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94-100969
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Uo.i'��adsu� 6urt�ii�f� F0086 kiM `�gM I� 66;�<,/q4 =rJ3fl�SI T j . - �F�no� �C�M �s�t� , � - �`�?!-f, _�,r,,�-*,c1 '�►a + T_.1••s _,:< . �, � � °E.' �'"� ,� � ��! i �� � ! � � ,� t t _.. . . � �„ ��,� ,,- , . . , ( ..�s _ • ' « � - ,. SE'1`EiA ns e3e FOOTINGS' �'l cy;t5,� • L'� U FIN Date By __— � `�j-�l y ��9 2AC-;�:' /�r-o�o E���i3 C��-- 'yi�✓ ' , FOUNDATION WALLS - -�'�- ��= Lr ��L (J� �+�,(J Date By PtUMBING GROUNDWORK Date By UMDERFLOOR FRAMiNG Date - J �� BY � � SHEAR WALLS -� Date - 3 �-1 � " BY�=''�(..' S�= 11L /� PLUMBING ROUGH-IN Date ` ,}-�-' � By �L,�,�' GAS'PIPING Date -= 3=- 'C. By �jU MECHANICAL ROUGH-IN Date �� � - 3 � Ci' � BY���7 MECHANICAL (QTHER) Date By FRAMING Date - 3-`j BY Lj'/� .cS� k1!_ � l� '/�J/il1 S w�tq�fv' INSULATION Date a -1 BY / � GWB - 1 ST LAYER Date�_ _ � �• BY� � ` Cj � . �,�' � GWB; 2ND LAYER Date �� � - � BY 1'yl SUSPENDED CEILiNG Date By PLANNING FINlaL Date By ENGINEERING FINAL �j �;/N �' / l Date �, B � � f,, FIRE FIIVAL r' Date By BUILDING FINAL Date Q-� � By � OTHER Date By OTHER Date By CD0183 � � � �„�. G City of Federal Way -�- �-•�rzs�. �`, �' APPLICATION FOR BUILDING PERMIT • _ . ,. r-; ,, PLEASE PR/NT APPL/CAT/ON #:�����"-���� SITE LOCAT�ON Address � �:..._ �__ a�,, .'y<� �..� I�-� °-�� /� ' :�1�� —� �'( �� Tenant (if known) Lot �l --� Assessor's Tax�f C• ': , � .�.. ' y' � a - 1L�, � ;�,�. , -SOtt�ng Owner Name �� � Addres _ � �; , ,. Z.r• �r �..�:_ j r` � �;"1/ ._� _ �;�. a _ - „ City '"�"- , . ,�' State (,/�,% Zip Phone Z /� ��� NatureofWork ���, r �- -'��j� .. � � � VL, ` APPLICAIVT ; ; ` '' Name (F,M,L) Address . ! + � , ,', r�_�+ ; � �i��C��C��� c�ty ` scace z;P Contact Person Day Phone Other Phone Fax BUII,DING COI�RAGTOR: Company Name ��" � �: ., iv,.- -� Address �j . -� �. • �_�_� ��� � I L /� 1 {,�.,: � .� . Citv f" `�`�-.!.� ��� State j,� J�� Zip �,���� ? "f Gontact Person " �^ Phone Fax J ���, � � . { , ;�' � >��_ i ,, ,`;s'<" `J� c'� 5`, � '/ Contractor's # (card must be�presented) Expiration Date Verified ❑ Yes ❑ No � 1 � � .�( ,�C��_, ��•L� �_ ARCHITECT '. Name '^ '1 �li L' ( �im� � �� Address _ j}, - ' ��� '1 �_ � � 1 � �_,� T - (. � � - c�cv � � ACC�, scece �,.�, z�P � � Contact Person Phone Fax �.- � �-�- ;,�- '��; � ;•f> .. � � �.%� �, LEGAL DESCRIPTION .