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92-101303 c , .oJ3'O3 CITY 335300F FirstDERAL WAY Way South BU I L DING PERMIT PERMIT NO:ISSUED: 09/26/9471 Federal Way, WA 98003 Building Inspection Requests 661 -4140 BY: RM 661-4000 EXPIRES: 09/25/95 RENEWED PERMIT ADDRESS:558 SW 298TH ST NO. : 233700-0020 PROJECT DESCRIPTION:RES ADDITION - KITCHEN, LIVING ROOM ET AL REVISIONS RECD 5/10/93. REVISIONS REC'D 8/13/93. iirOWNER - CONTRACTOR - LENDER ROBERT OWSLEY AND PATRICIA 558 SW 298TH ST FEDERAL WAY WA 98023 946-8859 251-0500 X184 NONE BLD?:X MEC?: PLM?:X FLR--EXIST--PROP--- DWELLING UNITS: 1 COMP PLAN •LDR? FEES: TYPE OF WORK:ADD USE:RES 1ST.: 1300: 968:sf STORIES • 3 REQUIRED PARKING..: 2 SPRINKLERS? •? FINAL PLAN CHECK...* $ 436.15 CENSUS CATEGORY •434 2ND.: 0: 600:sf HEIGHT • 0.00 ft HAZARD CLASS •? BUILDING PERMIT....= $ 671.00 OCCUPANCY GROUP 3RD.: 0: 0:sf VALUATION REQUIRED SETBACKS FIRE FLOW • 0 gpm SBCC SURCHARGE $ $ 4.50 :R3 :M1 : OTHR: 0: 0:sf EXIST..$: 145000 FRONT • 20.00 ft PLUMBING PERMIT/SPK* $ 5.00 TYPE OF CONSTRUCTION BSMT: 1300: 0:sf PROP...$: 108247 SIDE • 5.00 ft WATER SERVICE..:? PUB WORKS-PLAN CHECK $ 35.00 :5N :5N : DECK: 0: 0:sf REAR • 5.O0:ft SEWER SERVICE..:? FINAL PLAN CHECK...* $ 60.00 Alik OCCUPANT LOAD GAR.: 0: 375:sf RECEIVED.:08/17/92 FINAL PLAN CHECK...* $ 30.00 XII : 0: 0: 0: 0: TOTL: 2600: 1943:sf IMPERV SURFACE: 0 sf SENSITIVE AREAS?.:N BUILDING PERMIT....* $ 335.50 FUEL TYPES.: FANS • 0 BOILERS/COMPRESSORS WATER CLOSETS • 0 URINALS • 0 TOTAL FEES $ 1511.15 GAS PIPING.: 0 ft HOOD • 0 0-3 HP • 0 BATH TUBS • 0 DRINKING FOUNT.: 0 FURN<100K..: 0 DUCT WORK • 0 3-15 HP • 0 SHOWERS • 0 SUMPS • 0 GAS HIT • 0 WOOD STOVES...: 0 15-30 HP • 0 LAVATORIES • 0 VAC BREAKERS...: 0 CONY BURNER: 0 FURN>100K • 0 30-50 HP • 0 SINKS • 1 DRAINS • 0 BBQ • 0 MISC • 0 5+ HP • 0 DISH WASHERS • 0 LAWN SPRINKLERS: 0 GAS DRYER,.: 0 AIR HANDLING UNITS FUEL TANKS ELEC ITR HEATERS...: 0 OTHER FIXTURES.: 0 RANGE • 0 <=10,000 CFM: 0 ABOVE GROUND: 0 LAUN WSHR OUTLTS...: 0 GAS LOGS...: 0 > 10,000 CFM: 0 UNDERGROUND.: 0 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 INFORMATION1FURNISED BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FERERAL WAY REQUIREMENTS WILL BE MET. nWNER OR AGENT %,c2--(1 aJ DATE ? -016 ~ 9/ _ V_ FILE COPY AdOO Q13I I /re- 9 .0 _ t 3 i a '? 