Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
90-100089
9to — /0D089 CITY OF BUILDING INSPECTION FEDERAL WAY BUILDING PERMIT 941-1555 PERMIT NO. 90-0133 REVISION NER'S NAME JERRY WHITE JOB ADDRESS 33604 4 AVE SW CONTRACTOR R.T. HOMES ADDRESS 430 SW 335 ST FEDERAL WAY CONT PHONE 927-3946 CONT. REG. NO. RTHOMI*169D3 3/91 OWNER'S PHONE OWNER'S ADDRESS 911 MANOR DRIVE FIRCREST 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 REVTSTON TO ROOF LINE (REVISIQIi___TO EXISTING PERMIT)_ TAX ACCOUNT NO. 729805-0300 LEGAL DESCRIPTION LOT 30 DIV 6 THE.RIDGE ISSUED BY ELTZARETH SNYDER DATE OF ISSUE O/ /'.'/ s DATE OF APPLICATION 7/26/90 ".0 BUILDING INFORMATION ONE NA _ OCCUPANCY —NA-- B-3 TYPE OF CONSTRUCTION 5._—N BLDG. SQ. FT NAS SET BACKS: FRONT 20' SIDE 5' EACJT REAR 5' _ _ STORIES NA_ HEIGHT LIMIT NA 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 INONR-_ UNIT HEATER TOTAL MECHANICAL _ AMOUNT NONE VALUATION NONE 1 HR REVIEW TIME AT $30.00 PER HOUR = $30.00 TOTAL PERMIT FEE PLAN CHECK FEE #30.00 UMBING FEE 'CHANICAL FEE TAL BLDG. FEES _ PART P/C FEE _ SEPA REVIEW WATER SERVICE WATER MAIN CHG. S.B.C.C. FEE DATE PAID /go AMOUNT $30.00 RECEIPT # /0/6 / 9' 7 OTHER FEES AMOUNT DUE $30_00 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 �11RNISHED 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 - a - CITY OF BUILDING INSPECTION FEDERAL WAY BUILDING PERMIT 941-1555 PERMIT NO. 90-0133 _ OWNER'S NAME JERRY WHITE JOB ADDRESS 33604 4 AVE SW CONTRACTOR R T HOMES ADDRESS 430 SW 335 ST FEDERAL WAY CONT. PHONE 927-3946 CONT. REG. NO. RTHOMI*169D3 3/90 OWNER'S PHONE NA OWNER'S ADDRESS 911 MANOR DRIVE FIRCREST TYPE JOB: NEW RESIDENCE )DITION NEW INDUSTRIAL NEW COMMERCIAL COMMERCIAL ADD. INDUSTRIAL ADD. NEW PUBLIC PUBLIC ADD. NEW MULTI-FAMILY (UNITS ) MULTI.ADD. SIGN GRADING OTHER TAX ACCOUNT NO. 729805-0300 LEGAL DESCRIPTION LOT 30 DIVISION #6 PLAT OF THE RIDGE (WTR & SEWER IS AVAILABLE) ISSUED BY ELIZABETH SNYDER DATE OF ISSUE DATE OF APPLICATION 3/16/9 0 BUILDING INFORMATION NE RS9.6 OCCUPANCY R-3 TYPE OF CONSTRUCTION 5-N BLDG. SQ. FT. 3598 TOTAL ET BACKS: FRONT 20' SIDE 5' EACH REAR 5 STORIES _ 2 HEIGHT LIMIT 3O PLUMBING NO. NO. MECHANICAL APPLIANCES AMT. AMT. BOND WATER CLOSETS 3- ELEC. HOT WATER HEATER GAS PIPING FT. 3.50 BOILER BATHTUBS 2 LAUNDRY DRAINS 1 COMPRESSOR TANK(S) RECEIVED _ SHOWERS 2 URINALS FORCED AIR FURNACE 10.00 AIR HANDLING UNIT _ NUMBER _ LAVATORIES S DRINKING FOUNTAINS GAS HOT WATER HTR. 6.50 MISC SINKS 1 MISC. CONVERSION BURNER BASIC FEE RETURNED DISHWASHERS 1 TOTAL FIXTURES 17 UNIT HEATER TOTAL MECHANICAL 20.00 AMOUNT NONE VALUATION $179,889_95 PERMIT FEE $920_00 PLAN CHECK FEE 598-00 PLUMBING FEE 85_00 iiECHANICAL FEE _ 20_00 TAL BLDG. FEES $1623_00 �_ l — PAID IN FULL ON d ART P/C FEE / SEPA