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SETBACKS & FOOTINGS
Date m t — - BY
FOUNDATION WALES
Date r By
PLUMBING GROUNDWORK
Date By
7UNDERFLOOR
FRAMING
Date "_ , . r7r . By
SHEAR WALLS
Date 3 - — - B
PLUMBING HOUGH -IN
Date — By .•
GAS PIPING
Date G -- By
7MECHANICAL
OUCH -IN
Date
MECHANICAL (OTHER)
Date By
7
FRAMING7
ob •� Ins7' � ���.� a .ce �'�•��
Date .7 By
INSULATION
Date �- — B
7GWB
- 1ST LAYER
Date B
7
GWB - 2ND LAYER
Date By
SUSPENDED CEILING
Date By
7PLANNING
FINAL
Date By
7ENGINEERING
FINAL
Date By
FIRE FINAL
Date By
BUILDING FINAL
Date 01p, B
OTHER
Date By
7
OTHER
Date By
CDO193
CRY OF G
_� FEMF� `
m AY
V,
v
PLEASE PRINT
BUILDING DIVISION
i ECi E I VE D 33530 First Way South
Federal Way, WA 98003
DEC 1 1 1996 (206) 661-4000
Fax (206) 661-4129
Cil Y OF FEDERAL t1+A
8UILDiNG DEPT-
APPLICATION FOR BUILDING PERMIT
APPL/CAT/ON
. ... ?q Ste=
Address
Tenant (if known) �l ,4
Lot #
Assessor's Tax #
Building Owner's Name
��7'72� �fJ7Ll6'I•!•zcJ�
Address
City
State
Zip Phone
Nature of Work �i �/ Lam' / 3G • : ✓ f�dJ�fyp � e Gi: rtirf �r=�
-yµ .ter::,:::: � �: ems•
Name (F,M,L)
Address
�j'Dfr�
[] e l[ � ✓w
State
Zi rovy
ct Person
rNo��
Day Phone
Qther Phone
gJ4�-67d
Fax
----------------- -----------
[BUILDING
Name c
cJLirw !w
Address
Citv
State
Zip
Contact Person
Phone
Fax
Contractor's # (card must be presented)
Expiration Date
Verified ❑ Yes ❑ No
.... .... :
AHCiiC` EC'E''
Name
Address
City
State
Zip
Contact Person
Phone
Fax
�cQS
LEGAL DESCRIPTION 44
Permit includes:
.sting Use
A�L Building
M—PlumbingJ9
roposed Use
Mechanical
❑ Other
Type of Work: J11( Residential
A New
❑ Remodel
❑ Number of Units _
❑ Deck
❑ Commercial
❑ Addition
❑ Garage
❑ Shed
❑ Other
Enter 1 st Floor 13'Yb q ft
2nd Floor I Y&V
sq ft 3rd Floor sq ft
Existing Floor Area
sq ft
Area Basement sq ft
Decks
sq ft Garage '7810 sq ft
Proposed Total Area
sq ft
Water Availability Q Sewer Availabili
&. On -Site Septic System Availability ❑
Project Valuation
$
Zonin
Lot Size 6.15 --2-9— '9� 1
Existing Bldg Valuation
$
f1s - -% -Z
Contractor Name
Address
14✓,L f�;,- a �a
city . e& I LW14
State
Zip
Contact
cT (^keA,
Phone
I- 77 IS'
Fax
License #
Expiration Date
Verified ❑ Yes ❑ No
Contractor Name l_ �
Address
IrV r�]� 1 to r"U . v, 4
Citv . 4, t�"
nn
State 411/4
Zip
Contact
Phone
JS—/391c�
Fax
�1 ,cEi
License #
Expiration Date
Verified ❑ Yes ❑ No
Pt
Water Closets
Sinks ,f!
Urinals
Lawn Sprinklers
Bathtubs
Dish Washers %
Drinking Fountains
Other
Showers 1.
Electric Water Heaters
Sumps
Lavatories
Weshin Machine %
Drains
Total Fixture Count
MECHANICAL EVALUATION ONLY $ Y o oa —
Fuel Type (electric/other) el
Gas Dryer
Air Handling < = 10,000 CFM
15-30 Tons
Length of Gas Piping f4gA qq
Range
Air Handlin > = 10,000 CFM
30-50 Tons
Furn <100K BTUs /
Gas Log f
Unit 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
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 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: Date:
6DILDIN .APP
It—ED 8121196
1.2-05-1996 69:57AM FROM JRNER DES ICIi ASSOSIATES TO 6371792 P.01
SM PLAN AP;
Permit Number.
Approved By:
Date: " 7117i
ti
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W�-
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R F C E I E D, FILE
��'`o OF FEDERAL WAY
V