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D co aa CIS W .,-,,R N ro W. io L.D 5 D ro ¢ »- — co o 0 O 0 •',. 0 :41.. 0 D 0 cn ❑ Cl- 0 Ci`, 0 2 0 LL; m ca is • 'z o C3a ❑ : o cn> ❑ • . ❑ ::a o LL 0 m L-1 0 N co <f in • f� co co o .— N r r r t0 h o0 O> N -- ® BUILDING DIVISION Cf/o vv E%v 0 • 33530 First Way South I�ZAL Federal Way,WA 98003(253)661-4000 ® 41999 ` � Fax(253)661-4129 GIS�UF r t4G OEmAY 1 APPLICATION FOR BUILDING PERMIT PLEASE PRINT ��q g " 0�-t,9^ ���� I.j APPLICATION # s r ��''� Address � - gi::1:a«i?afdv.�f3:7::::;:;:::::> EEEEE [E[E's "<iEE[EEEEE[[? ':<?E `i ?r#?E::::. !/ >���: ;. , ..:. . 3 2 � � Ste-,/ Tenant(if known) Lot # Assessor's Tax # 132 13 -1(40 Building Owner's Name Address //,,, 3 2 y/4/4--' ._Z-/5 / ?3o3 5-..' 272 '-"a s7 City l /t-% State tri/r4 Zip 8O if 2. PhoneZS7-6:.J8- flit(! Nature of Work 43(.../14-/,/".-/C.- ry Name (F6,1) L) (1//1-0 çA/,J,7 6/L,!/�� a".5-- ,-,z._ A.- GDG‘KS /,vC , Address !62/d n/-/42e) L•9.� —20 4' E L . City /7(_9 //9,4...4.v/' State //r/"1- Zip 923 Y73 Contact Person Day Phone Other Phone Fax 1/ 2 25-73 - 8�o -I g s. f 48"c -//3 ;' tuiwiNSCONTRAtTOOVMomMiMm FEDERAL WAY BUSINESS LICENSEE Company Name rgf'4ria: (�)/ 57 -,v-' Ov/e- e /LS ,NC . Address 121(2 1„✓o0 o LA/-'7 A(24: City iii yq . (/a4) 1,z/A State C/A4i' Zip 91273 Contact Person § pq� I/f3� L .1—Opro 7 Fax 8 0-/c7✓So Contractor's # (card must be presented) y�,c y� Expiration Date Verified .f4'Yes ❑ No Gl447-70, 7Q(- // 9 ARCM ttdt ><<>`>> »mg »»` <<>< Name 73 IVY & s1U—A-S Address City -3-01-14/l---/ State Zip Contact Person Phone- Fax LEGAL DESCRIPTION Please Complete Reverse Side ]STRU.C.PjRE.MiNi;VVMM:NMMAPExisti n Proposed sed Use 9 UseIP P Permit includes: . Building ,ki Plumbing t Mechanical ❑ Other Type of Work: Residential New ❑ Remodel ❑ Number of Units / ❑ Deck ❑ Commercial ❑ Addition ❑ Garage ❑ Shed 0 Other Enter 1st Floor/S')5;j 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/S-0 e'''' sq ft Water Availability X Sewer Availabilit A On-Site Septic� System Availability ❑ Project Valuation $ Zoning I Lot Size I Di 5(/JUfi. Existing Bldg Valuation $ Namey`��/J C n^ Address '�LCity .-,' / State Zip iMECHANICAVCONTRACTOrtimiiimmi Contractor Name /IA- Address City State Zip Contact Phone Fax License # Expiration Date Verified ❑ Yes ❑ No 'Contractor Name 9,- /,,Z) ��v �l�/ Address 1City �(,!1[D,4 A. ! [� State k/As Zip Contact /// Phone Fax License # Expiration Date Verified ❑ Yes 0 No F'1 U.3M!BtNG:FIXTURE COUNT Water Closets _."1,-- 2'r- Sinks X ( Urinals Lawn Sprinklers Bathtubs XDish Washers / Drinking Fountains Other Showers t' Z Electric Water Heaters / Sumps Lavatories 2, Washing Machine / Drains Total Fixture:Count in MECRANICAL.W.NfreOLINTM.mgmim::_ MECHANICAL EVALUATION ATION ON LY $ WZ„) Fuel Typ:-oit1 her) &UAL 4. 1.'?6 as Dryer Air Handling < = 10,000 CFM 15-30 Tons Length of Gas Piping , Range 414 Air Handling > = 10,000 CFM 30-50 Tons Furn <100K BTUsGas Log Unit Heater 6. 50+ Tons e.Furn >100 BTUs Fans a y Miscellaneous Fuel Tanks Gas Hwt Hood 1 Boilers Above Ground Cony Burner Duct Work 0-3 Tons Underground BBQ'sl'er Wood Stoves pc 3-15 Tons Total Unit Count .x 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 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 reliance of the city,in tug its officers and employees,upon the accuracy of the information supplied to the city as a part of this application. Owner A -. Date: 3--2 5^5'5 BWEOwG.APP REvis[o 8(26/97 PARCEL # 132103-9060 lam. vawkaet its.k 52e _ 88 Oita' f, - ,j sewer N I �R •SL S 6' 54 X 4 FT INFILTRATION TRENCH 4" _ 10► C.B. SUMP .:.•1•.•:••.••. .•.•.�. ••SL •. . DS DS IN .• IL DS 4" PROPOSED cs,: 32253 q., V) tiiJ a 1628 SG. FT W r > c" 30 n DS 11.- "'t A0 DSO I— Lr7 r N 45 1 20 EASEMENT V APPROVED AS NOTED CITY OF FEDERAL WA`r PUBLIC KS DEPART` . B"