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1 SETBACKS & FOOTINGS
Date By
2 FOUNDATION WALLS
Date By
3 PLUM13ING GROUNDWORK
Date By
4 SLAS INSULATION
Date By
5 FOOTINGIDOWNSPOUT DRAINS
Date By
7-UNDERFLOOR FRAMING
Date By
7 SHEAR WALLS
Date By
8 PLUMBING .ROUGH -IN
Date By
7.GAS PIPING
Date By
10 MECHANICAL HOUGH -IN
Date By
11 FRAMING
Date _ /_ 1�e BY
12 INSULATION.
Date By
13 GWS - 1ST LAYER
Date By
14 GWS - 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
20 OTHER
Date By
0001B3 (Rev 4/97)
arror �„
PLEASE PRINT
Tenant Of known)
Nature of Work
BunmiNG Tiiv=oN
33530 First Way South
Federal Way, WA 98003
(253) 661-4000
Fax (253) 661-4129
APPLICATION FOR BUILDING PERMIT
C�
APPLiCATIN # �l
Address
Company Name
Address
T
Ci 6:
Contact Person k/F
Contractor's # (card must be presented)
Name
Address
City LL V
Contact Perso
� rV
LEGAL DESCRIPTION
State
e2-5
v
Lot # Assessor's Tax #
Address rJ r • v%
o -1 r-,r __ Q-z Q_-r
M
State LA1A
Phone
rZO - q5q-
Expiration Date
State
zip
Fax
5 v
Verified ❑ Yes ❑ No
�F3>:F;•
4„ Existing Use
Proposed Use
Permit includes:
❑ 60dinI
Plumbing
❑ Mechanical ❑
Other
Type of Work:
❑ Residential
❑ Commercial
❑ New
❑ Remodel
❑ Number of Units ❑ Deck
❑ Addition
❑ Garage
❑ Shad
Other
Enter 1 at Floor
Area Basement
sq ft
s ft
2nd Floor
aq ft 3rd Floor sq ft
Existing Floor Area
s ft
q
Docks
s ft Gerago s ft
Proposed Total Are;--
sq ft
Water AvailabilitV
❑ Sewer Avadabili ❑ On -Site
Se tic S stem Aveilabili D
Project Valuation 3
Zoning
Lot Si7A
C? �
1_ _Existing Bldg Valuation IS
Name
Contractor Name
Contact
License #
Contractor Name
Contact
License #
Water Closets
Bathtubs
Showers
Lavatories
Sinks
Dish Washers
Electric Water
Drains
Address
State
Address
State
Phone
Date
Address
State
Phone
Expiration pate
r
a
PFountains
MECHANICAL
Fuel Type (electric/other.)
Gas Dryer
Air Handling <
Length of Gas Pi&g
Range
Air Handlin >
Furn <3OOK BTUs
Gas Loa
Unit Heater
Furn > 100 BTUs
Fens
Miscellaneous
Gas Hwt
Hood
Boilers
Conv burner
Duct Work
to-3 Tons
BBO.'s
Wood Stoves
3-15 Tons
Fax
Verifiad ❑ Yes ❑ No
Fax
Verified ❑ Yes ❑ No
EVALUATION ONLY $
10,000 CFM 15-30 Tons
10,000 CFM
30-50 Tons
50 +Tons
Fuel Tanks
Above Ground
Under round
;,•
DISCLAIMER: I certify under penalty afperjury that the informationn furnished by me is true and correct to the best of my knowledge, and further, that I am aufharizW by the owner of
the shout premises to perforrn the work far wEuch pertrut application is made, I further agree to save harml= the City of Federal Way as to any claim (including costs, expenses, and
attomays' fte incurred in investigation and defense ofsuch claim), which may be mado by any person, including tine undersigned, and filed against the City of Federal Way, but only
where such claim arises out ofthe reliance of the city, including its aQioers and employers, upon the accuracy of the information supplied to the city as a part ofthis application
Owner/Agent:
Date:
auLom.M►