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"S & FOOTINGS
Date
FOUNDATION WALLS
7
Date j —a s- or s By � A/
PLUMBING GROUNDWORK
Date By
7
Date , q_ gy
7UNDERFLOOR-FRAMING
-SHEAR WALLS
Date 145By
PLUMBING ROUGH -IN
Date ' By
GAS PIPING
Date BY
C �S` O
MECHANICAL ROUGH -IN
Date By
MECHANICAL (OTHER)
Date By
7FRAMING
Date By AAA
INSULATION
Date 3— (S — BylrL
7
GW8 - 1 ST LAYER
Dat
GWB - 2ND LAYER
Date By
7—SUSPENDED
CEILING
Date By
PLANNING FINAL
Date By
7
ENGINEERING FINAL
Date By
FIRE FINAL
Date By
7
BUILDIN FINAL
Date By
7
OTHER
Date By
OTHER
Date By
CDO193
F
Ob eX11M A46-y A
a1j'1z11��,17 -Z�t/rr
g�-Zw.ao Yl"o
. Iolaex•
REVISION DAB _
DEC 0 8 1994
SITE PLAN APPROVAL
Permit Number.
Approved By:
Date: ��/`�'�
Comments:
Ur MM
14 5.F
ff woUtME
51,WMT(&
JV4 5F
Ra& a.H.
f90 5.P.
PAW
in 5P.
E
A&YM
TC]TN. JWMIAM
M4
BM lbF. t4.M
NO 916NIFWW TOM OK 146 LOT
50ALt , I" = 20'
PLEASE PRINT
I.SITE LOCATION
Tenant (if known)
Building Owner Name
City
Nature of Work X ,
City of Federal Way
APPLICATION FOR BUILDING PERMIT
NOV 2 9 IM4 6,jti � rq lo Iq vq t
GITY OF FEDERAL WAY ;4PPLlCA TION #:
Lot # I j As�9 r s a5L� iE Usi
Address ! I
State Zip Phone
Name (F,M,L)
Address
City
Contact Person Day Phone
State Zip
Other Phone Fax
r LDING CONTRACTOR _
Company Name
d
Address
J�
City 09p(- State zip
Cantaot9Pr r) t� �
Contractor's # (chard must be proserytedj �
ARCHITECT
Name
0
Address
City
Contact Person
LEGAL DESCRIPTION
/
r
Phone
Expiration Data
State
Phone
Fax
Verified ❑ Yes ❑ No
Zip
Fax
Plans le1a Raverso Side
C004 B2 Ina. 4107)
SI`RU(;Tl1RF;
Existing Use
N f
Proposed Use 11 rd2�
Permit includes:
Building
. Plumbing
><Mechanical ❑ Other
Typo of Work:
X Residential N�' Now
❑ Remodel
❑ Number of Units _><Deck
�J
❑ Commercial ❑ Addition
] Garage
❑ Shod ❑ Other
Enter 1st Floor
ILVI(p sq ft 2nd Floor : sq ft
3rd Floor _ sq ft
Existing Floor Area sq ft
Area Basement
sq ft Docks � [,_,,� sq ft
GaragaL C)—sq ft
Proposed Total Area sq ft
Water Availability Sower Availability On -Site Septic System
Availability ❑
Project Valuation:
5.:..
Zoning �
���
Lot Size "� �✓
5
Existing Aldb Valuation
$
_
LENDER
Name
Address
City
State
Zip
MECIIANICAL CONTRACTOR.
Contractor Name
Address
City
State
Zip
Contact
Phone
Fax
License d
Expiration Date
Verified ❑ Yes ❑ No
PLUMBING CONTRACTOR
Contractor Name
City
Contact
License N
Address
State Zip -
Phone Fax
Expiration Date Verified ❑ Yes ❑ No
PLUMBING -Fl)ffURF COUNT
Water Closets Sinks 1 - Urinals 1� Lawn Sprinklers
Bathtubs Dish Washers Drinking Fountains Other •�-
Showers Electrter Heaters Sumps
Lavatories lWashEingMachine Drains Total Fixture Count 19
MECItANI,CAL UNIT COUNT
Fuel Type (olectric/other) ,
Length of Gas Piping
Furn <100K BTUs
Furn > 100 BTUs
Gas Hwt
Conv Burner
BBQ's
t
Gas Dryer -
j Range
Gas Log
'Fans
Hood
Duct Work
Wood Stovjr
es
-Air Handling < = 10,000 CFM
15-30 Tons
Air Handling > = 10,000 CFM
30-50 Tons
Unit Heater
50+ Tons
Miscellaneous
Fuel Tanks
Above Ground -
Underground
Boilers _
0-3 Tons
3-15 Tons
Totul Unit Count
DISCLAIMEn: 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 author.zed by the r
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 (includir•,g costs, expenses,
and attorneys' foes incurred in investigation and defense of such claim), which may be made by any person, including the undersigned, and filed against the City of Fadoral Way,
but only where such clala[ ISO lout of t r batten the Ci[y, including its ollicers end employees, upon the neeurney of the Information supplied to the r.:ity as a pnrt of this
application. !,
O1wnerlAgenl: _ V �� t...Data: