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Date — lU — ��''1 gY . . 2 FOUNDATION WALLS Date ✓/S— ��j BY �`—j , .;-, 3 PLUMBtNG GftOU'NDWORK Date By _ _ .. __ __ _ _ ___ _ _ _ _ _ _ _...... ___ _ __. __ __ _. .. __ _ _ 4 SLAB"iNSULATION Date By 5 FC?OTING/DOWNSPI)UT f1RAINS ' ' ^ � ,� ��✓ � �� g Date BY � vt'N S' �9N G� �� 6 UNDERFLOOR FRAMlNG / / " � 4 JN!/ ' I'4 �.> I..<� E'�?�::. �-.``'a L)�1 I-�"�� ���^/� Date f� , C^`t By � y f� _�--.�"'� f ` f c_ �' c: : _ � /�.3 C ci`.✓ _� v 7 SHEAFi WALLS —r —/�--��' Date �/ �-6G By 8 PLUMBING R�UG'H-iT�I ' Date(2s'`�'C.� By�� _ _ __ _ _ _ __ _ _ ... _ .. __ _ __. _..._.. . .... _.. 9 (3A5 PIPINQ Date Z3 V� By 10 NlECHANICAL ROUGH-IN Date 2 ��3—�� BY __ 11 FRAMING Date 3..��- By 12 IN�U LATION Date ,�, ,; _6� gY 13 GWB - 13T LAYER Date By 14 GWB -2ND LAYEi3 Date By _ _ _ _ __ ____ _ ___.. _ _ ____ _ _ _ _ __ _ __.... __ _ _ _ _ __ _.... _ _ _ _. 15 SUSPEN:DE[7 CEIUNG' ::: Date By 16 PLqNNINC3 INAL:: < ` / Date � ;,`'�' � _By .:--s �__�-. 17 PUBLIC W RKS tNAL : Date By 18 FiR� FIPtAt. Date By 19 BE3�fLDING'��FINAL_�: � Date � ,G,/ �� BY C " 20 OTHEFI Date By CD0193(Rev 4/87) , �A-�� BUII,DING DIVISION "`"°F c 33530 F'ust Way South - --�-- �� ��� , ��°���� ,�,-�-s���� � Federal Way,WA 9801)3 (253)661�000 Fax(253)661-4129 :r�� f� �, APPLICATION FOR BlJIL�ING PERMIT PLEASE PR/NT APPLICATION # ,�j1j��� � D �� :::::;:<' g• �/� �+ Q� — ���::���.:ii����������'�:����..��i<:i�'<:::i?::::>:i<::i:::::i::E::i;i:�?E�z:�>;;EEE`?::::::>?:::`>::::. ite address ><.;:.>: !3��:�....::..#�..:�:..1�:..:...........::::::::.:..>.:::::..:.:....:.::.:.::. �IX'� c��� - Tenant name Lot # Assessor's Tax# � fl" (� a-r���,3 y -`I�7 Bui �n Ow �r' N � �� A dres � ���� 5� Cit State Zi (/ Phone -' Descri tion of Work :. ;>.�?::;>>>::;:>::::>:::::�,:```::>:::<:>:»::>;:i:>><:::;>:«'<:?:»`>::>::>>?:::::>::>::::>:::><'::>:::[>:: A�.�.I�r�n�. : :::;.: .. ..::::.:.. � �v C Name (F,M,L).�' �� �/l� /�� U Address ���3 Cit State Zi V� Conta Pe son Day Phone Other Phone F �'�'h � �35 �o �.�-r�i�3� : : ::�: : : ::::::: ::::::,::: :::::::: : ;::::::: B�I�:i31ttiIL'�::..:t3NT#;�.�TDA.:::::,,,:::.:::::::.::::::::. Federal Wa Business License # Company � I`�C> W�S_i-, 1i�//��'v /V �K�L Address �� �� � � Cit State Zi Contact Person Ph Fax � ��, � 7� � Contractor's # aid must be piesentedl Expir i D e Verified EYi cs ❑ No '���I����rT;.;>::::<::>:<.:<><::;:.;;;»>:.:.:::;::.;>;;i>:`:'»>`::E<>:::E:i:'">>;»'.E.: ... _............................................................... Name � � Z �' Address j�9 f� ��Z�n�N`E /"�, :J�-�� �D`� Cit ��v�l� � State Zi � Contact Person Pho �,�,���,l Fax � , S�S I � V LEG.'v�DESCRIPTIQlV �� �n �,� P�/ ase Cama/ete Reverse Side � � �� , �+ s>: txistin Use �o osed Use �� :`��'�:R.:�;::;���t<::�;:��'.F�E:[:<E:EEEE:ia::»::::>E:E;::E>':;?>E:::;>;;;;E�E�<::;';:;:;;;';::<::;'[:;;>::r<:._: 9 P .