1r? )62) r 1 s13 v n O d 3115 D 'I1N 38 1114 S1N3N3810038 AYA 1Y8383J JO A1I3 319Y3I1ddY 381 ONY 35031401)1 AN JO 1S:8 HI 01 1338803 ONY 31181 SI 3N A8 03SIHdfli NOIIVNHOINI 3111 IYHI A3I1833 t '33NYflSSI JO 31Y0 11310 8Y3A 3N0 301413 S11N83d 9NIOY89 ONY 1YI1N301S38 '03IHYIS SI 11801 ON it 3311YOSSI 831JY SAYO 081 38141(3 S11NH3d PI 1 •'ONfl089H3ON0 0 :on 000'01 < o :•"SD01 SVD 0 :—S111110'S111n0 HHSA NOV1 ''1n089 3A08V 0 :$33 000'O1=> 0 • 39NY8 0 :'S3HOIX1i 83H10 0 :'•'S831Y311 814 331 --- NY1 1303 SlINO 9NI10NYH HIV 0 :"83A80 SVD 0 31)N18dS NNY1 0 • SH3HSVA H 0 : 'dH +5 0 • 3S1N 0 :""—OH 088 0 t • S)IN dH 05-0£ 0 : 1O01CN80i 0 :831809 A$03 D 0 • 531., 1 dH 0£-5t 0 •"'S3A01S 0001 0 • 110 SVD 1 0 : 0iii 0 • dH St-C 0 • 11801 1300 0 :°')1001>N8fl3 0 1 IINIH : S 0 • dH £-0 0 • 0000 11 0 :'9NIdId SYD 5I'II51 f 101 0 I8t1 S .3 HOSS38dPO3/S831108 0 • 511V1 :'S3dAI 13fli 05'5£. ! a""11N8 108 '3HY 3AIIIS 1s 0 05 A83, 1S:£t61 0091 1101 •0 :0 :0 :0 : Oi;'0£ ! s" 13303 $13 E61/1/90:'03A13338 1S S0 Z'HY9 - -OY01 1NYd0330 00'09 $ s'' 13303 NY1d 1YN13 3S 83435 11:00'' Y38 ?s;, ' :0 ."���:330 : : N5. 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YI3I8IVd ONY A31550 183808 _ , _. w_ 830131 8013YH1 16/£1/9 0,338 SNOISIA3H '£6/0115 0,:)30 SNOISIA38 1 13 5 311)1 - N011I00V S3H:NOI ld I I:lOS30 133 f'O8d OZOO-OOL££Z : 'ON IS H186Z MS 899 :SS3800b I INH3M 96/9Z/60 :SJd dX3 I 000ti-199 Wa :A8 01� 4v-L99 sl.senbaa ucLi.3eds "8 £OOf36 VM `AT3M is-Japa3 176/60 :t33(1SSI i II/1183d ON I a 8 4flos ARM DAVM oescc1./.4Z-Z6019AlIO1./.4Z-Z6019Z-9Z-26018 =0N lIWt13d �,jr I _ • 411 SETBACKS & FOOTINGS Date By FOUNDATION WALLS Date By PLUMBING GROUNDWORK Date By UNDERFLOOR FRAMING Date By SHEAR WALLS Date&- By tJ PLUMBING ROUGH-IN L�tl�.�i<L L c�L� 1 d„/.•-) Date By GAS PIPING Date`_), 15 By/'2",/ MECHANICAL ROUGH-IN / Date e(-.A- 5,5 By MN ..... . ................ MECHANICAL (OTHER) Date By FRAMING Date 1-_)6- ,J h' �S, By 4-7, INSULATION Date S-/0-- 5'5 By � GWB 1ST LAYER Date By GWB - 2ND LAYER Date By SUSPENDED CEILING Date By ................................... ................................ PLANNING FINAL Date By ENGINEERING FINAL Date By FIRE FINAL Date By BUILDING FINAL Date By OTHER Date By OTHER Date By t/ Nom - ?S5'd9ol53/2-- - !�� CD0793 Sall c.�s L�Hr ricS G�d�� z l CITY OF FEDERAL WAY BUILDING P IVI I T PERMIT NO.: BLD92-2 071 33530 First Way South BUILDING INSPECTION - 661-4140 ISSUED: 10/30/92 Federal Way, WA 98003 BY: FLF 661-4000 REVISION SITE ADDRESS: 558 SW 298TH ST PARCEL NO.: 233700-0020 PROJECT DESCRIPTION: RES ADDITION — KITCHEN, LIVING ROOM ET AL REVISIONS REC'D 5/10/93 . REVISIONS REC'D 8/13/93. OWNER — CONTRACTOR LENDER ROBERT OWSLEY AND PATRICIA ***OWNER IS CONTRACTOR*** 558 SW 298TH ST - FEDERAL WAY WA 98023 00-8859 251-0500 X184 NONE BLD?:X MEC?: PLM?:X FLR--EXIST--PROP--- DWELLING UNITS: 1 COMP PLAN •LDR? FEES: TYPE OF WORK:ADD USE:RES 1ST.: 1300: 968:sf STORIES • 3 REQUIRED PARKING..: 2 SPRINKLERS? •? FINAL PLAN CHECK...