Loading...
99-100247 JldO�31i� --� � -- ,�� �� .� ___. ___ _ __ . i�Q --_ F -- :�a�a bo a��yo '!3N 38 1�i94 5LN3fi3�ifit�3� ddi9 1d83Q3� 30 AlI3 31Hd)Ildd� 3N1 QNtl 39Q31NON] Alt �0 1S3H 3H1 O1 1)3880� QNd 3081 SI 'IN� kOlt�fdNO�HI 3iil l�Hl AjIl83� I '3�NdOSSI j0 31aQ 831.id 8tl3A 3M0 38IdX3 S1Ip83d 9NIQd89 QAtl 1dIlN3QIS38 `Q318@1S SI � 0�1 �� 3?!la(15SI �31�d SAHQ U8I 38IdX3 S1Iq83d �_�__��___��_��__==_=__�=_____=_=_=���__=_-:-----_�_�_��=_=__��,��__=__.=__:.-�_,��=:�__�W=-====-------------------------:�_�::---�_:_:_-_,�.,-,_=_==____-.--:_=_�:-:�::�_W=���:=__=__=____::;_-1 ___ -- � - �.________________.._-___ _ E 0 �"QN�Oa9�3QN(1 � �WjJ D00`OT < I �"'S901 Sd9 ( T �"'Sil!(10 �NSM N(ldl � Q �QNf10�� 3A06� 0 �W�J 000`OT=> I �"""'39Nd� � 0 �'S3�(i1XI� a3N10 0 �"`S�31d3N alM J313 ` ---------S�NdI 13f1j SlIN(1 9NI1QNdH aId 0 �"�3daQ Sd9 j 0 �Sa31�iNIadS NMdI T • """S�3HSdM HSIQ � 0 � ""'NO1 +OS p ••'••�•�•�SIW � .dg$ � :• ........ 0 :.........SNI��Q l :.............. . S�NIS 0 �"'NOl OS-0£ 0 �"""�OOI<N�flj 0 �N3Naflfi ANO) � 4 F 0 �"'SN3�d3b8 Jdh 7 �""""'S3Ia01dAd1 � 0 �""NOl OE-ST 0 �""53AOlS QOOM I �""1MH Stl9 � � .........SdW(iS � , ...........Sa3MOHS � p . ...NO1 ST-E ... : " •• 0 .. 'k�Oh} l�f1Q I �"�OOT>N��, � � 6 0 �'1N�0� 9NI�NIaQ Z �"""""S8(11 HItlB � 0 �""'NOl �-0 I 8L'il7S $ S33j 1tl101 � _0 �""""S1dNI�(i E �"""S13SO1J a31dM � Sa0SS3adWOJ/SN31IOfl S � �QOOH �� SL �'9NIdId ; � - ........... $ �J3H) Ndld 9NI&Wflid ' �Ndj d Sd9�'S3d1�1 13(lj � � 01'�9 ---- ---------------------- _--_----�---- - - - ------ - ------- -----_____���:��__�=__�-------- ----===---------===-==--=--��_.-__.:____=_-��-_-_-_�:_:.�_=:=====_�:�=,=�_-_�__�___-� � 00'8b �._.___ _ $ xE6""1XI� 9NI6Wfild � N�'dStl3ad 3AIlISN3S �S tib7l �3�dj�(1S ha3dWI S: :�� f 00'Z88Z $ 86 (a�S) I�ddWI NJS f BSS� �0 �1I01 �0 �0 �� :0 S Z'E 8 $ 3 3� l I W a 3 d H�3 W � b6/€I/I0�'Q3AI3�3� fS�S Z S �0 �'�tl 9 ------------Q y 0 1 1 N d d l 1 7�0 � � �dl�"3JIAa3S a3M35 3f�00'S �'���������ad�a � OS'fi $ �.....39�dHJU�S ��HS 3s:p :p ��iJ3C � d� �� NS� NS� ; �dl�"3JIhb3S a31dM �� 00'S �""""""3QIS = BOE09I -$"'dU�d �5�0 �0 �1WS6 -----NOIlJfiN15NOJ �0 3dA1 � SE'SEET $ �....lIW�3d 9NIG1I(18 ' �# OC'Ol :�..... ...iNDN�' ' 0 00'0 $ �...�J3HJ Ndld 1dNij wdE Q �....MOi� �bi.� - -----5)'J�BI3S Q3�I(103� � :SIX3 �5�0 �0 ��H10 � d� �� T(l� £a: � � -------A+OIid�11dr1 }s:p :p �•Q�E ----------df10�9 A�Nddfi)�0 4 � 00'Ob $ 86'(jS) ��ld SXM 81d ��"'SS�I� Q�dIdH , � 8b'L98 $ 33� ��3H� Ndld '�•�••••• �} afl �Z ����"1N9I3N ;s��gL �0 �'QNZ iOT�""'1�aG931dJ Sf1SN3) € � , c. cS�3�XNI'�dS Z �"9NI��dd Q3�iA03� R Z •".