90-100555 90- /00 ss5
CITY OF BUILDING INSPECTION
FEDERAL WAY BUILDING PERMIT 94 -1555
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PERMIT NO. OWNER'S NAME / _ JOB ADDRESS ...,_,,,,„,. ____3134_, i e 5
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
ZONE OCCUPANCY TYPE OF CONSTRUCTION BLDG. 50 FT
SET BACKS: FRONT SIDE REAR__ _ STORIES _ _ HEIGHT LIMIT
•LUMBING 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 7A.5.410 UNIT HEATER TOTAL MECHANICAL AMOUNT
VALUATION
PLAY X G DEPT APPROVAL ac NOT APPLICABLE (NSC} CHANGE IN OCCUPANCY
._._. _. _ ..._.r
PERMIT FEE
PLAN CHECK FEE ----*-•-
PLUMBING FEE PUBLIC N?.XE APPAL NOT APPLICABLE
MECHANICAL FEE �a
TOTAL BLDG. FEES - PIM #/ 1IG KEVIN FLUSON 6/6/90
PART P/C FEE
PA REVIEW
ATER SERVICE
WATER MAIN CHG. _
S.B.C.C. FEE DATE PAID A view**lir wi`!r€'. a,rtvrwjg -TAxri #
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OTHER FEES ......... ....._..,_......�...-,.....-.�......_
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 _ 3.7/J77 5-00,
• •
SET BACKS AND FOOTINGS O.K TO POUR FOUNDATION WALLS PLUMBING GROUNDWORKff
DATE__.._ BY_..._--..... DATE ......_ BY -_... DATE LOA, BY .._72 _
PLUMBING ROUGH IN WATER LINE O.K. MECHANICAL INSPECTION
DATE ... .. ./ 0 .....BY 6,I -_.... GAS PIPING O.K.--- DATE BY
O.K. TO ENCLOSE/ FRAMING �j� INSULATION WALL BOARD AND FIRE WALL
DATE ..../�//t° BY ��L DATE BY DATE /�(f /� BY
11 �
FINAL O.K. TO OCCUPY
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DCD PSD FD
DATE �. ,/3* BY Lii/21/P /4.,'Pi- i12.,C1 i'' " li ...plo 31,1d/ ---e-71. --pern_.
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