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SETBACKS & FOOTINGS Date By FOUNDATION WALLS Date By PLUMBING 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 - 1 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 FINAL Date(9 — � �] 4P- BY C OTHER Date By Date By 2?- 9e -�� 1-4 �- 4 �j CDO193 j0F � i� E�`iFlµJ s JI�D)NG °EP-FAPPLICATION FOR BUILDING PERMIT PLEASE PNIff BUILDING DIVISION 33530 First Way South Federal Way, WA 98003 (253) 661-4000 Fax (253) 661-4129 ❑PPI I(`ATIfJN 0 1?( _n� 7 04 L'�L-i "qm Address Tenant (if known) Lot # As essor's ax #� oc-W S k�OLDN I Re, Al M fi o! - Building Owner's Name -- s A M ` /tom b V <i — Address 4 01 -) S W 'b 'J � Ci �Di^ "L WAWState LVA - '-( ct S 0 �� Phone 'a5 2 ' Nature of Work �L - ko.&P d- 11 -6, �Y rrZi L r f Name (F,M,L) —SA MC Ibtrt LN fL-,C7Lo9L - Am ' URC(Y Address � A t I ,C,e cityrkn L I I State WP, zip Q Contact Person P5 RG Day Phone Other Phone ,5 '� Fax - q ' 3 tv L4 Z31 .Ii- Company Name �b GD-CA 2- Address w bba PL Cit a aAL WALLY. k/N State 1^4& zi ei SS C> 23 Contact Person iz5eb- Phone ' �y FaxAMA-` Contractor's # (card must be presented) Expiration Date Verified ❑ Yes ❑ No LEGAL DESCRIPTION !? : -:--- �" `' • =\\\ Existing Use Permit includes: ❑ Buildin Type of Work: ❑ Residential ❑ New ❑ Commercial ❑ Addition Enter 1 st Floor sq ft 2nd Floor Area Basement sq ft Decks Water Availabili ❑ Sewer Availability ❑ On -Site Zoning Lot Size Proposed Use ❑ Plumbina ❑ Mechanical ❑ Other ❑ Remodel ❑ Number of Units ❑ Deck ❑ Gore e ❑ Shed ❑ Other sq ft 3rd Floor sq ft Existing Floor Area sq f* sq ft Gara e s ft Proposed Total Area sq ft tic System Availabili ❑ Project Valuation S A_ L, ,;)- OG, Existina Bldn Valuation Is Contractor Name Address city State Zip Contact Phone Fax License # Expiration Data Verified ❑ Yes ❑ No Contractor Name Address City State Zi Contact Phone Fax License # Ex iration Date Verified ❑ Yes ❑ No water t.iosets Sinks Urinals Lawn S rinklers Bathtubs Dish Washers Drinking Fountains Other Showers Electric Water Heaters Sumps Lavatories I Washing Machine Drains - W MECHANICAL EVALUATION ONLY $ Fuel Type (electriclother) Gas Dryer Air Handlin < = 10,000 CFM 15-30 Tons Length of Gas Piping Range Air Handling > = 10,000 CFM 30-50 Tons Furn <100K BTUs Gas LouUnit Heater 50+ Tons Furn > 100 BTUs Fans Miscellaneous Fuel Tanks Gas Hwt Hood Boilers Above Ground Conv Burner Duct Work 0-3 Tons Underground BBQ's Wood Stoves 3-15 Tons TotatUnirCoutit DISCLAIMER: I certify under penalty of pequry that the infarniali on 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 pennit application is made. I further agree to save harmless the City of Federal Way as to any claim (including costs, expenses, and attomeys' 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 ofthe reliance of the city, including its officers and employees, upon the accuracy of the information supplied to the city as a part ofthis application. ,,ar/Agent: Date: Ll �iHp.Avr