`....S3I�OiS }s:bhi� �0 �'1Si S3N�3Sfi M3N��HOM .i6 3d�1 � ; �S33j � QHjS:.........N�id dWG� ; i S1IN(l �fiI�13�iQ dvad--1SIX3--til� X��WId X���3k! X��Q1H ; . :������_�_���-�=�--_====__________________� . --- ^ --------------__�._=�__�,==-__=��_�=_=_=_�__«=_=====ww�W::-==�::_===��=:�_:-_:_._:�-:..�__:---:--_-_---------:------------------------ _------------------------�_��=j xx: �9'8 = 31d8 Xdl 'AdM 1d83Q3� �0 AlI� 3H1 MINIIN S1�3f08d 80� X�1 S31dS 9NI1�10;��H A3HR Z�Li 3�0� NOilb�01 3S(1 3Sd31d `S�Ol)dN1R0� :xt ����-----------------____-----------_______------------------------w------------------------------- ----------------_.._._�_.______�___..___.._..----------------�--_..__.._______..____________-----_____... � -� __,:.- _,._.-::Ww��.�.�...__..�������_: � � BdS��xI3MHJS � _____w_��=W�.-��___��e___=--_�___._ � � ItiZ-8hl-90Z ; IL7Z-8'Jl/90 } � # ; 88T86 dM d1IM�(11 ` 88i86 dM d1IMA(1, � � Qhlfl a31N3JH1flOS OtS9 � QA18 a31N3JH1f10S OtSs �' _ �Nd8A3� _�JNI S3WOH a3QI3NN�S � _�_��=__=��:__�_�__=____=_=_�_���_:�W_=�_�===_= � JNI S3WOH a3QI3MH�� �3QN31 =-=�w_����ti____________________________Mw_���� �O1Jda1N0� _�-��_���-_:�-���:_==-______=_______�,���_-_--------- ____.__--- a3NMu 9T/Z SQOOM 39d1�'�' 1tl�INdHJ3W QNb �NIHWfIId N1IM jSN�NOIJ_d I2:1�S�CC .����'C;;i : C);�`�0--�809Z� ; " �i�� 'i 1� I-i1�7�3Z S ZL��=SS�t�CICT��j 66/S�/8f] �S��JIdX7 �.� �J.€f 0�7�1:�7� T99-��� ����n��� I r��r/� /� uc�r�.�ad:�u , �t. �' c Q� M ���99 �'�;: , Z, 4,C7 �CI"i(l�Sr ]" �T.;�TTn ; `7'i�i�-bb:I-i� C9�',i i I W�13 d �:, ��� �'�w���';;'.�,,.,,�' +�;t� �,..a!!'�� ,.p, �, � � .., �,,,,,���;,•.�, w t.!`.�j rt O� �t� `/�Oj'i T��..,i��`� . , � � `� : ..1 �7 fi ,�..:�. ��, : �� Lh�o�/�bb a � � - �AdO�a�31� t �?�' � � `_ : ,/�.. ,� :,- � � - .._ ._ __, . ._. . _ ___ _ .. � / ;. _ .__.. _. ._. _ __.___�. f_.�_ ;,�" 31��t1 " � �r �.........�:�; .��-� ` �`—� j :, �,r,�., r.-/ / � . ...� .d� ,• } J� .�f' . , "tli! � irl! ►�N���If1���1 A�il T41���� :#t ilt[1 3�1I1d�4! 3�1 �1W 3��1�� � :iQ LSI� 3N! fll .1����'r� � �t z[ .�ii-���I�i�i�ii'�f1iI�1�D:llfI �k l�y: ^ '3�1�5t !t! 31thi �3f�i� �M.11! � 3�Id�3 51�l�t3d �4tit�� �NN itlIl�:�lS�� '�i#.�SS SI ,�Y[1N ON !I 3�l�'t,�si x�l.� ��tilQ �� �,�; ; , ,:m ; ' ram�rnrrCea�ccam;e.. .�,�-ro:r,nxcu•s.mss:Maar��•mssaas���urrn: w�..,.:,�..wyan..e«a...u:;��.��.. .w.....r,u,:<..sye_.r�....,..�r.,��scs:ex:.,.::::..._.��_..x:Waa:x.r..�....:.:..s�..-�..��c..,.,s...r;��;,',.y_:..�_.� ..,r:� ._.,..�•.^a�r._:c�n-:;r,n.