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PhiONE �,3c/ - �/�',��� DESCRIBE JOB I1���-41�1 ( ( �'k..�_�r___rt� '�1 '1�1. �' -:i� � ���l_�! < ' � 1 ��T. t �� ;l ��( ����C!�/h� - THE PROPERTY IS OWNED BY:�iNGLFJNIARRIED�f PARTNERSHIP CORPORAT1aN CONTRACTOR'S NAME t�l i 1) l ) )Q�Q SL D�'t� I�� CONTRACTOR'S REG.# �R�TI-�W}f In3I�� Card MUST be presented CONTRACTOR'S ADORESS � � � 1 S�"S�`"CITY (���-��Q PHONE ��—L�L-{O7 EXPIRATION OATE 1a - —OR — I HAVE REAO CNAPTER 18.27.010 RELATING TO DEF1NITlONS OF GENERAL CONTRACTORS ANO SPECIALTY CONTRA;CTORS AND CHAPTER 18.27.110 WHICH PROHIBITS ISSUING PERMITS WITHOUT PROOF OF REGISTRATION. CONTACT PERSON 1��,�0�o PHON — SEWER DISTRICT WATEA DISTRICT ESTIMAi ED PROJECT COST `TU ?L�C�'C� EXISTING BUILDING VALUAT(ON PROPEATY TAX ACCOUNT NUMBER `-� � � ��� � � ' � LEGAL DESCRIPTION (If necessary, please submit a separate page with the legal description.) K.C. Plat Recording � BUILDING SQUARE FOOTAGE: (Existing/Propos2d) 1ST F�OOR / 2ND FLOOR / 3RD FLOOR / BASEMENT / DECK / GAR,'1GE / ( ) SINGLE FAMILY ( ) NEW CONSTRUCTION ( ) MULTlFAMILY (N0. OF UNITS = ) ( ) EXISTING STRUCTURE ( ) COMMERCiAVINDUSTRIAL TOTAL AREA OF Pf�OPERTY SQ FT � PLUMBING FIXTURES (including rough-ins) McCHANI�AL APPUANCES — BAS(C FEE 5 N0. WATERCLOSETS GAS PIPING, FEET i�,B � ,� � BATHTUBS NO.�_FURNACE, ELEC. GAS �' � SHOWERS �L_GAS HOT WATEA HEATER � LAVATORIES CONVERSION BURNER $ SINKS BOILER, SiZE BTU S DISHWASHERS AIR HANDLING UNITS � ELECTftIC HOT WATER HEATER HEAT PUMPS, SiZE � LAUNDRY WASHEA OUT�ET UNIT HEATERS � URINALS �, AIR COOLING UNITS, SIZE � DRINKING FOUNTAINS COMMERCIAL H000 � � . SUMPS, SPRINKLER VACUUM BREAKERS OTHEA � DRAINS � OTHER � TOTAL FiXTURES $ TOTAL MECHANICAL FEE � T1FY UNOER PENALTY OF PERJURY TNAT THE INFORMATfON FURNISHED BY ME IS TRUE AND CORRECTTO THE BEST OF MY KNOWLEDGE =URTHER THAT I AM AUTHORIZED BY THE OWNER OFTHE�aBOVE PREMIScS TO PERFflRM THE WORK FOR WHICH PEAMIT APPUCATION 1S _.I FURTHER AGREE TO SAVE HARMLESS THE ClTY OF FEDERAL WAY AS TO ANY CLAIM(1NC�UOING COSTS,EXPENSES,AND ATTORNEYS' INCURRED IN INVESTIGATiON AND DEFcNSE OF SUCN CLAIM),WHICH MAY BE MADE BY ANY PERSON, INCLUDING THE UNDERSIGNED, =1LED AGAINST THE CITY OF FEDERAL WAY, BUT ONLY WHERE SUCH CLAIM ARISES OUT OF THE RELIANCE OF THE C1Tf,INCLUOING ITS ;ERS AND EMPLOYEES, UPON THE ACCURACY OF THE INFflRMATION SUPPLIEO TO THE�ITY AS_A P�RT OF THIS APPLICATION. / .. �; 1 � ��, �,� � " ,i _� t _ (—;� / , ' � i ER/AGcNT: �_;' OATE: A/M-00�Yf0