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SETBACKS & 060TINGS
Date ' , , i Q,By
FOUNDATION WALLS
Date Gj By
PLUMBING GROUNDWORK
Date By
UNDERFLOOR FRAMING
Date y
7—SHEAR
WALLS
Date
PLUMBING ROUGH4N
Date -- s By
7
GAS PIPING
Date "''- By
MECHANICAL ROUGH -IN
Date By,
MECHANICAL (OTHER)
Date By
7
FRAMING
Date — By
oh i'O !,v �J Alo tJL�. N Gtr R umom ArAA 11�g R
7
INSULATION
hate By6
i
7
GWB - I ST LAYER
Date
7GWB
- 2ND LAYER
Date i <07-By
7SUSPENDED-
CEILING
Date By
PLANNING. FINAL
Date By
7ENGINEERING
FINAL
Date B �`
FIRE FINAL
Date By
7BUILDINqFI
AL
Date By
7-
OTH R
Date By
7
OTHER
Date By
CDO193
ru
PLEASE PRINT
FEB 2
City of Federal Way he W
APPLICATION FOR BUILDING PERMIT `lw _ 61V7 62
APPL/CA T/ON #: bt t T LW J ls" M
Address —
Tenant (if known) [}
Lot #f_�A10 As� so 's #
juil w r Name
d y r r�+ �� �
Address
1,2
Z F*4.. � � �. �'u r 2-0City
_
�Z-Z iva
StateM.
Zip Phone (��, o
Nature of Work •7Y/Z C) W] /W[, y j/I- 6 1n16/, f
r►
Name (F,M,L)
N►-W �s .
Address _
City I,,(
State
Zip�f��
-Contact Person
Day Pho
Other Phone
Fax
p�e``
t[�
Z '
BiJII.DG CONTRACTOR
Company Name '
5,09 ry1 e, S L� G•�4�1'~ �� .
Address
City
State
Zip
Contact Person
Phone
Fax
Contractor's # (card must be presented)
Expiration Date
Verified ❑ Yes ❑ No
RCIgT,ECT:'
Name
c.l�o v�E Go►►� c ���Sa�J o Grc
Address
I
City State Zip
Contact Person Phone Fax
LEGAL DESCRIPTION •
Please Cam le[e Reverse Side
CDO492 (A- 4r93i
in Use /
- _
tposed Use c"
Permit includes:
kBuilding XPlumbing
Mechanical ❑ Other
Type of Work:
Residential New ❑ Remodel
❑ Number of Units _ ❑ Deck
❑
Commercial
❑ Addition ❑ Garage
❑ Shed ❑ Other
Enter 1st Floor
sq ft
2nd Hoar l�3rd Floor sq ft
Existing Floor Area _ sq ft
Area Basement
sq ft
Decks sq ft Garagn sq it
Proposed Total Area }3 f sq ft
Water Availability .ice
Sewer Availability 455 On -Site Septic Systorn Availability ❑
: .Projoct Valuation . $:;' '' :•:;>' ''
Zoning
Lot Size 8 2(O �r
sayy y
Existing f31dgl Valtrat'stirl' $ - 'ta yZ,K..
. ENDER
Name / J ��f�D� L
C►�}
Address
1 x%le
,
City
State 6dK
Zip 8I01
miV Zi NICAT :CONTRACTOR
Contractor Narne `
4 / L�f� IIiG Pit /a ,
Addro—t 11
_ -
State A Zip
T _
City _: ` .
Contact
Phone _
.Y
Fax
�V rr
License # - j � � ;•l:
Expiration Date
Verified ❑ Yes ❑ No
Contractor ame
L A M I+J
Address
City ,e.0
State q,
zip Oo Z
Contact Lr J� H/�� L/4ML
'rF
Phone... O
Fax
License #7 L GC-
Expiration Date
Verified ❑ Yes ❑ No
Water Closets
Sinks_71-
Urinals
Lawn Sprinklers
Bathtubs
Dish Washers
Drinking Fountains
Other
Showers
Electric Water Heaters
Sumps
Lavatories
Washing Machine
Drains
:icy,'' > ; : s> .:.;;;. <` >::., ;:::.
Tat.al Eiixu:rb::L'atSrSt;;:"`� :-_->':,•
eNwigovNr
Fuel Type (electric t C.'ioi;*.,
Gas Dryer
Air Handling < = 10,000 CFM 1
15-30 Tons
Length of Gas Piping
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 f
Underground
BBQ's
Wood Stoves
3-15 Tons
:Total U111C.COUnt
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 coats, expenses.
and attorneys' fees incurred iri 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 iarico of the City, including its officers and employees, upon the accuracy of the in/formation supplied to the City as apart of this
application. / I
r /w
Owner/Agent: • e4 Dale: ;
APR-16 -159S 15' 5F . ,-WWILL_ JOHES INC
P.02/05
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