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'_-;'� : gy S<� 6 UND�RFLOOR FRAMING:: Date By ,�� 7 SHEAR WALLS ' �v:r�� ��. r� /—�/—�� S Date —�O�-(� By_ /.,(,—C� S5 8 PI.UMBING"ROUGH Il�I Date/3/—� By 55 9 6p5 pIpWQ Date — —pd BY S S 10 MEGHANICAL ROUGH-IN'' Date�—,3/ -oa By j� 11 FRAMING ' _ Date � —Ov BY.SS �: INSU LATION Date —/6-�''� BY ,SS 13 GW B - 1 ST LAYEA Date..,.`-�(�j�� � By ��� 14 (3VN6 -2ND LAYER Date By 15 SUSPENDED CEILING Date By 16 PLANNINE3 �INAL. Date By 17 PUBLIG WORKS FiNAL ;s Date By 18 FlRE FINAL, Date By 19 BUILDING''FINAL ' j<k _ ,{ ,;�� ,�' d�.. , �,`-� Date By ____ __ 20 QTHEEi Date By CD0183(Rev 4/9� � J� BUILDINa DIVISION. •�`��= v b �S� a �'' 33530 First Way South�. E�E J-Z F�L l I. Fe dera i Way, W A 9 8 0 0 3 uv �v :�����`��r ..:�_ � : �Zos� ss�-4000 Fax (206) 661-4129 ���' � � 9qq:; APPLICATION FOR BL#1t�ING PERMIT PLEASE PR/NT • APPL/CAT/ON#: L�L_./�r � S�T�+ L�Q,�T7O�T Address Z�S D .J . 2 8 T!-� Tenant (if known) Lot � /� Assessor's Tax # 32 0 - O 50 Buiiding Owner's Name Address SC ,vE/ E /�/ �0 5/C� � u C�l�l E2 �L VD Cit G (� State .�f Zi q� �8 � Phone 20 Z g - / Nature of Work Co/./S �L/C � �1NGC.E. /� L ,E,s/Qt G� :: .. .. -� :::..:;�.;::::::::.:.::::.. �PP���T . :: ::::;::::::::::::: Name (F,M,U � , r� �I �. o r�► �. I N � Address � � �O ���� I ��� I � � � ��, Cit �_1..� (�f A State � Z'i g �C� Contact Person Day Phone Other Phone Fax �Z�G� A I�-IG G�'•L.I �l I� O 2 48 -- 2 4-� I " Z�}2— q--2 D� g : � [II€.DII�G:. f��`I1Rlk`:::<.:-..;>::>:'>:::>;":'::�:�:::::::::�::>::><;�:»::>:: _ _ C. __..........�'�3R::.:..:::::.:�:.,.::::. Company Name /�M� Address �� Cit �� State �� Z �� Contact Person �� Phone �� Fax �I Cont�actor's # (card must be presented) Expiration Date Verified ❑ Yes ❑ No �GNi.1 �l � � S � 03 o Oo ,,�';;<:>: i.lt�'I' ���T>'»'�>:::::�::>;:�:�<>�:::>'<>:::����:�'�:�>::><::>::::::'::::«�;:;:<:_�:;�:;' __ .. ......... ........ .......:... Name � � �M Address (1 • Ci �� State �� Zi �� Contact Person Phone t� Fax 1� MP•2lL-- Gp.UDIN 1 IEGAL DESCRIPTION / / � / / t /S - /--� f�'E�17-i4�E !�/o�v-S �-� fr1�1�. � Please�Cnmplete�e�cers�Slde � /— �o ased use � usa - 'stin P w A N /"-' S N / A G E � " L t ���R'�::»>:>::;��::;<:::;:;:`::<':>:<:`<:::>':::>::::��>««:::>��;::�::::::�:;;.::. »>:::<>:»�;:>:<:>::>:::<:: ;...:.....:..:.:..... ;S 7'Rll��.t l...�........................................................ Permit includes• uildin ❑ Plurhbin ❑ Mechanical O Other , , Type of Work: � Residential � New O Remodel O Number of Units_ ❑ Deck ❑ Commercial ❑ Addition Gara e ❑ Shed 0 Other Enter 1 st Floor 179 Q sq h 2nd Floor 3q 3 sq ft 3rd Floor sq ft Existing Floor Area sq h Area Basement s ft Decks s ft Gare e s ft Pro osed Total Area s ft Water Availabili Sewer Aveilabilit OrrSite Se tic S tem Availabili � Pro'ect Valuation S 2�7�j DOL� Zonin Lot Size Pj S• Existin Bld Valuation S : ��. ; ;. ': Name Address t�'!3R ti.!dc c�c scace zr ;;=,.,c�ic���ci�ri���:>>::::�;<:::'�:::::::;: � Contractor Name Address �� State Z� Contact � Phone Fax License # Ex iratio�Date Verified ❑ Yes ❑ No ................................................................. ...................................................................... ............. .......................................................................................... .................................................................................... !P��TJMBIl�,"<_<';:;.`.�7:€�;_::",.,>_:.;;;::... .:::::::::::::::.�._::. _ .. ....._.. . �..�.............�T.��?A'.:.;>:::>:::::::::::::::::�:r::`::�:::: Contractor Name Address �� State Tr Contact Phone Fax License # Ex iration Date Verified O Yes ❑ No '::1:>?:::p:::::?�:<:`;�;:::.�s:�;::z>y:s>�::>7:<n:::>:::>�Y:::+:>7:r:;.�:1::y:>:::t:>::::>:<::<:>::::>;:;>::>.:::::>:;;;<:::;>::;.::.z;:::::;::::::���::::::;:>:: . .:�I'�i:/V1rLf��27XX:A.JC#f�[�:.���� .....:::::::�: .. .. .. _. ._... ... ......._ ... .. .. .. .. Water Closets 3 Sinks 2- Urinals Lawn S rinklers Bathtubs Dish Washers � Drinkin Fountains Other Showers Electric Water Heaters Sum s Lavatories Washin Machine Drains Total.�xtura Counf. .�> 00 `` :`` ':""`:':;:.";,: _ _, �; MECHANICAL EVALUATION ONLY S Z850 — .:.::...::.. 1kIECHANT�AL,:V�T;���i:'�,.:::.:,..::,.,.:»:":: Fuel T e (electric/ iher �/�/.GAS Gas D er Air Handlin < = 10,000 CFM 15-30 Tons Len th of Gas Pi in 7'Jr L.� Ran e Air Handlin > = 10,000 CFM 30-50 Tons Furn <100K BTUs G17 Gas Lo � UniY Heater 50+ Tons Furn �100 BTUs Fans Miscellaneous Fuel Tanks Gas Hwt Hood � Bai�ers Above Ground Conv 8urner Duct Work 0-3 Tons Under round 8BQ's Wood Stoves 3-15 Tons Total Unit Caurit �ISCLAIMER: I certify under penelty of perjury that the information furnished by me is true and correct to the best of my knowledge, and further, that I �m authorized by the owner of the above premises to perform the work for which permit application is made.1 further agrae to save harmless the Ciry of =ederal Wey as to any claim (including costs, expenses, and attorneys' fees incurred i�investigation end defense of such claim), which may ba made by iny person, i�cluding the undersigned, and filed against the City of federal Way, but only where such claim arises out of the reliance of the City, ncluding its officers and employees, upon the accuracy of the information supplied to the City as a part of this application. '_1 Jwner/Agent: Date: ,�,�o�..c.nn n.�.�o ro]tNu