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A • R r �` P J•• N x A �•�' !.n p N O C O ll Z V" Tc c -� 7_D S f 0 1Y 3 0 P.� /�R f W 1 SETBACKS & FOOTINGS Date By 7FOUNDATION .WALLS Date By 7PLUMBINGiGROUNDWORK Date By 4 SLAB INSULATION Date By 7FO.OTINGIDOWNSPOUT DRAJNS: Date By 7UNDERFLOOR FRAMING . Date By 7 Date By PLUMBING ROUGH -IN 8 N Date By 9 GAS PIPING Date By 10 MECHANICAL ROUGH -IN Date By 11 FRAMING Date By 12 INSULATION Date By 13 GWB::- 1ST LAYER Date By 14 QW5 - 2ND LAYER.. Date By 15 SUSPENDED CEILING Date By 16 PLANNING FINAL Date By 17 PUBLIC WORKS FINAL Date By 18 FIRE FINAL Date By 19 BUILDING FINAL Date gy 20 OTHER Date By CDO193 (Rev BUILDING DIVMON 33530 First Way South Federal Way, WA 98003 (253) 661-4000 � Fax (253) 661 -4129 i APPLICATION FOR BUILDING PERMIT I PLEASE PRINT 'V PPLIffCATION # 7 s Address Tenant (if known) Lot # Assessor's Tex # J X Building Owner's Name Addres p �4� State Vf4 iip ❑ Phone Name (F,M,L) Address CityState Zi Contact Person Day Phone Other Phone Fax Company Name e Address � �D Contact 11 n Contractor's (card must be presented) Name Address Contact Person LEGAL DESCRIPTION FEDERAL WAY BUSINESS LICENSE # POb�e, yldl �r� Fax ksm , I _.rlap� Expiration Date Verified ❑ Yes ❑ No State Phone Fax 4P i' Existing Use Permit includes: Proposed Use Type of Work: la Residential �Buildln ❑ New q Plumhin ❑ Mechanise! ❑ Other ClCommercial ❑ Addition ❑ Remodel ❑ Number of Units ]S ❑ Deck Enter 1st Floor sqft Floor ❑ Gat a e ❑ Shad ❑ Other Area Basement s ft pecks sq ft 3rd Floor sq ft Existing Floor Area Waxer Availahilit ❑ Sewer Availahiii s fE Gara e s ft Pro osed Total Area sq ft s fl Z0171n C,J Gn-SitB S@ tic 5 Stem r7vailabili ❑ �� Pro'ect Valuation Lqt 5128 $ Fvieti— 911- ■ `aiurtion I q Name Address Contractor Name Address City Contact State Fax ad ❑ Yes ❑ NO. Contractor Name Address Contact State zi Phone Fax License # Expiration Data Veri Water Closets Sinks Bathtubs Urinals �Oth=ar Dish W ars Drinkin Fountains Showers T MECHANICAL EVALUATION ONLY $ e (electric/other) Gas D er th of Gas Pi in Air Handlin < = 10,000 CFM 15-30 Tons < i 001G BTUs Ran e Air Mandlin > = 10 000 CFM 30.50 Tons > 100 BTUs Gas Lv Unit Heater 50+ Tons �wt Fans Mi scellaneous Fual Tanks Hood .. ❑ Yes ❑ No Bea's 0-3 Tons Under iround Wood Stoves 3-15 ........ TonstsE:;:Unit<Cs#iiiL'k DISCLAIMER: I pert' underpenalty perjury that the information furnished by me is true and oerrert to the best of m knowled the above remises to � pcna[E of P pin i n e the work for which permit h claim), ii ), is made. I furlfter s�ce to save harmless ifse City of rcdc"l Way as to any claim tore ding at I am authorized by and of wheney such el incurred in investigation and defense of such claim}, which may be made by any person, including the undersigned, and filed against claim the City of Fcdceal Way, but only where such el int 'res out the reliance attire city, uding ' mffircrs and crn to ocs, P Y Upon the accuracy of the information supplied to the city as a part mfthis application. awnerlAge ; ��; . Bunonq.Aw Date: I Lj C�J� ci REM. 8/26/97