�v-.v.:�.; ..,.....:.�..... h.,..u��,:.:r«:s:,, _. �-- � � � t� •'!Ittt1i�19�:�Qt1A � �4f�J 000`OI < Z . � , . , 4 ��� , - __ . j �...cl11(iU 2iHS�f Hi1N1 E3 �t�N1'1��9,3�4�H 0 �kl3 O�1t3`OI=:; t �•...-'3`f�4HtS 0 =`S3i�i'ii;r I� �J3H10 iJ ;. "y�3t�t7N �1D4 J3�13 . -..__._--��#�.�3�! ��INii 7�114MH11 �I� G ;..�311�{Q �b`? . � � t? �5�31;1k1i��Jd� N�ttli � , ,`....��3H5HA ti51Q (1 , ....�(al �t�5 0 . . .......�ST61 � , .......t�fl , � .. ...;�il�k�l � . ........... .a�fNlS 0 , ..NOt Q�-�� Q , ...,�ObI<t�ati.i 0 ��3Nilffl3 ANO) s - ' n �...S�3�b3;;8 JNh � ;.......".53INC�l�A�1 Q ;...t101 t3�-Sl Q ;...i3�1a1S tl0UP4 i �...,L� :�fn 0 ......•. Sd#Jfl`a' I , ...... S�3MUN5 � fi , .•.Wt}1 ST-E 0 , ..•.y�t�M 1.1AfM T • '�UOi��ldfli . 0 •'lNAt=.� !?NT`�Nia� : , .........a�ifll Mi'�fl �1 - ...,MaI �•0 � , .....,...QQON �� SI •'9NIdlcl . ;F Ei''!i,'ir, � 53�:! 1NlOt 0 ;.....,..Sitf�lt'�(i E ;... 513501:� ��l�M yNOS53�di10=�5t131I(�9 � ; .........SNtl� � 5H9<'S3dd! 1 OG'£'f � �)3N:; 61d1d `1NiAt�fltd .��:�,���-,__���a:. ._��.:�:��--2:���z���;>,��-�,s-�R.�-�z�:�9�s�,.s_.� �_�..�,�.___u,:.�__.�r._�.��r.. _,._: ,,.e�_.x��y��xs ��x�.:.� ..�..��a�:�a�,.W��>�x��r�r� :r.-� 0�'8b $ �fib"...litii 9NI�Nflld N�'i.Stl3Nk� )�l�lISH35 #S ?b�Z :i?��afiy A�116N1 �4��SSZ �� .11tli �G .p :q :0 . Q4'�8SZ 3 $o (�3S) Il�d1�tl H�5 56���/tU�"4i3F1i�"?3� �i�;4uS :Q :'ay� _____..___--u�o� �wy�r���:�� � �v'£8 $ 33! i.;it��d N:i3�t ��fl:.•3�IA�i�S 8�M3� ����.5 �.....�....bN3d #��U =t� =�31EI � i� �� tf�� idS� ! QS.�' � 4,,...3JH�li)r1�1� i)d5 ���:..3Jtt�i17S `r13tbM 11 �p0 � ' 3�i1`� � 60�t1`�t �.' ,l�l3d �'� �� E� tli��t � .__N�II:i(1�15MU� t6 3d�,! � 5£'iGF.'T � #....114�k{3Q :���1��,,, . ��u��°�Y��l� (�,. �1�4�.t;; � � r i:';i �3 s� ��,,, Q�,�,-������ . ,,: G� riE� E1i: � ' � � Un�U � �,..x���a N�d `i��� � � ��z. � r.;. �, ,,,t� � � - '°�:f��;�����.�� �^�a ��� ��.���,� ����� ��� . U ��..r��,��� __._..__.._d���5 ,a��dr��� � Qq'tlG $ $b'{�a) X31�} S�M �Ad �� .. ."< �.�;) �4,�t, �,�, ���., � ; �- � �����►•u7 ..< � � , �,a 1�f`F��N -� �}� ��� � .�t � �;;�Nu tqT:.....A�9�34�? yi13tl�7 Bb'c�+$ b 33.t ,''1�3N� N�+l�i . �;,,. .�;.�:�������N+�,� .���n,� ��lM��'iiUtf�����tT��� ��,�..«.� �;I�t�J.'-� }y o-,;.,;, "fl�. :'!3I S3��3S�) M�f���2ttifl .�U 36A1 � ': ;�i3j QH�S... iib id �:t � t ���N�, �t�,������: ���r��Q ���i;�3--�1i k 6��� k�<.�3N X v+118 � � ..Am....'"�:.�..Mda�str!'.r..T . ..�2�. :::cx.:.,:.^^:rs.,. :.'Yr�,�._�:sr�:..;irtcr..r�.r: ..�.... :.:aC3r.cm:ln ... ......:±.-.xx:�.:�:nrsx,..s:tlr,_•-;�.�_ .'