91-100700O
70 -
D
D O to
g m v-4
v v
v
<
v
cn
cn
m
v
m
N
•i z
A 0 m
2
m c)
r
0 m a�
a D m M�
c
D
r-
W
z<
p
1
C
z
�
m
z z
Z
Dm
r
O m c�
m m D 1
a=
z
c
=
A a
x m
a
m
m
m
a
m
3
m
C
Z D 0
M M m�
r D
m 0�
-ai
D
O
m
c m
W
n
v
n c
C-
O
D�
0
m�
o m
D m< m
m �
G) m
m
O
=
D
m
m �
Z
O
O
m-�
3
m
m m m
z< m.
m x
m
z
m
m
vzi
D
z
z m
U)x
m m
in
m
m
m
0
--iD
L7
m
m
m m
m m
m
U)
o<
m
z
_
m
z
I
m
I
r m
7o
z
v
01
r
m
O
01
mrjU1
CO m
o
�
�
m
°°
O
M 3
a
�N
'
U)N
IQo
Z
D
v
F
c
O
D
m
m
D
r
z
X
z
>
c m
z
v
n
01c
oc
-4
O
=
-O
m
Oq
+
Z
x
T
O
Z
z
Z
=
D
D
�C
D D
{
Ui
D
0
z
m
z m
Z
v�
m
00 _
D
z
m
m
m
v
z
z
a
T
D
m
rn
f�
m
O
�J
n LTC]
rrr
�Oi
m
m
z
z
o
c
y
a f�
O
p
c
rr H
'HU
t"
z
I
D
z
H
r
O
m
z
(n
O
(D
rb
m
n'
v
D
ro
O
O
i
o
ON
H
H
D D
z z
c
a O
m
O
c� O
3
n
O m
O
2
v
-Di
r v
m z
z
m O
m
m
p
I H
y
O
z
�
O D
< k
0:,)a
O D
m Cu)i
m
1
m
m
O
m G)
m
m
H
mN
'�
M.
71
l
0
(Hn
'0
z
pCD
0
3
I
p
NW1
33
z>
tm
D
n
m0
r
m
O
z
Km
m
N
mz
m
I�
D
D
I G
m
>
D
D
m>
>
0o
m
r
0
y
z�
D
D
�
c
Cl)
Z
b7
D
m
z
'�
I
CA
H
O
C)
o�
.P
W
(D
m
U)0
z
I
m
m
(D
FF-I
�
c
y
z
Z
y
H.
'V
D
3
i
pZ
G)
pni
H
�
m
c)
z
"'
cn
u
c
c
�
a
im
m
Gi
-1
LIU
N
�7
v
(A
v08
G>
U)
rrr
W
0 x
m
D
Z
m
~
Is
rt
H
H
Z
O
D
m
D
O
to
m m
`f
v
a
7p
(D
b
D
r
n
T
2
D
r
D
Cl) fR
=
m
f,.
LTj
m
m
v
ai
z
N
m
D
O
z
m
{n
O
f�
m
m
r
G)
D
v
1
c
v
�~
r
n
N
D
-1
m
n \O
n
ca
>
s
z
�n
D
v
a
v
w '03, Uli
M
m
rt
H
N N
3
C,
n
O
I
j
Om
p
InO
..
�'
y
O
O
ry CD
Oz
>wwd
g
m
id
m
z G
M
m
fD
(D
3
c
p
G)
g
1
U�
m
ro•
H
r
-4
D
m
n
m
r
p
m
c
m
r_
O
Z
D
c
rr
r
z
�
m
I
n
m
r
D
7
my
v
N
M
a
I
Lidal
m
Cy w
{cnLO
Cb U1
�
W
m
�
v
w
CnrJ
JW
ro
LTJ
H
H
6
a
m
Dm r
M
m:3
Z 2 N
c� m
�m m
w z
mo o
M� v
O a
z
c M
M N
Z CO)
� c
= D
M Z
v n
Co m
z
m O
c
c m
m
Z �
v a
n 21
O m
70 v
x
m m
n m
N
- v
O m
m :1
M a
W r
m Z
I Z
v
O O
m
� v
Z
z
O
m
m
v
c) rn
m m
v
--i m
m
m O
D> m
v '<
r m
F) a
D m
03 D
m mC) m
v
� a
O
�n m
m 0
M
70 go
A
D m
D O w g `L w v -4 K v v m
C m n m m D O x Z
Z M c> M x x v a m 0�
m m w M o m z z lx m
g m m D M m m D m n m
c) z < r 7C
m o c5 m m m m m
M m m m m
O �
0
m.
