90-101139 9t.--/61)3'
CITY OF BUILDING INSPECTION
FEDERAL WAY BUILDING PERMIT 941-1555
PERMIT NO. 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 d
TAX ACCOUNT NO LEGAL DESCRIPTION '+
ISSUED BY _ DATE OF ISSUE _ DATE OF APPLICATION
BUILDING INFORMATION
ONE 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
a y,1 : 4,?4 a c• . i-...° 1: >ti ii,...=A.k/ iY SMITB CJ ii/ t i mo i! l tiS`1� Ab i_r,iy
VALUATION ('O`� --- ___ _ __� ___flF SECTION 115.20, ATTACHED)
PERMIT FEE �, . sl. «j t OU 3L E PEE
PLAN CHECK FEE
PLUMBING FEE BUILDING DEPT APPROVAL KEVIN ELLIS Cly, 8/16/90 (DOUBLE
FEE �� � CONSTRUCTION STAR
ali
111111gTAL BLDG. FEES I
PART P/C FEE *'j:: ,
SEPA REVIEW DATE:
WATER SERVICE
WATER MAIN CHG. ANIMIST: $7,5.5U
S.B.C.C. FEE _ i.
OTHER FEES RECEIPT: ...,_.ii._,::,: ..0
AMOUNT DUE
ALL PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS STARTED.'RESIDENTIAL AND GRADING PERMIT-S 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
• •
SE-T BACKS AND FOOTINGS O.K TO POUR FOUNDATION WALLS PLUMBING GROUNDWORK
DATE--......._. BY_ DATE ---. BY _ DATE BY
PLUMBING ROUGH IN WATER LINE O.K. MECHANICAL INSPECTION
DATE BY GAS PIPING O.K..-- ---...- DATE BY ---.-
O.K. TO ENCLOSE FRAMING INSULATION WALL BOARD AND FIRE WALL
DATE BY DATE ... BY DATE BY
FINAL O.K. TO OCCUPY
DCD PSD FD
DATE BY
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