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92-100530 CITY OF FEDERAL WAY g�� 33530 First Way South g V I L D I N G P E R M I T BUILDING INSPECTION Federal Way, WA 98003 661-4140 PERMIT NO. 92-521 OT OWNER'S NAME ��ON CALVERT SITE ADDRESS 29413 19 PL S CONTRACTOR S� ADDRESS CONT.PHONE CONT.REG.NO. EXP. OWNER'S PHONE OWNER'S ADDRESS TYPEJOB: NEWRESIDENCE ADDITION NEWINDUSTRIAL NEWCOMMERCIAL COMMERCIALADD. INDUSTRIALADD. NEWPUBLIC_ PUBLICADD. NEW MULTI-FAMILY (UNITS )MULTI.ADD. SIGN GRADING OTHER ADDITION OF ADDITIONAL LIVING AREA TAX ACCOUNT NO. 131000�0900 LEGAL DESCRIPTION & GARAGE AREA ISSUED BY E SNYDER DATE OF ISSUE DATE OF APPLICATION �]�7�92 BUILDING INFORMATION ONE SET BACKS:FRONT SIDE REAR HEIGHT LIMIT OCCUPANCY TYPE OF CONSTRUCTION CENSUS NO. TYPE OF HEAT BLDG.SQ.FT. STORIES PLUMBING NO. NO. MECHANICAL APPLIANCES AMT. AMT. BOND WATER CLOSETS ELEC.HOT WATER HEATER GAS PIPING FT. GAS LOGS RECEIVED BATHTUBS LAUNDRY DRAINS FORCED AIR FURNACE DUCT WOFK SHOWERS URINALS GAS HOT WATER HTR. AIR HANDLING UNIT NUMBER LAVATORIES DRINKING FOUNTAINS CONVERSION BURNER MISC. RETURNED SINKS MISC. BBQ BASIC FEE DISHWASHERS TOTAL FIXTURES DRYER TOTAL MECHANICAL AMOUNT VALUATION 10438 PLANNING DEPT APPROVAL = DEB BARRER PERMIT FEE $126.00 "30' MAX DRIVEWAY" P�AN CHECK FEE 82•�� BLDG DEPT APPROVAL = REVIN ELLIS' PLUMBING FEE MECHANICAL FEE ART P/C FEE oa=PA REVIEW PUBLIC WORKS S.B.C.C.FEE 4.5� FIRE FEE DATE: OTHER FEES AMOUNT: �212.S O AMOUNT DUE �212'5O RECEIPT: / � �� ALL PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS STARTED. RESIDENTIAL AND GRADING PERMITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE. I CERTIFY THAT THE INFORMATION FURNISHED BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY REQUIREMENTS WILL BE MET. , OWNER OR AGENT _ ' _` DATE S ' l� ' �% � A�VI�ON ' ��'�d R�CEIv mit # � �� MAY 0 7 t992 M�Y�� 7 1 gz CITY OF FEDERAL WAY �e�IS � L�.� � S� °�°F��"-"'�Y�B PERMIT APPLICATION � � �� —Please Print— l��t � V 1,�.. X 1 TENANT NAME: � n �� OWNER - .. SITE LOCATION OWNER'S ADDRESS - ' CITY ,:.,.:�-� .� PHONE ��.'��f /� DESCRIBE JOB ah '�� avcSi �rr THE PROPERTY IS 0 NED BY: SINGLE/MARRIED �( PARTNERSHIP CORPORATION BJl�( 2 CONTRACTOR'S NAME �'� �� r�-� � ,_� �.a.��✓�.t f CONTRACTOR'S REG. #G�� 1]��>v�'7' c�� Car MUST be presented CONTRACTOR'S ADDRESS �,,��'� _S� �t3(a CITY ��f�c�'4�.�� PHONE �3'?