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90-101414 9b - �� Y� y CITY OF BUILDING INSPECTION FEDERAL WAY BU I LDI NG PERM IT 941-1555 PERMIT NO. 9O-ZG34 MH OWNER'S NAME LAMPLIGHTER HOMF�S JOB ADDRESS 2611 S Z8H �T (SpAGR 72� CONTRACTOR ALBRITTON CONTRACTING ADDRESS 3505 99 AVE E PUYALLUP CONT. PHONE CONT. REG. NO. ALBRIC*13SLZ 6/91 OWNER'S PHONE 491-1130 OWNER'S ADDRESS �B 3�� T.A('EY 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 SET-LTP MOBIT.E HOr�LF. TAX ACCOUNT NO. ZH392O-0720 LEGAL DESCRIPTION NA ISSUED BY F. .T .AR .TA SNYDF.R DATE OF ISSUE � DATE OF APPLICATION 1D�1 O�9 U BUILDING INFORMATION _....E RM�FfOO OCCUPANCY �3 TYPE OF CONSTRUCTION �N BLDG. SQ. FT. �$ SF SET BACKS: FRONT 7 �� SIDE _7 S� & � O_�i� REAR 3� STORIES NA HEIGHT LIMIT NA _ PLUMBING NO. 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 HOT WATER HTR. MISC. _ RETURNED SINKS MISC. CONVERSION BURNER BASIC FEE DISHWASHERS TOTA�FIXTURES j�nNF. UNIT HEATER TOTAL MECHANICAL NnNF. AMOUNT NnNF. VALUATION $6�H�I4.n O PLANNING DEPT APPROVAL = BILL RINGMAN ON 10/30/90 PERMIT FEE $qn_nn PLAN CHECK FEE 5�9_n n BUILDING DEPT APPROVAL = MICAAEL MONEN ON 10/2 4/9 0 PLUMBING FEE CHANICAL FEE ,,TAL BLDG. FEES � � d U_ (1�1 PART P/C FEE SEPA REVIEW WATER SERVICE � r� WATER MAIN CHG. DATE PAID '� � AMOUNT $153.50 RECEIPT � x S.B.C.C. FEE 4.5� v OTHEfi FEES A!;�UNT DUE 153_�J� ti ALL PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS STARTED. RESIDENTIAL AND GRADING PERMIT& EXPIRE ONE YEAR AFTER DATE OF ISSUANCE. . I CERTIFY THAT THE INFORMAT FURNISHED BY ME TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY REQUIREMENTS WILL BE M : � � ��. 7 � �wNER OR AGENT DATE � � 31b'0 1N3�Jd Fi0 li3NM0 �!3W 38 IIIM S1N3W3aIflO3d �l`dM ldli343� �O .11l� 3l9`d�llddb' 3H1 4N`d 3rJ43lMON�I AW �O 1S38 3Hi Ol 1�3Fia0� aNt/ 3flal SI 3W n8 O3HSINdf1� NOI1cWdO�NI 3Hl .idHl A�Ila3� I '3�Ndf1SSl j0 31V4 d31�d Hd3A 3N0 3FlIdX3 311W!!3d JNIUVa°J oNd lVl1N301S3d '431k4V1S SI �!!OM ON �I 3�NVfISSI H31�V SAVa OSl 3HIdX3 SlIW113d llV -� 3na 1Nnowv S33�d3H10 __ 33d '�'�'8 S rJH�Nlb'W d31VM ��I�Fi3S Lti31'dM M31A3d b'd3S — 33� �/d 1lib'd S3�� '�'J016 1tl101 33��b'�INVH�3 -- 33� eJN18Wflld 33��3H�Nb'ld 33�llWd3d _ . , .. _ - . .. . . - , . 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S OWNER'S ADDRESS � ? - CITY �(�c.