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Q -no w i l\j d 4 [C ON N k-" ►W m 1 SETBACKS-4 FOOTINGS f ------- Date By 7FOUNDATION: WALLS Date By MPLUMBING GROUNDWOnK Date By 4 SLAB INSULATION Date By 7FOOTING/OOWNSPOUT DRAINS Date By 6 UNDERFLOOR FRAMING Date By 7 SHEAR WALLS..-, Date By 8 PLUMBING ROUGH -IN Date By 9 GAS PIPING Date By 10 MECHANICAL. ROUGH.114 Date By 11 FRAMINO: . Date ] By a 12 INSULATION:.. Date By 13 OWS •IST, AVER a Date BY ct'. r101, 14 GW8 - 2ND LAYER: Date By 15 SUSPENDED CEILING:.. Date By r 16 PLANNING FINAL Date By r 17 PUBLIC WORKS PlNAL... l Date By 18 FIRE: F1Ni1L Date /� '�- By 19 .OU.ILDING FINAL, Date ] By l 20 OTHEA. Date [ i n E l4lev CD0193 (Rev 4197) vW-4 BUILDING DIVISION 33530 First Way South 5 Federal Way, WA 98003 (253) 661-4000 Fax(253) 661-4129 APPLICATION FOR BUILDING PERMIT PLEASE PRINT APPLICATION # I r, Address Tenant (if known) Lot # , sp�e or'sax� Building Owner's Name � Address i_„� � - c� city State zip_Phone Nature of Work Icy i .r Name (F,M,L) Address City State Zip Contact Person Day Phone�;(D I off � Other Phone Fax Cam a e Address City L_, 1 r—/ State Zip Contact Person atd `l& Phone Fa Contractor's # (card must be presentedd)�)-- Expiration Date Verified ❑ Yes ❑ No Name Address City State Zip Contact Person Phone Fax LEGAL DESCRIPTION Permit includes: Existin Use 9 Buildin ❑ Plumbin Proposed Use ❑ Mechanical ❑ Other Type of Work: ❑ esidantial Commercial ❑ New ❑ Addition Remodel ❑ Garage ❑ Number of Units ❑ Shed © Deck ❑ Other Enter 1 st Floor Area Basement sq ft* sq ft 2nd Floor Decks sq ft 3rd Floor sq ft sq ft Garage Ag ft Existing Floor Area Proposed Total Area sq ft so ft Water Availablllt Sewer Avail abili On -Site Septic S ste Availability ❑ Project Valuation $ ') Zonin ` PF Lot Size Existing Bldg Valuation # ;iMU"frz t s R! Contractor Name Address City State Zi Contact Phone Fax Licenso 4 E /ration Date I Verified ❑ Yes ❑ No Contractor Name �{ ' Address .City State Z Contact Phone Fax License 1i Expiration Date Verified ❑ Yes ❑ No Water Closets Sink Urinals Lawn Sprinklers Bathtubs gish Washers Drinking Fountains Other Showers s' Electric Water Heaters Sumps Lavatories Washing Machine Drains Total Fixture tDunt Fuel Type (electric/other)"/Gas MECHANICAL EVALUATION ONLY $ Dryer Air Handling < = 10,000 CFM 15-30 Tons Length of Gas Pipin // Range Air Handlin > = 10.000 CFM 30-50 Tons Furn <100K BT Gas Log Unit Heater 50+ Tons Furn > 100 B s Fans Miscellaneous Fuel Tanks Gas Hwt Hood Boilers Above Ground Conv B rner Duct Work 0-3 Tons Underground BB s Wood Stoves 3-15 Tons Total -Unit Courit DISCLAIMER: 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 attomeys' fees incurred in ' esYigation 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 aris out of a 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. �wnerlAgent• Date: s� BUILD w.Am IF REVISED 6/26/07 o s q �:oO (7) >H O A � 'a o z O 0U z n co tJ ro �z ro; p ti In z to z t� co s; a m S b7 z H z' �. r°�4o � m.. b n .�. sy co � � .. .. .. ..�.� � A •s L V A O A Z 'P tl1 t•d •J A tij F' 'd O ]j a y A p '� � H A. H " � �? �.� �.�• '' ono 0 En 0 o m o ti y n 0 l0 'ij r� 04- H x> t• QL �x �b ,� H� �o D gyQ, ci m p Z o 03 H� 'd 0 ' a 2 _° �_ o ff t-I art •• t' m Z. O te LA) x >x O G1 c p � A ai o � ►� [n N I H H n . 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