..,,.,__:r',_ ..r . -� . . ' ' ' •xt^.,..:..•.�!�crtr.if:r!x!'.^�:Rc._c'xmz:m:x.�-� .,. ...._:�:a.. ..z .. ..,.x::sA.�t.cmxc.�ve.es�'x.F-n�� ttt �4'8 = ilt9� �f�! 'dVl1 74f�A3�l .iti Alta :�Il RI�1�N 51�3Cp� illli Jt1!! S��tS `.3�D11�l1�1� �� Z�'ti �lti �tita,itl# �5t1��ii `S2�tl.n1}�IN�D' �.t� cac�. ...�,.; ...� � r... .;r:e .�t._:.�.:�., ...-..:.. .s.:r.-:.:..-:_..,.. .;:......,.en.ni�. ...c�:,._. n:....:r.,�- .aa .........-.-f. .-v.._,.. .. ._. �w.,3- �..x..._ , x;�»,.. ..k� ra6!'t:;.a�»s.+x--w_ . _..... ,r.n.n....._ .rx��.xr.�.a.r�aaxure..se� . - , ,.,-.._ ...�� .} ,,.. ,.. ._. ....� _.....�_„ .M_ ...�,m�:�-� ,.,. .�?��i@'y�-"� ., .... ,_ -.. .. . ... , . f ��������' � � IC7Z��9!'ti-9�1Z t19Z��i' ' � B�IBb tl�l V1IA�(!1 $Rt86 at9 b tTAlt� a3IN1'�I�lfl�?5 OYS9 +7Ci17 lI:11N3�Nlii(� �N�I�t3Y �HI S3K�N tl3�t�NN;I� 7t1i S3IION �3t�S �. ��� ,7{�7 (� y� ydi ��W(tJ 1 z�..aaafa�:mettm:vwnaeaX�ce;uaiu..prov:�sr..star..:xme:a:2x�apxa.—..xxr.s:a:_x��� ilV f 1tJC,l11oY� a� .r.ziaueSrt�;:a^.urr.e�raan+.��.� :...er.��s^c-x,sr:•s.-r: ._s::..:a^:^.w�^,^.x:r.a�rax-,czc• ���1'�(` -;� . ,.,.a.rt:x„-.-... ._.�c_.;:r:... -:.;.�... ...r.:t:ea3�tC. ....�.�«r,..:::.i:r � O 1JV L�1 � 7`L'4 JULR'fl ��+� .'. 7b�INt►NJ34! aklH 5i�I8W{lld HIIM iSM=hJl�7 Laf I���i;�w���3(.7 ' � . �y�.��:ft �t.€3i�i`;�' 1 :� !l.1�;<�;<.'. "a ,'r i;:�� - � . / , r.- v`,:vt.�/ �'res•/ i:,S�_;� .., :�'t'�l.(:�;1:� � . . . � � e y� . . t f ry �y- t� t�HI(l>- {�'-. ' , . . .`�:.i ^r�..t'1 . . . � (�{'�l.l.... F.��� [..�'it�.. .a'.}'.,a:.)���,:t'1�� �M[,i��.� .�-�Ji:i��:��:ti���_ f�)� �h' i.. ���li (.l��W�;,{� "�tA� `'fl����j ; ` + ..,. 1 . . f r9.> I-r . . 1`t f��a� . �.; �::�-� .c� s,��:��,r ��� ,� ���"�;��� �"�� �"�T��"� ����r-�4�;; ��::.� +�;_, � . �.. T���.� � , !tTtl�l..�',h�t� t�t =�11�1 � 1:W�i;�6 �t:':l i�',; ';�i`; � � � � d � _ � � 8 U . �.� � � � � � 1 � l'�'> � 0 i \ ` \� �_ � � � � - _ �� \ � `�\ .. �` !' . .. .. . : 1` . :\N : �. ' :: : ' '- _ ::: Z __. : �.: :' :' : �� :. . \ � T -�. >+ �,': >+ : >+ � >+ : . >+ ��. >+ �� �+ �: >. � >. >+ : �: >. ��. ?� :� �+ : �. �.� T �+ .�. >. ��: �+ ': �. �. m '. m �, m '. m � m ���_ m ' m � m � m Z. m m � m ' m I m i m '� m ���, m �. m '. m : m Q � z' tA � �+' a ,g; ; � _, �+y, Q Q a,�� �; p vai �- 'aac' �a �' � o ' e�. I w. �', -'' � '� _, LL- � , o � z � �- y a. � ; cc ► c,.. >. � �; z' � (�� a � Z, ti � Q � � J �' � � ..t � cr� g ' V '� Q: ty � Z O �_� � O , � . � ` v, _ � � c o a , � � � � o w' c� w ° ;,�, � " �' d . z Z � �', u`'. 