� PHONE ` < < � -; DESCRIBE JOB � � � � � �� 1a�Vi'1�- THE PROPERTY IS OWNED BY: SINGLE/MARRIED PARTNERSHIP CORPORATION BOX 2 CONTRACTOR'S NAME CONTRACTOR'S REG. # Card MUST be presented �� CONTRACTOR'S ADDRESS CITY PHONE EXPIRATION DATE 1.3z- I ��1E1��`{1�� —OR— I HAVE READ CHAPTER 18.27.010 RELATING TO DEFINITIONS OF GENERAL CONTRACTORS AND SPECIALTY CONTRACTORS AND CHAPTER 18.27.110 WHICH PROHIBITS ISSUING PERMITS WITHOUT PROOF OF REGISTRATION. BOX 3 CONTACT PERSON '-� � �' PHONE � 11 ` /I :�� BOX 4 SEWER DISTRICT WATER DISTRICT BOX 5 ESTIMATED PROJECT COST �� EXISTING BUILDING VALUATION BOX 6 PROPERTY TAX ACCOUNT N�BER Z`6 � ' �C� — Q 2�'> LEGAL DESCRIPTION -+-��C:i S{, 5��. C{ �� (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) MECHANICAL APPLIANCES�-BASIC FEE$ N0. WATERCLOSETS GAS PIPING, FEET $ BATHTUBS N0. FURNACE, ELEC. AS $ SHOWERS GAS HOT WATER HEAT $ VATORIES VERSION BURNE $ SI 601 , SIZE BTU $ DISH S S AIR HA LING NITS $ ELECT OT WATER HEATER HEAT PUM SIZE $ LAU RY ER OUTLET UNIT HE ER $ U ALS AIR LING UNIT , IZE $ RINKING FOUNTAI C MERCIAL HOOD $ SUMPS, SPRINKLER VA M BREAKERS HER $ DRAINS $ OTHER �- ,! $ TOTAL FIXTURES $ TOTAL MECHANICAL FEE $ I CERTIFY UNDER PENALTY OF PERJURY THAT THE INFORMATION FURNISHED BY ME IS TRUE AND CORRECT TO THE BEST OF MY 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 FILED AGAINST THE CITY OF FEDERAL WAY, BUT ONLY WHERE SUCH CLAIM ARISES OUT OF THE RELIANCE OF THE CITY,INCLUDING ITS OFFICERS AND EMPLOY�ON T ,A RACY OF THE INFORMATION SUPPLIED TO THE CITY AS A PART OF THIS APPLICATION. � `� �, OWNER/AGENT: � � -� " '�/ DATE: �� ' �� ANP-008 3/90 ' � ti OFFICE USE ONLY (PLEASE DO NOT WRITE BELOW THIS LINE) ` ZONEQ 3�SETBACKS: FRONT��SIDE�� REAR �� HEIGHT LIMIT � � PLANNING DEPARTMENT APPROVAL • �' 90• �� REMARKS: SEPA: EXEMPT NOT EXEMPT FIRE DEPARTMENT APPROVAL ��/t DATE REMARKS: PUBLIC WORKS DEPARTMENT APPROVAL /� "`�r DATE REMARKS: TYPE OF JOB: NEW RESIDENCE x RES. ADD/ALT NEW INDUSTRIAL IND. ADD/ALT NEW COMMERCIAL COMM. ADD/ALT NEW MULTIFAMILY (UNITS ) MULTIFAMILY ADD/ALT TENANT IMP. OTHER OCCUPANCY �� "} TYPE OF CONSTRUCTION G-'- /�� STORES �: �!r��-� BUILDING SQ. FT. l�/�`t @ �;", _ �7�� n � �� '�'+ � BUILDING SQ. FT. �1��`f @ i�`'" _ � �7`�;1 BUILDING SQ. FT. @ _ BUILDING SQ. FT. @ _ BUILDING SQ. FT. @ _ BUILDING SQ. FT. @ _ TOTAL SQ. FT. TOTAL VALUATION �� '� , ., �. .�, � - ti'� 1 �. `J 7 BUILDING DEPARTMENT REMARKS: PERMIT FEE c' �� PLAN CHECK FEE r �� `t PLUMBING FEE MECHANICAL FEE TOTAL BLDG. FEES ` `� ``� PART P/C FEE SEPA REVIEW S.B.C.C. FEE �� - OTHER FEES AMOUNT DUE 3` ASSIGNED ADDRESS: ,�-�� i-n�?•;�5`; PARTIAL PLAN CHECK FEE RECEIVED Amount Date Receipt# BUILDING DEPARTMENT APPROVAL RECEIVED BY �� = � "� �" ` "' ''�.� DATE % � ' i' ACCEPTED FOR FILING