� �Y�.......... . ....... ......... .................. Permit includes: ❑ Buildi ❑ Plumbin ❑ M chanical ❑ Other Type of Work: C3�F{esidential ew ❑ Remodel C�'#of bedrooms_� ❑ Deck ❑ Commercial ❑ Addition ❑ Re air ❑ Gara e ❑ Shed Enter 1 st Floor I2��sq ft 2nd Floor I�(o�sq ft 3rd Floor .U' �t sq ft Existing Floor Area ;L��J� sq ft Area Basement s ft Decks � -Tj s ft Gara e '72.0 s ft Pro osed Total Area "3`5� s ft Water Availabilit Sewer Availabilit � On-Site Se tic S stem Availabilit ❑ Pro'ect Valuation S Zonin lot Size f� O-3�p Existin Bld Valuation S � ,����� - ��in cost: s �E�tI?ER:>.:':'�';::>:>::::::`><<:<:::>`'>:�<::>:::>>»:::::>;;::;::;�:::::::::::::::::::::<::':::<::::><::::> w r i n i / n/ Pro osed se For ne es de t a o p Name Address Cit State Zi � 11tt�C F�Ai111�A�::.���ITp�ACT�?R Contrac r Name Address " E �7 � � 2�5 �� �5��6,� c�c l c- �-i- stece � z� `� , ��� 2 Contact ��U hon� ��) , I��� Fax �� !�. � �� � '7 Ex iration Date// 3 Verified ❑ Yes ❑ No License # '-- -,L,� G�'j` Z, �.- _........................................................... ................................ ;.; ;:>:;::>B.::>::>::><::,;>::::<:>:<:>>:;::<'<G��R'::>:::::[>::::>'::<::;<:z<;;<;;:;;`:; Rl�U�1tl...:fi�##s ��i11T�E.. ...... .: Contract Na �e/ � Address .�n �/Y -� ���J�{�4-• � J.7 S�l'_ S Utl ���';j'e -ff Cit ✓1 State Zi � , t�� Contact on , F x (���n'� �4�� 7y.� "��(�' a 53 73 S -I'�I(�v License # +�7 �N � ��r' �� � . � Ex iration Date'`� � aj Verified ❑ Yes ❑ No ?::>::>::<�,::<::::z:>:>:::::::::>:>::::::>:�:>�::�:�>:�'::�::�:>::: PL.U..M�3[I�G.::.E�X'�'UR .:�t3U�l'�':.:. ..:.:..::.:::::: Water Closets�� Sinks Urinals Lawn S rinklers Bathtubs c� Dish Washers � Drinkin Fountains ,� Other � Showers � Electric Water Heaters Sum s ) Lavatories J Washin Machine � Drains 7aYa1`Fixtute.Cnunt :<(� VAL ATION ONLY S I AL E U ME HAN C �i��r�a�v:��;��>uivi��:r:����i�:>::::>`:>`<::::`>;">::>::>::>::>:: C Fuel T as lectric/other) � Gas Dr er Air Handlin < = 10,000 CFM 15-30 Tons Len th of Gas Piping Ran e � Air Handlin > = 10,000 CFM 30-50 Tons Furn <100K BTUs � Gas Lo � Unit Heater 50+ Tons Furn >100 BTUs Fans S Nliscellaneous 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 Count DISCLAIMER:I certify under penalty of perjury that thc infonnation hed by me is true and correct to U�e best of my knowledge,and further,that I am authorized by the owner of the above premises to p e work for which pennit application i ma e.I futiher agree to save harniless the City of Federal Way as to any claim(including costs,e�cpences,and attomeys'fees incu m investi tion def e of such claim),w c fnay be made by any persoq including the undersigned,az�d filed against the City of Federal Way,but only where such cl ' out of the e' the city,includin 'is o ers employees,upon the::ccuracy of the information"supplied to the city as a part of this application. � � �� Owne / gent: Date: euiiuv�a.nro Riv5FD 5/10/99