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JA V 1!..517 9E80E:SS31(19 00/0T/c0 :S:PlIdX3 000+7- T99-E,C44,? ).3 :AU c07147-T99 .Ese, si5enbad uoll...)edsui 6orpTTna 80066 VM 'AeM Tv-10P0.4 '', 66/ 't/TL :43:341SSI 1 IWInci EINIctiana qlnos Aem lsJIA oEsq . Z890-6641E1 :ON IIWN3d AVM 1VU3(23.1 JO Ali?... 17/4-boy —4b ' _ _ ' "' _ 0 I 3BTBACKS & FOOT`iNGS. Date// 5---9 1 By 55 ........................................... .... ...... . .. .. . ............... 2 FCUN17AM NN !VALLS '.: Date//—/$---f By .S. . ......I...............................N........... A. ......._ . ...:>><.....i... . i3 P[U31Nh:;3fl tWQgIO i:::> ; Date By 4 SLAB INSULATION Date By 5 OPOTR40.3.:POWNS:PPLMORN.,_._......*::::::::::]::.*:.*:*,.----.---.--.,:,.-.-.-.::::: A'?//' ifilf/J r Date By EG6 UN1 FLiFRAMN.::::>`. >::: Date/—,27 pp By 53 / / 7 SHEAR WALLS '' K C9c)it h-i / 1—'i-co /�Od/ /—t-/---00.Sw ‘-,-*.-i Date //I i By 74ii• 7/ 8 PLUMBING `OUGH iN wa/ . L/ oyi� /-1)-, ,o 55 Date /— INS('—6a By 5 9 GhgR!!IliGt Date/—,2.7—pd By SS 10 MECHANICAL E OUG H 1N Date/--.41_11,-,00 By---S 7 11 PRAMD.G. ...........:>::........ . .. ;,--(0 By 5'3. Date 12 IIrISUEATION<::>::;;;;<.>;:,;>:.;. . : :<;:.::: :: :< Date 1...-2---00 By S 5 13 GYICS 1St-GAYER . Date By : .:..::::. 14 tliYirB...:2ND I,AY R.» «.....:.. .......: ;........... : Date By 15 ::>:; ::>... EIUINt > > < `: > > >>>> :::::>::>::>::>:......::>::>::>::> iiiiii Date By Date By 17 PUBLIC 1NORKS!FINAL . Date By 18 NAS><< >>«;:<:::>:<:::><:«>>«< » ::.;:;>: : > >:>::>:>:<: Date By 19 'BUILQINI :FINAL Date By 20 OTHER::::.... .:.::.>:::...........:.. .. Date By CD0193(Rev 4/97) BUILDING DIVISION crr'�OF • ..-L)- �nr� 33530 First Way South meeely Federal Wa WA 98003 ':>\> FiY y' (253)661-4000 Fax(253)661-4129 NOV 0 8 1999 WY OF FEDERAL WAY APPLICATION FOR BLY1L N? PERMIT PLEASE PRINT APPLICATION # IJ L_D ( I�' V** atlGkr[a . : : : »> ; Site address Gl-S-76r 7/�s AU -,'SZ-1 , r�f2z--rte Tenant name n� /'2 .pit /. /I, /� Ass ssor Zax #,ZO .1A‹ / �„✓S i r T7�.✓ Lot # �/ Ju � 'L/^!/Vt�Ut/� C If//tel/ Building Owne p' �Name�f Address. /�/ �j6 .-, f7` �/ - A-0 p95 (f.).'STQi-rc i7r...�} 37/� �p / �� c City '-".C-'ureefrier- IState (I./A. Zip 7rozi a, !Phone 3C-0 -V:)<- 22:5-1- Description 2:5Description of Work A_J, (7i,,,"-q 7C44 e ---1.,,J Name (F,M,L) Address City - ,t_/ State Zip 7J/6 2 ? - Contact P on / Day Phone Other Phone Fax .J,4-mos3c —Z i'a ?_ >C - 5>O Z-2-25 } , j ' / ' . €':ani > >::: ::<:«:::::>:<:»::::<:::: ><><>>>>> >» »>»> > , f .1NG.bdiii .dTOR ::i :::::: :i Federal Way Business License # Company Name ! Address s 2 q/e., 2 '-' /j S e City tlum e. ...4-L.-/ State C--c//4 - Zip / i 7---T'-- Contact Person / Phone Fax cs 3c-.2 ��/92...4-b Contractor's # (card must be presented)/e_� ./ /� Expiratii n 9_,!:36, Verified 0 Yes 0 No ,-4J r /ice mil✓til /' I ��_ y_- Lsr ARCHtTE Name (7,64-1 .-- a=5,,., Address /0 O -3 <--.7- i11- GG e--�J/ City / \c---,1--1%. !! State Z-4. Zip : Contact PersonPhon�C /�"/ Fax L�.9 i� LEGAL DESCRIPTION / (A}If e_i9 CJ -,-) c---6-7-7,--/--s /,T C Sc� Is 3l. z�/ i'-€'-'7– A iz- . C.J- , - ?Y Please Complete Reverse Side � ..,�c /PSfifCTli xistngUse i✓lL�-� � rrcProposed use ✓Cc; fyg Permit includes: ILl Building p'Plumbing ILl Mechanical ❑ Other ' Type of Work: ' Residential ❑ New ❑ Remodel ❑ # of bedrooms ❑ Deck 0 Commercial ❑ Addition ❑ Repair ❑ Garage 0 Shed Enter 1st Floor 67// sq ft 2nd Floor sq ft 3rd Floor sq ft Existing Floor Area i��> .....