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G 5 �d o c.i i G�,.i 7� � Cit % State .T.i -/g Phone 20 - 2 � �Z� Nature of Work CO/�/.5 /e(./�i /v� J L N// S _ _ __ _. ._ ... . ._ ___ __ _ __ __.. _ _._ _. ................ __ _. . __ _. __ _ _.__.. __ .. ._...................._....................._........_.. __.. .____.. ...... ......_ ......_....._................................. _._ .___..... ........ ..................................... ....... ._........ _ __ . .... ........ .................................._........... ............. _ . ...._.._ _................... ...._...................... ..__.. __...... r1PPLTCi1I�"�' Name (F,M,U � . � � �� � � . �Q� � I ' �I � . Address (!% � �V ���.�� � �/�l y�� � � � D. c�c �LI —1 ,A sceca f� z �-'`F� I � -, Contact Person Day Phone Other Phone Fax /a I�IG �Au r�l I� 2 ��� �- 2��� I �� 2�I 2— 9-2 C7� _ __ _ ____.. __ __ _ .. - _ ____ __ . __ .. ....._...____.... _ . . .... _ _ __ ___ ........... .__...__ . ....... _.. ... ._. __ __ ... ......................... ................_ ____.. ......................... ......_..............__.. _ _ _ _ __ _..._._... ..._..... ..... ............................. BLII i:DING'CC)ni'I'R1��R ;:: ':: Company Name G-� �/'.NI� � Address II Cit �� State �� Zi �� Contact Person i� Phone �I Fax �I Contrector's # (card must be presented)�' � Expiration Dete Verified O Yes ❑ No �GHti �I 2 � S c� __ __ . _ _ . ____. .. __. _ ...... _ . . ... . _ __ _. . _............ . ___ _.. _ . _ . .. . _. . .. .. _. __..... .. ....... . ............ ... _ . _.. .._....... _ ...... ........... _.. .. .... .... _.__ _ ...._ .... ...................................... . ARC�T�'�C7C : ;::. Name C`�`A M � ✓t-� Address I� • Cit �� State �� Zi �� Con[act Person �� Phone �� Fax �� IEGAL DESCRIPTION �� � S6 �E/zf i f1GE �iq�-C..� ; �i� 11- PJease�nmp/ete.Re ve�se�ide ���(������: xisting Use Proposed Use� � � � /NG c_ /L� Permit i�cludes: Buildin ❑ Plumbin O Mechanical O Other Type of Work: /J2�Residential New O Remodel ❑ Number of Units_ ❑ Deck ��O Commercial ❑ Addition O Gare e ❑ Shed O Other E�ter t st Floor ���7 7 sq ft 2nd Floor�aq ft 3rd Fioor sq ft Existing floor Area aq ft Area Basement s ft Decks s ft Gara e s ft Pro osed Total Area Z O s ft Weter Aveilabilit Sewer Availabilit OmSite Se tic S stem Availabilit ❑ Pro'ect Valuation S Z�� dO U Zonin Lot Size Qjb ( �j � �. Existin Bld Valuation S ;�.�.��..�.':z;:::�:�s:v�'�':��:`:�:�:�;>�•'•.�>�:����'•:�`:::>;'�>:::>�::;i��`r;:'.>{..,:::,'.;:'::::%.:•`•'::;;:.<.<` �::. .,•:•.::: :. ...;...•>:,::::::>t•::::::�: Name //� Addross > ,f�/¢N/� Cit State Zi ��`�'.���X�.'`t��;r���,�:�Q.�:'::>.<?:::;'::::::;': Contractor Name Address C� State Z'i Contact � Phone Fex License J/ Ex iration Date Verified ❑ Yea ❑ No i;::?F:;t;:::i::::;s::;:;:;:::#:;:::::::::;::;E:;::::;;;::::::;>;i�:::;r�::::::;:E;:;::3::�;i:::?i:E�:::i::;::::;:::;`:>?:I:i:;:E::i �<P�I71�'��C��::��.��?R::::::>:::;:>::::«:>;:>:<>::::::>`:::::: Contractor Name Address Ci State r �Contact Phone Fax License A� Ex iration Dete Verified O Yes O No I�:::»:::�;y:::�:�:�:>:<y:;�:::�:<�::::::::�:::>:::j:»'�Y::�>1:,>:::r<r:�:::.:<:>::r<:»`>::::�:s<;:F.;,�:>:+::1:::::>::'>�:z;:�>7:<I�:y>:I::::>:<�:::z:z:>::>;::�,»»::: '..'.1C'1G.V 1r117�27.�CYi.i�F�:J�A����l'.t.rV�.�lkt.�.:>::::d:<[[Y:ii:`:ti;:�[� Water Closets '' Sinks 2 Urinals Lawn S rinklers Bathtubs � Dish Washers Drinkin Fountains Other Showers � Electric Water Heaters Sum s Lavatories Weshin Machine Drains Totel F'ixtura Count ::� MECHANI V — 0 .�. CAL E ALUATION ONLY ;:::>:::;::_:_<A�::<:::><>::;<;;;;»::;`:::<:;;:;<:<:>::»::><:?':<;':>:':»:<::::`>< S - .. ;hIEG��'I�........TJ�`?I�.��� ..:::.�:::.: Z - G Fuel T e (electric other� . G/4 Gea D er Air Handlin < � 10,000 CFM 15-30 Tona len th of Gas Pi in t.. . F . Ran e Air Handlin > = 10,000 CFM 30-50 Tons Furn <100K BTUs L�C� Ges Lo 2 Unit Heater 50+ Tons Furn >100 BTUs Fans Miscelleneous Fuel Tanks Gas Hwt Hood ( Boilera Above Ground Conv Burnar Duct Work 0-3 Tons Under round BBn�s Wood Stovas 3-15 Tons Total Unit Count �ISCLAIMER: 1 certify under penelty of perjury that the information furnished by me is true end correct to the best of my knowledpe, and further, that I im authorized by the owner of the above premises to perform the work for which permit application is made. I further agree to seve harmless the City of =ederal Wey as to any cleim (including costs, expe�ses, end attorneys' faes incurred in investigation and defense of such cleiml, which may be mede by iny perso�, including the undersig�ed, and filed against the City of Federel Way, but only whera such claim arises out of the relience of the Ciry, ncluding its officers and employees, upon the eccuracy of the information supplied to the Ci[y as e pert of this application. ������� •��'� �` �.3- .3� - �'l �wner/Agent: � ��� Date: . �..;n.. �...�o�11711!NI .,.. �, ' - ' -n, D, �� � c� ,� p � �'� �• � c 0 � v, 0 0 ,c ' � �- � s `� i � � y � � � Z 0 � x �-�� rn � q + `�,. c\ � � �y � � y = O � � D X �- �, �' � 0 � � �0 � � . m � �O ` s �, a� � ' ' � �, Oc �r � A E � � �rn-� � �IN 0< < � � yQ � m � '�+ z � � �� ' L� � � �. � � C �, �j � �. 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