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— m
SET BACKS AND FOOTINGS
DATE--_SZgy %h AU
O.K TO POUR FOUNDATION WALLS
DATE 13Y /7�T-
PLUMBING GROUNDWORK
DATE _BY
PLUMBING ROUGH IN
DATE _5� BY
_
WATER LINE O.K.
GAS PIPING O.K. 3
-f-f'3 _
MECHANICAL INSPECTION
DATE 3i/=!`� _BY
O.K. TO ENCLOSE FRAMING
DATE _" -!��
- .BY
INSULATION
DATE
gy _
WALL BOARD AND FIRE WALL
DATE BY _ ....
FINAL O.K. TO OCCUPY
DATE%': BY __��
DCD
PSD
FD
A) &
Permait #
CITY OF FEDERAL WAY
BUILDING PERMIT APPLICATION
— Please Print —
BOX 1 TENANT NAME:
OWNER no 9,11AWGS-T CR G ' :}PXSiTE LOCATION Q0 T #Da LfWO rfi TRA i z !�
OWNER'S ADDRESS 10 11 E A►n S T' S u X09 CITY u 1- PHONE 2144666
DESCRIBE JOB _J'\C u7 S�VNG J -C 'E;Nfy•tL',I 9, s %v En C&
THE PROPERTY IS OWNED BY: SINGLE/MARRIED PARTNERSHIP , CORPORATION
BOX 2 CONTRACTOR'S NAMEiI�'R`11�Wtrs r I £rz�TA�� r�2ouP, x,U�• CONTRACTOR'S REG. #N\V7It 46 1:0
Card MUST be presented
CONTRACTOR'S ADDRESS 16 kk G- M N' +1 i. , S 17 % �e 26y CITY 0 ;�_ U �° _ PHONE, '4s - c 6 o 6
EXPIRATION DATE Is D_
o —OR
—
I HAVE READ CHAPTER 18.01RO ELATING TO DEFINITIONS OF GENERAL CONTRACTORS AND SPECIALTY CONTRACTORS AND
CHAPTER 18.27.110 WHICH PROHIBITS ISSUING PERMITS WITHOUT PROOF OF REGISTRATION.
BOX 3 CONTACT PERSONAL W S L3 PHONE Q
BOX 4 SEWER DISTRICT -- �' �' WATER DISTRICTC-D kA L L !
BOX 5 ESTIMATED PROJECT COST aEXISTING BUILDING VALUATION
BOX 6 PROPERTY TAX ACCOUNT NUMBER -A\0
LEGAL DESCRIPTION D'T 4 - AKo" A wk- SC -SC -C- Y I �] 4 (11-
L'.Wat u� P, C, cUnTt �n� TQn
(If necessary, please submit a separate page with the legal description.)
K.C. Plat Recording # 9 1 01 t 1 b y 5 A
BOX 7 BUILDING SQUARE FOOTAGE: (Existing/Proposed) 1ST FLOOR 39 2ND FLOOR
3RD FLOOR / BASEMENT / DECK / GARAGE. L do
BOX 8 (X) SINGLE FAMILY
( ) MULTIFAMILY (NO. OF UNITS
( ) COMMERCIAL/INDUSTRIAL
()) NEW CONSTRUCTION
( ) EXISTING STRUCTURE
TOTAL AREA OF PROPERTY
X15 SQ FT
BOX 9 PLUMBING FIXTURES (including rough -ins)
MECHANICAL APPLIANCES
— BASIC FEE $
NO. WATERCLOSETS
GAS PIPING, FEET __� (pe
$ -
X
NO. i FURNACE, ELEC... If- GAS
$
__BATHTUBS
SHOWERS
j GAS HOT WATER HEATER
$ z S
LAVATORIES
CONVERSION BURNER
$
SINKS
BOILER, SIZE BTU
$
AIR HANDLING UNITS
$
_DISHWASHERS
ELECTRIC HOT WATER HEATER
HEAT PUMPS, SIZE
$
)iLAUNDRY WASHER OUTLET
_-UNIT HEATERS
$
URINALS
AIR COOLING UNITS, SIZE
$
DRINKING FOUNTAINS
_COMMERCIAL HOOD
$
SUMPS, SPRINKLER VACUUM BREAKERS
OTHER
$
DRAINS
$
OTHER _ _ _ _ _
$
15' TOTAL FIXTURES
- $
y,�
TOTAL 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 AGAI .E FEDERAL WAY, BUT ONLY WHERE SUCH CLAIM ARISES OUT OF THE RELIANCE OF THE CITY, INCLUDING ITS
OFFICERS A MPLOYE PO CY FORMATION SUPPLIED TO THE CITY AS A PART OF THIS APPLICATION.
OWNER/AGENT: _- DATE:
ANP -008 3/90
ZONEf) SETBACKS: FRONT
PLANNING DEPARTMENT APPROVAL
€jr.KA,&Avc• "No buftdfng sl+aii enciC
OFFICE USE ONLY (PLEASE DO NOT WRITE BELOW THIS LINE)
SIDE E`� }SEAR _ HEIGHT LIMIT
SEPA: EXEMPT _ NOT EXEMPT
FIRE DEPARTMENT APPROVAL DATE 13' Z
REMARKS;
PUBLIC WORKS DEPARTMENT APPROVAL" `I' `' / �' t ' DATE
REMARKS: ' `,: !r'n
D Ulu iyvlvwvj sWan drain Q0ftnK lQfl NEW" Parrondidon of *provWplaori : L
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
OCi; UPF NCY TYPE OF CONSTRUCTION V AV STORES
L o- -if BUILDING SQ. FT. ,[ .3 �( e_' @ - O l G
BUILDING SQ. FT. ?) 0 @
r _ _ BUILDING SQ. FT. h 00 @
- BUILDING SQ. FT.
_. BUILDING SQ. FT.
BUILDING SQ. FT.
TOTAL SQ. FT.
BUILDING DEPARTMENT REMARKS:
RWEIVED
JUN 19 1992
Y OF FEaERAL WAY
Bel LDM DEPT.
RECEIVED
ii
/Q 6 V
@o = o
TOTAL VALUATION r �
PERMIT FEE
?lf 7
PLAN CHECK FEE
PLUMBING FEE
7X
MECHANICAL FEE
TOTAL BLDG. FEES
PART P/C FEE
SEPA REVIEW
�uB�lcc�aelcs
3s.�c,
S.B.C.C. FEE
-
OTHER FEES
AMOUNT DUE
ASSIGNED ADDRESS: 0 Z.
PARTIAL PLAN CHECK FEE RECEIVED
Amount 300 d 0 Date6�`,iZ Receipt # �Z - R 30
BUILDING DEPARTMENT APPROVAL r
BY _
DATE,1 - Z
ACCEPTED FOR FILING