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90-101585m 3 _C r v cc ZZ^ L L, �2 N1 N m n 0 Z a 0 m y v v v < v m m m v m ri � z 0 0 m 2 mcg m w a a m o m c s 3) � m z< p-4 D a� z * -U z z x Z �Jm r O m p m m D 1 D= z c x N a x m 3 m m m a m m C z D <7 31 7U 70 r D m C7 -{ D O m C D W n v n c 0 D m T 9 m m m< n W n m m O = �0 m ca 0 Z c q m G) O 3 c m m Z m m m GG) > GZi m 0 m z m Cl)m O z T m m m T Cl)m Cl) D 3 z m Z 0 a L7 zm Z2 u� n< m T T m m m -mi m m O z O< 10 m m �2 � �> lO r- m m m O z m W 00 O Cy c z G" W m � x y# z z 1 O0 v vi D c D D o I - a v� N T mr LTJ > z c o m 0 c C C,o < O N x O O D z i m a m z 0 D D `C v m m D m m x GA ~ W m m D rn m z m M n 0 rt m z m z D O ro ri �+ z c O vv Gpo1 x rr H ro r z d D z a, O m H N• U� I r- M �' H N _0 p z v to D ro O O ro H m D x --- o o x x H v r g z M O z 0> 0 0> m < m m m m m m x OO y y N m �2 m v v x m OT x C m r� Cl x m ]p 0, v m v z O Zn n O Z Q N m 0 W Cn y D m m O D D D m O Z n m p0 m r m m Z m �o z D x d N c m D D Z a r ~O Fes•] z c D r Zi W m x D m C/) Z O~ Z O O 0 C) m ,P K) m 31, �+ o o y Ztri j LTJ Z Z a+ a C1 m o z W H F, 3 0 z v ~ b ( D 05 O CD m05 � 3 � t7l �.� ° °v m rpt W�( o �. Z ~ 0 O Z O � W m a D m m � x M x umi m v t7i rt ro b (m� T P y D m �l� = m (D F'• O C (�Z "j (��]]nD m ma0 m m z �J o. D m �/% y m N z D c o �R a L) D 8, � m a z .d`) C) I w U1 > D D N r p -0 0 CO m U7 rr 'TJ tsj a 3 0 W n mm � d >n ,• b O z OT m y v mCO z m m (D -i O H K m c cmi 0 p F-+ c x O m N r r c z cx m m G ? m D C rt m m m i n m z Z o v \ !n o x � CE) I COrJ Zi v v m 3 _C r v cc ZZ^ L L, �2 N1 N m n 0 Z �#Czjl Permit # fty CITY OFF 0 RAL WAY &�Oxp'P 7 6 BUILDING PERMIT APPLICATION /i c4AVeb. V►�,+j4 —Please Print — BOX 1 TENANT NAME: OWNER 15e) , SITE LOCATION ZA 1 ve w OWNER'S ADDRESS Z? S 3 j5 3 CITY L" eaw• t PHONE DESCRIBE JOB ---- THE PROPERTY IS OWNED BY: SINGLE/MARRIED PARTNERSHIP CORPORATION—DL BOX 2 CONTRACTOR'S NAME I e CONTRACTOR'S REG. # _hMiA tZ Z Zz Card MUST be presented CONTRACTOR'S ADDRES� -Qclx - C10 3 CITY N 4 PHONE P6 3 3,6nen EXPIRATION DATE —OR— I HAVE READ CHAPTER 18.27.010 RELATINGT EFINITIONS OF GENERAL CONTRACTORS AND SPECIALTY CONTRACTORS AND CHAPTER 18.27.110 WHICH PROHIBITS ISSUING PERMITS WITHOUT PROOF OF REGISTRATION. BOX 3 CONTACT PERSON PH BOX 4 SEWER DISTRICT WATER DISTRICT BOX 5 ESTIMATED PROJECT COST EXISTING BUILDING VALUATION BOX 6 PROPERTY TAX ACCOUNT NUMBER q 6 oO 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. _ _I DECK______J_ GARAGE / BOX 8 (K) SINGLE FAMILY C =) NEW CONSTRUCTION ( ) MULTIFAMILY (NO. OF UNITS = ) ( ) EXISTING STRUCTURE ( ) COMMERCIAL/INDUSTRIAL TOTAL AREA OF PROPERTY SQ FT BOX 9 PLUMBING FIXTURES (including rough -ins) MECHANICAL