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92-101593 CITY OF FEDERAL WAY 9a-'ol 5-n 33530First Way� SIL3South� � O T R M I T BUILDING INSPECTION Federral WaydV N ElIELLI661-4140 PERMIT NO. 92-950CA OWNER'S NAME ASA PROPERTIES SITE ADDRESS 1010 SOUTH 336TH STREET CONTRACTOR SUPERIOR BUILDERS, INCADDRESS1112 SOUTH 344TH#307 F.W. CONT.PHONE 874-3647 CONT.REG.NO. SUPERBILL2DC EXP. 3-4-93 OWNER'S PHONE 874-3647 OWNER'S ADDRESS P.O.BOX3110 HONOLULU,HI 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. 926 501-0020-06 LEGAL DESCRIPTION LOTS 1,2 WEST CAMPUS OFFICE PARK DIV. 2 AS RECORDED VOL. 103, PLAT PAGE 13, 14 RECORDED OF R.C. WA UNDER AUDIT FILE #7705310820 AP JOANNE JOHNSON ISSUED BY DATE OF ISSUE /. _DATE OF APPLICATION 7-28-92 BUILDING INFORMATION •NESET BACKS:FRONT SIDEREAR_______ _ 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 SHOWERSURINALS GAS HOT WATER HTR. AIR HANDLING UNIT ___ NUMBER LAVATORIES _ DRINKING FOUNTAINS CONVERSION BURNER MISC. 1 cBASIC FEE 20.00 RETURNED SINKS MIS BBQ BASIC FEE DISHWASHERS 1 TOTAL FIXTURES 10.00 DRYER TOTAL MECHANICAL _ AMOUNT 30.00 VALUATION - PERMIT FEE - PLAN CHECK FEE PLUMBING FEE 30.00 MECHANICAL FEE ART P/C FEE SEPA REVIEW PUBLIC WORKS S.B.C.C.FEE ?„, -.►Cre,i_ FIRE FEE DATE: OTHER FEES -3-11-.-o-o-- AMOUNT: 30.00 AMOUNT DUE --- RECEIPT: 0115 i-i--7 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 I 0- ATIO FURNISHED BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY REQUIREMENTS WILL BE MET. ,.- - Le.:40.--- OWNER OR AGENT _ 0���i `� ik e 5"- DATE CITY OF FEDERAL WAY 33530 First Way South BUILDING PERMIT BUILDING INSPECTION Federal Way, WA 98003 661-4140 PERMIT NO. 92-0950 CA OWNER'S NAME ALMOND & ASSOCIATES SITE ADDRESS _ 1010 S. 336TH STREET CONTRACTOR SUPERIOR BUILDERS INCADDRESS 1112 S. 344TH ST #307 FEDERAL WAY CONT.PHONE 874-3647 CONT.REG.NO. SUPERBILL2D2 EXP. 3/92 OWNER'S PHONE 386-4800 OWNER'S ADDRESS PO BOX 3110 HON HAWAII 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. 926501-0020-06 LEGAL DESCRIPTION LOTS 1,2 WEST CAMPUS OFFICE PARK DIV 2 ISSUED BY JOANNE JOHNSON DATE OF ISSUE 7 -.23 ,,i- DATE OF APPLICATION 6-23-92 BUILDING INFORMATION ONE OP SET BACKS:FRONT 50' SIDE-__ 20' REAR 20' HEIGHT LIMIT 35' OCCUPANCY B2 TYPE OF CONSTRUCTION III 1–HR CENSUS NO. 437 TYPE OF HEAT BLDG.SQ.FT. 3300 STORIES PLUMBING NO. NO. MECHANICAL APPLIANCES AMT. AMT. BOND WATER CLOSETS ELEC.HOT WATER HEATER GAS PIPING FT. GAS LOGS BATHTUBS LAUNDRY DRAINS FORCED AIR FURNACE DUCT WORK 6.50 RECEIVED 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 6.50 AMOUNT VALUATION _41452A-00 0 PLANNING DEPT APPROVAL: DB 7-2-92 PERMIT FEE 356.00 PLAN CHECK FEE 231.00 FIRE DEPT APPROVAL: CI 6-29-92 PLUMBING FEE MECHANICAL FEE 6.50 BUILDING DEPT APPROVAL: KC 7-1-92 PART P/C FEE SEPA REVIEW PUBLIC WORKS S.B.C.C.FEE 4.50 FIRE FEE 17.80 DATE: — 2 �� OTHER FEES AMOUNT: $615.80 AMOUNT DUE 615-80 RECEIPT: 6 --191-19? ALL PERMITS EXPIRE 180 DAYS AF ER ISSUANCE IF NO WORK IS STARTED. RESIDENTIAL AND GRADING PERMITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE. I CERTIFY THAT THE INFO'MATION F.RINNSHED BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY REQUIREMENTS WILL BE MET. c. __ OWNER OR AGENT`.