3 :�,� � � a, z' Z l ~' �' ?' z', � � �Z' z Q o m - z a � , m, n,, , �t, � ,�', t/j . � �, z '�-� u, o ' nc' � m z � m F- � st '� _ � m ap m a m Z m � m ,ut m -� m = m � m � m � � Q m p m ,� m � m � m yj' m V m a m � m m � .a � w' �� �' o a' o F'i� o <<�i. � � o ai' � a' o �' o �' o � o �' o �:' � t�7 o e�i� o a' o a o �' o m' o �:' o N C7 � tn c0 f� a0 W � � N c'7 �t tn c0 f� a0 O> O - r r T T N n� \ BUII.DING DIVISION �� �— � ��'Ant/ r � - � ��. '`"""'�"�" 33530 First Wa South D y o E[]��j_ �` `�V1�' Fcdcral Way,WA 9S003 uv �Y V (20�661-d000 t�;;. = Faa(206)661-4129c r-�5�., � �e`:�'.;��<<r �:', � , APPLICATION FOR BUILDiNG PERMIT LE.4SE PR/NT APPUCATION # 6 i ��� �.aGATCQN. � Address Z 3 / G� S. �L CJ �' 7�� C Tenant (if known) Lot !/% A�s�se2(pO�# — � r � � Building Owne�'s Name . Address � �X �i� M�S �I�G . �%� � a �OU'II�G �r�!I�� �LVrD. c� � I 1,,, Stete ' f� Zi � � �' � Phone 2. '2. 7 � ►vet��e of wo�K , �i -iL N � l �� i ��1 G� _.._.......... ..............._.........._.....__.......................... ._:;£;:::;.>::::«::�<::<':``::::<;:�:':':�:`::����:::::>:��:::<:::>::::::>:�:::::��:»:::<>:�::<::'::;<€::::::;: - ...:::: :.:::::. a���.� �t�........................................................... _ _ _ _ _ _ Name (F,M,L) �C'�N �� � ,(��� �S IN � . i � Address Cs�� �� jc>U TN G�N�T�- - ��_V c; —�� (� stete ►�-1 A z 9P.� I� Contact Person ay Pho� Other Phone Fax 2�� �K- C�A u D I r.� � �vG> 2�� ' 2�1"7 I '� 2 —�}2-� _...__.. _.._..... ... _...... .. ____... _. .. a J1LDltti[�':�f3lVTfi�G7`E33� I Company Name�!'�. N �( � O � ` I�� . � Address C��to ��u�`H���i b�-y'17 Cit L�--} L� State .� Zi `�Q� j Contact Person A �i ��Pu D I N I � Phane� ^2 ,1 � � Fa� 'i Z _ �^�Q r•, G �+ ��t �- .J Contractor's # (card must be presented) Ezn�ration Date Verified ❑ Yes u No �G �f � `� 3 " l - ::>: :�:� ,-�R��-iC7`�L't' .......�. ..... ..... <:: _ ........:::� _ . __ _....___ . _ _ _ . ______ Name ,��� A � . Address 7"? 5�� �� K D ti, Cit � � State �,�� Zp �C� � . ContnctPerson ��^ l —�35 Z Pho e3� _y�C� Fax�� _� O 0� ::GAL DESCRIPTION �O % �� � _ �. /�� c . J�I v. � ��/Ti46� //fl .� [/ P_�E'c3y�.G_9mEJ1�t�'�e�t'r�G_S�c14' ;5:�>>: 7,.i�U>A.:.;;`:<:;:::::>:::""�<">':'�;:::::'>:�::::<``_:::::'::::>`;<::>«:>:_<:::<:»::::::::::::;:: �i��::,:<.;,,;»:�;:;.