* $ 436.15 CENSUS CATEGORY •434 2ND.: 0: 600:sf HEIGHT • 0.00 ft HAZARD CLASS •? BUILDING PERMIT....* $ 671.00 OCCUPANCY GROUP 3RD.: 0: 0:sf VALUATION REQUIRED SETBACKS FIRE FLOW • 0 gpm SBCC SURCHARGE * $ 4.50 :R3 :M1 OTHR: 0: 0:sf EXIST..$: 145000 FRONT • 20.00 ft PLUMBING PERMIT/SPK* $ 5.00 TYPE OF CONSTRUCTION BSMT: 1300: 0:sf PROP...$: 108247 SIDE • 5.00 ft WATER SERVICE..:? PUB WORKS-PLAN CHECK $ 35.00 :5N :5N DECK: 0: 0:sf REAR • 5.00:ft SEWER SERVICE..:? FINAL PLAN CHECK...* $ 60.00 OCCUPANT LOAD GAR.: 0: 375:sf RECEIVED.:08/17/92 FINAL PLAN CHECK...* $ 30.00 0: 0: 0: 0: TOTL: 2600: 1943:sf IMPERV SURFACE: 0 sf SENSITIVE AREAS?.:N FUEL TYPES.: FANS • 0 BOILERS/COMPRESSORS WATER CLOSETS • 0 URINALS • 0 TOTAL FEES $ 1241.65 GAS PIPING.: 0 ft HOOD • 0 0-3 HP • 0 BATH TUBS • 0 DRINKING FOUNT.: 0 FURN<100K..: 0 DUCT WORK • 0 3-15 HP • 0 SHOWERS • 0 SUMPS • 0 GAS HWT • 0 WOOD STOVES...: 0 15-30 HP • 0 LAVATORIES • 0 VAC BREAKERS...: 0 CONV BURNER: 0 FURN>100K • 0 30-50 HP • 0 SINKS • 1 DRAINS • 0 BBQ • 0 MISC • 0 5+ HP • 0 DISH WASHERS • 0 LAWN SPRINKLERS: 0 GAS DRYER..: 0 AIR HANDLING UNITS FUEL TANKS ELEC WTR HEATERS...: 0 OTHER FIXTURES.: 0 • 0 <=10,000 CFM: 0 ABOVE GROUND: 0 LAUN WSHR OUTLTS...: 0 .OGS...: 0 > 10,000 CFM: 0 UNDERGROUND.: 0 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 REQ EMENIS ET. JP 9 OWNER OR AGENT DAT ' bld_prmt 10/23/92 cortix- 1 10441111111' ,f);:' l CITY OF FEDERAL WAY BUILDING PERMIT PERMIT NO.: BLD92-2071 33530 First Way South BUILDING INSPECTION - 661-4140 ISSUED: 10/30/92 Federal Way, WA 98003 BY: FLF 661-4000 REVISION SITE ADDRESS: 558 SW 298TH ST PARCEL NO.: 233700-0020 PROJECT DESCRIPTION: RES ADDITION ® KITCHEN, LIVING ROOM ET AL REVISIONS REC'D 5/10/93, OWNER CONTRACTOR - LENDER ROBERT OWSLEY AND PATRICIA *OWNER IS CONTRACTOR* 558 SW 298TH ST FEDERAL WAY WA 98023 111k-8859 251-0500 X184 I 1 *OWNER* 1 BLD?:X MEC?: PLM?:X FLR--EXIST--PROP--- DWELLING UNITS: 1 COMP PLAN •LDR? FEES: TYPE OF WORK:ADD USE:RES 1ST.: 1300: 968:sf STORIES • 3 REQUIRED PARKING..: 2 SPRINKLERS? •7 FINAL PLAN CHECK...* $ 436.15 CENSUS CATEGORY •434 2ND.: 0: 600:sf HEIGHT • 0.00 ft HAZARD CLASS -7 BUILDING PERMIT....* $ 671.00 OCCUPANCY GROUP 3RD.: 0: 0:sf VALUATION REQUIRED SETBACKS FIRE FLOW • 0 gpm SBCC SURCHARGE * $ 4.50 :R3 :M1 OTHR: 0: 0:sf EXIST..$: 145000 FRONT • 20.00 ft PLUMBING PERMIT/SPK* $ 5.00 TYPE OF CONSTRUCTION BSMT: 1300: 0:sf PROP...$: 108247 SIDE • 5.00 ft WATER SERVICE..:? PUB WORKS-PLAN CHECK $ 35.00 :5N :5N : : : DECK: 0: 0:sf REAR..........: 5.O0:ft SEWER SERVICE..:? FINAL PLAN CHECK * $ 60.00 OCCUPANT LOAD GAR.: 0: 375:sf RECEIVED.:08/17/92 0: 0: 0: 0: TOTL: 2600: 1943:sf IMPERV SURFACE: 0 sf SENSITIVE AREAS?.:N FUEL TYPES.: FANS • 0 BOILERS/COMPRESSORS WATER CLOSETS • 0 URINALS • 0 TOTAL FEES $ 1211.65 GAS PIPING.: 0 ft HOOD • 0 0-3 HP • 0 BATH TUBS • 0 DRINKING FOUNT.: 0 FURN<100K..: 0 DUCT WORK • 0 3-15 HP • 0 SHOWERS • 0 SUMPS • 0 GAS HWT . 