91-100542 v-Joo5ya
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
TAX ACCOUNT NO. LEGAL DESCRIPTION
ISSUED BY DATE OF ISSUE DATE OF APPLICATION
IDBUILDING INFORMATION
ZONE OCCUPANCY TYPE OF CONSTRUCTION BLDG. SQ. 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
1
VALUATION
P%ANNINC: LI PT APPROVAL = CORY SHIT!
PERMIT FEE *S A1,L SEE IN COMPLIANCE WITH WAC--173-360 AND RCW 90.76'
PLAN CHECK FEE
OUMBING FEE _ FIRE DEPT APPROVAL _ KEVIN ELLIS
CHANICAL FEE -
TOTAL BLDG. FEES PUBLIC WKS DEPT APPROVAL= TOK COLLINS 'ATTACHED SPILL CONTAi _
PART P/C FEE PLAN REQUIR1 VENTS STALL BE FOLLOWED*
SM
SEPA REVIEW
BLDG DEPT APPROVAL = KEVIN ELLIS
WATER SERVICE $286.50
•
WATER MAIN CHG. *WC TANK REAOVAL MUST SATISFY RCW 90.7'
S.B.C.C. FEE AND WAC 173-360 REQUIREMENTS, SEE
OTHER FEES m:. ATTACHED*
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