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SETBACKS & FOOTINGS
Date By
FOUNDATION WALLS
Date By
......................................
PLUMBING GROUNDWORK
Date 7 /'– LV By gr) ' /Z
UNDERFLOOR FRAMING
Date By
SHEAR WALLS
Date By
........................... ...
PLUMBING ROUGH-IN
Date 7 -4 / By d /)
GAS PIPING
........................
Date By
MECHANICAL ROUGH-IN
Date By
MECHANICAL (OTHER)
Date By
.....................................
........ .. ........................
.. .. ... . .....................
FRAMING
Date By
INSULATION
Date By
GWB - 1ST LAYER
Date By
GWB - 2ND LAYER
Date By
—
SUSPENDED CEILING
Date By
PLANNING FINAL
Date By
[ ENGINEERING FINAL
Date By
FIRE FINAL
rmu.Date By
IN L /VDaBy_ks4)
OT
Date By
OTHER
Date By
CD0193
• I RECEIVED
On". G City of Federal Way
r.111.WPAt_ APPLICATION FOR BUILDING PERMIT JUL 2 01994 ',71
CITY OF FEDERAL WAY'
BUILDING DEPT.
PLEASE PRINT APPLICATION #: 13 L D 7L/-0 S 5 D
SITE LOCATION Address. 701 b .S0,, f fi 320 `r _
Tenant (if known) Lot# Assessor's Tax#
SiR s zEi Y PK!Air 1�
Building Owner Name Address
5/4X1 E ZO t b Su 3 ao t"
city f�D i..j/4 Y State tj l4_ Zip Phone c33a-2) Cg L
Nature of Work ROu6- H inj KITGHE,J s,i�<<,. /,- TALL /,4l/ 6i,,K To .tx5i411,-)a PCornb;sg
APPLICANT
Name (F,M,L)
VATS L. Jr,13 ? w &
Address
-12. 1 L Eni T n>4-c. A-vb .Sou.+tt
City K F,r State L,J04 r, a 35 -
Contact Person . Day Phone Other Phone Fax
Li,viD,4 P T X O 851 - Li080
EUILDING CONTRACTOR':;
Company Name
Ki(,' �i i 1' LO,'JSTULTIOfJ
Address •
City -FE 0 LJ/9 T State LJ t4. Zip ?8o 3
Contact Person
P 9 G - / 5 ne Fax
Contractor's #(card must be presented) Expiration Date Verified 0 Yes 0 No
k CHITECT
Name
Address
City State Zip
Contact Person Phone Fax
LEGAL DESCRIPTION
Please Complete Reverse Side
CD0492(Rev 4/93)
STRUCTURE • Ong Use •osed Use
Permit includes: ❑ Building ❑ Plumbing ❑ Mechanical ❑ Other
Type of Work: ❑ Residential ❑ New ❑ Remodel ❑ Number of Units ❑ Deck
❑ Commercial ❑ Addition ❑ Garage ❑ Shed ❑ Other
Ernter 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 ❑ Project Valuation S
Zoning Lot Size Existing Bldg Valuation
LENDER
Name Address
City State Zip
—
MECHANICAL CONTRACTOR
Contractor Name Address
City State Zip
Contact Phone Fax
License # Expiration Date Verified ❑ Yes ❑ No
PLUMBING CONTRACTOR
Contractor Narrw Address
I ;yrs I�Lu�^A31ti� 1 Li 5- .gNTfi4L 4\./..
City K L' /V.' State LOA Zip ,--71,9,0-- 5
Contact > _ Phone U. 5 LJ I ,,O Fax
Lit'-4l�fF I &7-E 5c,) C� I �-11 U
License # ?A 715 pi_ - U S3/v 5 Expiration Date Verified 0 Yes ❑ No
PLUMBING FIXTURE COUNT
Water Closets Sinks ` Urinals Lawn Sprinklers
Bathtubs Dish Washers Drinking Fountains Other
Showers Electric Water Heaters Sumps
.. .............................................................
. ..................................... .......................
Lavatories Washing Machine Drains iiotafEiXiE( afiiFlt >
..................................................................
...........................................................................................
............................................................................................
...........................................................................................
..................................................................��!s.....................
MECH
'. CAI;:;. OUk\�:74'.:E;.::._....: :.:;
Fuel Type (electric/other) 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 BTUs Gas Log Unit Heater 50+ Tons
Furn >100 BTUs Fans Miscellaneous Fuel Tanks
Gas Hwt Hood Boilers Above Ground
Cony Burner Duct Work 0-3 Tons Underground
BBQ's Wood Stoves 3-15 Tons Total'Unit Couni
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 of the City,including its officers and employees,upon the accuracy of the information supplied to the City as a part of this
application.
Owner/Agent: Date: