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( .� flf "�t�;�: E C�ZC�- t i6CC�t�{� =CIN i T t�i�l�1 c.� ,,� �� �������� �,»��`'# .�.�� �� �� ����� .',t�r�1 �1'c1?� '�t l ; � ��"� ,' ! :i.:;;� i 1 SETBACKS & FOi3TfW�S I Date By I � 2 FpUNDATION WALLS I Date By I 3 PLUMB(NG GROU'NDWORK � Date By � � 4 SLAB INSULATION I Date By I 5 FOOTING/DOWN3POUT DRAINS; I ; I Date By I 6 UNDERFLOOR FRAMtNG ' I Date By I 7 SHEAR WpLLS I Date By � 8 PI.UMBIMG'ROUGH-1N I � Date By I 9 (3A8 PIpINQ � Date By � 10 MECHANICaL ROUGH-IN' I � Date By i 11 FRAMING ; I Date By � 12 INSU LATION I � Date By I __ _. _ 13 GWB - 1ST LAYER � Date By � 14 CiWB -2ND LAYER I � Date By I _ _ _ _ _ _ __ _ _ _ _. 15 SUS.PENDED GEIt�ING I Date By � 16 4�LANNINI3'FINAL ' I Date By I � 17 PUBLIG WORKS FINAL i I Date By � 18 Fi�E FINAL I � Date By I 19 BUILDING FINAL > I Date �j� By _ � 20 OTHE I ;> I Date By I CD0193(Rev M87) �;�:: . .. � _, ;..: ....;: . _ , � .. , . , ,... , ��, ��. , _ ' ' ;�, `� � G.` ' City of I+ederal Way . : �, . � � y � �L�RF71 as �'.�«' �=� :�f ;� �`� �'' - APPLICATION FOR BUILDING PERMIT -` 1 � ?99� : i � . _ . '`�,: - .. _ PLEASE PR/NT .. . � APPL/CAT/ON #: ` ; S�TE LOCATTON !; Address � 4 , . r .� Tena�t (if known) Lot � , � Assessor's Tax� .. Buildinp Owner Name - - Address ,�'J � / �7 City Sta e rP . . .� .... ' . Phone Natur of Work � � � ;' .: ,x . . , ::;.<::;;>::::>::;:,:::»;»:>::;:;::;<::: � ` . APPLICANT > <:>:::::s::»�:::::»:: , .................:.:>. , , : Name (F,M,L) v... _:. . ... ... , .. ,;:; ' ''+ •. •� ,:; . Address � � . . City � .�.� � State �P � Contact erson Day Phone Other Phone ` ��'J!� Fax . �l - ��, �..............:.. � B�E]IGDING CQI�1'.�RACTQR :.:.,:::::.:::::..::: � ,.:.::::.::.:::.... ::::::::.:::::.:.<;.; . ... . . .:..:..:,..;../:::.:..,< / . _ .. . ... ComE►any Namo • ;, � � Addross � . , . ,,: . �.r . . . .. . ....... . . :. ..._ .... . Clty i:.� . . . .� . . ..,. . . .. ..... . St8t0 - . . . . .. . r , Contact Person . • Zp ' Pho�e Fax .� . . ; .; . . ,. , . . �� �° �• Contractor's �`(card must be presented) i -- � Expiradon Date Verified ❑ Yes O No ;: ` . . ;. . .... ;...� ARCHITE(.,T Namo . r � . � ��"J ��.,;�; Address ,J,� L� p ""� , City � - � State Zip Contact Per on Phone .—+'���?�t7 Fax � LEGAL DESCRIPTION � _ �,r• .�, l � �� .. . i P/ease Como%fe Reverse Side CD0402(Rav 410JI ST'RUCTIIIZ�. ing Uso ���¢�������,�. ' ., posed Usa Permit includos: O Building O Plumb ng u Mechenical O Oth � �' ;-ti Type of Work: i Residential ❑ Naw , O Remodei O Number of Units� O Deck • ❑ Commorciol O Addition O Gorago : O Shed•'', ❑ Othor �� i�; ��'� Entar lst Floo� sq ft 2nd Floor eq ft 3rd Floor aq ft Existing Floor Area. aq h ;=�,. Area Basament sq ft Dacka sq ft Garage sq ft Proposed Total Area sq ft -: ' Water Availability ❑ Sewer Availability � On-Sita Septic Syatem Availability O ";.