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OWNER'S NAME JOB ADDRESS CONTRACTOR ADDRESS CONT. PHONE CONT. REG. NO. OWNER'S PHONE OWNER'S ADDRESS TYPE JOB: 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 0E OCCUPANCY TYPE OF CONSTRUCTION BLDG. SO. FT SET BACKS: FRONT - SIDE REAR STORIES HEIGHT LIMIT - PLUMBING NO. NO. MECHANICAL APPLIANCES AMT. AMT. BOND WATER CLOSETS ELEC. HOT WATER HEATER _ GAS PIPING FT. BOILER RECEIVED BATHTUBS LAUNDRY DRAINS COMPRESSOR TANK(S) SHOWERS - URINALS FORCED AIR FURNACE AIR HANDLING UNIT _ NUMBER LAVATORIES DRINKING FOUNTAINS GAS HOT WATER HTR. MISC RETURNED SINKS MISC. CONVERSION BURNER BASIC FEE DISHWASHERS TOTAL FIXTURES UNIT HEATER TOTAL MECHANICAL AMOUNT VALUATION PERMIT FEE J PLAN CHECK FEE I'-:y• U_0 PLUMBING FEE S � BFEE TAL AL BLDG. FEES PART P/C FEE wi SEPA REVIEW WATER SERVICE AMOUNT: v WATER MAIN CHG. - t'\ S.B.C.C. FEE - - RECEIPT' ` ` - . 1'. 4\ OTHER FEES f AMOUNT DUE 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 - 1 N14, LI I , , Ki vl NI N IX fJV C 14 m m Q m Z Er 0 , 3 Ccc 7 Q \ 1 V % �;1 h v �! Q �'' N t� lbc-6 Q 0 Net N 2 � v -J F \ t 0 wX \ -J < 2 < o S N\ o • y z 6 a v N o m m '4l� ti a '1 z QII I r Y q•, o \ Z Z o I NN k a 14 N. N TZ a All N. az Z z r•= m m Q m a m ? (� v h z c O , Di u Q I o w G I 0 w 1 c7 1 a �, o o M o \i a ZCD I W rte o , N o m w w 03 1- w J w 1 !�1� �j J W Q J Q Y Q Z Q O` V "' ` w o a o o o ita 41 III • QUALITY NORTHWEST CONSTRUCTION 31632 32ND AVENUE SOUTH -AUBURN, WASHINGTON 98002 - PHONE 839-1804 Y`0ri k 4 oa /P UGnc+crty4rk 7 ,....,_ $ -- S 0 3 16-,-h A _^ evra. f w0( i \f) j rpoi o' _- I Cour-‘r NL, D9 • ,....$) ! 1 PrNew a\ c3 p � dIhO s 7 /Z r, HS- ; _:1 , ex is ±I1J ho us e_ \ 1 , 6- r I ,Z ' / N -1 ca le ih. _ /0Ic71 \ I Q _-_ A. \_--- _.___._ 7S---- so i S_So , 31Co—" J, 0 • CITY OF FEDERAL WAY BUILDING PERMIT APPLICATION — Please Print— BOX 1 OWNER `- n=z el k 4. DQ / Lk,el de.'niar k JOB LOCATION /08'7- S 0 . .j i 4 -1-6 OWNER'S ADDRESS S a m eCITY F , l t_1 PHONE ?LI / ‘S'4 Y DESCRIBE JOB 1 F - X- Z c? ddt 'f 1 o'r1 r /nj/e C-6oY ha "HI rr�, roc.)dr- _ THE PROPERTY IS OWNED BY: SINGLE/MARRIED PARTNERSHIP CORPORATION BOX 2 CONTRACTOR'S NAME Qui I i t J N.(„() • Con s7-t CONTRACTOR'S REG. #Qu'y/ rill t=/L-1/ a _ Card MUST be presented CONTRACTOR'S ADDRESS _S 70 l L-41-47 cf. .C: CITY /C C_a PHONES'3 9.