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00-100633 BUILDING DIVISION crrr or �— _ • 33530 First Way South •_____ 3L—� Federal Way,WA 98003 vv FAY (253)661-4000 1 100Fax(253)661-4129 EB yr,BUILD mtl A' WAY APPLICATION FOR BUILDING PERMIT PLEASE PRINT APPLICATION # »'< Site address l3 t� ° Su Z �� lJ V - ol Tenant name L am,lo l 1 Lot # Assessor's Tax # A/ `r 1 Building Owner's N Name SAY\ Address 3 ©Ss , •}\,/l v l A p, City \ 7-N9 VJ4 i State VAJA Zip CI '6 QC) 3 Phone Description of Work MA Ab C (L J \J ATLO.N 1,9 ............................................................................................ APRueAtanmugnmnmmnami Name (F,M,L) Address City State Zip Contact Person Day Phone Other Phone Fax ........................................................................................... ........................................................................................... ........................................................................................... iiini f ONTAAttiO} > > ><><; >`>>':> > Federal Way Business License # Company Name -1L.\k-,e_ G'tt Ek L Co STNV 4Address 'c7 l s � �— JO5 , L � City `(�t l.`t'J State \1Lf/ el S Zip u 0°C Contact Person t ^ n( , ._ _ ,�� Phone c ?) _, Fax(41s)c33-�‘<sS Contractor's # (card VmVu"st`bYe--presseentted) Ex it �o�n Date Verified /❑ Yes ❑ No P �1L-UC �L� VU p ` tateU � ........................................................................................... ............................................................................................ ........................................................................................... ............................................................................................ ............................................................................................ Name Address City State Zip Contact Person Phone Fax LEGAL DESCRIPTION Please Complete Reverse Side 31u773'iy iii giliNgliiiiiiiiiallaillit :_ .T�If .::. cistinp use ft t. I g(-vN ilPc"L L J A. 0 •roposed Use SAAnc' Permit includes: ❑ Building ❑ Plumbing ❑ Mechanical ❑ Other Type of Work: X Residential ❑ New ❑ Remodel ❑ #of bedrooms ❑ Deck \! ❑ Commercial ❑ Addition )4 Repair ❑ Garage ❑ Shed 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 ❑ '7'' Project Valuation $ 2-01000 Zoning Lot Size Existing Bldg Valuation $ LENDERii:i1......::.:::• i ii For new residential only - Proposed selling cost: $ - Name Address City State Zip ANS ; ::>:>::: ' '?> AL OVER CTOR >> '::. Co tractor Name Address City State . Zip Contact Phone Fax // License # ' Expiratio 'Date Verified ❑ Yes ❑ No Pt ::::::>:: Contractor Name / Address N. City N / State Zip Contact r,/ Phone Fax //>/ License # Expiration Date Verified El Yes El No PLUM BING FiX'1''i1RE;:C4.Ult]T Water Closets Sinks Urinals, Lawn Sprinklers Bathtubs Dish shers Drinking Fountains Other Showers El tric Water Heaters Sumps ~ Lavatories ,: Washing Machine Drains r-OtiifFiint(WO:44pt /J ��r � .1Y.L .E:�<::::::::::':::::�: 2 :: 'y'���:::::1::2::::::2:::::::::;:;::;:: EiANIGAL..i.INl3"CC N MECHANICAL EVALUATION ONLY $ Fuel Type (gas/electric/othei) 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 BTU Gas Log Unit Heater 50+ Tons Furn >100 B s Fans Miscellaneous Fuel Tanks �. � Gas Hwt Hood Boilers Above Ground — Cony urner Duct Work 0-3 Tons Underground BBQ's Wood Stoves 3-15 Tons 0.161:.UnitC.o.ttrai: : 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 the reliance f c ity,including its officers and employees,upon the accuracy of the information supplied to the city as a part of this application. Vv / Owner/Agent: Date: \ /O "" HEvrsfiEvrs,.o ffl 5/18/99 i • • • ! CITY OF G BUILDING DIVISION • EO 33530 First Way South vN) FIY Federal Way WA 98003 (253)661-4000 Fax(253)661-4129 ASBESTOS REMOVAL AND DISPOSAL Permittee: FFR• 1 7 2Utt As the holder of a Demolition Permit and/or a Remodeling Permit, you are hereby notified oft}eopossibik that asbestos may be present in the structure that you are about to demolish and/or remodel. 41 BUILDING DEPT. ANY ASBESTOS FOUND IN THIS STRUCTURE MUST BE REMOVED AND DISPOSED OF AS PRESCRIBED BY STATE AND FEDERAL REGULATIONS. Permits for asbestos removal must be obtained from the Puget Sound Air Pollution Control Agency. The permittee is responsible for obtaining any necessary asbestos removal and/or repair permits. The City of Federal Way will not be responsible for any actions or fines levied by the federal, state, or regional agencies. Any fines levied against the City of Federal Way must be paid by the permittee. STATE OF WASHINGTON ) ) SS COUNTY OF KING ) 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 have read and understand the statement above and I will obtain all permits necessary or required for proper asbestos removal or repair. I agree to pay any fines against the undersigned and/or the City of Federal Way relating to asbestos removal, repair, and/or handling; and will defend, indemnify, and hold the city harmless from any loss, including fines, fees, or attorney fees incurred by the city relating to asbestos removal, repair, and/or handling and arising out of the activities carried on pursuant to Permit N2 *4— D ate Permittee SUBSCRIBED and SWORN before me this ! day of (e�,7(20VA/1,9 / 0 6 ryd.? - -Kept/ 6 7n mz, Notary Public in and for the State of Washington, residing at (r)(/L1j My commission expires 2/2Y(26/a ASBESTOS.FRM REVISED 8/27/97