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" ja�/1-*s �. CITY�F�x'� r'.t�/J� PHONE f�.-if: �2!� l DESCRIBE JOB .Srry,/',r '��-�:+� _ ,��T��. �.� r.3N,c• ���� !:�-�?�-.,�� THE PROPERTY IS OWNED BY: SINGLE/MARRIED PARTNERSHIP CORPORATION � BOX 2 CONTRACTOR'S NAME s M � C�%%-'�' CONTRACTOR'S REG. # �"-�'j�%7�f�i�3�r► Card MUST be presented_ :� CONTRACTOR'S ADDRESS -c.3�-'.z ��} r5� CITY �/ �'t-C'�-T/� PHONE :.5�� ' �f�'K-z .� EXPIRATION DATE d � � � % 3'd , — OR— I HAVE READ CHAPTER 18.27.010 RELATING TO DEFINITIONS OF GENERAL CONTRACTORS AND SPECIALTY CONTRACTORS AND CHAPTER 18.27.110 WNICH PROHIBITS ISSUING PERMITS WITHOUT PROOF OF REGISTRATION. BOX 3 CONTACT PERSON �s`� ���/�i�� PHONE �� ��'-3��,Z- BOX 4 SEWER DISTRICT � �-���' WATER DISTRICT - -- C �-- BOX 5 ESTIMATED PROJECT COST ` f_�'f f�� '"= � C EXISTING BUILDING VALUATION BOX 6 PROPERTY TAX ACCOUNT NUMBER /3.Z /v.3 -�- i'�' y i�— G c� �'� c-/ LEGAL DESCRIPTION ��i �.l�2xl�w��rt- 3 (If necessary, please submit a separate page with the legal description.) K.C. Piat Recording# �� BOX 7 BUILDING SQUARE FOOTAGE: (Existing/Proposed) 1ST FLOOR / 2ND FLOOR / 3RD FLOOR / BASEMENT / DECK / GARAGE / BOX 8 ( ) SINGLE FAMILY ( ) NEW CONSTRUCTION ( ) MULTIFAMILY (N0. OF UNITS = ) ( ) EXISTING STRUCTURE ( jQ COMMERCIAL/INDUSTRIAL TOTAL AREA OF PROPERTY SQ FT BOX 9 PLUMBING FIXTURES (including rough-ins) MECHANICAL APPLIANC�S— BASIC FEE$ N0. WATERCLOSETS GAS PIPING, FEET $ BATHTUBS N0. FURNACE, ELEC. GAS $ SHOWERS GA HOT WATER HE R $ �� LAVATORIES CON RSION BUR R $ KS BOIL , SIZE BTU $ DI WAS S AIR HA DLIN UNITS $ ELEC HOT WATER HEATER HEAT P , SIZE $ LAUN WASHER OUTLET UNIT H ERS $ UR ALS AIR OLI UNITS, SIZE $ INKING FO TAINS C MERCIA HOOD $ SUMPS, SPRINK VACUUM BREAKERS ` THER $ DRAINS - $ OTHER $ TOTAL FIXTURES $ TOTAL MECHAI�ICAL 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 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. 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