� 41Z Z EXPIRATION DATE �o� — OR— I HAVE READ CHAPTER 18.27.010 RELATING T IONS OF GENERAL CONTRACTORS AND SPECIALTY CONTRACTORS AND CHAPTER 18.27.110 WHICH PROHIBITS ISSUING PERMITS WITHOUT PROOF OF REGISTRATION. �OX 3 CONTACT PERSON ��<�..:D�� ,�,� PHONE �z J� �/f �Z� BOX 4 SEWER DISTRICT WATER DISTRICT BOX 5 ESTIMATED PROJECT COST EXISTI G BUILDING VALUATION �BOX 6 PROPERTY TAX ACCOUNT NUMBER '3 D LEGAL DESCRIPTION (If necessary, please submit a separate page with the legal description.) K.C. Plat Recording # BOX 7 BUILDING SQUARE FOOTAGE: (Existing/Proposed) 1ST FLOOR / 2ND FLOOR .___.---,.- �-_-• __ _. 3RD FLOOR / BASEMENT / DECK / ARAGE�/� BOX 8 ( ) SINGLE FAMILY ( ) NEW CONSTRUCTION - �"��--��" �""��- -��^� ( ) MULTIFAMILY (N0. OF UNITS = ) ( ) EXISTING STRUCTURE ( ) COMMERCIAUINDUSTRIAL TOTAL AREA OF PROPERTY '� SQ FT BOX 9 PLUMBING FIXTURES (including rough-ins) MECHANICAL APPLIANCES— BASIC FEE$ N0. WATERCLOSETS GAS PIPING, FEET $ BATHTUBS N0. FURNACE, ELEC. GAS $ SHOWERS GAS HOT WATER HEATER $ LAVATORIES CONVERSION BURNER $ SINKS BOILER, SIZE BTU $ DISHWASHERS AIR HANDLING UNITS $ ELECTRIC HOT WATER HEATER HEAT PUMPS, SIZE $ LAUNDRY WASHER OUTLET UNIT HEATERS $ URINALS AIR COOLING UNITS, SIZE $ DRINKING FOUNTAINS COMMERCIAL HOOD $ SUMPS, SPRINKLER VACUUM BREAKERS OTHER $ RAINS $ THER $ TOTAL FIXTURES $ TOTAL MECHANICAL FEE $ I CERTIFY UNDER PENALTY OF PERJURY THAT THE INFORMATION FURNISHED BY ME IS TRUE AND CORRECT TO THE BEST OF MY KN WLEDGE 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 ASTO 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 UNDERSIGNED, 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 EMPLOYEES, UPON THE ACCURACY OF THE INFORMATION SUPPLIED TO THE CITY AS A PART OF THIS APPLICATION. OWNER/AGENT: �-, ( C ' ��_ �! DATE: � — ? - �1 'Z ANP-008 3/90 '�;;��3 � � �� ; , � � � ` � OFFICE USE ONLY (PLEASE DO NOT WRITE BELOW THIS LINE) `� - ZONE S �-7��SETBACKS: FRONT �u' � SIDE�_REAR �7 � HEIGHT LIMIT _ � � �.C�� PLANNING DF�PARTMENT APPROVAL �-��-��—�— ��y�--�� REMARKS: �_ . .,.�,"'rt,�'a��1Af�T�?�n�,r- •,�;.,r�.,,har.�, tr��-. _ � n�.� . -� � .�G�� "�t.Gt ' � i�<�c��>t��- SEPA: EXEMPT NOT EXEMPT FIRE DEPARTMENT APPROVAL DATE REMARKS: PUBLIC WORKS DEPARTMENT APPROVAL, DATE REMARKS: , TYPE OF JOB: NEW RESIDENCE RES. ADD/ALT�NEW INDUSTRIAL IND. ADD/ALT NEW COMMERCIAL COMM. ADD/ALT NEW MULTIFAMILY (UNITS ) MULTIFAMILY ADD/ALT TENANT IMP. OTHER OCCUPAf�CY R3 TYPE OF CONSTRUCTION �U STORES � � f BUILDING SQ. FT. � ( G @ �7L '�v = �� cR�/- C'- BUILDING SQ. FT. `( � @ I g • ?O = ;� � �� BUILDING SQ. FT. @ _ BUILDING SQ. FT. @ _ BUILDING SQ. FT. @ _ BUILDING SQ. FT. @ �-�"%< ( -t ': ��_�= O � � r� TOTAL SQ. FT. TOTAL VALUATION � v �� '� �' BUILDING DEPARTMENT REMARKS: PERMIT FEE Z" F�AN CHECK FEE Z PLUMBING FEE MECHAN1CAt FEE TQTAL"�LdG. FEES ::,:PAR�''P/C FEE ' :�..:SEPA REVIEW S.B.C.C. FEE ` J � OTHER