REVIEW AMOUNT PAID / / c 3 WATER SERVICE J ( �-7 WATER MAIN CHG. RECEIPT # 4 3 / 3/k' S.B.C.C. FEE 4.50 OTHER FEES AMOUNT DUE $1627.50 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 INFORMATI D BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY REQUIREMENTS WILL BEM OWNER OR AGENT / DATE -,' �2� 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 BUILDING INFORMATION ONE OCCUPANCY _- TYPE OF CONSTRUCTION 4-N 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 10•00 AIR HANDLING UNIT NUMBER LAVATORIES DRINKING FOUNTAINS _ GAS HOT WATER HTR. 6.SI) MISC RETURNED SINKS MISC. CONVERSION BURNER BASIC FEE DISHWASHERS TOTAL FIXTURES UNIT HEATER TOTAL MECHANICAL AMOUNT VALUATION PERMIT FEE PLAN CHECK FEE PLUMBING FEE • ECHANICAL FEE OTAL BLDG. FEES PAID IN PULL OW PART P/C FEE SEPA REVIEW AMOUNT PAID WATER SERVICE WATER MAIN CHG. RECkIrr • S.B.C.C. FEE OTHER FEES 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 1 1 1 l� I J >- >-ao z °° m cc I Ow o Z N o ? c ccJ o (7 0 0Q t1 z z 0 a0 w V Lu F w Q O a ' p en o � a f le I 1 \ z m m ti• \ p 0 LU cc C. w O 0Z aL� ', z EE ~ 1� w a Q i � O Q Q Q Q • o o O Z U o o ' L. t n1 k � X11 11 w 0 t z � L~• m m < m a co o z j ' J o UO = ANW o V. (3d cn p Q'� 0 6 OJ —; cc i 0 0 Y��}- O z O \ p z 11 w O 0 �_ m• w w 1- w Q w z Ira j U)• o a o O o LL O \� _� • 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 BUILDING INFORMATION 4I,NE _ 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 VALUATION FR REVIEW TIME' AT $30.00 PFR HOUR = $30.00 TOTAL PERMIT FEE PLAN CHECK FEE PLUMBING FEE CHANICAL FEE IAL BLDG. FEES PART P/C FEE _ SEPA REVIEW WATER SERVICE WATER MAIN CHG. ynir PAID____ , .., . / . . .i � yi� 1 $30.00 ;G�., _ ._ .,._ d_______RECEIPT 1 S.B.C.C. FEE OTHER FEES 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 3 N 'V N \ .k b co co co z , 4 ,t \ fq Z s'G'7.;F4. CI) Z � C N O Q N \ N. O , S4 L) • z z . % m : ti lam) •� m W = W ---JW \ \ W < Q < U �V % l Q •,,N t V\ x ki \,k''''‘ ,,... ‘ NiL u_ I io D W 0 Z L EL- iN p • O2 W W d J W k I� \n \ v \ / L L. Q Q Q w Q U t e N V J \,, `iL _ M' k ?. z k, _ 9 J-i-___D ,-, !; r1 : Co a � �J� \ p c ', , Q ° o (n l of \ , \ �� ,, . U '— ,J t'� �. Y z w I `ZS p v ��L S a N \� m w 2 WI O O w N O �\ I Z • lb ,, A 0,,,c) -op „3.2). ,,, 0 , ,,,,) ,,,,, Y ( 1 '',V,,t .,, <4,''‘... V) l CITY OF FEDERAL WAY 0 -7 a BUILDING PERMIT APPLICATION 4'' —Please Print— BOX 1 OWNER 'JEr211Y GOI-f,111 JOB LOCATION ( -Ur UIV 6 Ti-GE R106- OWNER'S ADDRESS 9 i f 1/11.)012. DR . CITY Pt(, c , =3-]-' PHONE DESCRIBE JOB 2 Saiz'-( s t R THE PROPERTY IS OWNED BY: SINGLE ARRI PARTNERSHIP CORPORATION BOX 2 CONTRACTOR'S NAME R T• {--t 0 prt s CONTRACTOR'S REG. # TBa t i c8 Card MUST be presented CONTRACTOR'S ADDRESS, 4S0 SLID = S CITY Tea 3- f PHONE92 