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Date By 7 SHEAFi WALLS < � ' 6 � f� Date By 8 PLUMBING ROUGH•iN ' j i Date By ' 9 (3A5 PIpINQ I Date By I 10 MECHANICaL'ROUGH-IN � _ _:.__ Date By � 11 FEtAMING ' I Date By I _ _ _ _ _ _ _ _ ___ _. � _ _ ___. _ _ _ __ _ _ .. __ __ _ _ _ _ _ _ 12 INS.0 LATIQN I Date By ' 13 GWB - 13'f LAYER Date By 14 6WB -2ND LAYE;Fi Date By 15 SU5PENDED CEILING : Date By _ ___ _ _ _ _ _ _ _ __ _ _ . _ _ _ 16 PLANNIN(3 FINAL Date By 17 PUBUG YVORKS FINAL .: Date By _ _ _ _ _ ______ _ . 18 FlR� �INAL Date By 19 BUILDING'FINAL ' Date By 20 OTHER Date By C00193(Rev 4/87) BUII.DING DIVISION ar.oF G ���,, 33530 First Way South __� En�_ Federal Way,WA 98003 uv F�Y � �;, (253)661-4000 � �9`' Fax(253)661-4129 _ ;}t"=�t'' APPLICATION FOR BUILDING PERMIT PLEASE PR/NT APPLICATION# ;�i,��'� -C�I �� �� :j•':::ii:i:;iii��•>iiJ'{�C�.:;:;i::<�:�•�:,v,i,v'jv�n";' .Y}�+Z•.`l ; �-:.; C 1./ , 7 ..� ,� ! . .... . }:.....:.. �:�' ��'" �` �•>•:`� Address � � , � �_ .� :�X::�:::�OG��i'����;:,����,�� � w:; ., , � f Tenant(if known) Lot# Assessor's Tax# _. __ �_ --n,-�" ,-� � _ Buiidin vrner's ame Address .ik. �U ct/4-f � Ci �-C State �.(/i4- Zi Phone Nature of Worl� 'Vp s'.>;;'<�����<:::'�:::;::':>::;::::::::>�::�`::>_''>::>�:':::>:::'<:>::::>::>:<:>::>:::"::::>:'>'::::::> ;;;:.;: <;:::. :.`,i����.�.. ... ...,. . . Name (F,M,U r-t-- ,/J �J �� �Cv 19/`��� � �- Addres ��. ��.` �O� �,5 c� P�'LL� ��, stace z, Contact Perso � Day Phone�UG^��,_/�S�/ Other Phone F�ad �S �'S 1�e� J�i�-K� � � >.<:,«�::: ► ���>�:�:::;::<:>>:v:>r::-�::<.� � „ ��3:�iz�:D��tiCG<'Ct�l�'�:'��'�'����,:;<:;;�:r���:.�x ........................................................................................ Company Name • l�ty,tiC� � � -� Address � �� ` ,✓ 5 c�c , — scate r4� zi Contact Person � t Phone���� Fax .{ i �.�� —f`i 9/ �a -- 3 �- Contractor's#(card must be presented) Expiradon Date Verified ❑ Yes ❑ No � � ! �f'�- � >::>::<:>,>'::>:::»:;<:<::;: AftL<,HGT CT:>:>::>::>::::>'<:::::::<>:;>':«:>::>:<::<:::>::>::::i<:::;::;:>:<:::::::;:::>::::;:�?>'':>:: .:.:.:.:�. ,:::::::,:,::.::...., ._ .. ..._... .................... Name Address Ci State Zi ContactPerson Phone Fax LEGAL DESCRIPTION . Please Com�lete Reverse Side <.: Existi Use n ;,��.:»;<>:>::?:>:;:. E��>:>[:>:::::::::::>:::>::��:;:::::::':::>:.?:>#>:�:�>':':::`.'::;�<.<:::>;�?:�»:�... '�.......��i'�1......::::::::::::::::::::::::.::.::::::::::::::::::::::.�.:.:: 9 Proposed Use Permit includes: ❑ Buildin ❑ Plumbin ❑ Mechanicai G Other Type of Work: ,� Residential ❑ New O Remodel ❑ Number of Units_ ❑ Deck ❑ Commercial ❑ Addition � Gara e ❑ Shed ❑ Other Enter 1 st Floor�_�sq ft 2nd Floor 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 s ft Water Availabili ❑ Sewer Availabilit ❑ On-Site Se tic S stem Availabili ❑ Pro'ect Valuation 5 � ,�� S z Zonin )Z2�u' !