FEES AMOUNT DUE ASSIGNED ADDRESS: J�� S PARTIAL PLAN CHECK FEE RECEIVED Amount Date Receipt# BUILDING DEPARTMENT APPROVAL 0 c� RECEIVED BY DATE � � D � I �' ACCEPTED FOR FILING f } N 0 �� Ilv•21 0 „ � � �„ - . ti y � � � o � . � � / n o � � � b � � � i � / / ^ "�' \ � �\ B � � /� � � � o� \ a � o � � /� 0 � I o � z � � � \ 4z�± � � �, o \ I � � Z \ � � n � \ � � � 0 ' �,_ � � � '� �37•69 n O 2 ti � � ' STfE PLAN APPROVAL �� ,� -Ac �� Permit Number. �� '�� '�� ~ �� Approved By: � , , �.. � � � � C� Date: �� ------ 2 �---�-� c"`o �!1 ents• �= �.� ' �� r � �= Comm _ CITY OF FEDERAL WAY Fede aF'Way`,NWA 98003 B U I L D I N G P E R M I T BUILDING INS 661 4140 PERMITNO. 92-SZI NR OWNER'SNAME ��ON CALVERT SITEADDRESS 29413 19 PL S CONTRACTOR CALVERT CONST ADDRESS 23127 SE 436 ST ENUMCLAW CONT.PHONE 825-4123 CONT.REG.NO. ��OCCZZOMT ExP. 6�92 OWNER'SPHONE `S�F' OWNER'SADDRESS .SAMR TYPEJOB: NEW RESIDENCE X� ADDITION NEW INDUSTRIAL NEW COMMERCIAL COMMERCIALADD. INDUSTRIALADD. NEW PUBLIC PUBLIC ADD. NEW MULTI-FAMILY (UNITS )MULTI.ADD. SIGN GRADING OTHER • �AND GARAGE/DECR TAXACCOUNTNO. �-31000-0090 LEGALDESCRIPTION LOT 9 CALVERT ADDITION RING CO WASH ISSUED BY E SNYDER DATE OF ISSUE DATE OF APPLICATION 4/3/9 2 BUILDING INFORMATION _ONE RS 7•2 SET BACKS:FRONT 20� SIDE 5� �5� REAR S� HEIGHT LIMIT 3O� OCCUPANCY R3/Ml TYPE OF CONSTRUCTION 5-N CENSUS NO. 1 O�- TYPE OF HEAT �►S BLDG.SQ.FT. 2 S 1 E STORIES 2 PLUMBING NO. NO. MECHANICAL APPLIANCES AMT. AMT. BOND WATER CLOSETS 3 ELEC.HOT WATER HEATER �- GAS PIPING 5� FT. 2.OO GAS LOGS BATHTUBS 2 LAUNDRY DRAINS FORCED AIR FURNACE ZO.OO DUCT WORK RECEIVED SHOWERS 1 URINALS GAS HOT WATER HTR. C.SO AIR HANDLING UNIT NUMBER LAVATORIES 3 DRINKING FOUNTAINS CONVERSION BURNER MISC. RETURNED SINKS 1 MISC. BBQ BASIC FEE DISHWASHERS 1 TOTAL FIXTURES 12 X �J.OO DRYER TOTAL MECHANICAL �_S_._SQ AMOUNT NONE VALUATION $131,3 6 8 PLANNING APPROVAL = DEB BARRER PERMIT FEE �752.OO PLANCHECKFE�141. �JO 4H9.00 PUB WRS APPROVAL = JEFF S PLUMBING FEE GO.OO :CHANICAL FEE 18.50 BLDG/FIRE APPROVAL = REVIN ELI�IS �ARTP/CFEE 4/3/92 (347.5�� SEPAREVIEW OZ-ZH7GO PUBLIC WORKS 35_00 S.B.C.C.FEE 4_50 FIRE FEE DATE: OTHER FEES AMOUNT: �1011.SO AMOUNT DUE �� '�� RECEIPT: � �i�� ALL PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS STARTED. RESIDENTIAL AND GRADING PERMITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE. I CERTIFY THAT THE INFORMATION FURNISHED BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY REQUIREMENTS WILL BE MET. ,� r� OWNER OR AGENT � / �ts�e,A �,�/ DATE�p — C/ � ��' PE it # �� .. , . � , �'�v�a . �!'yp R �3 �992 CITY OF FEDERAL WAY �' r� ��,rvay BUILDING PERMIT APPLICATION �''� — Please Print— BOX 1 TENANT NAME: OWNER C-��-s�.