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S.IRRmfe" & FOOTINGS iz � z Date By FOUNDATION WALLS ( 0 Date - r' By PLUMB IN G : GROUNDWORK Date By UNDERFL OR FRAMING Date By SHEAR WALLS Date By 7PLVMBING ROUGH -IN Date -/ Z - By' 7=AsPIPING Date - By MECHANICAL ROUGH -IN Dates MECHANICAL (OTHER) Date By FRAMING7 pp �� -1� By 7 �Date SULATION Date o�©I& By GWB - IST LAYER Date _. @y GWB - 2ND LAYER Date By 7SUSPENDED CEILING Date By PLANNING FINAL Date By 7ENGINEERING FINAL Date FIRE FINAL Date By 7BUILDING FINAL �—v 7 " 2 - IV Date fy �II`r/�i d�� 70THER Date By 70THER Date By CDO193 City of ral Way APPLICATION FOR'BUILDING PERMIT PLEASE PRINT SITI LOCATION Address. Tenant (if known) Buildi g Owner Name -ems dr- City State Nature of Work APPLICANT: Name (F,M,L) Address City Contact Person Day Phone Bi1IIDING . C�NTR'i�CTC}R`; , . Camp ame Address ❑x 432-0 I City rF r t_) Contact Person Contractor' # (card must be presented) 206.5 Ait-IMTECT P APPLICATION #: 0 (( 124T _ L C 1, Lot # S Assessor's Tax # d� z3 -bi3 - Address Lo 0. 0� Zip 9,ra IPhonc{�2p�� State Zip Other Phone Fax State Phone Expiration gqate it 1.,Y,2 Zip yS Fax 5i5-A Verified -B—Yes O No Name >� " L x-4 Address City e) V1, State6.,,wc,Zip 't Contact Person Phone Fax LEGAL DESCRIPTION IZi `J/J Please C2MVIete Reverse Side • CD0492 1Rev 4193) LSTRUCI URE Existing Use Proposed Use Permit includes: Building '10-Pmmbing $Mechanical ❑ Other Type of Work: Residential dR-New ❑ Remodel ❑ Number of Units / ❑ Deck ❑ Commercial ❑ Addition 49—Garage ❑ Shed ❑ Other Enter list Floor 2(�E�sq ft 2nd Floor,13 sq ft 3rd Floor sq ft Existing Floor Area `~ems 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 ❑ Project Valuation Zoning Lot Size h LENI]ER Name l'rC) ir�Ct f city MECHANIC L CONTRACTOR Contractor N a 14 City Contact License # Address 3 I5 =A State , Address State Phone Expiration Date PL ..-BING CONTRACTOR_ Contractor Name Address City State Contact Phone License p V,.-5 0, Expiration Date PLUMBING FIXTURE COUNT Water Closets Sinks Urinals -� Bathtubs j Dish Washers I Drinking Fountains --4:;_ Showers J 5 ' Water Heaters Sumps Lavatories �!!57 Washing Machine Drains_ MECHANICAL UNIT CQUNT '. Fuel Type Weetrie/other) Gas Dryer - j Air Handling < = 10,000 CFM Length of Gas Piping Ir ' Range 1 Air Handling > = 10,000 CFM Furn < 1 OOK BTUs 2_1> Xp Gas Log 1 Unit Heater Furn > 100 BTUs ,1Jrt,� Fans Miscellaneous HE / Hood Z Boilers v Burner rBB Duct Work 0-3 Tons 's _ Wood Stoves 3-15 Tons ) SST�p� zip g�y� Zip Fax Verified ❑ Yes ❑ No Zip Fax Verified ,f Yes ❑ No Lawn Sprinklers --�� Other y 15-30 Tons 30-50 Tons 50+ Tons Fuel Tanks Above Ground Underground ISCLAIh1ER: 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 f 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, nd attorneys' fees incurred in investigation and defense of such clalm), which may be made by any person, including the undersigned, and filed against the City of Federal Way, ut only where such clail?17es out of the rr ance of the City, including its officers and employees, upon the accuracy of the information supplied to the City as a part of this pplication, wnarlAgant: L� Date: r I� v r d d � 0 h3 � k �O r f � I I � • L • YM A�dLaU C1 c3 p ! M f 7 � �t o Y I z j� U;. U