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92-100518 CITY OF FEDERAL WAY 9 a-- 100 18' 33530 First Way South BUILDING PERMIT BUILDING INSPECTION Federal Way, WA 98003 661-4140 PERMIT NO. 92-512 CA OWNER'S NAME FEDERAL WAY CHIROPRACTIC SITE ADDRESS _ 1105 S 348 ST BLDG B CONTRACTOR BOB PEARSON CONST ADDRESS 1407 WILLOW RD E TACOMA 98424 CONT.PHONE 922-3399 CONT.REG.NO. BOBPECIO93C6 EXP. 2/93 OWNER'S PHONE 874-9507 OWNER'S ADDRESS 402 S 333 ST #103 FED WAY 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 TENANT IMPROVEMENT (1710 SF) TAX ACCOUNT NO. 042104-9140 LEGAL DESCRIPTION BROOKLAKE VILLAGE LOT C 44?-41 ISSUED BY ELIZABETH SNYDER DATE OF ISSUE ie DATE OF APPLICATION 4/2/92 BUILDING INFORMATION ONE - BC SET BACKS:FRONT SIDE REAR _ HEIGHT LIMIT OCCUPANCY B-2 TYPE OF CONSTRUCTION 5-1 HR CENSUS NO. 437 TYPE OF HEAT - NA BLDG.SO.FT.. 1710 STORIES- NA PLUMBING NO. NO. MECHANICAL APPLIANCES AMT. AMT. BOND WATER CLOSETS ELEC.HOT WATER HEATER GAS PIPING FT. GAS LOGS -_ RECEIVED BATHTUBS LAUNDRY DRAINS FORCED AIR FURNACE _ DUCT WORK SHOWERS 1 URINALS _ GAS HOT WATER HTR. AIR HANDLING UNIT NUMBER LAVATORIES 2 DRINKING FOUNTAINS CONVERSION BURNER MISC. SINKS 3 MISC. BBQ _ BASIC FEE RETURNED DISHWASHERS TOTAL FIXTURES6 X $5.00 DRYER TOTAL MECHANICAL NONE AMOUNT NONE VALUATION $24,555 PLANNING DEPT APPROVAL = BILL KINGMAN PERMIT FEE $252.00 PLAN CHECK FEE 164.00 FIRE DEPT APPROVAL = CHRIS INGRAM/KEVIN ELLIS PLUMBING FEE 30.00 "FIRE ALARM PERMIT" MECHANICAL FEE RT P/C FEE BLDG DEPT APPROVAL = KEVIN ELLIS SEPA REVIEW "POST SUITE NUMBERS" PUBLIC WORKS 4.50 _ S.B.C.C.FEE 12.60 FIRE FEE DATE: OTHER FEES AMOUNT: $463.10 AMOUNT DUE $463.10 RECEIPT: (..),..)___, Ilq 1 1 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. / 1,1-°/ i'.Z - OWNER OR AGENT L' _ DATE • CITY OF FEDERAL WAY Federal33530 Frst IWay` ay, WA 98003 BUILDING PERMIT BUILDING INSPECTION661-4140 REVISION ONLY PERMIT NO. 92-512 OTS / QWNER'S NAME FEDERAL WAY CHIROPRACTIC SITE ADDRESS 1105_ S 348 ST BLD B CONTRACTOR 6b( 1),L 4YI S0N, C.Lr51 ADDRESS - _ _-- CONT.PHONE CONT.REG.NO. EXP. 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. 042104-9140 _ LEGAL DESCRIPTION ISSUED BY E SNYDER DATE OF ISSUE `, SSUE7-- ! y 5 DATE OF APPLICATION 5/12/92 BUILDING INFORMATION *ONE SET BACKS:FRONT SIDE REAR HEIGHT LIMIT OCCUPANCY TYPE OF CONSTRUCTION __ CENSUS NO. TYPE OF HEAT BLDG.SQ.FT. _ STORIES PLUMBING NO. NO. MECHANICAL APPLIANCES AMT. AMT. BOND WATER CLOSETS - ELEC.HOT WATER HEATER GAS PIPING FT. GAS LOGS RECEIVED --- BATHTUBS LAUNDRY DRAINS FORCED AIR FURNACE DUCT