9-"sR` EXPIRATION DATE 323J'i0 — 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 -'b (zc) 1O/.)i-ov► PPHONE 65S1"�C BOX 4 SEWER DISTRICTAY-D .,243,(____ cs WATER DISTRICTN----(41-14A-- (S-1-1 BOX 5 ESTIMATED PROJECT COS _ 1-2 Oct)� EXISTING BUILDING VALUATION -- BOX 6 PROPERTY TAX ACCOUNT NUMBER 12- (S&S 00 00 LEGAL DESCRIPTION LOT -# `mac IDA)15i 0 .G R"_--r of Tye 1 vD&- (If necessary, please submit a separate page with the legal description.) BOX 7 BUILDING SQUARE FOOTAGE: (Existing/Proposed) 1ST FLOOR 14-77 / 2ND FLOOR 3RD FLOOR - i ------- BASEMENT / --- DECK / GARAGE BOX 8 (X.SINGLE FAMILY NEW CONSTRUCTION ( ) MULTIFAMILY (NO. OF UNITS = ) ) EXISTING STRUCTURE �, ( ) COMMERCIAL/INDUSTRIAL TOTAL AREA OF PROPERTY 1- l ( L'� SQ FT BOX 9 PLUMBING FIXTURES (including rough-ins) MECHANICAL APPLIANCES — BASIC FEE$ NO. '27 WATERCLOSETS GAS PIPING, FEET , $ 3- G 2- BATHTUBS NO. FURNACE, ELEC. GAS $ %0 • 00 SHOWERS GAS HOT WATER HEATER $ (- .5-0 S LAVATORIES /7 CONVERSION BURNER $ SINKS C7 BOILER, SIZE BTU $ I DISHWASHERS -) AIR HANDLING UNITS $ I ELECTRIC HOT WATER HEATER HEAT PUMPS, SIZE $ LAUNDRY WASHER OUTLET 2 UNIT HEATERS $ 62 URINALS AIR COOLING UNITS, SIZE $ 0 DRINKING FOUNTAINS ((// COMMERCIAL HOOD $ SUMPS, SPRINKLER VACUUM BREAKERS OTHER $ 4, DRAINS $ OTHER I .' _ .. ►L $ TOTAL FIXTURES $ 4' . = E, .0 , U d TOTAL MECHANICAL FEE $ 2,6, UO I CERTIFY UNDER PENALTY OF PERJURY THAT THE INFORMATION FURNISHED BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLES -C ND FUR HER THAT I AM AUTHORIZED BY THE OWNER OF THE ABOVE PREMISES TO PER- FORM THE WORK Foo,, CH ' )SIT AP LI x•TION IS MADE.OWNER/• ENT: Iv - DATE: ��/b/6:in ANP-006 2/90 • S OFFICE USE ONLY (PLEASE DO NOT WRITE BELOW THIS LINE) ZONE IJ qi SETBACKS: FRONT Z-O SIZE ,5 ' t4tAn REAR HEIGHT LIMIT -)o ' PLANNING D PAI3TM T APPROVAL IGS- `t.- 3- '7o REMARKS: ti-ti gig - 2-7 3 0% c()( f Co ✓tirr-� t 2 Pa rr� r,v fc I( c A4 (`fr) SEPA: EXEMPT NOT EXEMPT FIRE DEPARTMENT APPROVAL DATE REMARKS: ` PUBLIC WORKS DEPARTMENT APPROVAL r---C- DATE Y'3-- f 0 REMARKS: TYPE OF JOB: NEW RESIDENCE ' RES. ADD/ALT NEW INDUSTRIAL IND. ADD/ALT NEW COMMERCIAL COMM. ADD/ALT NEW MULTIFAMILY (UNITS ) MULTIFAMILY ADD/ALT TENANT IMP. ROOF OTHEI OCCUPANCY (Z".) TYPE OF CONSTRUCTION V/ti STORES L t V( BUILDING SQ. FT. 27S 0 @ 6 f', d 0 = /8 9 7 S , t)© j 4V�GIq BUILDING SQ. FT. `�`� @ /7. 30 _ I'1 6 70 0 �l BUILDING SQ. FT. @ BUILDING SQ. FT. @ = BUILDING SQ. FT. @ ^n �,q(v ( MOd(� - ` p -8S BUILDING SQ. FT. @ `�� TOTAL SQ. FT. TOTAL VALUATION 17q 'bil 1 'Ti EBUILDING PERMIT NO. PLAN C ECK FEE REC'D RECEIPT NO. PERMIT FEE l - °D PLAN CHECK FEE SYd.--4-,- PLUMBING FEE —A-* 0 il - MECH. FEE ZO, 00 TOTAL FEES IAC 2-3-v C SBCC SURCHARGE '`S.