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92-100789 MECHANICAL PERMIT ��� Id � �g9 CITY OF BUILDING INSPECTION FEDERAL WAY B U I L D I N G P E R M I T 941-1555 92-0839 M DAWN ZIRLER 2333 S. 292ND STREET PERMIT NO. OWNER'S NAME JOB ADDFESS CONTRACTOR �C GAS INSTALLATIONS ADDRESS 9923 64TH CT E PUYALLUP CONT. PHONE 845-7482 CONT. REG. NO. �CGAI1.13N3 OWNER'S PHONE 946-9324 OWNER'S ADDRESS 2333 S. 292ND STREET FEDERAI, jA]AY TYPE JOB: NEW RESIDENCE ADDITION NEW INDUSTRIAL NEW COMMERCIAL COMMERCIAL ADD. INDUSTRIAL ADD. NEW PUBLIC PUBLIC AOD. NEW MULTI-FAMILY (UNITS ) MULTI.ADD. SIGN GRADING OT ER TAX ACCOUNT NO. 422260—OO�IO LEGAL DESCRIPTION �UED BY aTOANNE JOHNSON DATE OF ISSUE DATE OF APPLICATION 5-29-92 BUILDING INFORMATION ZONE OCCUPANCY TYPE OF CONSTRUCTION BLDG. SQ. FT. SET BACKS: FRONT SIDE REAR STORIES HEIGHT LIMIT PLUMBING N0. NO. MECHANICAL APPLIANCES AMT. AMT. BOND WATER CLOSETS ELEC. HOT WATER HEATER GAS PIPING S FT. �Q BOILER RECEIVED BATHTUBS LAUNDRY DRAINS COMPRESSOR TANK(S) SHOWERS URINALS FORCED AIR FURNACE AIR HANDLING UNIT NUMBER LAVATORIES DRINKING FOUNTAINS GAS�IOT WATER HTR. 6_50 MISC. SINKS MISC. CONVERSION BURNER BASIC FEE �n_nn RETURNED DISHWASHERS TOTP.L FIXTURES UNIT HEATER TOTAL MECHANICAL 2R_ �n AMOUNT VALUATION GAS PIPING TEST MUST BE WITNESSED BY INSPECTOR. AFFIDAVIT WILL NOT SUFFICE. PERMIT FEE LAN CHECK FEE UMBING FEE INSPECTION RECORD MECHANICAL FEE 7 S_S O TOTAL BLDG. FEES Water Line DI'� Mechanical Inspection Notes: PART PIC FEE SEPA REVIEW GAS PIPING OK Date By WATER SERVICE WATER MAIN CHG. S.B.C.C. FEE � � � OTHER FEES MECHANICAL PERMIT AMOUNT DUE 28_50 Account No. 010-000-322-10-004 Total Fee $ 28,50 Receipt No. ALL PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS STARTED. RESIDENTIAL AND GRADING PERMITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE. I CERTIFY THAT THE INFORMATION FURNISHED BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY REQUIREMENTS WILL BE MET: � ,. ` /' ...-�'"''' OWNER OR AGENT ��L ���'��{J�O�������`-r- DATE � ~ � P � ` � MECHAN��PERMIT CITY OF BUILDING INSPECTION FEDERAL WAY B U I L D I N G P E R M I T 941-1555 PERMIT NO. OWNER'S NAME JOB ADDRESS CONTRACTOR ADDRESS CONT. PHONE CONT. REG. NO. OWNER'S PHONE OWNER'S ADDRESS TYPE JOB: NEW RESIDENCE ADDITION NEW INDUSTRIAL NEW COMMERCIAL COMMERCIAL ADD. INDUSTRIAL ADD. NEW PUBLIC PUBLIC ADD. NEW MULTI-FAMILY (UNITS ) MULTI.ADD. SIGN GRADING OTHER TAX ACCOUNT NO. LEGAL DESCRIPTION ISSUED BY DATE OF ISSUE DATE OF APPLICATION BUILDING INFORMATION ZONE OCCUPANCY TYPE OF CONSTRUCTION BLDG. S0. FT. SET BACKS: FRONT SIDE REAR STORIES HEIGHT LIMIT PLUMBING N0. NO. MECHANICAL APPLIANCES AMT. AMT. BOND WATER CLOSETS ELEC. HOT WATER HEATER GAS PIPING FT. BOILER RECEIVED _ BATHTUBS LAUNDRY DRAINS COMPRESSOR TANK(S) SHOWERS URINALS FORCED AIR FURNACE AIR HANDLING UNIT NUMBER LAVATORIES DRINKING FOUNTAINS GAS�10T WATER HTR. MISC. SINKS MISC. CONVERSION BURNER BASIC FEE RETURNED DISHWASHERS TOTP.L FIXTURES UNIT HEATER TOTAL MECHANICAL AMOUNT VALUATION GAS PIPING TEST MUST BE WITNESSED BY INSPECTOR. AFFIDAVIT WILL NOT SUFFICE. PERMIT FEE PLAN CHECK FEE PLUMBING FEE INSPECTION RECORD NECHANICAL FEE ��j( '}.