` \ , ..... r �P' � 3'Q DATE 7 /~' J..., CITY OF FEDERAL WAY 33530 First Way South BUILDING PERMIT BUILDING INSPECTION Federal Way, WA 98003 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 WONE 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 - I AMOUNT VALUATION PERMIT FEE - PLAN CHECK FEE PLUMBING FEE MECHANICAL FEE WART 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 A/ WATER LINE O.K. _ MECHANICAL INSPECTION CNA'' . BY _Gi(-(____.... GAS PIPING O.K. -_....__ DATE BY O.K. TOE NCLOSE FRAMING �ISULATION WALL BOARD AND FIRE WALL,f"�0x��� DATE.U/Jf�j.Z BY a�1[ ✓�DA BY-___-_........ .... ..._ DATE /lyl L Z BY 7 FINAL O.K. TO OCCUPY DCD PSD FD DATE _-2 - .BY_-..._...lY ...-......_ • . Pit # / — r,5-7 CITY OF FEDERAL WAY . EF9—&-ts--41-. BUILDING PERMIT APPLICATION4.,,v_zrj..:(jar._ —Please Print— BOX 1 TENANT NAME: M Moan el 0- A-S 50 C i-&-(e. S OWNER ,9-S/1- fro>c ft`e > SITE LOCATION /CY ,S. 3 6, S t-,OWNER'S ADDRESS /-),0( or‹. 3//o CITY 04) • g A-- PHONE 5 7 Y- 3‘ y 7 DESCRIBE JOB P/ct.nt .'n)__n THE PROPERTY IS OWNED BY: SINGLE/MARRIED PARTNERSHIP CORPORATION --(--- BOX .-(--- BOX 2 CONTRACTOR'S NAME STe-I-o r- li K (e9 e c—s,T►V C . CONTRACTOR'S REG. # SYpe_r-L,/l z-1-.) .Card MUST be presented CONTRACTOR'S ADDRESS Ole, --t - YY 3 ' 30 7 CITY F. k.) - PHONE ' 71 -36 Y 7 EXPIRATION DATE 3/Y/? — OR— I HAVE READ CHAPTER 18.27.010 RELATING TO DEFINITIONS OF GENERAL CONTRACTORS AND SPECIALTY TRACTORS AND CHAPTER 18.27.110 WHICH PROHIBITS ISSUING PERMITS WITHOUT PROOF OF REGISTRATION. BOX 3 CONTACT PERSON Sd1w M Sc A 4%e t 1z e r P NE Si7Y 3 G y 7 BOX 4 SEWER DISTRICT F. W WATER DISTRICT il W BOX 5 ESTIMATED PROJECT COST C COO -or.) EXISTING BUILDING VALUATION BOX 6 PROPERTY TAX ACCOUNT NUMBER 't'o Sb l—DOOO C, (c, / LEGAL DESCRIPTION Lf (,Z wesf C4 5 ©'Pke Pitr-A b%Ne'sroov 2 re cc � e` c-1 Lbkrte /0s P/4-4- Papp tam/-t r-ecc erV 6+ Ki•) e",•-). ILN,1- 4ticge - /nuc.-f- rile__ # 77o5 'oxen (If necessary, please submit a separate page with the legal descripon.) K.C. Plat Recording# 71(:),c 3/0gLc7 BOX 7 BUILDING SQUARE FOOTAGE: (Existing/Proposed) 1ST FLOOR / 2ND FLOOR / 3RD FLOOR//SFocJ/ 3,3oc) BASEMENT / DECK / GARAGE / BOX 8 ( ) SINGLE FAMILY ( ) NEW CONSTRUCTION ( ) MULTIFAMILY (NO. OF UNITS = ) ( ) EXISTING STRUCTURE ( ) COMMERCIAL/INDUSTRIAL TOTAL AREA OF PROPERTY / 71.,E c9 © 0 SQ FT BOX 9 PLUMBING FIXTURES(including rough-ins) MECHANICAL