�K �uQ� SITE LOCATION �KI�:•�T A�FFl./ At E`�-��•� i �,K_�.., OWNER'S ADDRESS �3 i 2� S�= t'�-3 W CITY �.s�v�� PHONE f��2�`�2 z, DESCRIBE JOB �y��J �ihs i THE PROPERTY IS OWNED BY: SINGLE/MARRIED S� PARTNERSHIP CORPORATION BOX 2 CONTRACTOR'S NAME �'a P_ ��iv [��lu�A; ��v..�rs i CONTRACTOR'S REG. #G�/� (J U�:�%��t�k'i% Card MUST be presented CONTRACTOR'S ADDRESS � � � CITY ��ci�.rlcc,�� PHONE �1 ��l f�:3 EXPIRATION DATE .� — — OR — I HAVE READ CHAPTER 18.27.010 RELATING TO DEFINITIONS OF GENERAL CONTRACTORS AND SPECIALTY CONTRACTORS AND CHAPTER 18.27.110 WHICH PROHIBITS ISSUING PERMITS WITHOUT PROOF OF REGISTRATION. BOX 3 CONTACT PERSON ��-�t1, �� .� �' , PHONE �''� :� el I � �� BOX 4 SEWER DISTRICT �� l � WATER DISTRICT _�� C�J -.S' BOX 5 ESTIMATED PROJECT COST / � �oG' EXISTING BUILDING VALUATION '"�I� BOX 6 PROPERTY TAX ACCOUNT NUMBER l 3 1 U oCC� � ��G' �n . LEGAL DESCRIPTION �� G�%dr�,�T j�c(lo�f 7a L��ii�a� c`'� G,r� �� i// v�'7 "� (If necessary, please submit a separate page with the legal description.) K.C. Plat Recording # BOX 7 BUILDING SQUARE FOOTAGE: (Existing/Proposed) iST FLOOR� 2ND FLOOR � � ' 3RD FLOOR / BASEMENT / DECK / GARAGE�f`�J BOX 8 ( � SINGLE FAMILY (�� NEW CONSTRUCTION ( ) MULTIFAMILY (N0. OF UNITS = ) ( ) EXISTING STRUCTURE O COMMERCIAUINDUSTRIAL TOTAL AREA OF PROPERTY � �-�� SQ FT BOX 9 PLUMBING FIXTURES (including rough-ins) MECHANICAL APPLIANCES— BASIC FEE$ N0. � WATERCLOSETS GAS PIPING, FEET l��l n',� �_��' $ _ � BATHTUBS N0. FURNACE, ELEC. GAS�_ $ ,��"��'�� SHOWERS �GAS HOT WATER HEATER ��' $ _� ��' �LAVATORIES CONVERSION BURNER '�'�C�u• $ _�SINKS BOILER, SIZE BTU $ � DISHWASHERS AIR HANDLING UNITS $ �_ELECTRIC HOT WATER HEATER HEAT PUMPS, SIZE $ LAUNDRY WASHER OUTLET UNIT HEATERS $ URINALS AIR COOLING UNITS, SIZE $ DRINKING FOUNTAINS COMMERCIAL HOOD $ SUMPS, SPRINKLER VACUUM BREAKERS OTHER $ DRAINS $ OTHER �C '� $ �� TOTAL FIXTURES " $ �� -. l,�; , <�.��; T L MECHANICAL FEE $ �� 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 UNDERSIGNED, AND FILED AGRINST THE CITY OF FEDERAL WAY, BUT ONLY WHERE SUCH CLAIM ARISES OUT OF THE RELIANCE OF THE CITY, INCLUDING ITS OFFICERS AND EMPLOYEES, UPON THE ACCURACY OF THE INFORMATION SUPPLIED TO THE CITY AS A PART OF THIS APPLICATION. ,� OWNER/AGENT: � � �- � < � DATE: ✓. ANP-008 3/90 OFFICE USE ONLY(PLEASE DO NOT WRITE BELOW i rIIS LINE) ' � ' ` ZON �� L SETBACKS: FRONT �� SIDE �� REAR � HEIGHT LIMIT -�� PLANNIN�j�y��f�T�,MEN��[d E�°ro�� y �S y�� i -� ��d��7�Rr5�6VV�6T-Pf6T3Ti�wR' REMARK�. - tj g SEPA: EXEMPT NOT EXEMPT FIRE DEPARTMENT APPROVAL _�_ �,- DATE�• �`�'.' �� REMARKS: PUBLIC WORKS DEPARTMENT APPROVAL DATE � �2�� `�'2- REMARKS: Downs�out !