��,�� ��^ TOTAL BLDG. FEES Water Line �K Mechanical Inspection Notes: �v � � PART P/C FEE (�>�y , ^� � A��!"`-`/'yl �/( L SEPA REVIEW GAS PIPING OK Date6 �� 7�3 � W �i' i i WATER SERVICE ����,`� ' � �/ WATER MAIN CHG. �� S.B.C.C. FEE OTHER FEES MECHANICAL PERMIT AMOUNTDUE _ ACCOUClt NO. 010-000-322-10-004 Total Fee $ Receipt No. ALL PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS STARTED. RESIDENTIAL AND GRADING PERMITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE. I CERTIFY THAT THE INFORMATION FURNISHED BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY REQUIREMENTS WILL BE MET: OWNER OR AGENT DATE r V Per # � � � ,�1 ����� MAY 2 9 igg2 CITY OF FEDERAL WAY �`�r ornrc�F�aA�.vw►Y BUILDING PERMIT APPLICATION ����; —Please Print— BOX 1 TENANT NAME: ����.,,z ,Z�;�,��_., OWNER SITE LOCATION > OWNER'S ADDRESS " ' " . S �Y'` % ITY � - PHONE r''� G - ��y 1 L DESCRIBE JOB u � ��'�'-�- �- -��--�-� ' THE PROPERTY IS OWNED BY: SINGLE/I�ARRIED PARTNERSHIP CORPORATION BOX 2 CONTRACTOR'S NAME �f�'v �-�a- ��:�- ���-�'-2-� CONTRACTOR'S REG. #4'%.�-- 4=�.L�� l<'3 ("}�,S , Card MUST be presented CONTRACTOR'S ADDRESS �.� � �f �� � �- CITY �� � PHONE �`6�`��` �°� EXPIRATION DATE ���� � - , " — OR— I HAVE READ CHAPTER 18.27.010 RELATING TO DE INI ONS OF GENERAL CONTRACTORS AND SPECIALTY CONTRACTORS AND CHAPTER 18.27.110 WHICH PROHIBITS ISSUING PERMITS WITHOUT PROOF OF REGISTRATION. BOX 3 CONTACT PERSON �-Z:'��-�-��� PHONE ��'`�S- ?�� �`,� BOX 4 SEWER DISTRICT WATER DISTRICT BOX 5 ESTIMATED PROJECT COST EXISTING BUILDING VALUATION BOX 6 PROPERTY TAX ACCOUNT NUMBER 'y� � '� � � — a 6 �? U LEGAL DESCRIPTION (If necessary, please submit a separate page with the legal description.) K.C. Plat Recording # BOX 7 BUILDING SQUARE FOOTAGE: (Existing/Proposed) 1ST FLOOR / 2ND FLOOR / 3RD FLOOR / BASEMENT / DECK / GARAGE / BOX 8 ( ) SINGLE FAMILY ( ) NEW CONSTRUCTION ( ) MULTIFAMILY (N0. OF UNITS = ) ( ) EXISTING STRUCTURE ( ) COMMERCIAUINDUSTRIAL TOTAL AREA OF PROPERTY SQ FT BOX 9 PLUMBING FIXTURES (including rough-ins) MECHANIC9L-APPLIANCES— BASIC FEE$ N0. WATERCLOSETS GAS PIPING, FEET '-� $ BATHTUBS N0. FURNACE, ELEC. GAS $ SHOWERS �' GAS HOT WATER HEATER $ LAVATORIES CONVERSION BURNER $ SINKS BOILER, SIZE BTU $ DISHWASHERS AIR HANDLING UNITS $ ELECTRIC HOT WATER HEATER HEAT PUMPS, SIZE $ LAUNDRY WASHER OUTLET UNIT HEATERS $ URINALS AIR COOLING UNITS, SIZE $ D INKING FOUNTAINS COMMERCIAL HOOD $ MPS, SPRINKLER VACUUM BREAKERS OTHER $ DRAINS $ OTHER $ TOTAL FIXTURES $ TOTAL MECHANICAL FEE $ I CERTIF NDER PENALTY OF PERJURY THAT THE INFORMATION FURNISHED BY ME IS TRUE AND CORRECT TO THE BEST OF INY KNOWLEDGE AND FURTHER THAT I AM 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 FEDERAL WAY AS TO ANY CLAIM(INCLUDING COSTS,EXPENSES,AND ATTORNEYS' FEES INCURRED IN INVESTIGATION AND DEFENSE OF SUCH CLAIM),WHICH MAY BE MADE BY ANY PERSON, INCLUDING THE UNDERSIGNED, AND FI LED AGAINST THE CITY OF FEDERAL WAY,BUT ONLY WHERE SUCH CLAIM ARISES OUT OF THE RELIANCE OF THE CITY, INCLUDING ITS OFFICERS AND EMPLOYEES, UPON THE ACCURACY OF THE INFORMATION SUPPLIED TO T E CITY AS A PART OF THIS APPLICATION. � -- ; ,� OWNER/AGENT: '�`� "�''"� DATE: ANP-008 3/90