� � , �� ., �-� � c"i �� `�� �� � �C� � / �' ` ��C� l P/ease Complete Revesse Side CD0482 IRev 4/931 � � --�. ST'RtTCTURE sting Use �f roposed Use f � Fermit i�cludes: Building I,� Plumbing Mechanical ❑ Other ' Type of Work: �1 Residential ❑ New ❑ Remodel ❑ Number of Units_ ❑ Deck . ❑ ommercial ❑ Addition ❑ Garage ❑ Shed ❑ Other r Enter 1 st Floor ( '� sq ft 2nd Floor sq ft 3rd Floor sq ft Existing Floor Area sq ft ea Basement sq ft Decks�sq ft Garage_�? sq l ;} Proposed Total Area sq ft �� Water Availability � Sewer Availability � On-Site Septic System Availability ❑ iProject Valuation S Zoning � — r � Lot Size � ' Existing Bldg Vaf�ation S � l C�,2�.C4'ls'-', :�c.;+.'r �' - � �, __ _ . __ __ ____ .._ __.. _ _ . .. _ . __ __ _ __ ___ _.. ...._ ... ..._ ...... ..._. _. _ ...._ ._.. . .._. _........................ ._ .. LENDER''. Name �''� Address � 7 � City - � � State r � Zip _ _ _. ____ __ _ _ _ _._ . _ _ _ _ ...... _ __ _ __ ...._ _ ..... _ _ ...... __ _ _ _ ._. _. ...._ __ . _ _...... MECHA1vICAL'CONTRACTQR Contractor Name /1 Address � � � � �_ ��.. r Clty • �• , �• $teLB � zlp Contact r n Phone Fax ,— - •� � ��� �j � ._ License # Expiration Date Verified ❑ Yes ❑ No _ _ _ _ _............ . .._...... .. .. __ __ ______......._. _ __._ __...............___............. .......... __ _ _ ___ _ _._............. PLUIVIBII�TG CONT CTOR: Contractor Name Address 1 C' ''S- �U1 y� , c�cy stece ��(, z�P Contact Ph e � Fax � i �°{� _ '�,7 �� �� License # Expiration Date Verified O Yes ❑ No PLUI�IBING FA'�URE COUNT Water Closets � Sinks � Urinals Lawn Sprinklers Bathtubs Dish Washers Drinking Fountains Other Showers Electric Water Heaters — Sumps Lavatories � Washing Machine Drains Total Fxture Couni M1:CHANICAL;UNIT C�UNT �uel Type (electric/other) Gas Dryer Air Handling < = 10,000 CFM 15-30 Tons Length of Gas Piping •j � Range Air Handling > = 10,000 CFM 30-50 Tons Furn <100K BTUs Gas Log Unit Heater 50+ Tons Furn >100 BTUs Fans � Miscellaneous Fuel Tanks Gas Hwt Hood Boilers Above Ground Conv Burner Duct Work 0-3 Tons Underground BBQ's Wood Stoves 3-15 Tons 7otal Unit Count DISCLAIMER: I certify under panalty of pery'ury thet the information furnished by me ie true and correct to the best of my knowledge end further that I am euthorized by the owner of the above premises to perform e work for which permit epplication is made.I further agree ta save harmless the City of Federal Way as to a�y claim(i�cluding costc,expenses, end attorneys'taes i�curred in i ve tigati end defen f such claim�,which may be made by any person,including the undersigned,and filed aaainst the City of Federal Wey, but only where e . claim aris s out of t eliance o t e City,includin8 ite officers end employees,upo�the accuracy of tne i�formation supplied to the City es e part of this application. � OwnerlAgent: � ^ � � � ��� - Date: �� / 'J �� - -- , . _ . _ � _ _ - -- � , U��_�.�'`i -r---r- _ , ---r- —i�-- r---�--�- .._ ___j_ _ _ �-�-. , . . � �� i � � � � ( � • I ----�-- I � � -- - -- - - - - --' . . -. _ . �_ 'I . 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