUPANCY GROUP 3RD.: 0: O:sf VALUATION REQUIRED SETBACKS FIRE FLOW • 0 gpm
:? :? :? :? OTHR: 0: 0:sf EXIST..$: 0 FRONT • 0.00 ft
TYPE OF CONSTRUCTION BSMT: 0: 0:sf PROP...$: 0 SIDE • 0.00 ft WATER SERVICE..:?
:? :? :? :? DECK: 0: 0:sf REAR • 0.00:ft SEWER SERVICE..:?
OCCUPANT LOAD GAR.: 0: 0:sf RECEIVED.:02/13/95
0: 0: 0: 0: TOIL: 0: 0:sf IMPERV SURFACE: 0 sf SENSITIVE AREAS?.:?
FUEL TYPES.:? ? FANS • 0 BOILERS/COMPRESSORS WATER CLOSETS • 1 URINALS • 0 TOTAL FEES $ 34.00
GAS PIPING.: 0 ft HOOD • 0 0-3 HP • 0 BATH TUBS • 0 DRINKING FOUNT.: 0
FURN<100K..: 0 DUCT WORK • 0 3-15 HP • 0 SHOWERS • 0 SUMPS • 0
GAS HWT • 0 WOOD STOVES...: 0 15-30 HP • 0 LAVATORIES • 0 VAC BREAKERS...: 0
CONY BURNER: 0 FURN>100K • 0 30-50 HP • 0 SINKS • 1 DRAINS • 0
BBQ • 0 MISC • 0 5+ HP • 0 DISH WASHERS • 0 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
GAS LOGS...: 0 > 10,000 CFM: 0 1DERGROUND.: 0
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK S ARTED. RESIDENTIAL AND GRADING PERMITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE.
I CERTIFY THAT THE INFO T N FURN D BY I RU AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FERERAL WAY REQUIREMENTS WILL BE MET.
OWNER OR AGENT -j-vvc-x--------. DATE / _ 5,-_
FILE COPY
AdOO O13Id
G
-.- C a " _�` ti f t`
'13$ 38 1111 SIN3111btn030 AY* Yi H3H11 JO A1I0 318Y0I1ddY 3H1 ONY 35031*ONN AN JO ISM 1H1 01 1018803 ONY 30Hyt1 111 AV 03SIN8A1 11041 OiNI 301 jYHI A1111130 I
'30NYRSSI 10 300 8311Y 8Y3A 3110 381d13 S1IN03d 9NI0V89 ONY 1YII030IS30 '031HV1S SI 118011 ON 11 30NVOSSI 8311V SAVO 081 38Idk3 S1INH3d
0 :'ONOONS830NA 0 •130 000'01 < 0 :"'5901 SYS
0 :"'S11100 HHS* N0Y1 0 :0110089 3A08V 0 :N10 000'01=> 0 • 39NY8
0 :'S38nixi3 8010 0 :"'SH3iy3H 81* 0313 SINV1 1301 SIINA 90110NVH HIV 0 :"83180 SY9
0 :SH31INI8dS NMY1 0 • S113HSYM HSIO 0 • dH +5 0 OSiN 0 • D99
0 - SNIVHO t • DAIS 0 :"°'dH OS-OE 0 • 100t<N801 0 :81$808 ANOD
0 : 1831V388 0YA 0 • SJI80IVAY1 0 • dH OE-S1 0 :"'SUA0IS 000* 0 • IAN SY9
0 • SdNAS 0 • SHIMS 0 • dH St-E 0 • 3180* 1000 0 :"1001>A1101
0 :'1N001 9111$11100 0 • S901 N1V8 0 . dH E-0 0 • 000H 11 0 :'9NIdId SYS
001E $ S331 1VI01 0 • SIYNIHf I • S13S010 831YM SH0SS3HdNO3'S831I08 0 • SNY1 4 4:13dA1 130!
