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SETBACKS & FOOTINGS
Date By
7
FAUN AT N WALLS
Date :�_' �, By �
PLU SING GROUNDWORK
Date By
UNDERFLO R FRAMING
Date l� c By
SHF_AdPALLS
Date — By
PLUMBING ROUGH -IN
Date C-I -. Sp By
GAS PIPING 42
Date — By
MECHANICAL ROUGH -IN
Date : —Cl By
MECHANICAL (OTHER)
Date By
FRAMING
By
7Date
INSULATION y
� L� �
, rC Bv` .
77D
GWB • 1 ST LAYER
Date By
GWB - 2ND LAVER
Dates— — & By
7
SUSPENDED CEILING
Date By
PLANNING FINAL
Date By
ENGINEERING FINAL
Date By
7
FIRE FINAL
Date By
BUILDINg FINAL
G
Date jolte By
OTHER
Date By
OTHER
Date By
CD0193
"Or � City of Federal Way
�CF �1 APPLICATION FOR BUILDING PERMIT
4
PLEASE PRINT APPLICATION #: !J`' �� `009
SITE Id7CAnON , ll,�,-4 Address SGr� S 1 i✓�l sP
Tenant (if known) Lot # Assessor's Tax #
44Y vC6 z3I-
Buildfing Owner qme Address
l tt L
�'f �k+r �fJ� ✓/�(rcL ��lll��'j !7'�`1� �� �J� /�
City l✓f1vE ,
State G Zip Liq Phone �fyrZYj/fJ9
Nature of Work Al,: 6V
Name (F,M,L) I
•-
Address
City /�, �,� w G State +� Zip-f,44411
Contact Person Day Phone Other Phone API Aye ` Fax
GW4, " 1 41SZ-3/ ✓
]BUILDING CONTRACTOR
Company Name
Address
City
Contact Person
Contractor's # (card must die presented)
ARCHITECT
Name j/
e tee,
Address
State
Phone
Expiration Date ��ff
— � Cf
Zip
Fax
Verified Yes ❑ No
City State Zip
Contact Person Phone 6 Fax
LEGAL DESCRIPTION /�� %� ;•� `i 5/Gh
+f iCC%C'�'�r.a ■ L� //1 I ►r 1 d c: L� !'L7 � - C� .7 , G f fIZZ Cs' �l��!?/i+ %
Please Complete Reverse Side
CD0492 (Rev 4/93)
STRUCTURE
isting Use
S//ace 1( Ft,
Permit includes:
[1Q Building
14'Plumbing
Type of Work: ❑ Residential
11144ew
❑ Remodel
❑ Commercial
❑ Addition
❑ Garage
Enter 1 st Floor 9 4-3
sq ft
2nd Floor
sq ft 3rd Floor — sq ft
Area Basement
sq ft
Decks _
sq ft Garage Z.ZS7 sq ft
Water Availability GY
Sewer Availability
Q'/ On -Site Septic System Availability ❑
Zoning 25 �,
S��¢�j>
Lot Size L,cfci 7
LENDER
Name
City ..... //..
MECHANICAL CONTRACTOR
Contractor Name
1 & f a�
City
Contact
License #
PLUMBING CONTRACTOR
Contractor Name /
City
Contact
License #
PLUMBING FIXTURE COUNT
Water Closets
J
Sinks
Bathtubs
,-
Dish Washers J
Showers
Electric Water Heaters
Lavatories
'f•'
Washing Machine
-'roposed Use -5/4��,
[B—Mechanical
❑
O.tfter
❑ Number of Units
❑
Deck
❑ Shed
❑
Other
Existing Floor Area
sq ft
Proposed Total Area 2 sq ft
Project Valuation
$
/17ew '
Existing Bldg Valuation
$
-- -;, -
Address
State Zip
Address
State
Phone
Expiration Date
Address
State tt,6z
Phone
5�7 �r`r1
Expiration Date
Urinals
Drinking Fountains
Sumps
Drains
Zip
Fax
Verified ❑ Yes ❑ No
ZipC/<�f/
Fax
Verified ❑ Yes ❑ No
Lawn Sprinklers ---
Other
❑tal Fixture Count
MECHANICAL UNIT COUNT
Fuel Type (electric/other)
Length of Gas Piping
Furn <100K BTUs
Gas Dryer /
Range /
Gas Log
Air Handling < = 10,000 CFM
Air Handling > = 10,000 CFM
Unit Heater
15-30 Tons
30-50 Tons
50+ Tons
Furn > 100 BTUs
Fans 4*-
Miscellaneous
Fuel Tanks
Gas Hwt
Hood
Boilers
Above Ground
Conv Burner
Duct Work
0-3 Tons
Underground
BBQ's f
Wood Stoves
3-15 Tons
Total Unit 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 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 suXI&!arises out of the reliance of a Ot , ncluding its officers and employees, upon the accuracy of the information supplied to the City as a part of this
application.
Owner/Agent:�G "��' Date: