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't�{;� � �s �i����, ��...�_jl'(.)i�'tl �� �� ��1n a��l ��s �� ,,��� - wra� ����i� � � i;�� > > . ; � �.`r;; ,_ ;'l:} , .� ;., ��� �,^ I � ���A��� �� ��� .. t �_�iI i . �I . = �.�; ii . , , . , L/I � � /l�.S , _ , , � �;l3 •�I .��i � � , , �� � , • c. :?_1 �,i.� t.)' r.� �.,,�. �..'..�a:, i:S'.::.r Ytt•;?tj �li; � '$ :r.,..•!.� �;L�l, � l �It� �. `:S�i ��L` � � , . . � , r.:,��,r�'°r;/t�Cl -�i'1 f 1�>I � � �:�.���' � ,.., ��'�� �, �� .�'�,�� {1 1i n� . �`�'!� '�<_:.t�i� ��- i (> 1 .. ' . � . .. ! , "'.� �,,,.� ""� i s c��.t3 .,E.f.I l�i -C►�t L I I�fkl�ci ., .. , � , . � , (� i���r . �� {_ , . .r�r 1 SETBACKS & FOOTINGS Date � � F �" By . ` M/ I _. 2 Ft3UNbATI��E WALLS Date By I 3 PLUMBtNG GROUNDWORK I D at e By I 4 SLAB INSULATION ' Date By I 5 FOOTING/DaWNSPOUT DRA1N� I � Date By I 6 UNDERFLCIOR FRAMING! I Date By I 7 SHEAFi WALLS ; � Date By I 8 PLUMBING ROUGH•iN > Date By 9 (3AS PIpINQ Date By 10 MECHANICAL`AOUGH-IN Date By 11 FRAMING! Date By 12 INSU LATION Date By 13 GWB - 1ST LAYER Date By 14 (3WB -2N0 LAYE'R Date By 15 SUSPENDED CEIUI�G Date By 16 PLqNNIN(3 FINAL Date By 17 PUBLIC iNORKS F1NAl. i Date By 18 FIRE FINAL Date By 19 BUILDING'FM L � Date By 20 Q'rHE�1 f7 ,�i t�"�,►N _ Date _ By __ _ � CD0783(Rev 4/B� BUILDING DIVISIO �'^'Of G 33530 First Way Sou �' �:�EFZAL Federal Way,WA 9800 �v A�� i�����'����,�`, (253)661-4000 Fax(253)661-4129 ��'�� � �. ��9Q APPLICA1�Ii�;��4�BUILDING PERMIT PLEASEPR/NT APPLICATION # ��u���� "`� V n �C/ :.;:;.:: S. � — ite address . 3 1 5 �B` 3 G ��`�:::��G#1`1`�i�'I�:::<:::>':::::;`:<::>::::::>':::>::�<:'::::>:>::::::>:::::::>:>:�:::::::>::;:>:.: l3 ........... ..... . .. —�iot�-R A Tenant n �^ ����� /�G� Lot# �/� As�ssor's Tax # � lJ _ Building Owner's N; ,,,� dre s n :��� - �,. ��''�-E��.C-' d1l ��P�ctS� lo �" sY lJ� . La. cix ` � � . _ .�tate Zi Phone _ Descri tion of Work _.. ...._................_.._..... .................................................._.........................._ .........................................................._.........._............._ ......................__.........._....__. _ _ _ _..____...... . ........................_....._........................ ............_........... . ;... .. „ �C��a��al���:>;::: - , ,< Name (F,M,L) �J A� C� � /7•U Address ��"� /�✓E. 5. '" c�t T ' State (,c��'4— z� 3 Contact P n � Day Phone ��� �' / � Other P � +� Fax ...... ....................................................................... .................................................................................. .......................................................... 8#�I�:DIN�:::�t'l�ITR�'1CT�fi:::>:::':::><:::::::::>:=::::>::::::::>`�::::::><::::;: Federal Wa Business License # ........................................................................... Y Company Name �� �C��� � / C� �' f�• �_ C ' �LJ Address � �� ` �J �' Cit State Zi ..