APPLIANCES— BASIC FEE$ '�Q$ �1V0. WATERCLOSETS GAS PIPING, FEET $ BATHTUBS NO. FURNACE, ELEC. GAS $ SHOWERS GAS HOT WATER HEATER $ LAVATORIES CONVERSION BU:. ' $ SINKS BOILER, SI BTU $ f DISHWASHERS • R H, 'LING UNITS $ ELECTRIC HOT WATER HEATER H-^ PUMPS, SIZE $ LAUNDRY WASHER OUTLET NIT ,TERS $ URINALS ,IR COOL , UNITS, SIZE $ DRINKING FOUNTAINS COMMERCIAL ':ID $ SUMPS, SPRINKLER VACUUM BREAKERS OTHER $ DRAINS $ OTHER $ /�•�' TOTAL FIXTURES $ -34.3, 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 H_RMLESS THE CITY OF FEDERAL WAY AS TO ANY CLAIM(INCLUDING COSTS,EXPENSES,AND ATTORNEYS' FEES INCURRED IN INVESTIGATIOND DEFENSE OF SUCH CLAIM), WHICH MAY BE MADE BY ANY PERSON, INCLUDING THE UNDERSIGNED, AND FILED AGAINST THE CITY OF F: i RAL WAY,BUT ONLY WHERE SUCH CLAIM ARISES OUT OF THE RELIANCE OF THE CITY, INCLUDING ITS OFFICERS AND E L�EES, UPON ! .`CCURACY OF THE INFORMATION SUPPLIED TO THE CITY AS A PART OF THIS APPLICATION. � X11►r'lk OWNER/AGENT: I ____ DATE: 7/L�/9 ANP-008 3/90 i. Pipit # /2 ? �� ,4 w 'RECEIVED CITY OF FEDERAL WAY / de;.(A/Atol!,),,A) JUN Z 3 1992 BUILDING PERMIT APPLICATIONA(641/0+ os344) orrvoP (^- :.1.enAL WAY — Please Print— 13UILDING DEPt BOX 1 TENANT NAME: A /tit ONci $.- ASSQc i/--lc OWNER ti S A- I'rn pck--i e S SITE LOCATION in /0 S , 33 G'''' S-/-, OWNER'S ADDRESS P o•/30), 2 I10 HA wq; i CITY H6,1/4N . PHONEF 4- (-+8o() DESCRIBE JOB J Ails/ IJool-s, I'e,t,,,4- 4 (At ) e-I Ne a 44,ce THE PROPERTY IS OWNED BY: SINGLE/MARRIED PARTNERSHIP CORPORATION BOX 2 CONTRACTOR'S NAME :.),-if et to IS c. Id,cs-S, YN c , CONTRACTOR'S REG. #�-^ v-�% A► Z IJ Z Card MUST be presented CONTRACTOR'S ADDRESS i I l S. 3`/ y '.S+•-�07 CITY Feele«l� X1/4'./ PHONE R 7`/ -?4.,`/ 7 EXPIRATION DATE 2,/,-, — OR — I HAVE READ CHAPTER 18.27.010 RELATING TO DEFINITIONS OF GENERAL CONTRACTORS AND SPECIALTY CONTRACTORS AND CHAPTER 18.27.110 WHICH PROHIBITS ISSUING PERMITS WITHOUT PROOF OF REGISTRATION. BOX 3 CONTACT PERSON JOLNS M L-c.._\we"\-i-c cc._'A- PHONE )-7`.1-.14,. C/`7 BOX 4 SEWER DISTRICT F. Li . WATER DISTRICT K, Li BOX 5 ESTIMATED PROJECT COST sii 410,6 66 .On EXISTING BUILDING VALUATIOle 3,too, Eco o , o b BOX 6 PROPERTY TAX ACCOUNT NUMBER 9 6 SO I- 00 Z0 - 64, LEGAL DESCRIPTION Lets. A,2, Web+ CghPLA.S 6 f ite 1P IJ u r sc>,.-.1 R AS AZeCc�vr U ck v/u Pt /4-)� 3 PI/14 pi e We 1 `f rec0 04 k iNc� Co, W A I�,r-ce•r fljt4 vile #'77053ID$Zp (If necessary, please submit a separate page with the legal description.) K.C. Plat Recording # 7-70()'. In rc BOX 7 BUILDING SQUARE FOOTAGE: (Existing/Proposed) 1ST FLOOR ig000 / 2ND FLOOR '6uc 0 I 3RD FLOOR/gr. coo / 7, seen BASEMENT I - DECK DECK _., / GARAGE /.