-0 ENERGY SURCHARGE '15- AMOUNT DUE (6 z-7, S O BUILDING DEPARTMENT APPROVAL DATE H' 3 - 9'o REMARKS: ASSIGNED ADDRESS: 33 b 0 if `f 04 Ve- S. C.). R.C 'iV BAR 1 � Cay OF FpD� JygQ UI4"OIlVG DEPTWAY RECEIVED ACCEPTED FOR FILING 0 mit # 7C -'D/S3 CITY OF FEDERAL WAY -Q, 1) ( S l BUILDING PERMIT APPLICATION —Please Print— BOX 1 TENANT NAME: 33 c( ( Are, Sz-J OWNER c)92-124 w t-G L"M. SITE LOCATION Ccs' 3,0 i Pio. & t e K-Cal .- OWNER'S ADDRESS q'1 I 1414146/' 192-. CITY FIrG✓ PHONE DESCRIBE JOB 2, x)12-Y c C v LSI Oti% To A.42P J FL-Pi'•• SF -i+ 5;- THE PROPERTY IS OWNED BY: SINGL MARRY PARTNERSHIP CORPORATION BOX 2 CONTRACTOR'S NAME F •T tic mCONTRACTOR'S REG. #E2THOM - iq61/0.5 Card MUST be presented CONTRACTOR'S ADDRESS 4-3c) Su CITY F.U,-)' PHONE 92 7--- EXPIRATION DATE /2lql-C — 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 •P'ci 1 rpt--t-ave. PHONE 85s -• t BOX 4 SEWER DISTRICT WATER DISTRICT BOX 5 ESTIMATED PROJECT COST I G21EXISTING BUILDING VALUATION BOX 6 PROPERTY TAX ACCOUNT NUMBER o_ _ £Zi LEGAL DESCRIPTION COT I ,---"A/\_) . "P „--(}-t 'FL •. (If necessary, please submit a separate page with the legal description.) K.C. Plat Recording # BOX 7 BUILDING SQUARE FOOTAGE: (Existing/Proposed) 1ST FLOOR I'f?S% 2ND FLOOR /27 S / 3RD FLOOR / BASEMENT / DECK / GARAGE 761) / BOX 8 (X) SINGLE FAMILY (X) NEW CONSTRUCTION ( ) MULTIFAMILY (NO. OF UNITS = ) ( ) EXISTING STRUCTURE ( ) COMMERCIAL/INDUSTRIAL TOTAL AREA OF PROPERTY I'1 66C 0 f- SQ FT BOX 9 PLUMBI G FIXTURES (incfuding rough-ins) MECHANICAL APPLIANCES— BASIC FEE$ NO. WATERC SETS GAS PIPING, FEET $$ -49 BATHT S NO. FURNACE, ELEC. GAS SHOWS S I GAS HOT WATER HEATER $ 1 LAVATORIES CONVERSION BURNER $ A INKS ER, SIZE BTU $ DISHWASHER AIR ANDLING UNITS $ ELECTRIC WATER HEATER — HEAT PUMP_ SIZE $ 1 LAUNDR ASHER OUTLET UNIT HEATER $ URINAO — AIR COOLING UNIT SIZE $ DRINKING FOUNTAINS — COMMERCIAL HI:P $ SUMPS, SPRINKLER VACUUM BREAKERS OTHER $ D,IAINS $ --- THER • _7_770 $ TOTAL,FIXTURES '' _ $ T5AVECHANICAL FEE $ I CERTIFY UND R 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: 4:_ !. IC Kt '1I DATE: :� ANP-008 3/90 S OFFICE USE ONLY (PLEASE DO NOT WRITE BELOW THIS 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/ALT NEW MULTIFAMILY (UNITS MULTIFAMILY ADD/ALT TENANT IMP. OTHER OCCUPANCY TYPE OF CONSTRUCTION STORES BUILDING SQ. FT. @ _ BUILDING SQ. FT. @ _ BUILDING SQ. FT. @ _ BUILDING SQ. FT. @ _ BUILDING SQ. FT. @ _ BUILDING SQ. FT. @ _ TOTAL SQ. FT. TOTAL VALUATION BUILDING DEPARTMENT REMARKS: PERMIT FEE PLAN CHECK FEE 3o- c-1c7 PLUMBING FEE MECHANICAL FEE TOTAL BLDG. FEES PART P/C FEE SEPA REVIEW S.B.C.C. FEE OTHER FEES AMOUNT DUE 6 • v d ASSIGNED ADDRESS: :e S1( Lt PARTIAL PLAN CHECK FEE RECEIVED Amount Date Receipt# BUILDING DEPARTMENT APPROVAL RECEIVED BY DATE J 7 —c10 ACCEPTED FOR FILING