---i?D q EXPIRATION DATE :. /I1/9/ — OR — I HAVE READ CHAPTER 18.27.010 RELATING TO DEFINITIONS OF GENERAL CONTRACTORS AND SPECIALTY CONTRACTORS AND CHAPTER 18.27.110 WHICH PROHIBITS ISSUING PERMITS WITHOUT PROOF OF REGISTRATION. BOX 3 CONTACT PERSON -77,-)s Ye- , PHONE a ?--/F U `-i BOX 4 SEWER DISTRICT - - _ t WATER DISTRICT —c r1 - VQ/ lct BOX 5 ESTIMATED PROJECT COST ..'i ‘*,`, S 7 S EXISTING BUILDING VALUATION BOX 6 PROPERTY TAX ACCOUNT NUMBER SS-8'13.'© (. — 03 'IS'-C) 7 LEGAL DESCRIPTION / • r 7. 0 /V As /0 Terra ( C/) e (If necessary, please submit a separate page with the legal description.) BOX 7 BUILDING SQUARE FOOTAGE: (Existing/Proposed) 1ST FLOOR/, WO / 3 9 ec 2ND FLOOR / 3RD FLOOR / BASEMENT / DECK 1 GARAGE& 2 '-! / BOX 8 ( j) SINGLE FAMILY ( ) NEW CONSTRUCTION ( ) MULTIFAMILY (NO. OF UNITS = ) (X) EXISTING STRUCTURE ( ) COMMERCIAL/INDUSTRIAL TOTAL AREA OF PROPERTY /U, id Lie k -S: SQ FT BOX 9 PLUMBING FIXTURES (including rough-ins) MECHANICAL APPLIANCES — BASIC FEE$ 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 $ 3 _TOTAL FIXTURES $ K 1 S—.d 0 TOTAL MECHANICAL FEE $ -r--Thl--- 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 PER- FORM THE WORK Fe -1 WHICH PERMI ' PPLIC' ION IS MADE. OWNER/AGENT:L- L--------� DATE: ___31/ 1240 / ANP-006 2/90 • • OFFICE USE ONLY (PLEASE DO NOT WRITE BELOW THIS LINE) ZONE SETBACKS: FRONT N/ SIZE - ‘' REAR HEIGHT LIMIT PLANNING DEPARTMENT APPROVAL C� - .. /c REMARKS: SEPA: EXEMPT NOT EXEMPT FIRE DEPARTMENT APPROVAL DATE REMARKS: ,1/7n' PUBLIC WORKS DEPARTMENT APPROVAL ,,`74, DATE REMARKS: ,l� 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. ROOF OTHER OCCUPANCY, I{3 TYPE OF CONSTRUCTION U V STORES I E. ti BUILDING SQ. FT. 3`(6 @ •61,c,e, = 2-732 -(, 00 BUILDING SQ. FT. @ BUILDING SQ. FT. @ _ BUILDING SQ. FT. @ = BUILDING SQ. FT. @ c- 4,' ,,,Q BUILDING SQ. FT. @ A ck( 'tXc (4 .(e r = b_ e33 TOTAL SQ. FT. TOTAL VALUATION 2-Lf O`(S c f Z EBUILDING PERMIT NO. PLAN'CHECK FEE REC'D RECEIPT NO. PERMIT FEE Lj 1 -00 PLAN CHECK FEE -W4-a0-- PLUMBING FEE - /(3-E cc MECH. FEE O TOTAL FEES '-131 C co SBCC SURCHARGE L(c SO ENERGY SURCHARGE .Q AMOUNT DUE if 3S SO BUILDING DEPARTMENT APPROVAL DATE 3- (6 - R d REMARKS: f ASSIGNED ADDRESS: -4.e-- ---4.e-- -- e!`Y I.S�� 7 RECEIVED MAR 1 5 1990 CITY OF FEDERAL WAY egt..pw DEPT. ACCEPTED FOR FILING