1:'4Stl311Y 3AIIISNJS I>: 0 :10Y1HiS AH14N1 $0' " r .0 :0 :0 :0 •
,at s D �3 . -----0V01 INYdfi330
4:"13IAHJS H3MJS 11:00'0 : HY 0, ��, s N"00 ' 4: 4: 4: 4:
4:"30IAH3S H31VA 31 00'0 ...........3' 0 �� � �• 'Hd 'r0 - ;., • ._ ;-N0I10n81SN00 JO 3dAi
030
00 t $ �E6""1XI1 9NI81tnld ., N _ Y*01 re .` . b a I :' 1 3H I f? 'A 0$? 0 A8O3 A0NYdnN3
fr
oe AH0S3lY0 snsN3a
iM P
00'0( $ "30NYnSSI 1$8d Old c 4SH11YNIddS 0 : '9N1AIiYd 0381001= . + - �.•$ . 1�0 -4160"..,4 :1St /103:3Sn 11Y:YH0* JO 3dAl
:S131 t NYId dN00 1 1 dOHd � -811 11:4Nld :403N :4018
- . :� •... .-. r........,_ _-„ . - .: - _..r,- -__.__...—---.- _ --•-,-
I.: 111011 caa
VI An 1YH3O31
S AIN 311I3Yd 1.05 E
— --..t ,.•,-- "."^m '-..l "."..,-,^--•---""Rm-"P..,.....= ho---...., .................r..,.,..-,...y....„-L
F....
*ir H0l0YH1N00 SI H3N*0 iii NOSIS8VH 'N
ffi �_.�_. , .- _.. T___ _ H3s1N31 _ _� _ H010YNiN00 -- - - - BOO
nuts 1 lasolo mut buippv - 6utgnn10:N0lldINOS30 103t`OZ3d
LO16-1►OLZOZ : 'ON
S AMH DI.JIObd LOSVE :SS3800V
96/Z1/80 :S381dX3 000P- 199
3J :AS Ot+ LI'-I.99 sl}sanbed uo1. 439dsul 6u!•piJn8 EO086 YM 'AgM tgiepa3
ZZ l0-56018 :0NnlI10183d J. I 3 d JN 1 C11 ` n 8 �IAVM 1V83cI33 � JO AIJO
L SETBACKS & FOOTINGS
Date By
FOUNDATION WALLS
Date By
PLUMBING,GROUNDWORK L��r TZ7 7,20r
Date 2.-l5-C] 5 By 122N
...................................................
...................................................
UNDERFLOOR FRAMING
Date By
SHEAR WALLS
Date By
PLUMBING ROUGH-IN
Date By
GAS PIPING
Date By
MECHANICAL ROUGH-IN
Date By
MECHANICAL (OTHER)
Date By
FRAMING : -(? 5 5 -,0.4,77„24, /�;�� NC G;L2 ic9� �l�,✓f f -=v1/
Date 1-/- S By /
INSULATION
Date By
GWB - 1ST LAYER
Date By
GWB - 2ND LAYER
Date By
SUSPENDED CEILING
Date By
PLANNING FINAL
Date By
ENGINEERING FINAL
Date By
FIRE FINAL f= l�, r42,7. / o1/ ?),,J
Date y 7 Z -47 By 6.:1V`
BUILDING FINAL
Date G/ /,?__ 125 By t4,4,1
OTHER
Date By
OTHER
Date By
CD01 93
A Al Ad00 01313
(4 /IA 21) r..) ,
0 p.,ThI
/-zi ii 2r.'; tC. liPI:
'13N 38 11IM SIN1N381flOi8 AVM 1Vd3833 10 A110 31$V311ddV 3H1 ONY J901140111 AN JO 1538 3111 01 13. 11103 3 0NV 3081 SI IA 03S1fiHtld',MOIl 13H1 101 Ali1833 1