�7J y ContactPerson n� �'o�n� �ul� g�� Fax\�� rd/ �J.a 7 Contractor's # (caid must be p�esenied n Expiratio Date �Q Verified � ❑ No �� ............... ..................................................................................... .................................... ......................................................... :14R�k��'EG7:::>::[:>::::::>::>::>::>::::::::<:>::>:>::>::>::>:[::>[<:::>::>::::::;:>::::>:::::::::>::>::::> ..... Name � / /V Address Cit State Zi Contact Person Phone Fax RECEIVED BY LEGAL DESCRIPTION COMMUNITY C?c�dEi.�D��EN?DEPART�hEM� „4,��+� ;, ��l,�i: J����%" �/Z--��P� ��5�� �!G7� °r'���� P/ m / Rvr f , ;:::... '.�T1�f,1GTi,.1Fi� .. ;<.;:: 3 Existing Use Proposed Use � yl • • Permit includes: �c t3uildin ❑ Plumbin ❑ Mechanical ❑ Other Type of Work: ��iesidential ❑ New ❑ Remodel O #of bedrooms ❑ Deck ommercial ❑ Addition ❑ Re air ❑ Gara e ❑ Shed Enter 1st Floo � � 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 Availabilit ❑ Sewer Availabilit ❑ On-Site Se tic S stem Availabilit � Pro'ect Valuation 5 � Zonin ' Lot Size Existin Bld Valuation $ 1:iENI�.'`;::`:::>:::::::>::::::::>::::s:`<:>::::>::>:<':::>:::'::>::[::<':s:;:';:::>:::>::::>::::::>::::::::::::::::< �;::::::::.::::::::::::::.::::::::::::::::::::::::::::::::.:::::::::::::. For new residential on/y - Pro osed sellin cost: S Name Address Cit State Zi M�CNAIV ICA�:;�#��IT�SAGT£kR Contractor Name Address Cit State Zi Contact Phone Faz License # Ex iration Date Verified ❑ Yes ❑ No ��i�:V::::::::r�:>.«<><;`::::��<�:>::>::i«:::::��::.<�<�:��;�::::i:::.:>..»':;::.::::i::::':>::::>:E::::�'�::�'�'::::'::;;:��:::i M.F�tf��:��1VT�CTt'�R.::::.........:.:::;:.:...:.;:.>: Contractor Name Address Cit State Zi Contact Phone Fax License # Ex iration Date Verified ❑ Yes ❑ No :��::<:;r��:>:::���::�>:�:>::>::>��>::`�:::<;:::z:::::::>`:::>:::>:��>.��:;�'�`'�''''�����'���:��:�::::::>::::::�:>'�':�`:�:�:�::<::::::>: €�M BEI�G::FIX�R�:Gt�U#�T:..:....::.:::<.:.:::.::.; Water Closets Sinks Urinals Lawn S rinklers Bathtubs Dish Washers Drinkin Fountains Other Showers Electric Water Heaters Sum s > Lavatories Washin Machine Drains 7'oYal.Fixiure.Count :�57[��N�i��fl`>::::.>:::.sss<;:::::;::>::;><.::.>°:°»::><>::>::::;>:::::::::::::::�`;::>:<:;:::::<::>:<:::: �#E�:Ul�ti'�'�.G#.)L�NT........:::..:::..:::::.: MECHANICAL EVALUATION ONLY S Fuel T e ( as/electric/other) Gas Dr 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 Fa�s Miscellaneous Fuel Tanks Gas Hwt Hood Boilers Above Ground Conv Burner Duct Work 0-3 Tons Under round BBQ's Wood Stoves 3-15 Tons Total:Unit Couni DISCLAIMER:I certify under penalty of perju at the information fumished b me is true and coirect to the best of my knowledge,and fuither,thal I am authorized by the owner of the above premises to perform ihe work for ch p 't application is m . furth agr o ve hamiless the City of Federal Way as to any claim(including costs,expeaces,and atfomeys'fees incurred in investigation d defens of such cl � ),w � may be m e any�erson,including the undersigned,and filed against the City of Federal Way,but only where such claim arises out of the rel� ce of the y,'�cl m its and emp y es,u n the accuracy of the information supplied to the city as a part of this applicaYioa r Owner/Agent: Date: tw�<<���;.n,� REv�svo 5/18r05