-/ sq ft Area Basement sq ft Decks sq ft Garage - sq ft Proposed Total Area '.•,'S/ sq ft Water Availability id Sewer Availability Gl On-Site Septic System Availability ❑ Project Valuation $ 90,G)UL),U c7 Zoning ''..,,-__ r., ,',,,.; I Lot Size Existing Bldg Valuation $ 'LEN - For new residential only Proposed selling cost: $ Name / /Address (�! R 71—z+2t il+1-Z /j21, S s City r,_..--- Stated Zip . OANI AE.CiiNTiitCTiiR .................. Contractor Name/v ' Address L /am cr'c` City .z~^-"°-r State '-'';'l Zip Contact „_— Phone , Fax / _ License # _Expiration Date Verifi:d ❑ Yes ❑ No ...qi:i.........ii:iii .......igiiii......... iiiii.miii..........iiiii ........... ....................................................................................... ...................................................................................... ....................................................................................... ...................................................................................... ;PL.tiMB.M a. ENTRE.'::. CkFCM EM € Contractor Name Address I -' G u-r-4i...✓t:7- _ City 6ri / A4-> � State (mac--% Zip Contact Phone Fax 't-/ '"-. ?-T9'9— Lk ense -T9 2_Li'.ense # Expiration Date Verified LI Yes ❑ No (1'L.t.UM tIYG<FIJCTURE GIC#UN »inii Water Closets Sinks Urinals Lawn Sprinklers Bathtubs 2 Dish Washers Drinking Fountains Other Showers 2 Electric Water Heaters Sumps Lavatories 3 Washing Machine Drains Total Fixture Count .......................................................................igiii............... ......................................................... ........................... .................................................................................... ............................................................... .......................... .................................................................................... iRtIEC.HANICAVAiNttICOUNIUMMiM MECHANICAL EVALUATION ONLY $ (z)O ::2.-e--- Fuel Type (gas/electric/other) ASL} g Gas Dryer Air Handling < = 10,000 CFM 15-30 Tons Length of Gas Piping "75-1 Range ,7 Air Handling > = 10,000 CFM 30-50 Tons Furn <100K BTUs ,,t�ibr �t -5 Gas Log Unit Heater 50+ Tons Furn >100 BTUs Fans Miscellaneous Fuel Tanks Gas Hwt / ) jfiz (704 5 Hood Boilers Above Ground 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 application is made.I further agree to save harmless the City of Federal Way as to any claim(including costs,expenses,and attomeys'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 r ' ce f the city,including its officers and employees,upon the accuracy of the information supplied to the city as a part of this application. /7 Owner/Agent: Date: / ./r/77 8ono�ac.nvr Rcv s/o 5/18/99 ________ .... .0- • >,... . --- ) NI N............. . . . ..... . 0' ' . . . -,..f...... /I\ ,c-i's ol • . , .. .. ....,..\ . . 7-..i kt- : % ..,... m • --0, -I. •i'',.k.----- 6 .I' •.. . ..... --k. ..„, m .- - • i, ., 0 N • 1 rt l , '. 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