WORK SHOWERS 1 - URINALS GAS HOT WATER HTR. AIR HANDLING UNIT NUMBER - LAVATORIES 2 DRINKING FOUNTAINS CONVERSION BURNER MISC. RETURNED SINKS -_3-__ MISC. _ - BBQ - BASIC FEE - -- DISHWASHERS -- TOTAL FIXTURES 6 X $5.00 DRYER TOTAL MECHANICAL AMOUNT VALUATION BLDG APPROVAL = REVIN ELLIS PERMIT FEE PLAN CHECK FEE $30.00 _ "1 HR OF PLAN REVIEW" PLUMBING FEE 30.00 MECHANICAL FEE RT P/C FEE SEPA REVIEW PUBLIC WORKS S.B.C.C.FEE FIRE FEE DATE: -"-.=.t..1.-7. -4c < 2- OTHER FEES -- - AMOUNT: $60.00 AMOUNT DUE - $60'Q0 RECEIPT: 0 2 - /f/03 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 INFORMATIOv URNISH D BY ME RUE n.►• •RRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERA .WAY RE•UIREMENTS WILT BE MET. .,-, a n / OWNER OR AGENT '� / 7�" ./ DATE CITY OF FEDERAL WAY 33530 First Way, W 98003 BUILDING PERMIT BUILDING INSPECTION Federal661-4140 PERMIT NO. OWNER'S NAME SITE ADDRESS CONTRACTOR ADDRESS CONT.PHONE - _ CONT.REG.NO. EXP. 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 ONE _ _ SET BACKS:FRONT__ SIDE _. REAR _ HEIGHT LIMIT OCCUPANCY TYPE OF CONSTRUCTION CENSUS NO. TYPE OF HEAT -. _ BLDG.SQ.FT. _STORIES PLUMBING NO. NO. MECHANICAL APPLIANCES AMT. AMT. BOND WATER CLOSETS ELEC.HOT WATER HEATER GAS PIPING FT. GAS LOGS RECEIVED BATHTUBS LAUNDRY DRAINS FORCED AIR FURNACE DUCT WORK SHOWERS URINALS GAS HOT WATER HTR. AIR HANDLING UNIT -. NUMBER LAVATORIES DRINKING FOUNTAINS CONVERSION BURNER MISC. - RETURNED SINKS MISC. BBQ BASIC FEE DISHWASHERS _ TOTAL FIXTURES DRYER TOTAL MECHANICAL AMOUNT VALUATION PERMIT FEE - PLAN CHECK FEE PLUMBING FEE _- MECHANICAL FEE - *ART P/C FEE - SEPA REVIEW - PUBLIC WORKS S.B.C.C.FEE FIRE FEE - DATE: OTHER FEES AMOUNT: AMOUNT DUE RECEIPT: 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 SET BACKS AND FOOTINGS O.K TO POUR FOUNDATION WALLS PLUMBING GROUNDWORK DATE BY _--_ DATE _ ___-BY _ DATE __ ___�ov '-- PLUMBING ROUGH WATER LINE O.K ______� _ MECHANICAL 3p DATE_57/02 ---BY-Z2� ' __-_ GAS PIPING Oa.---_ DATE /�_— ' BY 7/7.. O.K. TO ENCLOFRAMING INSULATION WALL BOARD AND FIRE WALL DATE ev ^�2�� _ DATE BY _--�� DATE BY °9i ' FINAL O.K. TO OCCUPY DCD PSD FD DATE _-__--__�ov_____-_-� �_ �� �� CITY OF FEDERAL WAY Federal33530 Way,I ` W 98003 BUILDING PERMIT BUILDING INSPECTION 661-4140 PERMIT NO. OWNER'S NAME SITE ADDRESS CONTRACTOR ADDRESS CONT.PHONE CONT.REG.NO. EXP. 