APPLIANCES — BASIC FEE $ N0. WATERCLOSETS GAS PIPING, FEET $ BATHTUBS N0.FURNACE, ELEC. GAS—,Y\ $ SHOWERS GAS HOT WATER HEATER $ L� 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 HOOF] $ SUMPS, SPRINKLER VACUUM BREAKERS OTHER $ DRAINS 243 $ 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 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, INCLUDING ITS OFFICERS AND EMPLOYEES, UPON THE ACCURACY OF THE INFORMATION SUPPLIED TO THE CITY AS A PART OF THIS APPLICATION. OWNER/AGENT: - DATE: r - ANP -009 3/90 OFFICE USE ONLY (PLEASE DO NOT WRITE BELOW THIS LINE)'''_ ZONE SETBACKS: FRONT SIDE REAR HEIGHT LIMIT______,_._ PLANNING DEPARTMENT APPROVAL --.... REMARKS:— m SERA: EXEMPT........ .... NOT EXEMPT_..._.. FIRE DEPARTMENT APPROVAL REMARKS: 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 SO. FT. @ BUILDING SQ. FT. @ _ BUILDING SQ. FT. @ BUILDING SQ. FT. @ _....-__... _ BUILDING SO. FT. @ _ TOTAL SQ. FT. TOTAL VALUATION ......... ... BUILDING DEPARTMENT REMARKS' RECEIVED ASSIGNED ADDRESS: PARTIAL PLAN CHECK FEE RECEIVED Amount Date Receipt # . BY BUILDING DEPARTMENT APPROVAL 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 § km m iw m j§ k ® pm mk �m �a 0 z c § a CO m \ 0 m j 0 m \ 0 � z 0 / m k z m v 'U \ 0 ) 0 rim ) > r t « 2 q o=. z —1 -n 2 m» m ®m k /$ a o§ ¢ w cl)m m> k§ a m 0 F> M P m m m n z R 3* c» 5 z= m 0§ M m m m / > 0 z E _> /° A W 2\ d �_ m 0 o) M ®� 2$ 2 0 n m U) c § z 0 m w k m k 0 7 \ 0 m m o k ON o$ 2 § M o — / 5 m c � m � —� 0 Q m .-I ( ] d 5z) ? | f 0 ft m @ 0 k 3 d ■ I $ > 7 7 z § ] 0 m z § ® > � k m � 91 m TI j z 9 R 0> . o 0> n n co rt q w / n 0 § -0 x m X M, g om :mu + J. 0 7 \ 0 m m o k ON o$ 2 § M o — \ 5 m c � m � —� 0 Q m .-I ( ] d 0 & \ » S a \ % C § \ 2 0 z a e k w rt § F, 0 m / \ 0 � m ? | f 0 ft m @ 0 k 3 d ■ I $ > 7 7 z § ] 0 m z § ® > � k m � 91 m TI j z 9 R 0> . o 0> m co § P q w / � 0 § -0 x m X M, g om :mu + J. 0 � § > 0 2 m o c M (� 2 § M © 5 \ 5 m c 3) m 2 0 z m .-I ( ] d \ » m C § k z 2 z k � § § w 0 t q § > a 9 = m rn m k U) > k a 9 z r & a . . . . . . § y z co § P c 5 0 � -Mk m ° E $ A E ] » 30 z 3a W) C) 2 . zo2 2 § :Dm © 5 5 m z 2 0 z m � G) 0 ic m \ § a § y z m x = § P c 5 0 � -Mk m ° z § . $ A E ] § ( 5 z 2 z m d \ » C § k z 2 z k § m \ � z § 0 zz, F�, U5 / 2 j o § § E 0 I z m / k q z § J U § |� ca B § 7 k / ! m C: § § .� § SET BACKS AND FOOTINGS DATE _BY _ ___ _ OX TO POUR FOUNDATION WALLS DATE - BY _ _ _ PLUMBING GROUNDWORK DATE _-_BY PLUMBING ROUGH IN DATE _ _ BY WATER LINE O.K. GAS PIPING O.K.__ _ _ MECHANICAL INSPECTION DATE _ BY O.K. TO ENCLOSE FRAMING DATE-------. _ _ .BY _ _ INSULATION DATE _ BY _ _ WALL BOARD AND FIRE WALL DATE _ _BY FINAL O.K. TO OCCUPY DATE J..I d�j�� 11 BY DCD PSD FD w