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92-101345a- o a :E v n m m p En ro H ro H O O N d a rt m !g 1Vmm t(.i.+ V a a H N 10 m 0 rt P- 0 0 z 0 rt 0 m H 14N ro H H 0 z M 0 0 w ti 1 O a r m m m N m m m 3 3 N mm nn av v 70 '9 3 r� m a m Z m0 mm N 0 w w W Ni N N O O O O O O O 0 10 Ln 3 r m V 00 cn 10 x W (310 W 3 -n rIj V3 10 v coo mz mo.zm 70 •o m a= a D m co i W avy�o 0 m z avna =�zC"3 10 m rot r< m N m z G iii r m Z v m 70 -0Dcn aaa000acac � NZNOZN.�NT a rmv• <x�vr OOm m cf)„ N0 r+ m m CO m: a:(D�v N H W m: r,.rnn Z O O N00 00 00 N 0 0 � m fi •J O rt x a i m v x m c ci cT¢cQa VA 7O n z r) uzi max• tid 0 o a • N z• 01 0070• : or•«• 0CD 0o m Z • N c�nc>• 0 z� rn 1 O O N 0 0 0 0 0 0 !g 1Vmm t(.i.+ V a a H N 10 m 0 rt P- 0 0 z 0 rt 0 m H 14N ro H H 0 z M 0 0 w ti 1 O a r m m m N m m m 3 3 N mm nn av v 70 '9 3 r� m a m Z m0 mm N 0 w w W Ni N N O O O O O O O 0 10 Ln 3 r m V 00 cn 10 x W (310 W 3 -n rIj V3 10 v coo mz mo.zm 70 •o m a= a D m co i W avy�o 0 m z avna =�zC"3 10 m rot r< m N m z G iii r m Z v m 70 -0Dcn CD SCD W Om (7 SCDL. w� � v O Om f�rp H Z C O C OOm m cf)„ N0 r+ m 7Q0L'c N <� Dam N H W cccn 00 0 G Z O O O N F' 0 0 � C c ci rn tid co 0 C F 0 Z�C) z zN m 00 0 z� rn 0 rn m Z cc w 0 r N N V � y k0 N 0 RE-CIM15L) BY COMMUNIV ULV6L0PM'tN1 DMATMENT AUG 19 1992 BOX 1 TENANT NAME: Per, � # S\j R' 2 Z69 CITY OF FEDERAL WAY BUILDING PERMIT APPLICATION — Please Print — OWNER E SITE LOCATION OWNER'S ADDRESS 4' CITY— & PHONE -© DESCRIBE JOB _ _ZtLI THE PROPERTY IS OWNED BY: SINGLE/MARRIED PARTNERSHIP _ CORPORATION BOX 2 CONTRACTOR'S NAME - CONTRACTOR'S REG. # Card MUST be presented CONTRACTOR'S ADDRESS �� / e. CITY r4 PHONE V—]r 3 � EXPIRATION DATE —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 BOX 4 SEWER DISTRICT WATER DISTRICT BOX 5 ESTIMATED PROJECT COST EXISTING BUILDING VALUATION BOX 6 PROPERTY TAX ACCOUNT NUMBER - LEGAL DESCRIPTION _ $ (If necessary, please submit a separate page with the legal description.) K.C. Plat Recording # HEAT PUMPS, SIZE BOX 7 BUILDING SQUARE FOOTAGE: (Existing/Proposed) 1ST FLOOR / 2ND FLOOR / 3RD FLOOR / BASEMENT / DECK_____j_ GARAGE_ 1 BOX 8 [X) SINGLE FAMILY ( ) NEW CONSTRUCTION ( ) MULTIFAMILY (NO. OF UNITS = _.) ( ) EXISTING STRUCTURE ( ) COMMERCIAL/INDUSTRIAL TOTAL AREA OF PROPERTY .SQ FT BOX 9 PLUMBING FIXTURES (including rough -ins) NO. WATERCLOSETS .BATHTUBS SHOWERS LAVATORIES SINKS .DISHWASHERS ELECTRIC HOT WATER HEATER LAUNDRY WASHER OUTLET URINALS DRINKING FOUNTAINS SUMPS, SPRINKLER VACUUM BREAKERS DRAINS OTHER TOTAL FIXTURES MECHANICAL APPLIANCES — BASIC FEE $ GAS PIPING, FEET .. NO. _FURNACE, ELEC. GAS $ _X_ $ GAS HOT WATER HEATER $ _ CONVERSION BURNER $ _ BOILER, SIZE BTU $ --AIR HANDLING UNITS $ HEAT PUMPS, SIZE $ _ —UNIT HEATERS $ AIR COOLING UNITS, SIZE $ _COMMERCIAL HOOD $ OTHER $ 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 EMPLOYEES, UPON THE ACCURACY 9,, THE INFORMATION SUPPLIED TO THE CITY AS A PART OF THIS APPLICATION. OWNER/AGENT: TE: e ANP -000 3/90 OFFICE USE ONLY (PLEASE DO NOT WRITE BELOW THIS LINE) ZONE SETBACKS:I-RONT SIDE PLANNING DEPARTMENT APPROVAL REMARKS: SEPA: EXEMPT__ . NOT EXEMPT FIRE DEPARTMENT APPROVAL Or -RA A 0l(Q - REAR. HEIGHT LIMIT DATE_ PUBLIC WORKS DEPARTMENT APPROVAL DATE REMARKS: 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. 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: RECEIVED ASSIGNED ADDRESS: PARTIAL PLAN CHECK FEE RECEIVED Amount Date Receipt # BUILDING DEPARTMENT APPROVAL BY DATL` - 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 I Q 0 m N M s O CD v M o 11 C) D ZZ m -� N m N r � 7 C I m a Z v 0 01 0', O I M N 0 3i Z 0 m v M m D Z n v m = m D 9 -o r A D W m 1 m \ n !U < e O \v� n 11 m m ` v m D r m m ID C m m 9 m Z N m m 9 0 % Y m ft 0 m N• 0 W ro m rtP- 0 0 z 0 rt m N H x W b n H H °x 7d 0 d c�7oc�wnLiT(.�T. aaaw0acac N� VIO=N m w m 0:n�: wS�--'4 c�• -< - C-4ovs tn• m• 70 o v : zm�citn a 000000�w -4,-,) It asc cxpa V n 7ov1m n0z x . � ooz: CD, -1 oov. 0070• ooh• �«• 0o m 2m. N . . 0 0 0 0 0 0 0 0 0 o T w c a m un W W O Z w r+ O t n r m<-4. ;,InWTO 70msvoo x0 0700 C � s o m .. , .. .. .. .. .. N O O O: O o 0 0 0 w O a m m U, T m m 3 3 y n n -0; Z N me TZ mn mm tn >F . 0 w N W � N N N O 0 00 �I 10 O •O A Z M z m 0 70 o m N a D m oAC W � m V x �O N o co 3 Ln 3.. 00 Cl) V m z 70 a-;aiZo •pOpDmA o <czi m m m 70 nl m 0 W CL (TI CD W O �C O O O < � -n T 0 m Co cn C 00 C G C W 9 m coo C�0 Z z cn 0 M 00 O CZ) O m