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 *NE _ SET BACKS:FRONT SIDE REAR HEIGHT LIMIT OCCUPANCY TYPE OF CONSTRUCTION CENSUS NO. TYPE OF HEAT BLDG.SQ.FT_ STORIES PLUMBING NO. NO. MECHANICAL APPLIANCES AMT. AMT. BOND WATER CLOSETS ELEC.HOT WATER HEATER GAS PIPING FT. GAS LOGS RECEIVED BATHTUBS LAUNDRY DRAINS FORCED AIR FURNACE DUCT WORK SHOWERS URINALS GAS HOT WATER HTR. AIR HANDLING UNIT NUMBER LAVATORIES DRINKING FOUNTAINS _ CONVERSION BURNER MISC. RETURNED SINKS MISC. BBQ BASIC FEE DISHWASHERS _ TOTAL FIXTURES DRYER TOTAL MECHANICAL _ _ AMOUNT _ �isiiEa tits tCii ,1�1. riEVIra VALUATION PERMIT FEE HR OF PLAN REVIEW' PLAN CHECK FEE PLUMBING FEE MECHANICAL FEE *ART P/C FEE SEPA REVIEW PUBLIC WORKS S.B.C.C.FEE FIRE FEE DATE: OTHER FEES -- AMOUNT: AMOUNT DUE _ _-_ _ RECEIPT: _ 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 SET 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 ....BY -._ DATE _ ._-.....BY -__ DATE BY DATE ....-_..---...... _ FINAL O.K. TO OCCUPY DCD PSD FD DATE_..... ...__BY r-C- (� -/z -- 2- � kof ` , OC. Oko/( G -��°S J ct(A - I(45L 1q C -1 YAC ® hag Ga re-5f roc w� ® q(, !r-o1/9 • • RECEIVED PIt # 92-512—CA OrtY OF MAY 12 1992 IOW**FEDERAL Y CITY OF FEDERAL WAY ? , 'JL i DEPT. BUILDING PERMIT APPLICATION — Please Print— BOX 1 TENANT NAME: Federal Way Chiropractic OWNER Yellowstone Investment Co. SITE LOCATION 1105 S. 348th St. Bldg. B OWNER'S ADDRESS 402 S. 333rd St. Suite 103 CITY Federal Way PHONE 874-9507 DESCRIBE JOB Tenant Improvements ��I (-� 5 �(1 A e (c : 1 K THE PROPERTY IS OWNED BY: SINGLE/MARRIED Mari PARTNERSHIP t CORPORATION BOX 2 CONTRACTOR'S NAME Bob Pearson Construction, Inc. CONTRACTOR'S REG. # BOBPECI1093C6 Card MUST be presented CONTRACTOR'S ADDRESS 1407 Willow Rd. E. CITY Tacoma PHONE 922-3399 EXPIRATION DATE 2/25/93 — OR — I HAVE READ CHAPTER 18.27.010 RELATING TO DEFINITIONS OF GENERAL CONTRACTORS AND SPECIALTY CONTRACTORS AND CHAPTER 18.27.110 WHICH PROHIBITS ISSUING PERMITS WITHOUT PROOF OF REGISTRATION. BOX 3 CONTACT PERSON Rah Pearson PHONE q77- 399 BOX 4 SEWER DISTRICT Federal Way WATER DISTRICT Federal Way BOX 5 ESTIMATED PROJECT COST $40,OW_00 EXISTING BUILDING VALUATION $324,000.00 BOX 6 PROPERTY TAX ACCOUNT NUMBER 047104-9140 LEGAL DESCRIPTION __ Bronkiake Village Lot C (If necessary, please submit a separate page with the legal description.) K.C. Plat Recording # 8704171353 BOX 7 BUILDING SQUARE FOOTAGE: (Existing/Proposed) 1ST FLOOR 1710 / 1564 2ND FLOOR / 3RD FLOOR / BASEMENT / DECK / GARAGE / BOX 8 ( ) SINGLE FAMILY ( ) NEW CONSTRUCTION ( ) MULTIFAMILY (NO. OF UNITS = ) ( > EXISTING STRUCTURE ( COMMERCIAL/INDUSTRIAL TOTAL AREA OF PROPERTY 136,517 SQ FT BOX 9 PLUMBING FIXTURES (including rough-ins) MECHANICAL APPLIANCES — BASIC FEE$ NO. WATERCLOSETS GAS PIPING, FEET $ BATHTUBS