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r I.4.TFiUCTUF '•: a i' , -xistin0 Uso Proposed Use
—
.4Permit includes: X Building_ 0 Plucnhin* ❑ Mechanical 0 Other
Type of Work: ARosidentiol 0 New 0 Routodcl 0 # of bedrooms 0 Deck
36743 sq
El Addition _ El Repair 0 Gora.e 0 Shod
Entor let Floor sq ft 2nd Floor 1(.1 sq ft 3rd Floor sq h Existing Floor Area sq ft
Aron Basement Q4- sq ft Decks /1,/q_ sq ft Guracge 6140 sq ft Prc oeed Total Area sq ft
Water Availability X Sewer Availability
X On-Situ Septic System Availability O Project Valuation $ _
Zoning Lot Size Existing Bldg Valuation ,9
° i cw: 4 c t'4 For new rosicfentral only- Proposed selling cost: $
Name r f.'"�fPC 14°e!/H41/x+1.74
CiQ�44/P.7/14 /tr..�i�/1l,(�. Address O 2 tt o
Cit I3C.Cen 4 `State all, }Z-9/e90/
L/5Zo
•.`vFwo3 .17 7,:T.<«yyyy , s ., ,. 4s ,,,tr
Contractor Name Address / rt ,►rWQ APO! �7
L(...)G(.,/k4sek) /,L 471Nlr"
City F es'!ele•r:vl)
t --_ State �i�r• „Zip �a&Z
Contact . ✓uG6/v , ►t P,�jCa,.gEJ;07t •Fax
Pis()
License'St e.,)/_‘_,,,/ C 6,63 /.
f _Expiration Data Verified Yee ❑ No -
Contractor Name Address /SS t7ii 7 f 57c77
�
7 V/7'J `ore/A 4,U/G¢C
City ?/kGvr1r4 Stoto 1.614. Zip'7844J^
Contact P4PC)
Phone S'37 8? • n Fax
License # /?2) i7/ 2i1 /`� T
Expiration Date /Z•34Cit Verified X Yes 0 No
V3YIC3� iii°,..:.,.^. axes ..........::.:?�^;}•, %,
v . 11 G P iC'FU i ` f)t N'fiV.:>`'.. ;a':.
Water Closots 4 Sinks Co Urinals km- Lawn Sprinklers )1355
Bathtubs 4 Oieh Washers Z Drinkin_r Faunrarns 414 Other
Showers 4 Electric Water Heaters Z Sumos AA
Lavatories & Washing Machine Z Drains N4AA 11,��
Total,FiMure,Delun -. `.•<-.,
K ifii64 r *""^W MECHANICAL EVALUATION ONLY $
Fuel Typo(f(FJ locum/other/ Gas Dryer ��1:5 i Air Handling < �10,000 CFM 15-30 Tone
Length of Gas Piping Range ye, Air Handling > — 10,000 CFM 30-SO Tons
Fvrn C100K t3TUs Gas Log lLC7 Unit Heater 504 Tons
r
Furn >100 BTUs Fans `7.�5 Miscellaneous Fuel Tanks
Gas Hwt Hood era, Hollers Above Ground
Cony Burner Duct Work L1 >
0-3 Tons x Undo round
Wood Stoves O 3-15 Tons BaC
Yokel Iiinitto4At^'I ,
DISCLAIMER:I certify under penalty of perjury that the information ltimished by me is true and correct to die best of my knowledge,and further,that I can authorized by the owner of
the above premises to perform rho work for which permit application is made.I further agree to save harmlc�,the City of Federal Way as to any claim(including cotta,expenses,and
ar,orne}s'fees incurred in investigation and defense of ouch claimm),which may be made by any person,iacluJung the undersigned,and fled against the City of Federal Way,but only
where such claim arises out of the reliance of the city.including its offtcOrs and employees,utx,n the ALA.,nary of the iafomist un supplied to the city as a part of this application.
OwnoNAgenC i/ y,/ aft�/ --- Date:
// x-97
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