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T.:J �)f;t�f=r� 6'�Ft:l•-t��.CiiS =0N 1.IW2�3d 1.t�M �1t��t3tX ;l.f .�![:) �,.1_I�? 1 SETBACKS & FOOTINGS � Date By 2 FOUNDATION WALLS Date By _ _ _ _.. _ _ _ _ __ __ ..... .... __ .._._. __ _ _ _ ___ .. _. _ _ __ _ _ _ __ _ _ 3 PLUMBtNG L3ftOUINDWORi� Date By _ _ _ .......__ _ _ _ __ _....__ _ _ _ _ _ _ ......._ _ _ _ _ _ 4 Si.AB INSULATI4N Date By 5 FOOTING/DOWPJSPOUT DRAINS Date By _ __ ___ _ _ _ ___ __ _ __ _ _ _ _ _..__ _ _ ...... _ __ _ __. _ _ _ .... ___ _ _ 6 UND�RFLCJOR �RAMING. Date By 7 SHEAp WALLS Date By 8 PLUMBING ROUGH�ti�i ' Date By _ ___ _ _ _ __ _ __ _ .._ _ _ _ __ _ __ _ ... _ __ _ 9 CCi�i� F�IpINQ Date By 10 MECHANICAL ROUGH-IN Date By __ _ _ .....__ _ _ _ __ __ __ ___ _ ........__ _ _ 11 FRAMING ' Date By 12 INSU LATION Date By 13 GWB - iST LAYER Date By 14 6W6 -2ND LAYEFt Date By _ _ _ _ _ _ _. __ ._ __ _ _ _ . _. _ _ _ _ _ _ __ .. . _ _ . __ _ __... .. 15 SUSPENDED CEILIIVG > Date By 16 PLANNIN(3 FINAL��'� Date By 17 PUBLIC WORKS F1NAL Date By 18 FtR� �INAL, Date By 19 BUILDING FINAt ; Date 7�� . , gY_ _ � `.,. . _ _ _ __ _ _ _ 20 QTHER Date By CD0193(Rev 4/8� BUII,DING DMSION � G 33530 First Way South -�� �ET�L Federal Way,WA 98003 ���� D�'� (253)661-4000 ��,�.,,.� V �Fax(253)661-4129 ��'e°s_ ,uN '► p�999 ���Y �Fr����-;���PLICATION FOR [�UILDING PERMIT �u►�.oiN�p� o PLEASEPR/NT APPLICATION # ��U;���1 � �_7�)��� :':>> g• . � rte address G. 5 ���':�::���`�'�>"'>:>;:<';>;;'<:;::::>�`:<::::<:::<::':`>:':::>:<��:`:<:>::::<>::::::::>:::::>;��::::;.��. � ����r��a.n�.:....:..:..:::::::::::::: .: :....:.....::.::::. q � P Tenant name /� T � J�i� Lot# Assessor's Tax # �/ C1 � I �l� -'�, Building Owner's Name Address � L� — % ' ��i��` '�- (� � � Cit C �I`'�� l.tJ�l State (�/ Z � �C�3 Phone✓ti,S�'—g�� � 2(?L Descri tion of Work (�� .................................................................... ::��.�.�:I�i'*�.�':�k.���:���>:<:::><:<::::�::;;;:;;::;:�::<:::::::>:::�::::>:'::::::::::::;;;::�:::::>::;::::::::::::>::::::::::::::: . . .t'f.l Y�.................:............................................ ....................... .............................................................. Name (F,M,L) Address Cit State Zi Contact Person Day Phone Other Phone Fax �:'��.�����{:iE:::i�i��`�:�>::::i:::::�:::;:;:�'�����:�:::>::i�:�:>::>::::>::>i::::i::::::::::::::::>::::::: � fl # F��#.��;f3A.::::::::::.::::::::::::::::.. Federal Wa Business Lice se Company Name - f1 � / --+r� ' L G /�'..� Address 1 ' � j Cit Stat �1�^ 7�" ��- Contact Person P ne �� Fax �- _ �,L-�?