93-101480 A
G • 0
City of Federal Way
�� D APPLICATION FOR BUILDING PERMIT
n JUN 16 1993 / /�
PLEASE�1�� � ' 93-,0 '�2
APPLICATION #:
SITE LOCATION Address /OO( yo 3./5/7 /4ede,,,,,,e/w4 f 6.0,4
Tenant (if known) *------r
Lot # A:s®sos To #
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Building Owner Nam 74 AddresCr5_l, J rko - � 0 26t;i u e� i
(4',a
City 2e,� G/.e--,_ State ♦ Zip /�,
�
_ Z ! / Phone ^ /?../4//Nature of Work /
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APPLICANT
EEII
n 11\1111111.Day Phone Other P e Fax
IB I I G C •• '‘I` OR
pang =me
Ads s 031?/1C-
Y ‘647 J () #
City State
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Contact Person *----' C �,( p
cJ 1H H 00 CI Ph "[ 'G/ .fig' 7S `:(--
Contractor's
: -Contractor's # (card must be presented) Expiration ate Verified ❑ Yes 0 No
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lik
ARCHITECT
Name
11111) I
Address
tia,
City = State I Zip
Contact Person Phone l Fax
LEGAL DESCRIPTION
Please Complete Reverse Side
CDO4P2(Rev 4/93)
iii_,
STRUCTURE •sting Use •roPosed
Use
� 1 c Ficus<
Permit includes: L7 Building Plum ing ❑ Mechanical 0 Other
Type of Work: 0 Residential ❑ New model ❑ Number of Units_ 0 Deck
0 Commercial ❑ Addition 0 Garage ❑ Shed ❑ Other
Enter 1st Floor sq ft 2nd Floor sq ft 3rd Floor sq ft Existing Floor Area sq ft
Area Basement sq ft Decks sq ft Garage sq ft Proposed Total Area sq ft
Water Availability ❑ Sewer Availability ❑ On-Site Septic System Availability ❑ X. Project Valuation $ 74,2 Cr---'--'—
Zoning I Lot Size Existing Bldg Valuation $
LENDER ,
Name s-rr.
4 ."110Address
City Af" State Zip
M ECHANICA . CO TRACT '"' {..
Contractor Name Add ss
City State iiiZip
Alift
Contact ► -0.1'sP' a Fax
"s
License # (Expiration Date .Verified 0 Yes 0 No
PLUMBING CONTRACTOR ,,'
le
. >lois
Contractor Name 4
A °. ,
A. - Wy k ,. i
,010
City � Sta�t�i
Contact ' ne xw
- V
Licens <:, y '? Expiration Date Verifie ❑ es 0 No
..„
...,
PLUNI$ING ..;: OI` if: ! »: .
I�y
Water Closet5;1 •
( .6' Urinals Lawn Sprinklers
A.L
Bathtubs a, . Dish' rs Drinking Fntai Other
Showers *- Electric Wat eaters / Sumps
Lavatories 5 / Washing iv i'chine Drain / 4 Total Fixture Count
tti a' 4'
'MECHANICAL UNIT COUNT >A F ', ''
Fuel Type (electric/other) G s Dryer'1:4114‘'+ Air Handling < = 10;000 CFM r 15-30 Tons
Length of Gas PipingRa• nge' ...114.-
- Air Handling > = 10,000 t.FM 30-50 Tons
Furn <100K BTUs t';` G Lp't _Unit Heater 50+ Tons
Furn >100 BTUs Fans Miscellaneous Fuel Tanks
Gas Hwt. Hood Boilers Above Ground
Cony Burner Duct Work 0-3 Tons Underground
BBQ's Wood Stoves 3-15 Tons Total Unit Count
DISCLAIMER: 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 the accuracy of the information supplied to the City as a part of this
application.
Owner/Agent: -_-- -- __ Date: __-----------__---- — –