0
rr
a
N
(D
0
O
1-0
rr
O
Z
rr
(D
ri
r
(D
j
rrt
�
(7
H
La
m
ro
OR
Ct
l
D
r
C
0
z
(p Z D x D a r M O
x x D O x m 3 m m
cn in m x W z h
m CDvi r0 O cn
x
cn
I m
v O
z
0
- v c r m
o M D D c m
7ZC D 0
r x
x m O
c o m
x c D D
ccn m m
D D
a) D
m
m
x
O
n
n
C
a
z
Q
m
c
c
m
v
z O
D
o
O
D
m
D
m
=i z
m
cn
4o
70
m
K
to
v_
A
xa
v
m
O
m
x
m 33
O-4
v
D
m
z
v�
m 0
i
5
0
0
n
x o
c
c
x
70
r
D
G
m
w
m
x
c
a
'U
D
Z
31
i
Z
C)
m
D
m
m
r
a
r
m
A
Z
N
3
z
Illfl3
O D D O
� D
r n D m
m z
n m v
z
D D
z
n z
D y
r
K
-4 r. o
c c co m
x m <
m x mp
v
m
(n
x
o
O
c
m
g
C
m
O
m
0 0
Z z
9 D
m
D
z
o
I
z
O
>
lz
m
m
x
O D
m
v
m
z
c
m
z_I
m
D
v
�
v
z
O
z
I
o
w
` z f
! m
LD
0
c O
x z
m
� x �
r �
O O
D
r 0 Z
m m m m
n I :E
n
O
O �
z O-� m
D
2 n
m
x �
n
O
m o
0m
D D
D N
v a
D
m
Q)
N
z
v
c
O
v
z
c
v
v
c
v
r
n
D
v
0
0
O
z
x
O
z
m
z
D
m
m
O
m
Y
SET BACKS AND FOOTINGS OX TO POUR FOUNDATION WALLS
DATE. BY DATE _ _ BY
PLUMBING ROUGH IN WATER LINE OX.
DATE __ ___ _BY GAS PIPING O.K..
U.K. TO ENCLOSE FRAMING INSULATION
DATE _ __ -BY _ DATE
FINAL O.K. TO OC PY
DCD PSD
DATE _ BY _
PLUMBING GROUNDWORK
DATE
MECHANICAL INSPECTION
DATE _ --BY
WALL BOARD AND FIRE WALL i
DATE - - -- -- -BY
FD
P „Mit # I r L �
r
RECEIVED
MAY � 0 �991 CITY OF FEDERAL WAY
BUILDING PERMIT APPLICATION
DM 1* fcf.DMAL WAY — Please Print —
BOX 1 TENANT NAME:
OWNER I SITE LOCATION f` - "`r
OWNER'S ADDRESS �S��• �. _ CITY HONE
DESCRIBE JOB
THE PROPERTY IS OWNED BY: SINGLE/MARRIED PARTNERSHIP_ —CORPORATION
BOX 2 CONTRACTOR'S NAME _ CONTRACTOR'S REG. #fiSE,QT_ !12
Card MUST be presented
CONTRACTOR'S ADDRESS �r CITY/&,OL PHONE
EXPIRATION DATE
OR —
I HAVE READ CHAPTER 18.27.010 RELATING TO DEFINI NS OF GENERAL CONTRACTORS AND SPECIALTY CONTRACTORS AND
CHAPTER 18.27.110 WHICH PROHIBITS ISSUING PERMITS WITHOUT PROOF OF REGISTRATION.
BOX 3 CONTACT PERSON __ _ _ PHONE, 5_--/�(��3
BOX 4 SEWER DISTRICT
WATER DISTRICT —
BOX 5 ESTIMATED PROJECT COST EXISTING BUILDING VALUATION
BOX 6 PROPERTY TAX ACCOUNT NUMBER_ _
LEGAL DESCRIPTION
(If necessary, please submit a separate page with the legal description.)
K.C. Plat Recording #
BOX 7 BUILDING SQUARE FOOTAGE: (Existing/Proposed) 1ST FLOOR
3RD FLOOR_ BASEMENT / _ DECK /.
BOX 8 (•—'/-OGLE FAMILY
( ) MULTIFAMILY (NO. OF UNITS = _j
( ) COMMERCIAL/INDUSTRIAL
BOX 9 PLUMBING FIXTURES (including rough -ins)
N0. WATERCLOSETS
BATHTUBS
SHOWERS
LAVATORIES
SINKS
DISHWASHERS
ELECTRIC HOT WATER HEATER
LAUNDRY WASHER OUTLET
URINALS
DRINKING FOUNTAINS
SUMPS, SPRINKLER VACUUM BREAKERS
DRAINS
OTHER
TOTAL FIXTURES
( ) NEW CONSTRUCTION
( ) EXISTING STRUCTURE
TOTAL AREA OF PROPERTY
2ND FLOOR _ 1
GARAGE
SO FT
MECHANICAL APPLIANCES — BASIC FEE $
GAS PIPING, FEET $
NO. FURNACE, ELEC. GAS $
--GAS HOT WATER HEATER $
CONVERSION BURNER $
- —BOILER, SIZE BTU $
AIR HANDLING UNITS $
--HEAT PUMPS, SIZE $
UNIT HEATERS $
SIR COOLING UNITS, SIZE $
COMMERCIAL HOOD $
OTHER _ _ — — -- $
TOTAL MECHANICAL FEE $
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 ASTO 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 OF THE 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: / r "- — — _ DATE:--
ANP-008 3/90