^^t�^^�r��s,and run-off from impetvious surfaoes shall be tightlined tc G a�;,�r;��;4 5w��rae�s conn n as requir per con TYPE OF JOB: NEW RESIDENCE�RES. ADD/ALT NEW INDUSTRIAL IND. ADD/ALT NEW COMMERCIAL COMM. ADD/ALT NEW MULTIFAMILY (UNITS ) MULTIFAMILY ADD/ALT TENANT IMP. OTHER OCCUPAI�CY 123 TYPE OF CONSTRUCTION � �. STORES L� �r � l�_W �L 7 T BUILDING SQ. FT. �� G @ 7`_.' '�j = ��Ys l� i� l� � BUILDING SQ. FT. @ << _ � . G � � BUILDING SQ. FT. @ (o• � C' _ '�," (Z, � D IL BUILDING SQ. FT. ►Z�O @ (v = I Z�'G BUILDING SQ. FT. @ � _ BUILDING SQ. FT. @ ^'��- �" ( �" �� '_ = �% � �%� TOTAL SQ. FT. TOTAL VALUATION �� 36�`a Z ! �� ;1� �.. �' � BUILDING DEPARTMENT REMARKS: PERMIT FEE 7� � • �-." PLAN CHECK FEE,�� f ` PL�IMBING FEE �' j� � MEGFCANICAL FEE f� • 5 . „��(�1TAL�8LDG. FEES / � '>'�'ART P/C FEE ( �:�;�c;��'SEPA REVIEW �� . . .'`• �I�IC G�o215 3 S•oo S.B.C.C. FEE ` S OTHER FEES AMOUNT DUE ASSIGNED ADDRESS: �Q`�( 3 I� � 1" �=' � P�RTIAL PLAN CHECK FEE RECEIVEDQ�- �I�� Amount �- t- Date Receipt# BUILDING DEPARTMENT APPROVAL � c --� RECEIVED BY �C� DATE � - `'�' � �- ACCEPTED FOR FILING ► s� � A�PPROVA,L . ' . Pemlit Number; �= -� J' }�}� D `_�.-�/ /l �' = ACt'�V�i�� r Date: � Comments: � /S `L�-- --� N �_ _ �o � I10•21 O �� ' � I � I n o � � r �'- 2 _ � i / I � o � � � � � � � m \ � �\ n � � � � �� 4 � a � ^' � � ��/ �` 4 O � � z � � /� ' � �z'± � � � o � I r � � \ I � � � \ � � o � �' ' � � � �,_ � � �37•69 � n 0 � �� ,,, m ro � � � o �C� �� 2 �� v �Td � a d � : � � CI�t=OF FEDERAL WAY Feder�al IWay\,NW 98003 B U I L D I N G P E R M I T BUILDING INS 661 4140 r PERMIT NO. OWNER'S NAME SITE ADDRESS CONTRACTOR ADDRESS CONT.PHONE CONT.REG.NO. EXP. OWNER'S PHONE OWNER'S ADDRESS TYPEJOB: NEWRESIDENCE ADDITION NEWINDUSTRIAL NEWCOMMERCIAL COMMERCIALADD. INDUSTRIALADD. NEWPUBLIC PUBLICADD. NEW MULTI-FAMILY (UNITS )MULTI.ADD. SIGN GRADING OTHER TAX ACCOUNT NO. LEGAL DESCRIPTION I ISSUED BY DATE OF ISSUE DATE OF APPLICATION BUILDING INFORMATION �ONE SET BACKS:FRONT SIDE REAR HEIGHT LIMIT �CCUPANCY TYPE OF CONSTRUCTION CENSUS NO. TYPE OF HEAT BLDG.SQ.FT. STORIES PLUMBING NO. NO. MECHANICAL APPLIANCES AMT. AMT. BOND WATER CLOSETS ELEC.HOT WATER HEATER GAS PIPING FT. GAS LOGS RECEIVED BATHTUBS LAUNDRY DRAINS FORCED AIR FURNACE DUCT WORK SHOWERS URINALS GAS HOT WATER HTR. AIR HANDLING UNIT NUMBER LAVATORIES DRINKING FOUNTAINS CONVERSION BURNER MISC. RETURNED SINKS MISC. BBQ BASIC FEE DISHWASHERS TOTAL FIXTURES DRYER TOTAL MECHANICAL AMOUNT VALUATION PERMIT FEE PLAN CHECK