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GROUNDWORK Date By 4 SLAB INSULATION Date By 5 FOOTINi (DOWNSPOUT DRAINS - Date By UNDERFLOOR FRAMING 6 G Date By 7 SWEAR WAI:t:&- Date /p _ 2 3 _ By 7..P.LUMBING.ROUGH-IN Date By s GAS PIPING Date By 7MECHANICAL ROUGH -IN Date By 11 FRAMING Date By 12 INSULATION Date By 13 GW0 • I$T: LAYER Date By 14 GWB - 2NO LAYER Date By 15 SUSPENDED CEILING Date By 16 PLANNING FINAL. Date By 17 PUBLIC WORKS FINAL: Date By 18 FIRE FINAL. Date By 9 BUILDING FINAL Date gy 20 OTHER Date By f CD0193 (RevVM BUILDING DIVISION 33530 First Way South ■ fir.-��L Federal Way,WA 98003 Ay �� (53) 661-4000 Fax (253) 661-4129 PLEASE PRINT _X 'APPLICATION d FOR BUILDING PERMIT'? 1W } I+p 3>,rt c- a zee• Address rl l Tenant (if known) 0 Lot # Assessor's Tax # Building Owner's Name (.\�\\I .l /2C� �./Y Addres %, �--/ 1 `/✓ `� citySiata ' zip Phone Nature of Work v Name (F,M,L) Address city State Zip Contact Person Day Phone Other Phone Fax Company Name tt� Address �D d city Contact P n Contractor's (card must be presented) FEDERAL WAY BUSINESS LICENSE # Phone L����_ Expiration Date FaL k,so - O �1 1 Verified ❑ Yes ❑ No Name Address My State Zo Contact Person Phone Fax LEGAL DESCRIPTION Permit includes: Type of Work: =[s1 Residential ❑ Commerce Enter Jet Floor sq ft Area Basement s ft Water Availabilitv ❑ Snww, Name Contractor Name Contact License # Contractor Name Contact License # Water Closets Bathtubs Fuel Type (electri Length of Gas Pi# Furn C 1 OOK BTU Furn > 100 BTUs Gas Hwt Conv Burner , BBO's Zxisting Use Proposed Use �9'-8uildin ❑ Plumbin ❑ Mechanics! ❑ Other ❑ New ❑ Addition ❑ Remodel ❑ Number of Units ❑ Deck ❑ Gara a ❑ Shed ❑ Other Decksoor sq ft 3rd Floor sq ft Existing Floor Area sq ft sq ft Gara e sq ft Proposed Total Area- 0 Gn•Sita Septic 5 stern Availabifi ❑ �yL Project Valuation $ Lot Size Address State Address State Fax Verified ❑ Yes ❑ No Address Phone Fax Ex iration Date Verified ❑ Yes ❑ No Sinks Urinals Lawn Sprinklers Dish W ors Drinking Fountains Other Elec c Water Heaters Sumps shin Machine Drains MECHANICAL EVALUATION ONLY $ Gas Dryer Air Handling ¢ = 10,000 CFM 7 15-30 Tons Range Air Handling > = 10,000 CFM 30-50 Tons Gas Log Unit Heater 50+ Tons Fens Miscellaneous Fuel Tanks Hood Boilers Above Ground Duct Work 0-3 Tons Under round Wood Stoves 3-15 Tons -- 7 ;. De above premises I certify under penaltywork Of for whury tea[ th' information Furnished by me is true and oomcct to the best of my knowledge, and further, that I am audwrized by the owner of the mhos' prentiscs to perfann the wank For which percni[ application is made. I Further agree to save harmless the City of Federal Way as to any claim (including costs, txpensrs, and a[lemeys' fees incurred in investigation and defense of such claim), which may be made by any person, including the undersigned and filed against the City oFPcderal Way, but only where such ' ' out the relian7Oftheity, udirng � officers and employees, upon the aceuracy ofilt' information supplied to the city as a part of this application Owner/Age Date: BM01W.Am REVISED 8/29/97