0 WOOD STOVES...: 0 15-30 HP • 0 LAVATORIES • 0 VAC BREAKERS...: 0 CONV BURNER: 0 FURN>100K • 0 30-50 HP • 0 SINKS • 1 DRAINS • 0 BBQ • 0 MISC • 0 5+ HP • 0 DISH WASHERS • 0 LAWN SPRINKLERS: 0 GAS DRYER..: 0 AIR HANDLING UNITS FUEL TANKS ELEC WTR HEATERS...: 0 OTHER FIXTURES.: 0 0 <=10,000 CFM: 0 ABOVE GROUND: 0 LAUN WSHR OUTLTS...: 0 C OGS...: 0 > 10,000 CFM: 0 UNDERGROUND.: 0 I ALL PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS STARTED. RESIDsil TIAL AND GRADING PERMITS EXPIRE ONE YEAR AFTER DATE OF Ytnr—ANCE, I CERTIFY THAT THE INFORMATION FURNISHED BY ME IS TRUE AND CORRECT TO T E BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY REQUIREMENTS WILL BE MET. OWNER OR AGENT ' � 6/���^( -'(. DATE '// tit 1......., J\r(u /61 bid_prmt 10/23/92 DATE BY.....- 4"----- CITY OF FEDERAL WAY BUILDING PER MVI I T PERMIT NO.: BLD92-2 071 33530 First Way South BUILDING INSPECTION - 661-4140 ISSUED: 10/30/92 Federal Way, WA 98003 BY: FLF 661-4000 SITE ADDRESS: 558 SW 298TH ST PARCEL NO.: 233700-0020 PROJECT DESCRIPTION: RES ADDITION KITCHEN, LIVING ROOM ET AL OWNER — CONTRACTOR -- LENDER ROBERT OWSLEY AND PATRICIA *OWNER IS CONTRACTOR* 558 SW 298TH ST FEDERAL WAY WA 98023 I 1106-8859251 0500 X184 *OWNER* BLD?:X MEC?: PLM?:X FLR--EXIST--PROP--- DWELLING UNITS: 1 COMP PLAN -LDR? FEES: TYPE OF WORK:ADD USE:RES 1ST.: 1300: 968:sf STORIES - 3 REQUIRED PARKING..• 2 SPRINKLERS' •7 FINAL PLAN CHECK...* $ 436.15 CENSUS CATEGORY -434 2ND.: 0: 600:sf HEIGHT . 0.00 ft HAZARD CLASS •7 BUILDING PERMIT....* $ 671.00 OCCUPANCY GROUP 3RD.: 0: 0:sf VALUATION REQUIRED SETBACKS FIRE FLOW • 0 gpm SBCC SURCHARGE * $ 4.50 :R3 :M1 OTHR: 0: 0:sf EXIST..$: 145000 FRONT • 20.00 ft PLUMBING PERMIT/SPK* $ 5.00 TYPE OF CONSTRUCTION BSMT: 1300: 0:sf PROP. .$: 108247 SIDE • 5.00 ft WATER SERVICE..:? PUB WORKS-PLAN CHECK $ 35.00 :5N :5N DECK: 0: 0:sf REAR • 5.00:ft SEWER SERVICE..:? FINAL PLAN CHECK...* $ 60.00 OCCUPANT LOAD GAR.: 0: 375:sf RECEIVED.:08/17/92 0: 0: 0: 0: TOTL: 2600: 1943:sf IMPERV SURFACE: 0 sf SENSITIVE AREAS?.:N FUEL TYPES.:? ? FANS • 0 BOILERS/COMPRESSORS WATER CLOSETS • 0 URINALS • 0 TOTAL FEES $ 1211.65 GAS PIPING.: 0 ft HOOD • 0 0-3 HP • 0 BATH TUBS • 0 DRINKING FOUNT.: 0 FURN<100K..: 0 DUCT WORK • 0 3-15 HP • 0 SHOWERS • 0 SUMPS • 0 GAS HWT • 0 WOOD STOVES...: 0 15-30 HP - 0 LAVATORIES • 0 VAC BREAKERS...: 0 CONV BURNER: 0 FURN>100K • 0 30-50 HP . 