FEE PLUMBING FEE MECHANICAL FEE ART P/C FEE �; :PA REVIEW PUBLIC WORKS S.B.C.C.FEE FIRE FEE DATE: OTHER FEES AMOUNT: �7 AMOUNT DUE RECEIPT: / L� y�A / ( ALL PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS STARTED. RESIDENTIAL AND GRADING PERMITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE. ` I CERTIFY THAT THE INFORMATION FURNISHED BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY REQUIREMENTS WILL � BE MET. OWNER OR AGENT DATE .�CIT.Y AF FEDERAL WAY 33530 First Way South B U I L D I N G P E R M I T BUILDING INSPECTIOf�� Federal Way, WA 98003 661-4140 PERMIT NO. OWNER'S NAME SITE ADDRESS CONTRACTOR ADDRESS CONT.PHONE CONT.REG.NO. EXP. OWNER'S PHONE OWNER'S ADDRESS TYPEJOB: NEWRESIDENCE ADDITION NEWINDUSTRIAL NEWCOMMERCIAL COMMERCIALADD. INDUSTRIALADD. NEWPUBLIC PUBLICADD. NEW MULTI-FAMILY (UNITS )MULTI.ADD. SIGN GRADING OTHER TAX ACCOUNT NO. LEGAL DESCRIPTION ISSUED BY DATE OF ISSUE DATE OF APPLICATION BUILDING INFORMATION 'ONE SET BACKS:FRONT SIDE REAR HEIGHT LIMIT �CUPANCY TYPE OF CONSTRUCTION CENSUS NO. TYPE OF HEAT BLDG.SQ.FT. STORIES PLUMBING NO. NO. MECHANICAL APPLIANCES AMT. AMT. BOND WATER CLOSETS ELEC.HOT WATER HEATER GAS PIPING FT. GAS LOGS RECEIVED BATHTUBS LAUNDRY DRAINS FORCED AIR FURNACE DUCT WORK SHOWERS URINALS GAS HOT WATER HTR. AIR HANDLING UNIT NUMBER LAVATORIES DRINKING FOUNTAINS CONVERSION BURNER MISC. RETURNED SINKS MISC. BBQ BASIC FEE DISHWASHERS TOTAL FIXTURES DRYER TOTAL MECHANICAL AMOUNT VALUATION PERMIT FEE PLAN CHECK FEE �� ''"} PLUMBING FEE MECHANICAL FEE AT P/C FEE PA REVIEW PUBLIC WORKS S.B.C.C.FEE FIRE FEE DATE: OTHER FEES AMOUNT: AMOUNT DUE RECEIPT: ALL PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS STARTED. RESIDENTIAL AND GRADING PERMITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE. � I CERTIFY THAT THE INFORMATION FURNISHED BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY REQUIREMENTS WILL " BE MET. ' OWNER OR AGENT DATE + �i�� i . . I � � �f� ` J � I J Y m Z �° � °° O ', � � W p � ' � ' c� LL r��`'_ u- p I w z a C� o ,,, i � '�. � � Z �, . O I ? � c ' � a � ' ' c� r � ' � (� Q '``'. z i Z 1, •� o m Q I m 4�� w = w � w � w a � � � o � O I � � j J I I � Q J � z � I � a � r ' � r t= m I � m �. � I � ti'' � � �I � �I o , i Y � '� �� o o Z �I � � W /� z p �� , a�-^'' -� a F Il y O W W a Q w �� H � 0 0 � � Z o o .� � � ~ > i ' i i \I e .� _ � �t�l, �`� ' �� ; '�i, C'3 � ��+ C} `J' , `t \ �� Z � ' m � m } '_ f,� � Z a a � _ O-��V = � w � ! U , I \ � + a � C7 r�., � � � Q � O �n O � O I'� �; � � � �, � hl � Y � C7 \�� W ?`; Y � i � Q ' m ,j,,, � I� O V° ` '' - m w � w �' w Q w � Y Z uwi o a o O o u. o �V