>:;z;:::::,:;::::;:::::.:::.:::::::>:;:>:;:>::>'>'#:i><;;><>:: Existin0 Uso Parmit includes: Proposed Use � LLE �/1�/� Buildin ❑ Plumbin Type of Work: �Residential O Mechanical ❑ Other NOW ❑ Remodel ❑ Commercial ❑ Addition � Number of Units ❑ Deck � Gara e ❑ Shed Enter 1 st Floor � sq ft ❑ Other j Area Basement 2� Znd Floor 7�`�y' sq ft 3rd Floar sq fi Existing Floor Araa s ft Decks s ft Gara e ' Sq ft Water Availabili S ft P�o osed Total Area 2, %' Sewer Availabilit On-Site Se tic S stem Availabili ❑ S ft Zonin Pro'ect Valuation S 2�j Q Gd� Lot Size Existin Bld Valuetion S �::;;: �,. �::>: Q��.��:`>?:::?:`�;`'.<:��:;>:;;''�:^::';;<;; ..:...... � :�;s:�:z::i>:�::: __.. ,:,, .,;.::.;::.:; Name � ` � ��M/� Address Cit State � ,�.....:•'�::?;�'.i::.;*:::;;�::q::it:;:?:::h;::::?`:.`:�::?;:'<::x;8i;::'�.;?:?::;`:;.`:;;::i`.:;:::_:i:;?::::?::22:;:?;;;::::::��:: . •�..,.Til�i�li��ii��.Q� Contractor Name Address Ci Contact State Z Phone Fax License # Ex iration Date Ve�ified ❑ Yes ❑ No �:;:::::::::::: _ � �} ����.���.��.;';:<::::z<.x::><r$:::<:z;:;.::>;>,:.:.r.x;-:�:z:::>:=;:;:::�;:;>;::�;:;:�>�<:::<::<=:::<� ..:._._. .��:���Q-Elc �:: . . ..:-'�..,�::.. ,. Contractor Name Address Cit Contact State � Phone Fax License �! Ex iration Date Verified ❑ Yes ❑ Na �:�:::::»:>::::><.:::>:«::>::::>::>::>::>:::<:>::::::»:<i::::z>::::;::;::::::>:_::;;:::_::::::>:�;::>:::::::::::>:i<;:>:;: C3�tI8FIV�`�.T��;CQE��1T:; :::::::::: _.. Water Gosets � 2 Sinks Urinals Bathtubs 'Z Lawn S rinkiers Dish Washers Drinkin Fountains Showers Other Electric Water Heaters Sum s Lavatories Washin Machine Drains " ` _ ;, _ , Total Fix2�sre�aunt .. ?VE�C�-tJ�tVJ��1,�:�:1`Ai��'CfI€�1�I')' :. MECHANICAL EVALUATION ONLY $ 2 S�O "" Fuel T e (electnc/other) ,(�p�j Gas D er Air Handlin < = 10,000 CFM Len th of Gas Pi in ?� �. , � , � 15-30 Tons Ran e Air Handlin > = 10,000 CFM Fum <100K BTUs J G7�(",� 30-50 Tons Gas Lo Unit Heatar Furn >100 BTUs 50+ Tons Fans Miscellanaous Gas Hwt � / Fuel Tanks Hood Boile�s Conv Burner Above Ground Duct Work 0-3 Tons BBQ�S Under round Wood Stoves 3-15 Tons ' " Total Urnt Count < _ ,. ,. S CLAIM ER:I undcr ty perj ry that the intormation fumishcd by me is true and cortect to the bat of my knowledge,nnd turtha,that-I arn authorizcd b the own �Y paial of u �above prcmiscs to perform the worl�por w}��h���aPp����on is madc.I furthcr a ec to savo ,�meys'fecs incumed u invcsti�on and defrnce ofsuch claim),which may bc madc b an h���e City of Fedcral Way sc to any claim(including costs.e�ua,�d of cr..sucli claim arises out of the rcliance of thc city,including ilc oQicers and cm lo ca,� y��n'�cluding the undcrsi P Y pon thc accvrary of the infortnation�r��d to the�c�thaz a ity of Pcdcral Way,but only Y part oftliis application. . nor/Apont: l-Z� , J ,,, Dntc: ,/— � � ' �� �i�v,w