0 SINKS • 1 DRAINS • 0 BBQ • 0 MISC • 0 5+ HP • 0 DISH WASHERS . 0 LAWN SPRINKLERS: 0 GAS DRYER..: 0 AIR HANDLING UNITS FUEL TANKS ELEC WTR HEATERS...: 0 OTHER FIXTURES.: 0 • 0 <=10,000 CFM: 0 ABOVE GROUND: 0 LAUN WSHR OUTLTS...: 0 OGS...: 0 > 10,000 CFM: 0 UNDERGROUND.: 0 • ALL PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS STARTED. RESIDENTIAL AND GRADING PERMITS EXPIRE�YEAR AFTER DATE OF ISSUAN �rr I CERTIFY THAT THE INFORMATION FURNISHED BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND 1PAICABLE CITY OF FEDERAL WAY REQ NTSLIL E MET. . . 44 im, es ow- (r7 OWNER OR AGENT ;I` -LtC• C.)Gt r Dto, • /f 1 I 07- bld_prmt 10/23/92 l 1 i 1410,0D 1cpu.e SET BACKS AND FOOTINGS O.K TO POUR FOUNDATION WALLS PLUMBING GROUNDWORK DATE q-2J'S_3 BY "474Y' DATE y--r� 3 BY "141 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 DATE BY —. DATE — BY DATE —. BY FINAL O.K. TO OCCUP . 'r.,, DCD PSD FD DATE aD c,e. r 6_,70 iZi,CA /4, 4 orrnia- ).2 - ,),) -7 / . III CITY OF FEDERAL WAY BUILDING PERMIT APPLICATION — Please Print— BOX 1 TENANT NAME: OWNER '-`77.1'''/ /.44 A'. ket ' SITE LOCATION •: ',5u-/e- OWNER'S '9'OWNER'S ADDRESS ,cel 079cFLY t_`.5-- • CIITY /t l PHONE 9`716-88S 1 DESCRIBE JOB A/OD61C. V-r j -.- 6 r,6,•Y etc ` A THE PROPERTY IS OWNED BY: SINGLE/MARRIEp PARTNERSHIP CORPORATION BOX 2 CONTRACTOR'S NAME S'r� L T CONTRACTOR'S REG. # Card MUST be presented CONTRACTOR'S ADDRESS CITY PHONE EXPIRATION DATE — 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..i9TPe"A 420.8b-eT w «ccl, / -y 9`f(, -gesv) PHONE-2-)---7-c'.5 O x /60 BOX 4 SEWER DISTRICT ' _r aC� WATER DISTRICT (fez—el..-l' L&t ) -(-_, BOX 5 ESTIMATED PROJECT COST ,mac, EXISTING BUILDING VALUATION /'''4-5,- ��'e' 1 BOX 6 PROPERTY TAX ACCOUNT NUMBER cA & 5-700 -00c,0-- c5 ' LEGAL DESCRIPTION --//e/,"77`= 40Y ,v Maas, ,C3v6.✓,U4 ViS7N 4-3 .gar (If necessary, please submit a separate page with the legal description.) K.C. Plat Recording # i liar 4:,;0 c, BOX 7 BUILDING SQUARE FOOTAGE: (Existing/Proposed) 1ST FLOOR •300 / 2ND FLOOR / c 9--C- 3RD $3RD FLOOR / BASEMENT / DECK / GARAGE / '7S BOX 8 ( ) SINGLE FAMILY ( ) NEW CONSTRUCTION ( ) MULTIFAMILY (NO. OF UNITS = ) ( ) EXISTING STRUCTURE ( ) COMMERCIAL/INDUSTRIAL TOTAL AREA OF PROPERTY SQ FT BOX 9 PLUMBING FIXTURES (including rough-ins) MECHANICAL APPLIANCES — BASIC FEE$ 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 $ OTHER e re.477o,J OF ,eircie&-, 7a ,�'Exl44,.i irk S.;11-//-1 $ TOTAL FIXTURES $ 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 THE ACCURACY OF THE INFORMATION SUPPLIED TO THE CITY AS A PART OF THIS APPLICATION. OWNER/AGENT: ,a `? /i • 64 t- .6<fr DATE: 6c41. /7, /99:,2.. ANP-008 3,90