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J p � � p �L � � O ,,,t �- �.. - f,�jl Q> � Z �^�, t7 'LL 3 � z' g' ,V'Z, `� Z `� ;°' � �`� �, �, Z; � ;q �' � � , 2 Q � 'e i (L +Z: � IL � �, m � m �' a� Q ro ~p ro p m � m j m t�/J', m t=jI m a m '� a� m m m m y; m a m m m 'It[' m � m � m 1t�> ia p ia .� io � ia p m Z ia s ic � io io w: ic pC m y ia � ia 3 io �:: ca � ia � ia � ia � io io ' - en:: o �s o a o cn o LL � � o cn; o a o �> � �' o i,. o �: o t7 o t9; 0 �n: o � � a 0 >u.' o m' o �;: o • r N ('7 [f ln (D ►� OD � O N C'7 �! ln CO I� CO � O r. � N - R / BUILDIN� DIVlS10N'. �"°F c ' .;�� � �l (,1� (� 33530 First Way�outh�. • �Fru�. -� t b � � Federal Way, WA ^9�D03 uv �7Y � c2os� ss�-�boo , ,� � d� 1��9 � Fax (2061 661-4129 :xt=F���QEP�`Q'� .. ,�nq�,�� y APPLICATION FOR BUILDING PERMIT ?LEASE PR/NT • APPL/CAT/ON#: �� 1 + CJ ;,5����Q� Address 2�}33 s. 2 8 3 �" r L!4 G E Tenant (if known) Lot A c � Assessor's Tax� �' 32 o81-DS4o Buii ng Owner's Name Address �c N�! 6� /-J���JG S IiC/G . �.'�j �C� oU !� �M 1� �L UD � Q Ci ( State � Zi /8 Phone 2d - 2 g ^Z� Nature of Work W/C/5 /�L/G /U� SjC/ /�/ / ��:>::�< t�>.. ��`> ...::.....:.:......:;.:;�;:;;>:.:�;:;:,��»:�>:�;:�::x:::::,.:x...,•:,:::. :.�::.._::.;::::.�.;::•:::;::.::::::.:.:...........:::::::::,.;•:.�.::.::...... .. ......... .���:�`;:'<:;:<?:[::`;:<:>;::>s:?>::`::>:<:>:<::::::':>::::';;>::::<::'>:>:z<:>'::;#::;=;:: ................:......,.....:............. Name (F,M,L} G H � �.� � • o r�► �. I N � . Address � � �� ��� I ����� � � v�. ��t �"u A Steta � � � 18 Contact Person Da Phone Other Phone Fax �Z��� � ��- �.0 r.ii r2o� 24� � �--4� I �� 2�2- 420� .. .:... ........ . ......... . .::.:::x._ ..........::........:. .: .::.:.::::.:ri.�..: :..:::.:.:�:::�:.::.;::. . ��n����..,�rn���.....:::::<:}>>:{_<::<._::<.;.:~�: Company Name ' P.tNI E Address �� Cit �� State �f Z �I Contact Person �� Phone (I Fax �I Contractor's # (card must be presented) Expiratio Date �Q Verified O Yes � No ��N� �.I 2 S �� C�3 0l :a:�:<;: .:, .. '2C�T��CT'°>;::;;«::::>.:>:>::>:::::::::::::::'»>:>::;`:�>'>':::::;.:::;;;:;:::::::;::: Nama SAM� Address �� • Cit �� State �� Zi �� Contact Person I� Phone �� Fax �� EGAL DESCRIPTION CQT S �- NERiTaGF o�us , D�v � PJease�mm�/eie_Revers�Side ! � ��.R��:�R� xisting Use roposed Use �ti[GL� � lYj/L, Pertnit includes: Buildin O Plumbi* ❑ Mechanical ❑ Other � ,'Type of Work: �Residential �New ❑ Remodel ❑ Number of Units_ ❑ Deck ❑ Commercial ❑ Addition O Gara e O Shed 0 Other Enter 1st Floor �24q sq ft 2nd Floor?8 4sq ft 3rd Floor sq ft Existing Floor Area 2.�"rS�J aq h Area Basement s ft Decks s ft Gara e 'L s ft Pro osed Total Area s ft Weter Availabili Sewer Availabili On-Site Se tic S tem Availabili ❑ Pro'ect Valuation S � �Od Zonin Lot Size U 2� s• �• Existin Bld Valuation S �:7�'i1Cs+b,J V,�7�::�������:����'��`:�:�:�'.��`����:����o:�'z::��;r;'{;;t??:.':};�?:�:i;::�:::;�'::�:��:::::::;%;:::+:'+:�: Name K E Y 13 AN� Add�ess Cit State Zi : x� j -����i;.;i:;i:C:�:`::?;;:>::;<:.i:�;�i:>.%:�:�:::;i%_::i:?�+�_'.:;iC:::i:::r::::;;ii::«-::,x:s?::<:::i:;':::R;c::::i3`'`�:�'<:� . ��Y�.�Q�R'���................. Contractor Name Address C� State Z Contact � Phone Fax License # Ex iration Oate Verified ❑ Yes ❑ No ............................................................ �:�'` - �;P�T3itZB�T.:.':;�:;":.;`�ti`:<..>:.;;;::<: ;::>::<::::;:<:>:::;;»::::::::»»>: �.�3...... ..��AF�:<::<::�:::>::>::::::`:::::::::::::::<::::;: Contractor Name Address C� State Z Coniact Phone Fax License # - Ex iration Date Verified ❑ Yes ❑ No i ..::::: :: �F1:�LNG�'��'�`�2E�fl�J�'I' Water Closets �j Sinks 2 Urinals Lawn S rinklers Bathtubs 2 Dish Washers Drinkin Fountains Other Showers � Electric Water Heaters Sum s Lavatories 4 Washin Machine Drains Totel�-sxtvra CouaC h,������p���T���> MECHANICAL EVALUATION ONLY S 2�jj�jD ee Fuel T e (electric othe �• �% �'� Gas D er Air Handlin < = 10,000 CFM 15-30 Tons Len th of Gas Pi in Ran e Air Handlin > = 10,000 CFM 30-50 Tons Furn <100K BTUs 5�}- DD D�'(U Gas Lo � UniY Heater 50+ Tons Furn >100 BTUs Fans ✓ Miscellaneous Fuel Tanks Gas Hwt ( Hood Boilers Above Ground Co�v Burner Duct Work 0-3 Tons Under round BBQ's Wood Stoves 3-15 Tons Total Unit Count �ISCLAIMER: I certify under penalty of perjury that the information furnished by me is true and correct to the best of my knowledee, and further,that I �m 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 �ederal Way as to any claim (including costs, expenses, and attorneys' fees incurred in investigation and defense of such claim►, which may be made by �ny person, including 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. ]wner/Agent: //�� `( Date: �,�o�.c.n.r �.�ro m7vD�t