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I �s�=�(._+;,...-��,. . , _ ; . , , � -. _ � �;I}r'�-f" � '"';:? i��'�,�,, k''- !ti �. ;� i_)��-�i l ��r�`.�lb.� t:ill f�I ����l;�i � � 2(�'�:�: �-�s��.� i��.E.'��I ��,� i " � , =,t�j ��.i� (i i",:t'.��<+,��. Y � i F � _ , s .t M � ,,�.'� .� ,:�,.� � � .;;�'i � .'�>'.� `},�`awt 'C_�{ ;i ! . � ' i3�.��! i}.1 •`•����`�� � �V�e`F s�:' t -;.'� `�!..r 1 �li`�{-; .f �i�j . . - '�"� "� �-. 0�i V .� �"` . • �a .'J — '�!�/�` V M1 1 SETBACKS & FOOTINGS Date By 2 FOUNDATIOPE VIfALLS Date By 3 PLUMBING GftOUNDWl�RIf � ,•„� �i � 7 � Uc� Date ,�,�.y �� BY /' � rJ—Z 7— 4 SLAB INSULATICJN Date By 5 FOOTING/DOWNSPOUT i7RAINS Date By 6 UNDERFLOOR FRAMING' Date By 7 SHEAR WALLS Date By 8 PLUMBING RDUGH•IN >� Date By 9 C3AS PIPINC� Date � � �ci _ . By 10 MECHANIGaL ROUGH-IN Date By 11 FHAMING Date By 12 INSULATIQN Date By 13 GWB - 1ST LAYER Date By 14 (3W6 -2ND LAYEF3 Date By 15 SUSPENDED GEILINC ; Date By 16 pLANN1N(3 FINAL' Date By 17 PUBLIC WORKS fiNAL : Date By 18 F1R� FINAt Date By 19 BUILDING''FINAL' Date By 20 OtHE�i Date By CD0193(Rev 4/B� BUII.DING DMSIO\ `rt"°F '— 33530 Fust Way South -=� EDEfZF�L_ Federal Way,WA 98003 �v � (253)661-4000 ,_.„�€��.:_=�� `�' '"�"��" Fax(253)661-4129 , ��.� APPLICATION FOR BUILDING PERMIT PLEASE PR/NT APPLICATION # � � ,I -�� i "' �,� � :::::>::: S' � • . rte address >`.` ::� `. :::::::>::::>::::>::::>::::`»i;>:::>:::>::::i::>::<:>::::>:::::`::.... c::::.. ;:: �1�'I�:�.���T:II�.I�.:. ::: : : ,:.: .: .:......... 3a �� �'3 �� w Tenant name Lot # � Assessor's Tax# • - .:,� . Building Owner's Name Address .� Q�o� �.Z-��10 ���� 5l� Cit \ W State Zi ��OO Phone Descri tion of Work '_.. � �.::;:::�.:;��:::;.:: :::::>::::;::<:'':,::::'';'::::>::::::>>:>::::::»:::<:::>;:>:>'': <:>::>::>�:>::: ��«�'����::::::......:::::::::.:::::......:..:......::::::::::.::,.:. Name (F,M,L) ` —" C.O �' �Q.c��. Address `1 lS-L.,rJ� Cit 1..� ��..�e, State Zi qwolz Contact Person ay Phone Other Phone Fax MYs '�'�`J `Q- z.S �a`�Z• b�vo �::;::;;;.; f , �1�.t7]N�:::���1::::>:<::;..`>;`<<>::.:::>::>:::::»>::>::::>:<:>::::::::<:?<::<::;: F r I W B i n Li n # TR.�4.�TOR:::::::::::::::::::::::.:::: ede a ay us ess ce se ; ' ' ,,� Company Name , �/C. ♦ � �' '�'L�.� Address �S� �� \ Cit � State ���, Zi gp'ZZ— Contact Person , one Fax '�`��•r-k M V.s-- 4ZS `\�01•�c� �R'J6'9t�`l� Contractor's # (card must be presented) Expiration Date Verified � Yes ❑ No �\SG `�� \�. ':>::;<:::�:._����.�...�.':�'i��i:i::::::>::f::E::>::::E:'i>�::;'?::::>::::':::i.`:?"`;':�:;`:`::`:':`::`;i>:::'i;`:i'Fi"3: AR .H._��'.........................:.....:......:..:.................... Name Address r Cit � Sta Zi Contact ers n �, Phone Fax LEGAL DESCRIPTION P/ease Comp/ete Reverse Side $�'#;�,j��}(� -; xisting Use roposed Use � l '��i-�,,,kl � Permit includes: ❑ Buildin ❑ Plumbin ❑ Mechanical ❑ Other Type of Work: jd Residential ,� New ❑ Remodel ❑ #of bedrooms ❑ Deck ❑ Commercial f� Addition ❑ Re air ❑ Gara e O Shed 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 Availabilit Sewer Availabilit On-Site Se tic S stem Availabilit ❑ Pro'ect Valuation S �� Zonin �� � ^ Lot Size '� �� i" r� Existin Bld Valuation S i'�-�, �-'�' . ,. _ __....._ ... .. ... ... . __. _. _.... __...................._....._____ ............_............_.. ___............ _......................_ _ _. _............._._............ _...___..........__...._.......___ __...... _............. LEI�Q�R For new residentia/on/ - Pro osed sellin cost: S Name Address � Cit State Zi >M��AN I�Pi;�::�t�1Sl'�'�tG�'�SR::::«::<:::>;»::::::::<::: _..._............._......._...._....._,_._....................._... Contractor Name Addres Cit ate Zi Contact \` Phone Fax .� License # � Ex iration Date Verified ❑ Yes ❑ No � .� RLUltill<>> B�I��::��NT��i`�R�:::::>?:::s>':::>:::>:><:<:::<[:<[:::::::: `� Contractor Name � Address Cit � State Zi (�ontact Phone Fax ��� License # Ex iration Date Verified ❑ Yes ❑ No :�'�:U�1tIBEI�G`'FIXT�E3�:<�t�UNT::>::>:':;>`>:�:><:::::[::>::::: Water Closets S' ks Urinals Lawn S rinklers Bathtubs Dish Washers Drinkin Fount ' s Other Showers Electric Water Heaters Sum s Lavatories Washin Machine Dreins TbYal'Fixture'Count �� .......................................................................................... TI 11� NLY S A EVAL A O :Nf��Ni1�1N:[�#i�::�4�ti�:>G#�i�+l:::::>:::;:<::::<<:::':::::;:::;::::>:'::: MECHANIC L U ............................ .......................... Fuel T e ( as/electric/ot r) Gas Dr er Air Handlin < = 10,000 CFM 15- 0 Tons Len th of Gas Pi in Ran e Air Handlin > = 10,000 CFM 30-50 ns Furn <100K BTUs Gas Lo Unit Heater 50+ Tons Furn >100 BTUs Fans Miscellaneous Fuel Tanks Gas Hwt Hood Boilers Above Ground Conv Burne Duct Work 0-3 Tons Under round � BBQ's Wood Stoves 3-15 Tons Tatal Unit Count DISCLAIMER: I certify under penalty of perjury that the infonnation futnished by me is true and co�red 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 perrnit application is made.I furfher agee to save hazmless the City of Federal Way as to any claim(including costs,expenses,and attomeys'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 employees,upon the accuracy of the information supplied to the city as a part of this application. Owner/Agent: Y1/\�/� ��1 Date: ��Z.-� ��C1 Bv�to�r+G.Aw HEvisEo 5/18199