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91-101561p i Z m mj a L7 — m n Oc M m zD r m T 70o D Z C z M0 m D r r Imp 3 0 m m oo Dvz < N T N Z M a O m 0 x m c m n z x 0 -iv m m c m m m W 00 g i m a a a v m m m a M x x v D m< Z M m m> =mem O O m � >= a p 5 mmmm m m w 00 v C D K z m o� 0 m m z m v D m m < � a > O z v_ cn a = m r T x m cn rr Z C O m vi in v77 . x z G) � z (n x0 �� m CD(D D a r, ao :E 1 m c D � m D m c m C n x x O z m :13 'a C 3 a z� O Z O U) r� � i� 0o rn a m O p n C3 QO o C m v < C� O O C!1 D z x n O� z T z�M° Oa 11c �� O Nc o q � m z v m❑ 0 m a v z 0 n v O m -� 0� z z �n t0 O Ln ',�i H N H •J O H �P'�i N yo oz im to �r a m 3 D rn I z dim M O n n rt r m cn z ro ri D z c O C 7wC rr H Htzj ro C"� ZO I D z N > m N O cZi ((D rb m y �C v a ro O O b D D O > C) 21 o x x H v r o Z rn m m v z O D O O n m m m Gzi m m 7o p y y z cn m `x x m - w v v 0 2 � m OT D -4 m N O O CrJ (� x m D O cn � v m� M z a Z O 0 m O 9 l0 d -4 p m I W H m O* a D rp c) c� x n c c 0 O K iA b Z N D z� T D r, n z O m z O D ~ 2 N c D D a 70 Z m n I m X.~ r z-j O Co y ?� a m m W C0 -1 Z 0pO W L71 a z O O I Lrl O .A W m m y z a H m (D y 0 LTJ01 O N 3 Z z n m O fL HcnU9 O O i n z g mm 3 0 D v7 bU bd o o v m z m v W F' n H O H 2 W �_ �' a m ° I m m v N r cn o v a D N Hm '�' -1 m (p p Zl ro m Z D m Z mZ a m m m m czi i �' ai v c W 0 o w z O O n w 00 r a a "V W a LnO W N o (D o0 0 3 H N I N � � a � o o x m z° . 0 pyd n m 7d y r" v m r z T On m (D a x z c m n m O z Nx v r� H r Z D m < D C 3 O c OD r :+ Oz tn D rt -i m x my O n m :zZ 2 Z w D m c 1z09 sA �J cu r I Perm" I �-/ � ' /5_2 v RECEIVED -4 OCT 3 0 1991 CITY OF FEDERAL WAY BUILDING PERMIT APPLICATION 01TV01;FEQE14ALwpy IBUILE)ING 10EPT — Please Print — BOX 1 TENANT NAME: if !J- - �� OWNER �. SITE LOCATION3CO 5d : �G OWNER'S ADDRESS ' C6►ti 5 �+ t CITY -f d PHONE 1 ` 3 DESCRIBE JOB `� -� THE PROPERTY IS OWNED BY: SINGLE/MARRIED PARTNERSHIP CORPORATION BOX 2 CONTRACTOR'S NAME CONTRACTOR'S REG. -- II CONTRACTOR'S ADDRESS j- 1 CITY_ �— EXPIRATION DATE cf Gard MUST be presen d PHONE —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 PHONE- HONE BOX 4 SEWER DISTRICT WATER DISTRICT BOX BOX 5 ESTIMATED PROJECT COST EXISTING BUILDING VALUATION BOX 6 PROPERTY TAX ACCOUNT NUMBER_ / 25 3 ZO — CJ zzp 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. 