'33NVflSSI JO 31VO 831.1V (MA 3NO 3H1dX3 S11N83d 9N10YH9 0NV 1YI1N301S38 '0318V15 S1 JON CN lI 33NVAt; 8310SAVO 011t 3HIdX3 Si1N83d
0 :'01111011983011(1 0 :1113 000'01 < 0 '.'5901 SYS
0 :"111100 HHS1 NOV1 0 :moss 3A00Y u :1133 000'01=> 0 • 39NYH
0 :'S3df11X13 831110 0 :"11131V3H HIM 3313 --_._--._-S NYI 13113 S1INA 9N110AVH HIY 0 :"HJAHO SYS
0 :S8311NI8dS NMY1 0 :"":"SH3HSYM HSIO 0 • dH 4S 0 • 351M 0 • 000
0 :'"'"' SNIYHO I : SANIS 0 • dH OS-O£ 0 • 11001018fl1 0 :8]141fl8 ANO3
0 :"'S83MV188 3VA 0 • S3IHO1Y0Y1 0 :""dH of-51 0 :" 53k015 0001 0 :'"'1041 SY9
0 • SMAS 0 • SH3IOHS 0 • dH 51-£ 0 • 11801 1300 0 :.'1001>N8fl3
0 :'1111103 MINA 0 :"°""""S801 HIVO 0 • dH ££-0 0 • 000H I1 0 :'9N1dId SY9
0:'£8 $ _ 5313 1Y101 0 • S1Y1I86 I S13S.013 H30M SH0SS3Hd$03/Sdi1lO 0 • SAV1 i 4:'S3dAl 13111
i:'iSY3HY AI11SN3S Is 0 :33VJ8RS A83dM1 it:, �'.0 ?l :0 '0 :0 •0 '
' £I 03A13 i ' —OYO1 1NVd0330
4:"331A83S 83135 11:00'0 • 8V1H :,_ 1 : s 0 : t: is is is
.
i s''331 AN3S 831Y1 11 00°0 • 3°,t,•'. ,: y • ,,, s '£/ 111$ NOI13i1H1SN 13 JO 3dAl
05'1 $ s 358VH38fl 1 '� pa 1<3 s� _ ;: is is is
00'St t s....11N$3d 5K 0 1J ,_ - - a SVA � 1 1 r _
` � ___am A3NYdfl w
OO'ti t s£r 1X13 9N18Nflld i3.a L£1 AH0931V3 SflSN33
00'01 $ "33NYflSSI Add Aid a �, �� iS, .-' r . `... . • '- -7401S 1 ,: :t ,'151 ( :3Sfl 11V480A 10 3dkl
:S331 i• NVId J403, ..'
,; --dOHd-4111r Hll w:tNld :13311 X:1410
<..'3 T`_�'^�•......R:.�...�f^.am.e......rte..—..-•--"V-,.a.u,�—..;,.�....�+n....a.r,._ ...... - -- Z-9....._..t--. -n.w.�-...—.,.--+.w+ewve-+n+ssr-..e— .�"
iiiiiot ., ir 1, . .„ ,
VM AYM 1V83031 A
S AMR 313I3Yd IOSt£
41
sss 8010VH.iNOJ SI H3NM0 sss Ct l/Y1/�� 1' NOSIHHYH 'N
._...-�-_ — HOI3YH1NC3 _....._ _ --_= _ - 011110
{111 S11Y1 9NIAON - lafH3d 030013$V
3uls t mop i01e* bulppp - buegrn)d:NO Id I 8OS3O 1031OtJd
L016-17OIZOZ : 'ON
S AMH OIJIObd L09q£ :SS3t3Qdd
S6 - 000'P-- 1.99
DA :AO Ot+lt►-1.99 s.senbaa uo1. 11adsul buipltn9 £OOS6 bM 'Aum tsJaped
ZZ 10`96019 :ON H111483c!SSI 1 II/483d ON I ® , I n 8 D110S AuM `
AVM 1bt3103d AO�AlIO
4
«noF G
City of Federal Wall RECEIVED
APPLICATION FOR BUILDING PERMITFEB 13 1995
CITY OF FEDERAL WAY
BUILDING DEPT.
PLEASE PRINT
APPLICATION #: � °1 O 111.