`:::?:'::::proaq�t V�luapoi S s >: �- j Zonine Lot Size E7usp�g Bldg Vn(untion; $ �,�k �:»;� Y:END;:><><:; . . _ . E � R.:::<:>::::`::>::>:::;:;<::::>::>:�>:«`:::�::::>::::<::»::>:�:::�;:�::::;::>:>><:<::<::':::::`:::�:: Name Addresa City State . Zip � ::;:i s::::E:i!;::E>:E#i;>EEf; 14TE.CTTAI�STCAY. CO1V'r�S:�T012:..::::.::::: . . _........................:.:............... Contractor Name Addrass . ,ti:' City Stete Zip Contact Phone . Fax ' License # Expiration Oata Verified O Yes O No ; ; .. � ::::::.<»:.:;�<:::. PLU1�Z[3ING CQNTRACTOit ;::::<:>.;.>;<::;';.:' � _ ....:. . _ . .. . ....... , �'. Contractor Name Address ' City . ' State Zip . ` .. . Contact , ' Phone.. .-�- Fax ' .. . • i:'' . , , Libensa # Expiration Date Varified" O Yea ❑ No ;::.:::>::::...::. , :::::.::::::.;:.:.. . P�.U��NG k'I�TU�i:E�Q�;:;�:::`.;..;:;;::;:: � . __ Water Closets Sinks Urinals Lawn Sprinkle�s Bathtubs Dish Washers Drinking Fountains Other � Showers Elactric Water Heaters Sumps , :;:.;�z>:>:<•>:>: <»>`o��Count•.`•:<z>:�<:::::i:z<:::;:::C::<`.:::::::<:' '>' Lavatories Washine Machina Dreins . . :.�. .;. >7atal;:'Fixt�tc:;;:::: :::::::.:,,:.::.:.:..::,::::::. __... __.. .. . _....... _.... ___ ._ _ ._ ................................................................_........., .......... .........._................................................... ........................................... _._._..................................... ... .. _..__._................ i�1'tECZ�NTCAI:�::UN�'.>COYTNJ`; Fuel Type (electric/other) Gas Dryer Air Handling < = 10,000 CFM 15-30 Tons length � f Gas Piping Range Air Handling > = 10,000 CFM 30-50 Tons Furn <100K BTUs Gas Log Unit Heater 50+ Tons Furn >100 BTUs Fans Miscellaneous Fuel Tanks . Gas Hwt Hood Boilers . Above Ground � . Conv Burner Duct Work 0-3 Tons U�derground '"I>: 'ni':' .au```: Bea's Wood Stoves 3-15 To�s `::To;a.:U....t.:�.....nL:<�>��;�<�»;»»:�:<<zz>;:s;;`;;�<zzi< DISCLAIMER: I certify under penelty of perjury thet the lntormetion turnished by me i�true and correct to the best ot my knowledpa and turtharthet I am suthorized by the owner of the ebove premises to parfortn the work to�which parmit applicationls mado.I(urther aprea to save hsrmlecs the City ot Fedoral Way es to any claim(includinp co�ts,expenset, a�d attornays'tees lncurred ln Investipatlon and detense of tuch claim),which may ba mede by any per�on,I�cludinQ the underslpned,a�d tiled apefn�t tha City of Federal Wey, but anly where such claim erises out of the re�ianca of tho City,includinp its o(ficen snd employee�,upon tha accuncy of tha Infortnation�upplied to the City��a part ot thic epplicetion. ' OwnedApent: � � Deta: �