1 GARAGE / BOX 8 (t-j"SINGLE FAMILY ( ) NEW CONSTRUCTION ( ) MULTIFAMILY (NO. OF UNITS = } ( ) EXISTING STRUCTURE ( ) COMM ERCIAUINDUSTRIAL TOTAL AREA OF PROPERTY SO FT BOX 9 PLUMBING FIXTURES (including rough -ins) MECHANICAL APPLIANCES — BASIC FEE $ NO. _ WATERCLOSETS GAS PIPING, FEET r $ BATHTUBS NO. - 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 $ DRAINS $ OTHER- $ _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 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 EMPLOYEWUPONAHE ACCURACY OF TIV INFORMATION SUPPLIED TO THE CITY AS A PART QF•THIS APPLICATION. R OWNER/AGENT: �(1© �d 9 DATE ANP -008 3/90 I OFFICE USE ONLY (PLEASE DO NOT WRITE BELOW THIS LINE) ZONE _ ^ SETBACKS: FRONT _ . SIDE- REAR HEIGHT LIMIT PLANNING DEPARTMENT APPROVAL REMARKS: SEPA: I XEMP NOT EXEMPT FIRE DEPARTMENT APPROVAL _ _ DATE REMARKS: PUBLIC WORKS DEPARTMENT APPROVAL DATE REMARKS: TYPE OF JOB: NEW RESIDENCE RES. ADD/ALT NEW INDUSTRIAL IND. ADDIALT, NEW COMMERCIAL COMM. ADD/ALT NEW MULTIFAMILY (UNITS ) MULTIFAMILY ADD/ALT.- TENANT IMP. OTHER OCCUPANCY _ TYPE OF CONSTRUCTION STORES BUILDING SQ. FT. _ @ _ BUILDING SQ. FT. _ @ _ BUILDING SQ. FT. @ _ BUILDING SQ. FT. @ BUILDING SQ. FT.. _ @ — BUILDING SQ. FT. _ @ — TOTAL SQ. FT. - TOTAL VALUATION BUILDING DEPARTMENT REMARKS: rT��sjvjE,) OCT 3 1991 00 OF 1zE jqA qu(Lome IL RECEIVED ASSIGNED ADDRESS: PARTIAL PLAN CHECK FEE RECEIVED Amount Date Receipt # BUILDING DEPARTMENT APPROVAL BY DATE PERMIT FEE PLAN CHECK FEE PLUMBING FEE MECHANICAL FEE TOTAL BLDG. FEES PART P/C FEE SEPA REVIEW S.B.C.C. FEE OTHER FEES AMOUNT DUE ACCEPTED FOR FILING § /\ m \\ k® pm m\ M_ gK 0 -n \ m CD \ m cn m m 0 0 m j 0 m \ 0 � k 0 � m E / 2 § ] E § \ ) 0 m \ / B » o wk CD B M 0 Z m a 0 6 m gy m i § M k m/ ) M M\ 0 > a§? k k E z / > �@ g m 2 � § 5 7 I » & 0¢§?® ° 0 m M> 2 m¥° c o m m z m m i< } K m r. 0\@ y m w z% m z 0 p -n 2 m§ m � m m 0 G) ) > \ / _ \ m \ k ? m m m § o E I P m m / m / 0 % o¥ 01-3 0 Q � 0 m 0 rt � w 0 1 k q \ % \ k � \ / @ I 2 w / E O q En % d / $ H 4 q Z � L-1 2@> m>» r, m R ? i \ ° 9 m & c 0 m a � » m k k k@ k m G cn 0 z a R ) \ k k ( 0 0 ] G)/ S )0 i ] } C § k> 9 m K z m ° m § § m JI Ln m \ ( k § ) k 0 7 _ m 0 g 2 3 I m m S 0 m 2 z k \§» t m E n e o CD ) 2 33 % \ g £ \ ] ) m 9 k § m U) & � q k § i t CD B M 0 Z § ) @ > . 6 m k ° § . = m $ (� § M k 0 > k z / > �@ � I » & � § § k 2 z & 2 } K m E m 0\@ w z% K 0 2 z 0 p -n m m � ) m 0 G) ) > \ / � k 0 � d z § § « m k Fn m m q 0 k k # X A) £ M 0 Z § z = ) @ E 5 6 = k ° § . § $ (� A 3 m / � I » � § § k 2 z § } m � ) G) ) > ) ] fi _ m U) _ \ \ k § § o E I / / 3 § ) 0 � F 0 k \ 0 m 0 m k SET BACKS AND FOOTINGS OX TO POUR FOUNDATION WALLS PLUMBING GROUNDWORK DATE BY DATE _ ___.-BY _ DATE _ BY PLUMBING ROUGH IN WATER LINE O.K. _ �._........ MECHANICAL INSPECTION DATE - ---BY . GAS PIPING O.K....... .._ DATE _ -_ _BY O.K. TO ENCLOSE FRAMING INSULATION WALL BOARD AND FIRE WALL DATE -.BY _ DATE BY DATE _ - _BY FINAL O.K. TO OCCUPY DC❑ Pfil7 FD DATE