SITE LOCATION Address v t�L ,5 7 /47c so -lam w ,,,
Tenant (if known) ,,J/ Lot # / Assessor's Tax #
0(3/01/" 1 7
Building Owner�Name
®//2 77->i
Address
City ' State Zip Phone
Nature of Work
APPLICANT
Name (F,M,L)
/1X-L,w /e- /VS/Qt. t So
Address
'Sa�7 ,&-4-e, A4 5,-
City zi,,4;1 it (_ State c i 4— Zip e,,,5rc3
Contact7sjin Day Phone Other Phone Fax
f2/f /L2r 5o.r/ 4//54
....................
BUILDING CON I RACTOR..
Company Name
Address , FV
City !Av/�
State Zip
Contact Person Phone Fax
Contractor's # (card must be presented) Expiration Date Verified ❑ Yes D No
ARCHITECT
Name
,tea/1C—
Address
City
State Zip
Contact Person Phone Fax
LEGAL DESCRIPTION
Please Complete Reverse Side
C00492(Rev 4/93)
1 ti'I'RUC'I'URE Existing Use ,jc�_ ezz_ PPsed Use ,101.i�c 7-Z
Pe:mit includes: ❑ ding ` X Plumbing Mechanical ❑ Other
i Type of Work: ❑ Residential ❑ New ❑ Remodel ❑ Number of Units ❑ Deck
Commercial 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 jm Sewer Availability,' On-Site Septic System Availability ❑ Project Valuation $
Zoning Lot Size Existing Bldg Valuation $
LENDER
Name Address
4/4/
City State Zip
MECHANICAL CONTRACTOR
Contractor Name J / Address
City (�//�� State Zip
Contact Phone Fax
License it Expiration Date Verified ❑ Yes ❑ No
PLUMBING CONTRACTOR
Contractor Name P/ ' Address
Y
City State Zip
Contact Phone Fax
License # Expiration Date Verified ❑ Yes ❑ No
!PLUMBING FIXTURE COUNT
Water Closets , Sinks / Urinals Lawn Sprinklers
Bathtubs Dish Washers Drinking Fountains Other
Showers Electric Water Heaters Sumps
Lavatories Washing Machine Drains Total Fixture:<Count: .:z..::.:..:..::..::..
................................................................
1EGHAN'tem, UNIT'COUNT
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
-i
Cony Burner Duct Work 0-3 Tons Underground
BBQ's Wood Stoves 3-15 Tons Total!Unit::Count `'
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 a lication 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 investi ion and defen a of uch claim),which may be made by any person,including the undersigned,and filed against the City of Federal Way,
but only where such cl i ses out the rel' nce f th City,including its officers and employees,upon the accuracy of the information supplied to the City as a part of this
application. _
Owner/Agent: Vit, Date: ._ // 9
�t�,�11�� ‘�trrr► ‘�trr►► �Irrrr► ��rrr®o ��ttr►o •�®o�r�, • �t 11►��
��\�, ��/ \��1�4�l��/�i,�� ���4���/�i��\���I���/�i,��\4111///,,,,�.\0011///ice,.,cS l//►,�� k A A i, e
��\� ,1141i#/I.=1`01111ly /i:• k 111111�//i:-� 0111114RA,.-�� \1114111, l.,1 \\111$1 �//i!�� \1114101//,1-O\, ktffl �O •
Oft-\ \�11 I,1!L-,-���\II11/ // : \ 440///, A p+:` 1140fri//��=�\�\\�IIM////�.�=:\\\�\���►���f////••°:4:�\\�1111/ i, ��\\,1,01//�ArI
_�\�.��.►►,,�. —���..:............................ .,,���s����..: ..:,,���i�`� ... ..;,��/_o����::....r,���/_��i`� .,' ,ice � \.��►► ��,/r�/�-�
.�_ ...0.41.17.:-
���� 33V1d snonaidSNoo V NI 1St]d `� .`_
��/� •saszward aryl fo jundnaao ao/pun.rauato au; \\_-
ir,/4' Jo �ippgtsuodsar alp Si aaunndwoa Jiang pamnits st p tyattjat uodn pun! alp a.Jnian.rjs pins fo asn uoi'an.gsuoa ar{z 2uziaaffn uol&urzjsn� '`�\`
�►; Jo ajnjs aryl do dp,j aryl fo uotjvjn2a.J JO aaunuzpto lana pun "Iona tjpat aauvrjdwoa'anus saauapraa alnaU 1.ia3 sup Imp uos.Jad Jaw dun of 1��i�1
11.
