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CD CT rp% Fl, I- rm Gn 70 r_nCD • SETBACKS .& FOOTINGS Date By FOUNDATION WALLS Date By 7PLUMBING GROUNDWORK Date By UNDER€LOOK FRAMING Date By 7WEAr%"VVftI*t- k~-*60461 Date By 7.PLUMBING ROUGH -IN Date By 7GAS PIPING Date By MECHANICAL ROUGH -IN Date By MECHANICAL (OTHER) Date By FRAMING Date By 7 INSULATION Date By GWB • 1 ST LAYER Date By 7GW8 - 2ND LAYER 'Date By SUSPENDED CEILING Date By 7PLANNING FINAL Date By ENGINEERING FINAL Date By 7FIRE FINAL Date By BUILDING FINAL Date `^ B OTHER Date By OTHER Date By CDO193 cmn� ; .33530 First .Way 50'uth Federal Way,,WA .98003 . (253) 6614000 Fax (253) 661-4129 rl' tti;�t a;(t'LIC TION "FOR',. -BUILDING PERMIT PLEASEPR/NT APPLICATION # V Lr i Address -J .� Tenant (if known) Lot # assyssar's Tax N Building Owner's Nam Address City State zip Phone Nature of War I FEDERAL WAY BUSINESS LICENSE Company Name a L3 Address^� } City Stated zip v Conte ers n Phone `i- Fax �- 0p\ Contractor's # (card must be presented) Expiration Date Verified _�El Yes' ❑ No �� F 4': k`•: 1i•� Name Address City State zi Contact Person Phone Fax LEGAL DESCRIPTION 1 m 1 e 14e v�r i Permit includes: Type of Work: 19� Residential ❑ Commerch Enter 1 st Floor sq ft Area Basement s ft Water Availability ❑ . Sewer Name Cit Contractor Name city Contact License # Syj y - Contractor Name City Contact License # Bathtubs Showers Lavatories t existing Use $M Building ❑ New ❑ Addition 2nd Floor _ Decks �r-0 On-SOn-S Lot Size ;f reposed Use ❑ Plumbina ❑ Mechanical ❑ Other ❑ Remodel ❑ Number of Units ❑ Deck ! ❑ Garage ❑ Shed ❑ Other sq ft 3rd Floor sq ft Existing Floor Area sq ft so ft Gatacia aq ft Proposed Total Area frt a rn Availabili 0 Project Valuation Existing Bldg Valuation --------------- $ r ' w K:,1 Address State Address 1, State Zip Phone Fax ' iration Date Verified ❑ Yes ❑ No" Address State Zip n� r Phone Fax Expiration Date Verified ❑ Yes ❑ No .f Sinks Urinals Lawn Sprinklers Dish W shers Drinkina Fountains Other Ele ric Water Heaters Sumps Washinq Machine Drains T ��"'. ` tit t.v '- < � � - , <• E. MECHANICAL EVALUATION ONLY $ Fuel T e (electric/other) Gas Dryer Air Handlin < = 10,000 CFM 15-30 Tons Length of Gas Piping Range Air Handling > = 10,000 CFM 30-50 Tons Furn <100K BTUs Gas LouUnit 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 'I tti81 U.ti'iI-Co[riit DISCLAIMER: I certify under penalty of perjury that the information furnished by me is true and correct to the best of my knowledge, and further, that I am authorized by the owner of the above premises to perform the work for which permit application is made. I further agree to save harmless the City of Federal Way as to any claim (including costs, expenses, and attorneys' 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 out ofthe reliance of the city, including its officers and employees, upon the accuracy of the information supplied to the city as a part of this application Owner/Agent. Date: REV 6Eo 8126197