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Date By 7 SHEAR WALLS : Date By __ __ _ _ _ _ _ _ _ __ _ _ .. _ _ _._ _ _ __ _ __ _ __._ __ _ _ __ _ _ __ _ 8 PLUMBING ROUGH#N ::> Date By 9 (3A5 PIPII+tQ Date By 10 MECHANICAL ROUGH-IN Date By 11 FRArVIING ' � n�,►��k� �e�-�-� VN�I�d !�".,�` �7'�� ' Y�—ft%a'�� i`vc _. _ _:. Date BY . 4'�'n'�.�7W�• �t mct ' ; C� '�' ; .��'� _, � 12 INSULATIQN ' . l ' ,� � ��a ,��J� d+,r� '` Date_ _ BY S' — � 13 GWB - 1S7 LAYER ; 3'� r n S Date By 14 (�iWB -7Nt1 LAYE'Ft I lj'�� 'l� ��E� '.. c��� Date By � � __ _ _ _ _ _ _ 15 SUSPENDED GEILING ;:: Date By 16 PLANNIN(3 FINAL Date By 17 PUBUG WORKS'FiNAL ' Date By 18 FtRE FINAI. Date By 19 BUILDING FINAL Date By 20 O'TH�[� Date By CD0183(Rev 4/B� BUII.DING DMSIfiN cmoF G � „,,_._�,�����--.--� 33530 First Way South � -'—" EDEI-�lL -�x-�• Federal VVay,WA 98CO3 �� � (253)661-4G50 ,� � � 1�;�':'r Fax(253)661-4129 APPLICATION FOR BUILDING PERMIT PLEASEPR/NT APPLICATION # � ��� �� 1O' ::::>:;::::>;:':<::'::€:'<�>::?;;:::>;::>:«::[>::[:[:>::[:>::><>>«:<'><:::: _� � ::s::::> Address ��'I'�::�:#��i�`�`��1t��>::>:,:><:;:;::::;::>::»::::>::::>::::>::>::>::::>::::>:::::::;:>:::::..... C L ..__ . ...... .� l / ,�z ' ........,............:..:.:.::.:...:..:.:.... L) Tenant (if known) Lot# Assessor's Tax# Building Owner's Name � ' Address��� � ��-.� " /� `^� G� �r� Ci Z� � St Zi �� ) Phone, ' L (J Nature of Work I ::::>::::>::::>::;:::::: ';����''''..'.�::�.�:::s::':':':::;':`:::::::::::.:;;::>�:::::>::»::::::>:::#i'::::`:>:':�>::�.::.�::::.,.::::. . .�,.�.......::.:....:....................::.......:................ Name (F,M,L) Address �� State Zi Contact Person Day Phone OtherPhone Fax :�3#:�I�:Da."�`��}ltilT«::>:::;�:: .':>:::>::::::::::>::::::>:::>:::<<::::<:>»?`;;: ......,.�I.....:......:.:.:...f�..7'�R.::::::::,:,,::::.::::::::::::. Company Name �'�, , � � Address i `S Gt--4'!'.--`c_ CC--CL '�_-'C�—C-LS�. CI $LeLe Zj Contact Person Phone Fax Contractor's #(card must be presented) Expiration Date Verified ❑ Yes ❑ No :;:<::^>:;::<:::>;::»>::>:: :. .C.F EE7` :�>::���'::::<:::'?<':>:::::>::<::>:«:>::»:<s>`::::�::':::::«:>t;:>::>:::::`;��::::�::;':'«:«'':?.: ,�1,n..:.:.:.:.:E�`.:.::::::.:.:::::::::::::::::::.:::::::::::::::.:�,::.:::::. Name Address Cit State Zi Contact Person Phone Fax LEGAL DESCRIPTION P/ease Coma/ete Reverse Side . 0 osed Use s ' Use i tin P .,;�:.�"r3�'.�>>�.' E�:<:::::::>:::::::>:::?``'�`::<:>;<::::::::::>'::::::::`::;:::::`:`::<:::;::::::>;>##:E>:, 9 �``.......U�TL�.................................................................. Permit includes: ❑ Buildin ❑ Plumbin ❑ Mechanical O Other Type of Work: O Residential ❑ New ❑ Remodel ❑ Number of Units_ ❑ Deck ❑ Commercial ❑ Addition ❑ Gara e ❑ Shed ❑ Other Enter 1st Floor sq ft 2nd Floor sq ft 3rd Floor sq ft Existing Floor Area sq ft Area Basement s ft Decks s ft Gara e s ft Pro osed Total Area s ft Water Availabili ❑ Sewer Availabilit ❑ On-Site Se tic S stem Availabilit ❑ Pro'ect Valuation S Zonin Lot Size Existin Bld Valuation S ............ ' ....................... ......................................................................................... .......................................................................................... �ENExEf�::;::;:::::::>:::<::?::$:::>`<::::::>:::::':::<:<::<:::;;;,:<:>:[:[[::<::«::<:;:::;:<:>::?::>::>:: ........ Name Address Ci State Zi ............................................................................................ ........................................................................................... ............................................................................................ ........................................................................................... ............................................................................................ :����v:r.�s��::���r�r�►:���s�:::>«::::::::>::::::>::>:::::::- Contractor Name Address Cit State Zi Contact Phone Fax License # Ex iration Date Verified ❑ Yes ❑ No ....................... ............................................................................ ............................................................................. .......................................................................... ............................................................................. .. ����:����'a::;����'���I'f Q:�......:«:::;:<:::::::::::>::;:«::<:: _.......... _.. ___.................... .... Contractor Name Address Cit State Zi Contact Phone Fax License # Ex iration Date Verified ❑ Yes ❑ No _.. _ . _............... _.__ _.................. __......._......................... _...................... _.... _...................................................... _................._..... _._...................... .................. .._.... ....................._._..._._..................... F�I:iJ#VI�E�G �'IX'�i�F�:�f}f�N't';::<:::>:`::::>;';':::>::>::::::> Water Closets Sinks Urinals Lawn S rinklers Bathtubs Dish Washers Drinkin Fountains Other Showers Electric Water Heaters Sum s ; Lavatories Washin Machine Drains Total Fixt�re Gount:: i: iVtE�FEA�JI�Af.�J(V1IT�Ot1NT : MECHANICAL EVALUATION ONLY $ Fuel T e (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 Fans 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 Connt DIS CLAIM ER:I certify under penalty of perjury thai the infocmation fumished 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 perfoRn the work for which permit application is made.I further agree to save harniless the City of Federal W ay as to any claim(including costs,expenses,and attomeys'fees incucred in investigaiion 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 ofthe reliance ofthe city,including its officers and employees,upon the accuracy ofthe information supplied to the city as a part ofthis application � � �A 1 � i � - Owner/Agent: ��1� L�- \ ���%"� Date: � �'Z � �' Bu�tD�NG.AaP HEv�seo 8l28/97 