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'��`;���• i�.���i, ,:�'";�3it�)�r� t.ltri ¢ ">tJt:����I_!j. ��>M.,1'I�� � �t'i)f�� � i�l��le �, k•����� ' "���'��Q �jL� � :-��i��z^�..) )-.('' , �.".�t j�.,�i,_,. (� � N �7.w g 4`� � .,.� ,� � �...,�p � .,�, ��.�. ..�«,� �. �...M�.,�:. � (.� E.T'!d� .'> 1�.�.�'" }`;.a �4 j . . , . i' �� . . .... . . .. � . � .� t.�1'`� f��:`{�i J�{ � '�!1 �.,�L .�..� . ��'-'''.'� 1 SETBACKS &FOQTINGS Date By 2 pQUNDAT10t�E VI/ALLS Date By 3 PLUMBING GROUNDWORtf Date By 4 SLAB INSULATION Date By 5 FQOTII�GfDOWNSPOUT DR1YINr Date By 6 UNDERFLOOR FRAMING'? Date By 7 SHEAR WpLLS Date By _ . _ _ ___ _ __ __ _ _ _ __ __ __ _ _ ___ __ _ . ___ . __ ___ _ 8 Pl.UM81NG Ri�UGH•IN Date By 9 QA5 PIpINQ Date By 10 MECHANICAL ROUGH-IN Date By 11 FRAMING :> Date �2,*_-c, By �� 12 INSU LA710N Date r� _Z�-f—� � BY � • 13 GWB - 1S'f LqYER Date L�'_ �� By 14 (3WB -2N0 LAYEFi Date By __ ___ _ _ __ _ _ . _ __ _ __ _ _ _ __ _ _ __ _ _ _ _ _ __ _ _ __ _ 15 SUSPENDED CEIL,ING Date j- 2�,._ `jr BY � L 16 4�LANNIN(3 PINAL Date By 17 PUBLIG WORKS FINAL Date By 18 FIRE FII�{Al. Date By 19 BUILDING FINAL ' Date =�"� �� n By � 20 Q?H�Fi Date By CD0193(Rev 4/97) BUII.DING DIVISION ""'OF G 33530 Fitst Way South -�� �Er�_ Federal Way,WA 98003 , .. (253)661-4000 ��� °� � ��s.. Fax(253)661-4129 APPLICATION FOR BUILDING PERMIT _, c��.�� _ . � PLEASE PR/NT APPLICATION # `� � � � � �y .� ' S ��,y i' `'�':�:�>': Address :��:i'�«'�..:.�7�`�>:;,:>::;::i::.>....:#.??::i:�:::?::::::::�:'`:�:;:i�:<::«:?<�E:i;;:?:?;:Ei':s::>�'s::..... . .�.. .. 1����..........................:.........:::.......::;•:.: J Zr0 � ��' — �.. SG i� ' �sI ��?0� Tenant(if known) �� Lot# Assessor's Tax# <1 � Lro � ` 3c�- 0 2 Building ner's Name .� Address O S� ��.✓Dc> �2�/3-- 0 5= �. �� � Ci State Zi g� Pho LS 3 7 '� �� Nature of Work /�������1��' ;. _ Name (F,M,L) _ �--- —� � � �� �i L�v � �'. Address � GU/� J / s�— �� �J � Cit State Zi Conta t Pers� v� Day Php{ies� , G � _�_�/� Other Phone Fa�3 ���c�I �� �� O J �3€���CDJ>x:<:�<:::<>:<:;;;/:><�:>::::::»:.>:.:::.»:.:>>>>,`.`.:'::::::::>::>:::�<:<::::>::>�':.:;:�:;:;:<<:<' ,..:...�.....:.�lM,�.�V�T,,,��,,,,.����.::::::.......:.::::..�.::.::;.:: r Company Name �' ��121�!e CS S �'��t Address �� r Cit State , Zi Contact Person � ��5� .�G � �_ ax , ���, � Contractor's #(card must be presented) � Expiration Date Verified ❑ Yes ❑ No ��S //�G _��,- � . Aft�.HE'1'.. �:'>��'`::;;`:<':`>:��:;;?:`::::::�::::::�::'':::>::>::>::>::>:::.::::::>:::: >. -:: E�' .:::: ...::.:...::... Name Address C� State Zi Contact Person Phone Fax LEGAL DESCRIPTION P/ease ComQ/ete Reverse Side ___........._ _....... _......................._................ - _............ _ ...__.... ........_. _............................._. __ ............ . ;::.; >wSTfiE;1G�Uf�� ".:;::::::>:::::>:<;, i isting Use �., ,ropose se �,' Permit includes: �Buildin � Plumbin r: echanical ❑ Other Type of Work: �'Residential ❑ New P�Remodel ❑ Number of Units_ ❑ Deck ❑ Commercial ❑ Addition C�Gara e 0 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 Availabili ❑ Pro'ect Valuation 3.5�'� Zonin Lot Size Existin Bld Valuatio� S LEI1tt?�R:::::>:::::::«:::>::::`:::::::::>::::':::::>::::::>::::>:':?;:::><:»::::::>:::::<:::>::>><:::'.';``'`'` - __... .............. ................ Name � /�/�C Address /l/ Cit State Zi �������:����«:������}��i>:«::::>::::::::s<::;;:::: ..... Contractor N e Address � � � f� ,;.�., _ �t��� 5� h- =ut �,.�• � : � Ci �r-c: ( ' State C.c.J Zi l Contac� Phone Fax r�� lc `�_ 5 ��- � License# 'l�c:���< '� S '—`' ' � Ex iration Date Verified ❑ Yes ❑ No __. _........... _......_........ -._..__.___...... _........... ___......._.........._......_.. `P�,iJNI�EI�G C:aN7'F�AC�`t7�t Contractor Name Address Cit State Zi ~ Contact Phone Fax License # Ex iration Date Verified ❑ Yes � No >�?�:�1�11�:���}�:i:::�����:::�.�f����::>::::::>::>::::::::::::>'�:::z:::;:::: Water Closets Sinks Urinals Lawn S rinklers Bathtubs Dish Washers Drinkin Fountains Other Showers Electric Water Heaters Sum s Lavatories Washin Machine Drains 7otal Fixture Gount EVAL ATION ONLY S ME HANICAL U >:�`�'�'i: :>:>:s;>.<:>:>::>:>>:.::>::>::::::::>::::::�::::`:::»::<:><:::: C :.;;:.;:.;:.;:.;:.;:.;:.;:.;;:.;:.;:.;;:.;:.;:.;:.: ....................:...........: :l��:F�#��I:I.�A�:.�N..�'.CQt�N'i'......................... ............................................... . 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 Grou�d Conv Burner Duct Work 0-3 Tons Under round BBQ's Wood Stoves 3-15 Tons Total:iUnit Ca�nt _ DISCLAIMER:I certify under penalty of perjury that the information fumished by me is Lue and correct to the best of my knowledge,and fur[her,that I am authorized by the owner of the above premises to perform ihe work for which pemut application is made.I fudher agree to save harniless 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 o f fhe reliance of the city,includin ' officers and p oy es,upon the accuracy of the infortnation supplied to the city as a part of this applicatioa Owner/Agent• � Date: � �"' �� Buaoir�c.Avr R[va[o 8I28/97