1.\(‘ AN
.[o lundnaao�.[aunto aryl of slunJJva1.[ou saajuninn2.tatjjrau rfir,j aryl `(suopinpwutj jauuos.tad pun auutj eCinla2pnq ur ipm) ajgtssod rfjgnuosna.r sJ 1,/
pd.
\\\� so uorlaadsuz pun mama.'n ajajdwoa sn apnur snt Kp,9 alp rj�notipv •arjgnd jn.1aua2 arjj fo rfjafns pun zjjjnatj ayj paffv rfjasanas'sor� u,xoys snt eiiia��
1_.�1 •, aauauadxa zjattjat s.Jajjnui asogj uo snot ajnalfJl.[a,7 sup Jo aaunnssi of.to1.Jd flip atjj do apow uojjaadsur pun atalnat aijj to snaof rfjuoud ata '.%���4
ardkitrr
�\��`_ ►�I/�// 31va 0'g utumny� pzeuaz� zoo nvloi3A❑ oNlallne ���
.
I / 4 (-'74-4i-,(41:7)4T-iy -
sokoi::
• ..•
.4,4k,
do;
'No.
...1 ‘ .
o�����•, 80086 KM AVM 'I` Haca3 !.ii��
b alms 'S AMH OIAIOD'd L0S'8 • SSS2iUQ�'
iii* \` __.
• �,0�///i� OIZOVHdO 1IHD adI'I : ' 'SWVN HaNMO kON.,E4111.111.II/;/j L L NS :SdALL NOSOn21LSNOO 8ZLT :JJos L L Zg :dfOHO j\�\1,
=\,l '!� .46P
fi :4Tun S AMH OIIIOVd LOStE • , ssa iuQ�z ��0�/si"'
�===�,. OIZOV IdO2IIHO SII'I : •SNVN ZNVNSZ �io®
O"ii%4rArAr �I% ZZTO-S6Q'Ig : Jagwsjf ZIwI d LT :QKO'I ZNVdfOOO zz•z"5�
//�I lizs
:2•urnlofof alp .jog .asn .ro uor�anjjsuoo . 'ur in Qurin n2a.1 ► \\�
I••A 4 1 \• 1
t.�4 (Curt'z� azlj fo saouvuzp.Io snouzin art' zt'zm aouvgcluzoo uz sv t a ln'on,r's szrp aouvnssz fo azul' alp to imp ♦•
=\�\�� 2uzrgi'.rao apo, 2uzp1�ng zu.zofzun art'fo LOE uoz�oag fo s'uazua�rznba.r art' oz zuonsand pangs! aivolij,rap sizt,� 1�j/jjj�
sir7Ii
/� ?UUIcttXtXrj) In � �� 6*-.„....,-;�
,„
,,,e,
4olV1,iklittGjvaatapa i1 .l 1
//
.0010.1ww:
''/�//,1►111 \\��� ,,,'".i:;.' \ /'4%;'li......`.��.j%/ii.iii..��`.`f%%�'..nN`�\``�•/%%...i�N`...�..����% rriiii.\`�. i. (I�rt�;��\\\__
�/ ��_../ ii►►� \\.e// �i�►� \\ e//���t►N \•e//��i►►N\\%e//%i►t��\�a�s/i/i�r►►��`\w����/ 1111\ �\'�
I�����`���\��.��/�lllN�\\.o;///I 1\�\ - //�lll1 \\i;////llll��\\\ //j//lll1��\\\ ;/////llll��\�vi���/,����\\\��`�
/ / �� .�J/4 \\\ +!,,, ll1 \\ re, / \t`i/ A �\ \rs/ / \ ®�iti / \ \ I \`
i $0,404\�I/#�I�`1§ I//0l�` §qvi `# §4b I//rl e4. I//ovtt!,4� I�/�l�1�e\���y�/ ��1�� \j
44,j► 4e41► 4144 4141► 44104 r`44� -74141‘ 444 40