NO. FURNACE, ELEC. GAS $ 1 SHOWERS GAS HOT WATER HEATER $ 2 LAVATORIES CONVERSION BURNER Nr�� 3 SINKS BOILER, SIZE BTU elato mem, DISHWASHERS AIR HANDLING UNITS ELECTRIC HOT WATER HEATER HEAT PUMPS, SIZE MAY 1 2 1912 LAUNDRY WASHER OUTLET UNIT HEATERS URINALS AIR COOLING UNITS, SIZE 4'1 )— $ 5 , DRINKING FOUNTAINS COMMERCIAL HOOD S SUMPS, SPRINKLER VACUUM BREAKERS OTHER $ DRAINS __ $ OTHER $ 6 TOTAL FIXTURES $ 30 , 00 TOTAL MECHANICAL FEE $ 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 T E ACCURACY OF THE INFORMATION SUPPLIED TO THE CITY AS A PART OF THIS APPLICATION. OWNER/AGENT: ?..-47P � .C.. DATE: ANP-008 3/90 • OFFICE USE ONLY (PLEASE DO NOT WRITE BELOW IPS LINE) ZONE SETBACKS: FRONT SIDE REAR HEIGHT LIMIT PLANNING DEPARTMENT APPROVAL REMARKS: SEPA: EXEMPT NOT EXEMPT FIRE DEPARTMENT APPROVAL DATE REMARKS: PUBLIC WORKS DEPARTMENT APPROVAL DATE REMARKS: TYPE OF JOB: NEW RESIDENCE RES. ADD/ALT NEW INDUSTRIAL IND. ADD/ALT NEW COMMERCIAL COMM. ADD/ f NEW MULTIFAMILY (UNITS MULTIFAMILY ADD/ALT TEN' T IMP. OTHER OCCUPANCY TYPE OF CONSTRUCTION STORES B DING SQ. FT. @ _ :UILDING SQ. FT. @ _ BUILDING SQ. FT. @ _ BUILDING SQ. FT. @ _ BUILDING SQ. FT. @ _ BUILDING SQ. FT. @ _ TOTAL SQ. FT. TOTAL VALUATION BUILDING DEPARTMENT REMARKS: / PERMIT FEE k r i ( 6( 0, v v( e. (n) 0 r 'J( S o PLAN CHECK FEE 3v. 00 /' PLUMBING FEE o30- a 3a / MECHANICAL FEE 4 TOTAL BLDG. FEES , PART P/C FEE SEPA REVIEW S.B.C.C. FEE OTHER FEES AMOUNT DUE IP r ASSIGNED ADDRESS: PARTIAL PLAN CHECK FEE RECEIVED Amount Date Receipt# BUILDING DEPARTMENT APPROVAL RECEIVED BY 4' DATE S` I Z Y ACCEPTED FOR FILING i emit # 92 ___. 5---) .7 c " 1992 CITY OF FEDERAL WAY ~, . += sa �wwaY OEFE — BUILDING PERMIT APPLICATION J� Please Print— \" 11 1 BOX 1 TENANT NAMETTh Mk 1S01 IBA c+D }c___ ..04Y C___4_E_Ptpbi A OWNER jtj ..-611)7D/aEJ irt svgiaar SITE LOCATION //Os So $t6 L= 14 13 2 OWNER'S ADDRESS 462 5 . 333 l:51-ST_ 103 CITY — (3 . 9&3 PHONE a."t`l--°tSo`I DESCRIBE JOB-T-e1JA. T PQoO-€.ntiE,J i THE PROPERTY IS OWNED BY: SINGLE/MARRIED 1/ PARTNERSHIP CORPORATION BOX 2 CONTRACTOR'S NAME le t5 e�O� U1S15T L/L11 . L CONTRACTOR'S REG. # 6o6()EC•t. 093E(o Card MUST be presented CONTRACTOR'S ADDRESS NO1 1).1u,L_O J ZED. £ , CITY ►�e., 9842-4 PHONE 92-2.-339 EXPIRATION DATE 2-z5-93 — OR — I HAVE READ CHAPTER 18.27.010 RELA NG TO DEFINITIONS OF GENERAL CONTRACTORS AND SPECIALTY CONTRACTORS AND CHAPTER 18.27.110 WHICH PROHIBITS ISSUING PERMITS WITHOUT PROOF OF REGISTRATION. BOX 3 CONTACT PERSON E lb 6 . XJ1 i/C. 4 . /1 A PHONE 238'a.6-O0 BOX 4 SEWER DISTRICTFV.t-U- (.L.)f Y WATER DISTRICT .