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Z 7 -n '•C fi t7 t fT c 9) D D C r- \00j :K CO 0 D O c -C O m w::r C Y € Q Lo r TT , O �o F- to Ln 3 Y T" ib Fl N 13 CA O Ln -10 I'D O ON Ul 00 O Y �. 6� -�- -- SETBACKS & FOOTINGS Date —( n7 S By M/J 7'FOUNDATION WALLS Date By PLUMBING GROUNDWORK Date By 7UNDERFLOOR FRAMING S�(� By .^W 7Date SHEAR WALLS Date By IZ%s PLUMBING ROUGH -IN Date —,d� Y� By 7'MAs PIPING Date j �` By y-y 7 MECHANICAL ROUGH -IN Date — / ! 1 By MECHANICAL {OTHER} Date By 7 FRAMING Date �By 7 INSULATION Date 2 $ By L 7GWB - 'I ST LAYER Date By GWB - 2ND LAYER Date By 7 SUSPENDED CEILING Date By PLANNING FINAL Date By ENGINEERING: FINAL Date By 7 FIRE FINAL Date By BUILDING FINAL Date — By OTHER Date By 7 OTHER Date By CDO193 ems;- -11- 95 -/o 0r G City of Federal Way RFCE1VEFf3 APPLICATION FOR BUILDING PERMIT AT411F�0 UNDER 1994 UBC ��� a � t995 PLEASE PRINT SITE LOCATION Tenant (if known) Building Owner Name City Nature of Work APPLICANT Name (F,M,L) Os,- .v Address 14'b Z 7 Se City 1%41 ,., Contact Person APPLICATION #: Address .2d Lot # j) � .Z QL Assessor's Tax # �D t��'i/IkC,0P nCI tD(,6,-A3 —OS'do Address _ C . /Q& State t.) Phone 637—Oo3s— BUILDING CONTRACTOR Company Name sr,kme 4.5 eibeae Address City Contact Person Contractor's # (card must be presented) Day Phone �i'9�-673�i Pti State " Other Phone 437-0o3S--- State Phone Expiration Date LEGAL DESCRIPTION Gp f so .�� //4 moo.-, � o Z)' Zip Fax Zip Fax Verified ❑ Yes ❑ No Please Corn1plete Reverse Side CD0492 (Rev 4/93) STRUCTURE :sting Use Permit includes: Building 9 Plumbing Type of Work: Residential Jo4, New ❑ Remodel ❑ Commercial ❑ Addition ❑ Garage Enter 1 st Floor few sq ft 2nd Floor 1d sq:ft 3r•d Floor sq ft Area Basement /3� sq ft Decks 119y sq ft Garage S90 sq ft Water Availability 19, Sewer Availability On -Site Septic System Availability ❑ Zoning Lot Size LENDER Name /Vti�h City PLUMBING CONTRACTOR Contractor Name /� r -T T- I' /4 V, is si City -�, Contact License # PLUMBING FIXTURE COUNT Water Closets 3 Bathtubs Showers / Lavatories MECHANICAL UNIT COUNT Fuel Type (electric/other) C-�e,S Length of Gas Piping 9,9 Furn <100K BTUs / Furn > 100 BTUs Gas Hwt f Conv Burner BBQ's )posed Use J?r Mechanical ❑ Other ❑ Number of Units ❑ Deck ❑ Shed ❑ Other Existing Floor Area sq ft Proposed Total Area ZS sq ft Project Valuation $ Existing Bldg Valuation $ Address State Address _{ 2_14 State Phone 3 -13q o Expiration Date Zip 5.Z-, S,,, 4-e !v-/ Zip r yCkor'2 Fax 392 IS 6.b Verified ❑ Yes ❑ No Sinks / Urinals Lawn Sprinklers Dish Washers / Drinking Fountains Other Electric Water Heaters Sumps Washing Machine l Drains Total Fixture Count Gas Dryer Air Handling < = 10,000 CFM 11-5-30 Tons Range Air Handling > = 10,000 CFM 30-50 Tons Gas Log / Unit Heater 50+ Tons Fans 3 Miscellaneous Fuel Tanks Hood / Boilers Above Ground Duct Work eS 0-3 Tons Underground 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. _ n Owner/Agent:`�f f �� Date: 0 G fi �z 9olp04 PH � ��� - �i °i fs 00 402 I I T �r 0 . ! A — 4 r i'd3p v�+0�r�rra � ?!► AdM Q�10aJ =10,Ulo ADN s ZOnd SROOL29 Ol S31d I SOSSU NO I S3Q J3NK, ' 140NA Wd9©: SO SGG T-02-OT. Q Q(�)Al q