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Date F _. , ...By ,`���� 6 UNDERFLOOR FRAMING I _ _ _. _ Date F � '"` ,By diS j �� _ _ _ ___ _ 7 SHEAp WALLS , :, Date �..?� ! �: gy 8 PLUMBIPI 'iRC1UGH-!H Date ��� �., L By � � , _y�, _ _ ___ _ 9 C3A5 PIpINd Date �"�; `� By !� 10 MECHANICAL OUGH=IN Date � BY ! / _ __ ____ __ _ _ _ _ _ __ _ _ _ _ _ _ _ _ __ _ _ _ __ _. _ __ __ __ __. _ __ 11 �RAMING > Date < , � BY �/ 12 INSU LATICIP� Date By 13 GWB - 1ST YER �, Date j� � ' By =� 14 C31IU6 -2ND LAYEFi Date By 15 SUSPENDED CEILING Date By 16 PLANNIN(3'FINAL Date By 17 PUBLiG WORICS F1NAL > Date By 18 F1RE FINAi, Date By 19 BUILDING FINAL ' Date ' �— �."- By �� 20 OTHE�i Date By CD0/93(Rev 4/8� r BUILDINO DIVISION: =^ 33530 First Way South`•: � EDEI�ZAl_ Federal Way. WA 98003 V�` � � .� (206) 661-4000 Fax (206) 661-4129 JUN 1 � 19�1�� —1 � '��� c��-Y c� . , . APPLICATION FOR BUILDING PERMIT � , PLEASE PR/NT • APPL/CATION#: �t'� ` ( �3� _. ; ::::: c^ n �������:...... •: � .... ._ .:.;��::<:::' Address 2 3 7 7 J • 28 g 7/�f /'L/�G = Tenant(if known) Lot ? Assessor's Tax# 38 2 0 /-�380 a��.���,G N1•�r�D�� /-fo�7�S //CI G , Address���� 7o U`l�G�M 7� �L U D •J' J A Zi /8 Phone `ld - 2 g �Z� Cit ( State Nature of Work W/l/5 �{/G /U�`�f �jC/ /Vj/ / #�����:?:�»:�::�'>�::;:;::;?�i>?'>:;:i::?;fi:;?;;;:'�:???:?:`;:;:;;:>::;:".:>;<:a�c�:;'i;;:;: .. ...............:..:....:.......: ............. Name (F,M,U �Nr.i �l � ' or� � ING . Address / � l O ��� I / ���� � � L- v�. C� C/ Cit �_l� (� A State � Zi � �[� Contact Person Day Phone Other Phone Fax C206� � I�I� c�.U r�i� 2 4� �� 'z--4-�l I �� z�2..- 4 2 0� B;»::::<:::<:><>�'';:`<E���'I'�':;::::<:�___;:�::>>_�:>::>::<.;..::._...__._;.:::..;.::....:..::.>;...;:: III€.D....G�.._... R�Y�.�R..:::. .... ::.::.:: Company Name ' /�Nl� Address II Cit �� State �� Z �� Contact Person �� Phone �I Fax �I Contractor's �/ (card must be presented) Expiration Date Verified ❑ Yes ❑ No �GHti �.I � � 5 � o -o� --ov , , 'r�;R�TE�T Name ME Address �� • Cit �� State II Zi �� Contact Person �� Phone �� Fax �� LEGAL DESCRIPTION oT 3� N��-re� G � I,�.loo �s , biv T� � ; PleaseLomplete��verse�ide i ! ; , : S�RI}�TUR�.. .: _xisting Use Proposed Use I N G L� �A rr7 f` Permit includes: Buiidin � Plumbin ❑ Mechanical O Other Type of Work: � Residential �New ❑ Remodel ❑ Number ot Units_ ❑ Deck ❑ Commercial O Addition ❑ Gara e ❑ Shed � Other Enter 1 st Floor��sq ft 2nd Floor I�2� 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 '3 s ft Water Availabili Sewer Availabili On-Site Se tic S tem Availabili ❑ Pro�ect Valuation S �.J�8 DOO Zonin Lot Size 72�P � J�• F. Existin Bld Valuation S :��:::::�:;;:�:::::;:::::::::::::::::.:..::::;_:::::�:::::�::�:�::�=�:�:�:`:�:r:=::�:::::��:��::::::: � 2 � �� Name Address K �-f�p,�,< c�c scace Z, �:: <::>:::::-<CffA�`�C��{I:`::,>>'>:;;><>;:>::>;.<`�»>'::;>::::::»::::>::::: �. . Contractor Name Address C� State T� Contact � Phone Fax License # Ex iration Date Verified ❑ Yas ❑ No ;>:::<:::;::::;:::::::>:::::>�:::::: :::>.:...R::<::�>;::>::::>;::><:::`��:<:�:`:::`>: <:>;::>:.>::>:<:::::::>::»::::>:<::»�:»::: .;,.>.. �>PLTJ1LLBgt�:;����T�...:.:::.:::...:............ Contractor Name Address - C� State Z� Coniact Phone Fax ' License # E iradon Date Verified ❑ Yes O No I F�;�mxsi�i�.�����€��' . __ _ _ ____ _ Water Closets �J Sinks Z Urinals Lawn S rinklers Bathtubs Z Dish Washers � Drinkin Fountains Other Showers � Electric Water Heaters Sum s Lavatories Washin Machine Drains Total -rsxtvre Count '�� ����F���T��� MECHANICAL EVALUATION ONLY S 3�, p �o Fuel T e (electric other N• G A 5 Gas D e� Air Handlin < = 10,000 CFM 15-30 Tons Len th of Gas Pi in 7 rJ �-� F• Ran e Air Handlin > = 10,000 CFM 30-50 Tons Furn <lOOK BTUs 63 00o Gas Lo � Unif Heater 50+ Tons Furn >100 BTUs Fans Miscellaneous Fuel Tanks Gas Hwt / Hood Ba��a�s Above Ground Conv Burner Duct Work 0-3 To�s Under round BBQ's Wood Stoves 3-15 Tons Total tlnit Count ]ISCLAIMER: I certify under penalty of perjury that the information furnished by me is trua and correct to the best of my knowledQe, and turther, that I im authorized by the owner of the above premises to perform the work for which permit application is made. I further agrae to save harmless the City of =ederal Way as to any claim (including costs, expenses, end attorneys' fees incurred in investigation and defense of such claim), which may be made by iny person, including the undersigned, and filed against the City of Federal Way, but only where such claim arises out of the relianca of the City, ncluding its officers end employaes, upon the accuracy of the information supplied to the City es a part of this epplication. 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