---�1•:__At A BOX 5 ESTIMATED PROJECT COST '" ► CO EXISTING BUILDING VALUATION kS ao tew •e . ` OM az BOX 6 PROPERTY TAX ACCOUNT NUMBER 02-10 4 — 91'O —O 9 LEGAL DESCRIPTION DkkrVAA'5/P(If necessary, please submit a separate pageewith the legal description.) K.C. Plat Recording # BOX 7 BUILDING SQUARE FOOTAGE: (Existing/Proposed) 1ST FLOOR 8120 / /7/0 SND FLOOR / 3RD FLOOR L. BASEMENT / DECK / GARAGE / BOX 8 ( ) SINGLE FAMILY NEW CONSTRUCTION ( ) MULTIFAMILY (NO. OF UNITS = ) ( ) EXISTING STRUCTURE )Q COMMERCIAL/INDUSTRIAL TOTAL AREA OF PROPERTY �. 1-710 SQ FT BOX 9 PLUMBING FIXTURES (including rough-ins) MECHANICAL APPLIANCES — BASIC FEE$ NO. WATERCLOSETS GAS PIPING, FEET $ Q BATHTUBS NO. FURNACE, ELEC. GAS $ / SHOWERS GAS HOT WATER HEATER $ LAVATORIES CONVERSION BURNER $ ___SINKS _ BOILER, SIZE BTU $ O DISHWASHERS AIR HANDLING UNITS $ / ELECTRIC HOT WATER HEATER HEAT PUMPS, SIZE _ $ O LAUNDRY WASHER OUTLET UNIT HEATERS $ _URINALS AIR COOLING UNITS, SIZE $ D DRINKING FOUNTAINS COMMERCIAL HOOD $ ___SUMPS, SPRINKLER VACUUM BREAKERS OTHER $ _DRAINS $ OTHER $ r!n TOTAL FIXTURES $ --- 30- C)6 TOTAL MECHANICAL FEE $ I CERTIFY UNDER PENALTY OF PERJURY THAT THE INFORMATION FURNISHED BY ME IS TRUE AND CORRECT TO THE BEST OF MY K WLEDGE 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 TI THE CITY AS A PART OF THIS APPLICATION. OWNER/AGE ��/. �l')7p7/I 1,i .. „to DATE: L' .i ( G ANP-008 9/90 • OFFICE USE ONLY (PLEASE DO NOT WRITE BELOW THIS LINE) ZONE BG SETBACKS: FRONT Nk- SIDE REAR /1fr HEIGHT LIMIT (VA/ PLANNING DEPARTMENT APPROVAL 4-3 - REMARKS: SEPA: EXEMPT 'k NOT EXEMPT • FIRE DEPARTMENT APPROVAL /" /iZ/l / 1-/ ..11 � DATE Y -6 -? Z REMARKS: " K 'c L/ 7 ` el 2- PUBLIC PUBLIC WORKS DEPARTMENT APPROVAL )� DATE REMARKS: TYPE OF JOB: NEW RESIDENCE RES. ADD/ALT NEW INDUSTRIAL IND. ADD/ALT NEW COMMERCIAL COMM. ADD/ALT ,k' NEW MULTIFAMILY (UNITS MULTIFAMILY ADD/ALT TENANT IMP. OTHER OCCUPANCY 6 2-- TYPE OF CONSTRUCTION It l" STORES iti U f cJz- BUILDING SQ. FT. 7(C; @ 7(e 8 0 = t L z_77 e BUILDING SQ. FT. @ _ BUILDING SQ. FT. @ _ BUILDING SQ. FT. @ _ BUILDING SQ. FT. @ _ BUILDING SQ. FT. @ M O(j (r(�L' 6 Z U TOTAL SQ. FT. I TOTAL VALUATION 21-f S SS ` c • BUILDING DEPARTMENT REMARKS: Z S Z PERMIT FEE fo S Jut. ( PLAN CHECK FEE r F Y PLUMBING FEE 3c MECHANICAL FEE TOTAL BLDG. FEES PART P/C FEE SEPA REVIEW S.B.C.C. FEE yeSrc) OTHER FEES D F e- O AMOUNT DUE 40•1L ASSIGNED ADDRESS: PARTIAL PLAN CHECK FEE RECEIVED Amount Date Receipt# BUILDING DEPARTMENT APPROVAL C�' RECEIVED BY L- DATE 1 --- 7"7- Z__ ACCEPTED FOR FILING