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APPLICATION FOR BUILDING PER MIT PLEASE PR/NT S1TE LOCQTI�(�j — ' — - <1PPLICATION t1 (Jl�—�S5 — � Address 2��� s � C Tenant (if known) i Lot A' / 1 Assessor's Tax tt euildinp Owner's Name 326081-0/�J'0 Schneider H�mes, inc. Add.e9s 6510 Southcenter I31vd. , Tuk��ila 9818fi CIf $(A(e Z� r�ec�re of Work rockery at back of lot Phone APPL1CAf�tT ;: _._..::.::.:,:::;.::;:.:::.;::.; Name (F,M,L) Schneider Homes, Inc. Address 6510 Southcenter Blvd. c�r� Tukwila Contact Person Steta W� Zip llennis alfredson oey��r�o�,� 248_2471 n o�l���gna510-3585 Fa�`206) 242-42 BUILDING'CONTRACTOR, F�DERI�I, WAy IIUSINESS LICENS� # 7014 ,.:....: i Company Name - --- Su erior Rockeries, Inc. Address 105 27th Ave Cicy i ton Contact Parson State Zlp �en Abbott Phana (253) 95?-7169 Fe" Cuntractor's i1 (card must ba presented) su[�LRar.o61[c�d ExP��ry,(�) Date /U Verified O Yes ❑ No ���€�`' F:tt in e e x TJame Dennis Alfredson, P, C, Adcl�ass 6510 S�uthcenter Blvd, Sui[e 1 c�r� T��kwil.a srata ��r1 Contnct Person Z. Phonn F�x 206) 248-?!,? 1 (?06) 242-4209 �ECAL DESCRIPTION Pl�c S��Qln[l��t�_R_��rs��ir/P $�UC'��E ' Existine Use . r� Proposed Use yard Permit includes ' ❑ Buildin O Plumbin — TYPe of Work: O Residentiol � Mechanical ry Othar ❑ New O Remodel ❑ Commercial ❑ Addition � Numbor of Units O Deck ❑ Gara e ❑ Shed — Enter 1si Floor sq ft ❑ Other Area Basement 2nd Floor sq ft 3rd Floor S << Decks 59 << Existing Floor Aree___ Sq �t s ft Gara o s It Pro osad Total Aroa Watar Avoilobilit ❑ Sowor Availnbilit ❑ 9 �t On-Sita Se tic S stam Aveilabilit p Zonin Pro'ect Valuetion 5 (��.� lot Size Existin Bld Veluation S t' : " E ND>:<::>::::;'<:'>::::>:;:>::;�:':�:>:::::::�':?:;:::::::>::<>>:;:;:>:<:,>:<:::>::::>::<:::;::::;>::::::> _._ER ;<. .....-...:::... ,.. Nama Address Cit State Z. MEGHAtVICi4�.CUNTF�qC'T01� :: Contractor Name Address Cit Contact State Zi Phone Fax License A' Expiration Da[e Veri(iod ❑ Yes ❑ No . _,: , _. PkU(U1gIM1IG CONTE3A�TOt� ;., : :. Contractor Name Address Cit Contact State Zi Phone Fax license � Ex iration Date Veritied ❑ Yes ❑ No P ' '_;'>:::<::;:<;<.::::::<:;?::>:::,:<:,:::;z:>:::::<::<::':::;::>;::::::::::::>::<:;:<:>i<�:>::::>::;<:;::>:::>.« LUM.BlNG.�'IX.Ti1Fi�;:CUUNT woter closats Sinks Urinals Bathtubs Lawn S rinklers Dish Weshers Drinkin Fountains Showers Other Eloctric Water Heaters Sum s Lavarories Washin Machina Drains > Total Fxture'Count . N1ECHqNICqC<UNIT COUNT MECNANICAL EVALUATION ONLY S Fuel T e (electnc/other) Gas Dr er Air Handlin < = 10,000 CFM Lon th ot Gas Pi in 15-30 Tons Ren o Air Handlin > = 10,000 CFM Furn <100K BTUs 30•50 Tons Gus Lo Unit Heocor Furn >100 BTUs 50+ Tons Fans Miscellaneous Gos Hwt Fuel Tanks Hood Boilers Conv Burncr Abovc Ground Duct Work 0-3 Tons BBQ's U�dcr round Wood Stoves 3-15 Tons - Total Unit Count DISCLAIh1ER: 1 ccrtify undcr prnalty oCperjury U�at t1u infonna�ion fumished by me is truc and�orrcd to tlie bcst oCmy{uiowlcdgc,uid(urtlur,U�at 1 arn auUionzcd by Wc o«ncr of tlu above prenuses to per(orm��e µork for which pem�il application is maJe.I futUier agree to save hamiless Uie Cily o(Federal�Vay:ic to uiy daim(including costs,expe�ucs,and attorncys'fecs incuReJ in imcstigation y�d Jcfi�uc oCsuch clain►),which may be made by eny perso�ti iududing U�c undcrsi��cJ_y�d G����s�iiut Uic City of Pederal Way,but only «hcre such claim ariscs out oCtlu reliliice CUie city,incluJing ils o�cers anJ rniployaa,upon t!u accuracy oftlic infomiation supplicd to Uu city u s P�oCtliis applicatioa / Owner/Aga��; / _ �.ro.��� . oe«:G� �� in..�o x�:moi / / • .. _.