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SETBACKS & FOOTINGS
Date By
FOUNDATION WALLS
Date By
PLUM BING'GROUNDWORK
Date By
UNDERFLOOR FRAMING
Date By
SHEAR WALLS
Date By
PLUMBING ROUGH -IN
Date By
GAS PIPING
Date By
MECHANICAL ROUGH -IN
Date By
MECHANICAL (OTHER)
Date By
FRAMING
Date By
.INSULATION
Date By
GWB - ] ST LAYER
Date By
GWB • 2ND LAYER
Date By
SUSPENDED CEILING
Date By
PLANNING FINAL
Date By
ENGINEERING FINAL
Date By
FIRE FINAL
Date By
BUILDING F AL
Date By
OTHER
Date By
OTHER
Date By
0
CDO193 +
4
aWF fi'�
ra MEL
UV F[Y
-1 - i � 1 1996 APPLICATION FOR BUILDING PERMIT
I,Li,nA L VV A Y APPLICATION #;
PLEASE ,EPT.
r) "S
Address
. . . . . . . . . . . - I Assessor's T4-X #
Lot #
Tenant (if kno 2, I L)au
Building Owner's Name c,- t W
C4 L4 yaj�j State Lam)
10tv
INature of Work
Name (F,M,L)
BUILDING Divisic14
33530 First Way South
Federal Way, WA 98003
(206) 661-4000
Fax (206) 661-4129
Address
city State zip
yPhon 11 j_ajo qV or Phone Fax
Other Pho
Contact Person Qr '0
0-,
X
Company Name C lam'
Address
State Zip
city Phone Fax
Contact Person
Contractor's # (card must be presented) Expiration Date Verified [i yes 0 No
Name
Address
City Phone Fax
Contact Person I
LEGAL DESCRIPTION k )j -t-
0X&MP-k-"Lj?ftM9MLS&W
Permit includes:
Type of Work:
• Enter 1 at Floor
Area Basement
?
Ming Pao
Jposed Use
uildin
11 Plumbing
❑ Mechanical
❑
Other
"esidential
❑ New
,p -Ramodel
❑ Number of Units
❑
Deck
❑ Commercial
❑ Addition
❑ Garage
_
❑ Shed
❑
Other
sq ft
2nd Floor
sq ft 3rd Floor sq ft
Existing Floor Area
sq ft
sq ft
Decks
sq ft Garage sq ft
Proposed Total Area
mg ft
Sewer Availabilit
a' On -Site Septic System Availabili ❑
Project Valuation
s
Lot Size __4
rT
Existing Bldg Valuation
S
Contractor Name I Address
Contact Phone
License #
Water Closets
Sinks
Bathtubs
Dish I
Showers
ElWr
Lavatories
Wash
Fuel Type (electric/other)
Gas I
Length of Gas Piping
Ran
Furn <100K BTUs Z7Z
Gas I
Furn > 100 BTUs
Fans
Gas Hwt
Hood
Conv Burner
Duct
i
BBQ's
W
Fax
Verified ❑ Yes ❑ No
Urinals Lawn Sprinklers
;hers Drinking Fountains Other
itater Heaters Sumps
Machine Drains Total Fixture Count
MECHANICAL EVALUATION ONLY $
Air Handling < = 10.000 CFM
15-30 Tons
Air Handling > = 10,000 CFM
30-50 Tons
Unit'Heater
50+ Tons
Miscellaneous
Fuel Tanks
Boilers
Above Ground
0-3 Tons
Under round
3-15 Tons
Total Uniti 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 undersigns ,-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 a ploys ,upon the accuracy of the information supplied to the City as a part of this application.
Owner/Agent: = % Date: 7
BUILDING Ar
Ill IM 8121196