�� :� Contractor's # (caid must be presentedl Expiration Date Verified ❑ Yes ❑ No AR�H�`E >::::`<':<`>;:`::;;:<':«>:::>::»::>::::>::::::>?:>:::::::;:::::::>::::::::>::::>::::>::: �'.............................................................. Name Address Cit State Zi Contact Person Phone Fax LEGAL DESCRIPTION Please Comv/ete Reverse Side 'S�Rfj�:�(3� ' j ;:::::::: Existing Use Proposed Use Permit includes: ❑ Buildin ❑ Plumbin ❑ Mechanical ❑ Other Type of Work: ❑ Residential ❑ New ❑ Remodel ❑ #of bedraoms ❑ Deck ❑ Commercial ❑ Addition � Re air ❑ Gara e ❑ Shed . Enter 1 st Floor sq ft 2nd Floor sq ft 3rd Floor sq ft Existing Floor Area sq ft Area Basement s ft Decks s ft Gara e s ft Pro osed Total Area s ft Water Availabilit ❑ Sewer Availabilit ❑ On-Site Se tic S stem Availabilit ❑ Pro'ect Valuation S !. ' � �1 V Zonin Lot Size Existin Bld Valuation S '#:ENDE:<:?>:':>:::::: ::::::::>?`:i<':<;::?:':<:::>�^>:<::�;:':::;:;:;?:_s»#>:::E>:::::::':;?<':;:<:>::#»::;:: �..::.::.::.:::::..:::::::::::.::::::::.:.:.:::.;;:.;:<.;:.;;;:.:.;:.;;;:.::;:.: For new residentia/on/y - Proposed sellin cost: S Name Address Cit �� State Zi M�GHANI�1#� Ct)NT�fECTC}R Contractor Name Address Cit State Zi Contact Phone Fax License # Ex � tion Date Verified ❑ Yes ❑ No r l R:;U>::>:c::;;:::; / l.. .111I F3 ' fl� ':?` �a..��:i»»>::::::>:?;>:' :>:;p:::::>::::::::::::::>::::>:>::::::::?:`::::::::< �51T�C�;�7R::.:::::::::::::::::::::::::. / Contractor Name Address Cit � State Zi Contact / Phone Fax Lice'ise # Ex iration Date Verified ❑ Yes ❑ No ;::i:i::::: '::'<>:::>�::;::;:>:<::::::>:::::::t;>:�z:>:`>::>::>:::>::>:;;:';;::<::>::::>::»:>:>:::;<::�3::::>:::?>::::>::::>:i:i:>' . :f'�'sUAll:k3il�G;::FIX`�RE:::Cf�E��l�'::::::::<:::::>�::::>::<:::::»::>:::: Water Closets Si�ks Urinais Lawn S rinklers Bathtubs Dish W hers Drinkin Fountains Other Showers Ele ic Water Heaters Sum s _ _______ .. __........ . __..... ._...... ._................................. __ ._ _ _.... ....................._.......... Lavatories ashin Machine Drains TbYal>��xture;;Count.;i ��`'::`;.`.:<;<.;::>:;>':_;::;:: ;:>:::::>::;>s;;::>:::z'::::::>:::>�;`:><::>�'::»:::::>�':>;;<::::>::::>::> �1;€1�1N.I:G#t�.:l:�l1�t�":GOt�NT.;:.;:.;:.;::::.;:.;:.::::.:.:... MECHANICAL EVALUATION ONLY S Fuel T e ( as/electric/other) Gas Dr er Air Handlin < = 10,000 CFM 15-30 Tons Len th of Gas Pi in Ran e Air Handlin > = 10,000 CFM 30-50 Tons Furn <100K BTUs Gas Lo Unit Heater 50+ Tons Furn >100 BTUs Fans Miscellaneous Fuel Tanks Gas Hwt Hood Boilers Above Ground Conv Burner Duct Work 0-3 Tons Under round � BBQ�S Wood Stoves 3-15 Tons Totaf'Unit Couni DISCLAIM ER: I certify under penalty of perjury that the infortnation fumished 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 pe�mit application is made.I further agree to save hamiless the City of Federal Way as to any claim(including costs,e�cpenses,and attomeys'fees incurred in investigation and defense of such claim),which may be made by any person,including the undersigned,and filed against lhe City of Federal Way,but only where such claim arises out of the reliance of the city,including its ofiicers and employees,upon the accuracy of the infortnation supplied to the city as a part of this application. L� ' Owner/Agent: L�Y�� � Date: � �G� � �ouaort+c.nar C7/��{ 1 � / (�/y� Rcvs[o5/l0/�J9 `.'l��/[ I�_ ��L����