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BY 1_6 _ PLUMBING GROUNDWORK DATE --- PLUMBING F OUGH IN DATE __Z__Z- BY _ _ WATER LINE O.K. GAS PIPING O.K._ 2=2-9� MECHANICAL INSPECTION DATE ��1�%�2 __BY O.K. TO ENCLOSE FRAMING DATE 3 . BY � — INSULATION_ Z' DATE 3 Z '-!Z BY � - WALL BOARD AND FIRE WALL DATE--.� ��' _ � Z_. BY FINAL O.K. TO OCCUPY DATE _ 5 -�`_ BY _ DCD PSD __7FD - 2 7- Ila �lhv &_e Ole Tio 112e. �/L�j_ ' Qr c/Z cad J/n.< Ae - 7— s -z — c,r �t r, •� r «cVV cl 2 Ile -61 *wCeIvM MECHANICAL APPLIANCES — BASIC FEE $ CITY OF FEDERAL WAY NO. 3 WATERCLOSETS GAS PIPING, FEET 20 Pe .it # Q ( -L 'L&W BUILDING PERMIT APPLICATION�� x•''� iyOF WAblve�ftY — Please Print — � � BOX 1 TENANT NAME: aU OWNER NORTHWEST H=AGE GROUT--', INC. SITE LOCATION Lot 47 Lakota Trails Phase II OWNER'S ADDRESS 1011 East Main St. Suite 204 CITY allu PHONE 848-6606 DESCRIBE JOB New Sancrle Family Residence THE PROPERTY IS OWNED BY: SINGLE/MARRIED PARTNERSHIP_ CORPORATION x BOX 2 CONTRACTOR'S NAME NORTHWEST B=TAGE GROUP, INC. CONTRACTOR'S ADDRESS _ 1011 East Main St. St._ 204 EXPIRATION DATE _. 9/8/92 _ CONTRACTOR'S REG. #NOR-!HG13700 Card MUST be prose CITY PuYalluP PHONE 848-6606 ted — 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 CONTACT PERSON Bill Washburn PHONE 848-6606 BOX 4 SEWER DISTRICT Federal Way_ WATER DISTRICT Federal Way BOX 5 ESTIMATED PROJECT COST $75,680 EXISTING BUILDING VALUATION 0 BOX 6 PROPERTY TAX ACCOUNT NUMBER 416796-047-0 LEGAL DESCRIPTION Lot #47, Lakota Trails Phase 2, Sec. 7, T21N R4E W.M. Federal Way, Ki nc( County, Washington aaqq (If necessary, please submit seTar to e with the legal description.) K.C. Plat Recording # BOX 7 BUILDING SQUARE FOOTAGE: (Existing/Proposed) 1ST FLOOR / 1024 2ND FLOOR / 868 3RD FLOOR / BASEMENT / DECK / GARAGE / 455 BOX 8 (X) SINGLE FAMILY ( NEW CONSTRUCTION ( ) MULTIFAMILY (NO. OF UNITS = 7 ( ) EXISTING STRUCTURE 6988 ( ) COMMERCIAL/INDUSTRIAL TOTAL AREA OF PROPERTY SQ FT BOX 9 PLUMBING FIXTURES (including rough -ins) MECHANICAL APPLIANCES — BASIC FEE $ NO. 3 WATERCLOSETS GAS PIPING, FEET 20 $ Z- 00 2 BATHTUBS N0. 1 FURNACE, ELEC. GAS x $ 6) --LSHOWERS —1GAS HOT WATER HEATER $ 4 LAVATORIES CONVERSION BURNER $ 2 SINKS BOILER, SIZE BTU $ 1 DISHWASHERS AIR HANDLING UNITS $ ELECTRIC HOT WATER HEATER HEAT PUMPS, SIZE $ 1 LAUNDRY WASHER OUTLET UNIT HEATERS $ URINALS AIR COOLING UNITS, SIZE $ DRINKING FOUNTAINS COMMERCIAL HOOD $ SUMPS, SPRINKLER VACUUM BREAKERS —OTHER. $ DRAINS $ OTHER $ 14 TOTAL FIXTURES $ k "]0 . 0(" TOTAL MECHANICAL FEE $ i 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 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,. (NOLUDING ITS OFFICERS AND EMPLOYE,$, UPON Ta MCURACY OF THE INFORMATION SUPPLIED TO THE CITY AS A PART OF THIS APPLICATION. OWNER/AGENT: DATE: 10/24/91 ANP -000 3/90 ZONE2. SETBACKS: FRONT_ PLANNING DEPARTMENT APPROVAL REMARKS: " OFFICE USE ONLY (PLEASE DO NOT WRITE BELOW THIS LINE) �SIDE 5� REAR HEIGHT LIMITp� SEPA: EXEMPT ✓ _ NOT EXEMPT FIRE DEPARTMENT APPROVAL REMARKS: PUBLIC WORKS DEPARTMENT REMARKS: P6 it f W4 DATE DAT /19/230 TYPE OF JOB: NEW RESIDENCE- �'. RES. ADD/ALT NEW INDUSTRIAL IND. ADD/ALT 7'I NEW COMMERCIAL COMM. ADD/ALT NEW MULTIFAMILY (UNITS ) 70 MULTIFAMILY ADD/ALT TENANT IMP. OTHER TOTAL BLDG. FEES PART P/C FEE OCqUPPNCY i � TYPE OF CONSTRUCTION /V STORES 01A- T BUILDING SQ. FT. � 0 � @ 7Z - ff O = Q c i' BUILDING SO. FT._ fir_ @ �� = 3 Z 7 Z GlV BUILDING SQ. FT. y @ it, 3 0 — 5,L6 , — ��' BUILDING SO. FT. @ 13 s ( O — 3 BUILDING SO. FT. BUILDING SQ. FT. @ @ A— _ , rL ©r O o TOTAL SQ. FT. TOTAL VALUATION BUILDING DEPARTMENT REMARKS: OCT 28 199 OITY OF FEDERAL BUILDAIG DEP' RECEIVED PERMIT FEE 7'I PLAN CHECK FEE PLUMBING FEE 70 MECHANICAL FEE TOTAL BLDG. FEES PART P/C FEE t SEPA REVIEW S.B.C.C. FEE SG OTHER FEES AMOUNT DUE ASSIGNED ADDRESS: 317 f PARTIAL PLANCHECK FEE RECEIVED pount co/ Date l a ;9,f - j) Receipt # BY /r BUILDING DEPARTMENT APPROVAL DATE 10 ` ACCEPTED FOR FILING