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City of Federal Way PLEASE PRINT APPLICATION FOR BUILDING PERMIT SEP 2 71995 =Y OF FEDE14AL WAY BUILDING DEFT. 7] e 3 2 j t,J ; L/? � 4 0,yPPLIG4TION #: L.(} J 1 SITE;OCATIQN:_ ; iz Address Tenant Gf known)-i" Lot # [� A � �e sor's Tax # Q� 8 Building Owner Name Address 1 city BELLEVUE State WA. Zip 98009 Phone 45 -2900 Nature of Work Name (F,M,L) QUADRANT CORP. Address 11100 N.E. 8th City State WA. Zip 98009 Contact Person Day Phone Other Phone Fax Talua-ra Schroeder or 1 646-8373 455,2900 646-8300 Joel Thornton BiJIL'b„�NG CGi�TR � • ti r—Tompany Name iIADRANi' CORP. Address 11100 N.E. 8th city BELLEWE state Zip Contact Person Phone Fax . Tamara Schroeder or Joel Thornton 455�2900 646"8300 Contractor's # (card must be *presented) Expiration Data Verified ❑ Yes ❑ No 223-Ol-QUAD 09-06-95 Name ROBERT GALARNEAU & ASSOCIATES INC. Address 19529 8th AVE. N.W. City SEATTLE state WA, p Contact Person Pho Fax T Tamara Schroeder or Joel Thornton �15--2900 646-8300 LEGAL DESCRIPTION CAMPUS HIMLANDS, DIV. 5, tv r - -# 4 Please Complete Reverse Side CD0492 (Rev 4/931 Name (F,M,L) QUADRANT CORP. Address 11100 N.E. 8th City State WA. Zip 98009 Contact Person Day Phone Other Phone Fax Talua-ra Schroeder or 1 646-8373 455,2900 646-8300 Joel Thornton BiJIL'b„�NG CGi�TR � • ti r—Tompany Name iIADRANi' CORP. Address 11100 N.E. 8th city BELLEWE state Zip Contact Person Phone Fax . Tamara Schroeder or Joel Thornton 455�2900 646"8300 Contractor's # (card must be *presented) Expiration Data Verified ❑ Yes ❑ No 223-Ol-QUAD 09-06-95 Name ROBERT GALARNEAU & ASSOCIATES INC. Address 19529 8th AVE. N.W. City SEATTLE state WA, p Contact Person Pho Fax T Tamara Schroeder or Joel Thornton �15--2900 646-8300 LEGAL DESCRIPTION CAMPUS HIMLANDS, DIV. 5, tv r - -# 4 Please Complete Reverse Side CD0492 (Rev 4/931 Joel Thornton BiJIL'b„�NG CGi�TR � • ti r—Tompany Name iIADRANi' CORP. Address 11100 N.E. 8th city BELLEWE state Zip Contact Person Phone Fax . Tamara Schroeder or Joel Thornton 455�2900 646"8300 Contractor's # (card must be *presented) Expiration Data Verified ❑ Yes ❑ No 223-Ol-QUAD 09-06-95 Name ROBERT GALARNEAU & ASSOCIATES INC. Address 19529 8th AVE. N.W. City SEATTLE state WA, p Contact Person Pho Fax T Tamara Schroeder or Joel Thornton �15--2900 646-8300 LEGAL DESCRIPTION CAMPUS HIMLANDS, DIV. 5, tv r - -# 4 Please Complete Reverse Side CD0492 (Rev 4/931 Name ROBERT GALARNEAU & ASSOCIATES INC. Address 19529 8th AVE. N.W. City SEATTLE state WA, p Contact Person Pho Fax T Tamara Schroeder or Joel Thornton �15--2900 646-8300 LEGAL DESCRIPTION CAMPUS HIMLANDS, DIV. 5, tv r - -# 4 Please Complete Reverse Side CD0492 (Rev 4/931 5"[ I[]C [jRE :;::''f '::•;, .:.:;:;;;; : Existing Use rr Pro osed Use RS Permit includes: jildin 9 C Plumbing Mechanical +❑ XX Other Type of Work: )dR)CResidential Now ❑ Remodel Number of Units ❑ Deck ❑ Commercial ❑ Addition ❑ Garage ❑ Shed ❑ Other Enter 1st Floor Csq ft 2nd Floor k sq ft 3rd Floor — sq ft Existing Floor Area sq ft Area Basement sq ft Decks �� sq ft Garage y� eq ft Proposed Total Area sq ft Water Availability � Sewer Availability On -Site Septic System Availability ❑ Project:Valuntion S` Zoning C�� �' �5fZ Lot Size Exisiin Btd 'Vefuet ,. Name N/A Address City State Zip Contractor Name PELTRAM PLUMBING City FEDERAL WAY Contact KAREL PELTRAM License # PELTRP 15TR7 Water Closets Bathtubs Showers Lavatories Fuel Type (electric/other) Length of Gas Piping Furn <100K BTUs Furn > 100 BTUs Gas Hwt / Conv Burner B B Q's Sinks Dish Washers i Electric Water Heaters Washing Machine Gas Dryer Range Gas Log Fans Hood Duct Work Wood Stoves AIM' M Se 341st PL. W8 State WA, zip 9800 Phorg38-4067 Fax Expiration Date Urinals Drinking Fountains Sumps -- — Drains Air Handling < = 10,000 CFM Air Handling > = 10,000 CFM Unit Heater Miscellaneous Boilers 0-3 Tons 3-15 Tons Verified ❑ Yes ❑ No Lawn Sprinklers Other 15-30 Tons 30-50 Tons 50+ Tons Fuel Tanks Above Ground Underground Total. Unit Courit iAIMER: 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 e 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' fee: i rred 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 whore cuc lei. erir a. out of the reiia ce of a City including its olficers and employees• upon the accuracy of the information supplied to the City as a part of this application. � � ��,J'j Owner/Agana: i _ (f 7-S Late• s Sifi1'E PLAN APPROVAL hrmit Member D7J;7 Approved By:-ZLET -`� Date: Comments: _5�Z7 r1. PG 9 LOT S IZr=:';la15 -SOFT. SRUCTURE: ISOS-SQFT. 0RIVr=WA -.imO-SQFT. FATIO: W-SQ.FT. Sti.'T f�c&yli$jc- Q•t,t, d i&Z9 RECENC-0 TOTAL COV.: 2,689-SQ.1=T. CITYHUOILF INGFED RALP ,AY THE ABOVE SEMUE M PROVIDED FOR YOUR MORYATION ONLY. IT IS NOT DEIDED TO SHOW ALL MATME OR ��NDART IIDCA77ONS THE PROPERTY, RINIS ITT TM® To BF vs�nT°troAR�GeDr. n °Rc rcoN oN � 4puR�PpSFS WE ENCOURAGE YOUR RACE TO ACTUAL DOCUMM. TITLE SEARCHES AND COHIiQIT=M OR SURVEYS RMUM TO TEE PROPERTY POR MMM 1"ORUMN. THE QUADRANT CORPORATION ATHE H IC�H�.ANDS P 222No: Weyerhaeuser SCALE: P=2m' IDATE: e/26/Sr JOB: 5-48 LOT: 48