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Tl�t?S�� �tsfiA �lt-� ;-tt?7 ° s{�. � � .t' • � . . • ' "'��'"'� SET��.IES'�i F007'INGS �-��-�t �,(� Date �. �� -� By . ( FOUNOATION WALLS // .�%JIG C 1"'"� Dates�Z3� i y BY �• PLUMBING GiiOUNDWORK :��� — __ — � — � Date By �� UNDERFLOOR FRAMtNG' N(i//c,� }�j/rs �� /��� � Date � �Z —�� By. SHEAR WALLS Date �a�� � By PLUMBING ROUGH-IN Date / - B GAS PIPING Date "�U--t By � MEGHANICAL ROUGH-IN Date , ' ! "'C� By �( MECHANICAL (OTHER) Date By FFiAMI ���j ` ,.�2 �yU l� �vv�a cP �} S� R,d�iy Y i��LP � � _ ( � Date � � � By �� INSU ION � Date ' - � BY ` GWB - 1ST LAYER 11i�'r�^-�(� Date -��� — � � By ; � GWB - 2ND''IAYER � Date By SUSPENDED CEILING ` � - Date By 1 _ PLANNING FINAL ' ' Date By ENGINEERING FINAL Date By FIRE FINAL Date By BUILDING FINAL �� L'j 1� Gj.Q� (�yJ/(� � � � t Date � � By OTHER , Date By DTHER Date By CD0193 City of Federal Way � �� G '�� F--'i1�i'ZF7l �`� APPLICATION FOR BUILDING PERMIT ,;�'�w:�'�- - ;�c�.� � � /�/� ?�/�z PLEASE PR/NT APPUCATION #: IG�L�1i�I� � O�''�=�J SITE LOCATION address Tenant(if known) Lot # Assessor's Taz # � ' �� Building Owner Name Address -� �(A f.. �/' ' J L�, .-� ��� �'; City �'1,L� State � � Zip "1 '`ti�;s � Phone Nature of Work 1,'�:� C�!lS�: Q V�l�r-�-� ��(..ti`\ S�_ �(.�y'�'1��� ���� . • APPLICAIVT ;: ;: .. ;:: _ __ _ ...................... ._._...................._.._.... __ __ ... ..............._ ._._.................. Name(F,M,L) •� ��-- 1'� - �r /,•(� L"�•� f i �T ��-;" � Address (� �1 � CJ�� J � / � ��-, / �� cicy ��(� � scace Gi,/ z�p .�`� � 1._ ' Contact Person Day Phone Other Phone Fax �—� �1 �� � ? __ _ __ _ __ __ _ _ ._ _ _..._ BUII.DING COI�TRACTOR ; Compa�y�Name� �,r�� t-j ��i,•� � �1G!%'�S i �— Address a ' �� � � /� � /'Ci City _ State Zip .�' j Contact Person Ph ne Fax � � ~ Contractor's #(card must be presented) Expiration Date Verified � Yes O No � / �.„ �1RCffiTECT > Name Address City State Zip Coniact Person Phone Fax GAL DESCRIPTION / /t iS �i �T �� .l�t L">5/�1r� � Q"C� �/��)� i Gd`I/i9/7�) 5 �h�CN_ ;� f�rn �c��—��f�� P/ease Comp/ete Reverse Side . CD0482(Rev 4/931 ��`j'{tjC�'�J�E I `,: Fxisting Use aroposed Use � - E= �:� Permit includes: Building � Plumbing ,.. Mechanical ❑ Other , Type of�'ork: [� Residential '�.New O Remodel ❑ Number of Units_ ❑ Deck ❑ Commercial � Addition ❑ Garags ❑ Shed ❑ Other Enter 1 st Floor !S J�'� sq ft 2nd Floor f <��' sq ft 3rd Floor sq ft Existing Floor Area sq ft Area Basement_ _sq ft Decks sq ft Garage $'�" sq ft Proposed Total Area sq ft Water Availability C� Sewer Availability C� On-Sita Septic System Availability ❑ ' Projacf'Valuafion S Zoning L , � �/ Lot Size �4, S �, _ - Existing 61dg',Va(uation 5 ___ _.__. _ _ _ _ �� `j�-��� _._ _ ._ _ _ __ __ _ __. _ ___.. __ ____ _........ . _....... _ __ . ....._____ LENDER ` Name Address � � City V State Zip i�c�r�c�, earrrRacro� :< ': Contractor Name Address '�- � /�/ c�cv scete z�P q;�' �� Coniact Phone Fax � � r e�� I License # � � '� Expiration Date Verified ❑ Yes ❑ No PLUMBTNG �ONTRACTOR _ __ _ __ _ _ _ __. : _ _ _ _ . _ _ __ ___.._..___ ______ _ _ _ _ _ _ __ _ Contractor Name Address � C �.r �t � City � State Zip �� Contact - Phone Fax C f��C � ►l: UU1 t r` � License # �`� ' Expiration Date Verified ❑ Yes 0 N� __ _ _ __. _ _. _ _ __ __.._. _ _._ _._..._. ..... __._........_ _ ___ ..........._._ .... ............... _ _ ..............._. __...._.__........... __........._. _...... .. .. ._.___............... PI,IJMBING FIXTIJ�E C�iJNT __ ___ ___ _ ___. _ .....:: _ Water Closets Sinks � Urinals Lawn Sprinklers Bathtubs Dish Washers j Drinking Fountains Other Showers Electric Water Heaters � Sumps Lavatories (p Washing Machine � Drains 7ota1 Fixture Caunt �.t� _ __ _ ___ _ _ _ _ _.... __ __ __ _ _. _ _ .. ........ _ _ ____ _ _ _ _ _ _ .__....... __ __ _. _ _ _ ............ MECHA1vICAL UNIT COUNT Fuel Type (electric/other) Gas Dryer Air Handling < = 10,000 CFM 15-30 Tons Length of Gas Piping � *�,r' •< -a Range Air Handling > = 10,000 CFM 30-50 Tons Furn <100K BTUs Gas Lop � Unit Heater 50+ Tons Furn >100 BTUs '. �"�',� Fans Miscellaneous Fuel Ta�ke .�.. Gas Hwt ��, Hood Boilere Above Ground Conv Burner Duct Work 0-3 Tons Underground � BBQ's j Wood Stoves 3-15 Tons Total Unit Count � > � DISClA1MER: I certify under penalty of perjury that the information furnished by me ia true end correct to the best of my knowledge end further that I am autharized \ of the above premises to perform the wor{c for which permit application is made.I further agree to save harmlesc the City of Federal Way es to any claim(including cr and ettorneys'fees incurrec�,in investigation and defense of such claim►,which may be made by any perso�,ineluding the undersipned,and filed against the City � but only where euc clai �rises out of t p relia ofythe City,including its officers and employees,upon the accurecy of the information supplied to the City application. f � � �/ Owner/Agent: E. Dete: �"�,�' �� T---