� Lot Size Existin Bld Valuation S ..... . -. >::::..ww•;:..;;•:.... '•.`l{^`t`'r:.:o�.{fS.-•�•:h.r•�::v:::,': i� 1�t `�'h��i.o:•.+4;r.°�;.C��c.,t:;. .. '°'..,.,:;/.,•,: �i�l1l�::::::2�:':�:�:�:�:�:�::��:�:':::':"R�:'.';:;:•r:.,. .:�?::..x•r.•::.'u{'t�`w��T:::.<s�•,. : v::::.. .::::t:ti>.. ..........�...:.:�::::::::::.:.:::::::::.:.::.n:::::::::::v..v:}::\\tv:\v.hv4.: Name Address ITl C� State Zi :���i:�i��:��1���:��::;:..:::<:<;:;::;r"<`�.;<`.;:�'':':<;:::::»::::::>�<:>:���>� ���{'''����:....:.....:..:::..:. Contractor Name �I Address ��'t Ci State Zi Contact Phone Fax License # Ex iration Date Verified ❑ Yes ❑ No ?>�:y:�:>1:::!=�i��:�;,y::>�:y:::>F[:>k':>�:>„�%.;;>��;+s:'�;<:>�:>=`:??:z<�::y::::..h>:::'�;-.:��<��'�.����}.��:::[:'::::`:�:�:::<::`:::'':>:�:;>;>�:::"": .T:J«u+Yl[Jil!F4�L!�3:M�RK��QR::,::. ..::::,.::::: Contractor Name ` Address + Cit State Z � Contact Phone Fax License # Ex iration Date Verified 0 Yes ❑ No :<rr;«•:::;::z�>:::;�:�:;r:z::;:::s:�:r>s:::�:>;:::z�> {.y��y���#�ytK}�:tY�y�y���«{�y� y��y! ,'••:;•,•f::i:o:;:',a',��: �i:i':V lYli7F1:F.k7:::�tlk::4:!�'#.fi�;44f:�i,.#.:i:::£::::`;:::::sy..:r:•`.:::::•`.: Water Closets Sinks Urinals Lawn S rinklers Bathtubs Dish Washers Dri�kin Fountains Other Showers Electric Wate�Heaters Sum s ,: ; Lavatories Washin Machine Drains 7otal.Fixture;Gou�t :�<`.::;.>::z::s:::.szs�>i�:<:;..>::.'.s,:::;::::><;:'ti.:::.:.:::.>:::::s<>i;_z_::.;:%?':>::`:i<:::::::.::.�.:::�;::::: . �E14N1.:�,�«.��1��.�C�.L�l11.T... .�.:.. ...: MECHANICAL EVALUATION ONLY $ Fuel T e(electric/other) 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 Gas Lo Unit Heater 50+ Tons Furn >100 BTUs Fans Miscellaneous Fuel Tanks - Gas Hwt Hood Boilers Above Ground Canv Burner Ouct Work O-3 Tons Under round BB ' - Qs Wood Stoves - - 3 5 o s 1 T n 1?o`a?:>::<;>>::<:<:>;::<:;:: >::>::>::>;::;::>:;.. ..... ::::: .:.: Y 1 Unit.Ca�:at`::�i<>.>:z'>;.':>'':?`:.:_...::�> D IS CLAIM ER:I ceRify under penalty of pecjury that the infocmation fumished by me is true and cocrect to the best of my knowledge,and further,that I am suthorized by the owaet of the above premises to perfonn the work for which pemiit application is made.I further agree to save harmless the City of Federal Way as to any claim(including costs,expenses,aad attomeys'fees incuired in investigation and defeiue of such claim),which may be made by any pecson,induding the undersigned,and filed against the City of Federal Way,but only where such claim arises out ofthe reliance of the city,' cluding its o�cers and employces,upon the accuracy of the information supplied to the city as a part of Uus applicatioa Owner/Agent: b�t// G� Date: ���� �j� 8uunua.Avr flEV6E0 8/28/97