- BOX 8 ( ) SINGLE FAMILY ( ) NEW CONSTRUCTION ( ) MULTIFAMILY (NO. OF UNITS = ) ( ) EXISTING STRUCTURE (<) COMMERCIAL/INDUSTRIAL TOTAL AREA OF PROPERTY / 7 c', C' 00 SQ FT BOX 9 PLUMBIN FIXTURES (including rough-ins) MECHANICAL APPLIANCES— BASIC FEE$ NO. WATERCLOSETS GAS PIPING, FEET $ BATHTUBS NO. FURNACE, ELEC. GAS $ SHOWERS GAS HOT WATER HEATER $ LAVATORIES CONVERSION BURNER $ SINKS BOILER, SIZE BTU $ DISHWASHERS AIR HANDLING UNITS $ ELECTRIC HOT WATER HEATER HEAT PUMPS, SIZE $ LAUNDRY WASHER OUTLET UNIT HEATERS $ URINALS AIR COOLING UNITS, SIZE $ DRINKING FOUNTAINS COMMERCIAL HOOD $ SUMPS, SPRINKLER VACUUM BREAKERS OTHER $ DRAINS eoc,. Fe QxiSi c tc.1 $ g •S OTHER 4 iL..5c.rs . $ TOTAL FIXTURES $ TOTAL MECHANICAL FEE $ 6-5-Q 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, UP THE ACCURACY OF THE INFORMATION SUPPLIED TO THE CITY AS A PART OF THIS APPLICATION. OWNER/AGENT * /, , �� :-- DATE: C= ANP-008 3/90 OFF USE ONLY (PLEASE DO NOT WRITE BELOW THIS LINE) ZONE Gip SETBACKS: FRONT SIDE 2c? REAR Z-C ' HEIGHT LIMIT PLANNING DEPARTMENT APPROVAL gg.)-fre)',�h, REMARKS: SEPA: EXEMPT "- - NOT EXEMPT FIRE DEPARTMENT APPROVAL DATE c REMARKS: PUBLIC WORKS DEPARTMENT APPROVAL . DATE REMARKS: r 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 6 TYPE OF CONSTRUCTION m / l' STORES v CC BUILDING SQ. FT. 3-3a @ 6/r 47/0 = ? c=) ".'6 Z- C BUILDING SQ. FT. @ _ BUILDING SQ. FT. @ _ BUILDING SQ. FT. @ _ BUILDING SQ. FT. @ _ BUILDING SQ. FT. @ ✓ C( � r- 0.-ac TOTAL SQ. FT. TOTAL VALUATION 6(0 S- ?- y BUILDING DEPARTMENT REMARKS: PERMIT FEE 35-6 PLAN CHECK FEE Z3 / PLUMBING FEE _ MECHANICAL FEE G ' S C TOTAL BLDG. FEES PART P/C FEE SEPA REVIEW S.B.C.C. FEE 7 ` 0 OTHER FEES 0 %- eu 17• P n AMOUNT DUE ASSIGNED ADDRESS: t-t(1.S 61 t*9 -C �g41- �;A PARTIAL PLAN CHECK FEE RECEIVED ) , kel , Amount Date Receipt# BUILDING DEPARTMENT APPROVAL (41 AO\IED BY - DATE / _ f 7� ACCEPTED FOR FILING CITY OF FEDERAL WAY 92-1 0l 5-93 33530 First Way South BUILDING PERMIT BUILDING INSPECTION Federal Way, WA 98003 661-4140 PERMIT NO. _ OWNER'S NAME SITE ADDRESS Si- `:_�/6' 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 CUPANCY 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 >E PLAN CHECK FEE ' PLUMBING FEE I ECHANICAL FEE RT P/C FEE EPA REVIEW i t PUBLIC WORKS f 1 Ili ' S.B.C.C.FEE FIRE FEE DATE: • OTHER FEES AMOUNT: AMOUNT DUE RECEIPT: 1 s l • V r v ALL PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS STARTED. RESIDENTIAL AND GRADING PERMITS EX• . "•„ FTER DA '7 OF ISSUANCE. I CERTIFY THAT THE INFORMATION FURNISHED BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND T •PPLICABLE CITY OF FEDERAL WAY REQUIREMENT WILL BE MET. OWNER OR AGENT DATE ) o E o �O o I- 0 m m r m m K m co E DJ�O r O Z r D )c Do z oo : 2 O D zcn D > D O M rc- m m 0 D _ r D O O Oz m c z O O m O C Z CI D W W -I -< O z v 1 1- 1 D ° 1 1 I cn � p > > > m Dm 40 m r m > m r- r = 03 I D W Z 1 z D C) 0 0 r 37O oZ - 0Z m \� o rilm -1O co r _<r 1