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Z iWi+ II a N = n v rn --i ON i j� , • © Ipn{ e v (') I m I.)-401: zS6 D i N3 D l< r r --i 0 Cn +aF � F-I i•,yi 13 Lfi g � �C li II w ? I T � 1 r r Q1�v f Z �i a OO t" m 4= 4= O O O f'• qqq p PD � F+ O r 1� N �O �=•1 fT1 V rr 70 Cm LIn zoo O ►r r" 7o . s O A V C" VI O Imo., k CD If 1 rI 1+ Ln N p Sjf{JIrt 7, o raD � o• lar> M N i ID !�1 1 , (D i R cr {il � qy 1-y Z ll N ✓� <p I^S C r+•1 r� 0 s = a Tth yp� 17i �I�f p 11 .O r� u ; C .. m td tit Z to (.V,•�� r� n uo r— w -J 0 CDO193 SIG `35-- V7V onvor,� City of Federal Way RECEIVED AP CATION FOR BUILDING PERMIT AUG ® 0 1995 ifEVIEWED UNDER q® Jj ! 7�'P UBC CITY aF FEDERAL WAIF / � H1 QENG PLEASE PRINT �e,)4 60 I ,o �Z07 APPLICATION #: 03 SI'I'L LOCATION Address Tenant (if known) Lot # s ssor's Tax # -- y Build' g Owner Name _ Address O//'i y �Uvtgf:-f HG. City B, ( State Zip r- rw y Phone Nature of Work APPLICANT Name (F,M,L) /1/0r /, o P., Address 06 Z City ;'/ State 11,14 Zip 910poov, Contact Person Day Phone Other Phone Fax �o 7A37-�'� BUELDING CONTI' ACTOR, Company Name jj ove Address City State Zip Contact Person Phone Fax Contractor's # (card must be presented) Expiration Date Verified ❑ Yes ❑ No ARCHITECT Name Address City State Zip Contact Person Phone Fax LEGAL ESCRIPTION, Please Complete Reverse Side CD0492 (Rev 4/93) STRUCTURE E ig Use /111/[: 2V — Permit includes: wilding c 121 -Plumbing Type of Work: Residential © New ❑ Remodel ❑ Commercial ❑ Addition ❑ Garage Enter 1 st Floor 3. { sq ft 2nd Floor ft 3rd Floor sq ft Area Basement sq ft Decks sq ft Garage sq ft Water Availability 4J— Sewer Availability 4E)- On -Site Septic System Availability ❑ Zoning j Lot Size LENDER Name WAA �, 4 City 17,. � is ( / ,— - ME,CHANICAL CONTRACTOR Contractor Name City Contact License # PLUMING CONTRACTOR Contractor Name City Contact License # w +-c-, 4 e osed Use Alx ¢d Mechanical ❑ Other ' ❑ Number of Units ❑ Deck ❑ Shed ❑ Other Existing Floor Area 2SyC2 sq ft Proposed Total Area sq ft Project Valuation $ Existing Bldg Valuation I $ Address State Address State Phone Expiration Date Address State Phone Expiration Date PLUMBING FIXTURE COUNT Water Closets 3 Sinks / Urinals Bathtubs Z Dish Washers / Drinking Fountains Showers i Electric Water Heaters Sumps Lavatories Washing Machine Drains MECHANICAL. UNIT COUNT Fuel Type (electric/other) Gas Dryer Air Handling < = 10,000 CFM Length of Gas Piping Range Air Handling > = 10,000 CFM Furn < 100K BTUs / Gas Log / Unit Heater Furn > 100 BTUs Fans Miscellaneous Gas Hwt / Hood Boilers Conv Burner Duct Work yLo 0-3 Tons BBO's Wood Stoves 3-15 Tons Zip Zip Fax Verified ❑ Yes ❑ No Zip Fax Verified ❑ Yes ❑ No Lawn Sprinklers Other Total Fixture Count 15-30 Tons 30-50 Tons 50+ Tons Fuel Tanks Above Ground Underground 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. ■ g OwnerlAgent: Date: RECEIVE[) AUG ® a 1995 x CITY OF FEDEFtAl wAY BUILDING BEAT. i REVIEWED UNDER 1994 UBC FILE -7Ln C�; r � - o SITE PLAN APPROVAL / I Permit Number. k. a Approved By: �� •� � � � �►,`'= � Date: Comments: E Gad .t1J .✓.� i u. 4 t .. 'JG�•I�� . I = 20 . a 4 tJ i� "T 44 tvo �-ro'T