90-100281 CITY OF BUILDING INSPECTION
FEDERALWAY BUILDING PERMIT 941-1555
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PERMIT NO. 9O-3H4P OWNER'S NAME FIRESIDE HOMES JOB ADDRESS 35327 13 PL SW
CONTRACTOR INTERURBAN PLBG ADDRESS 36056 MILITARY RD S AUBURN CONT. PHONE 838-1463**
CONT. REG. NO. INTERIZO4CL 4/91 OWNER'S PHONE NA OWNER'S ADDRESS 27103 31 AVE SE
TYPE JOB: NEW RESIDENCE ADDITION NEW INDUSTRIAL NEW COMMERCIAL COMMERCIAL ADD. INDUSTRIAL ADD. NEW PUBLIC PUBLIC ADD.
NEW MULTI-FAMILY (UNITS ) MULTI. ADD. SIGN GRADING OTHER "PLUMBING ONLY"
TAX ACCOUNT NO. NA LEGAL DESCRIPTION NA
ISSUED BY ELI ZABETH SNYDER DATE OF ISSUE DATE OF APPLICATION 4/2 0/9 0
BUILDING INFORMATION
NE NA OCCUPANCY NA TYPE OF CONSTRUCTION NA BLDG. SQ. FT. NA _
SET BACKS: FRONT NA SIDE NA REAR__ NA _ STORIES NA HEIGHT LIMIT NA _
PLUMBING NO. NO. MECHANICAL APPLIANCES AMT. AMT. BOND
WATER CLOSETS 3 ELEC. HOT WATER HEATER GAS PIPING FT. BOILER
RECEIVED
BATHTUBS 1 LAUNDRY DRAINS 1 COMPRESSOR _ TANK(S)
SHOWERS 1 URINALS FORCED AIR FIJRNACE AIR HANDLING UNIT NUMBER _
LAVAT'ORIES �_ DRINKING FOUNTAINS GAS HOT WATER HTR. MISC. _
SINKS 1 MISC. HOT WTR T. �_ CONVERSION BURNER BASIC FEE RETURNED
DISHWASHERS �_ TOTAL FIXTURES ZZ��QQ UNIT HEATER TOTAL MECHANICAL N.QNF� AMOUNT NONE
+ 20.00 BASIC FEE
VALUATION NONE
PERMIT FEE
PLAN CHECK FEE
PLUMBING FEE �HO_DO
CHANICAL FEE _
TAL BLDG. FEES
PART PIC FEE �
SEPA REVIEW �jMOUNT PAID �,J
WATER SERVICE
WATER MAIN CHG. DATE PAID � �
S.B.C.C. FEE �� ���
OTHER FEES RECEIPT � ' �
AMOUNT DUE �BO.OO
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:
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CITY OF BUILDING INSPECTION
FEDERAL WAY B U I L D I N G P E R M I T 941-1555
PERMIT NO. OWNER'S NAME JOB ADDRESS
CONTRACTOR ADDRESS CONT. PHONE
CONT. REG. NO. OWNER'S PHONE OWNER'S ADDRESS
TYPE JOB: NEW RESIDENCE ADDITION NEW INDUSTRIAL NEW COMMERCIAL COMMERCIAL ADD. INDUSTRIAL ADD. NEW PUBLIC PUBLIC ADD.
NEW MULTI-FAMILY (UNITS ) MULTI. ADD. SIGN GRADING OTHER
TAX ACCOUNT NO. LEGAL DESCRIPTION
ISSUED BY DATE OF ISSUE DATE OF APPLICATION
BUILDING INFORMATION
ZONE OCCUPANCY TYPE OF CONSTRUCTION BLDG. SQ. FT.
SET BACKS: FRONT SIDE REAR_ _ STORIES HEIGHT LIMIT _
PLUMBING NO. NO. MECHANICAL APPLIANCES AMT. AMT. BOND
WATER CLOSETS ELEC. HOT WATER HEATER GAS PIPING FT. BOILER
RECEIVED
BATHTUBS LAUNDRY DRAINS COMPRESSOR _ _ TANK(S)
SHOWERS URiNALS FORCED AIR FURNACE AIR HANDLING UNIT _ NUMBER _
IAVATORIES DRINKING FOUNTAINS GAS HOT WATER HTR. MISC. _
RETURNED
SINKS MISC. CONVERSION BURNER BASIC FEE
DISHWASHERS TOTAL FIXTURES UNIT HEATER TOTAL MECHANICAL AMOUNT
VALUATION
PERMIT FEE
PLAN CHECK FEE
PLUMBING FEE
MECHANICAL FEE _
TOTAL BLDG. FEES
PART PIC FEE
SEPA REVIEW
WATER SERVICE
WATER MAIN CHG. '��i �'
S.B.C.C. FEE
OTHER FEES " { � .
AMOUNT DUE
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
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