91-100104p
Z
m
D
m
r
—
m
p m
C
m -n
m3
zD
C/)
*_
r,M
CD o
m 3
O
Z
T
c
Z
=
M
Co
>
r
m
m
N
m
°
m
m
w
D
I
m
N
D
z
m
D O y
3 -i m
O m n
z M 0
o m m
c cn m
m
as
W
O
O
`< (n v-4
a D m D
m m D 1
X m��
D m< n
Z M m m
=mem
O
o
D=
m Z�
r c)
.G�') >
mmmm
m m
W
O
O
v v
c p
9 z
0=
G) m
m
m
v
m
3
m
m
<
>
c
�
O
z
O
z�
LTj
p
=
a
=
D
�
O�
>
X
m
(n
Z<
m
r (n
m
D O
o m
X
vmi
v c
zT. D
r
O �'
z
D
m
1 D
x m
c D
0
m
(n
r m
c m
z (�
0
-< O
D D
Z -i
70
r
3
m
z
z
O
(n
m
v
n
m
0
-4
N
z
m
7.
n
c)
C
D
{
?n-
m
v
C
LTJ
H
N
Cq
V1
7y
i'G
d
LTJ
-i z
m
a m
n c 0�
Oc Q1
z z
z3:M
m
m
I z
hSc O
pN m
O
I
O- v
wg v
Nc
O z
c l
o
n A m
O O
n� �
Z 70
ro n
',DHo
f7 'TJ D
Cq [+n7 3
U3
C
�ts3J,
HM
Zrii
�A
�
'n
3
v'
D
m
�m
m
O
n n
rt
--I
cn z
°
H
n
Z
7°
Z
v
Z
0 p 4
c�
H
w
Z
z
D
z N
m m
O
r
D
0
W
O
,
M
((D
r
vi U1
>
b
O
o
0
ro
D DI
0 ti
n
21
H
O
r 0
z V O
m
m
p
z
O
a 0
�'
0 D
m
<
m
m m m
�
m
n
O H
p
H
x
<
m
mo
m
v v=
D
m
O
m
n
n
N
(min z
z
OT
m
cn
IP F-4 (!1
°
v
m
H
D
0) ci
0
m
o
0
c
c
o
z
�+ H
_
N
�°
z-1
c
T
M
m
D
r
2
m
m
n
W
m
D
N
H
U]
H
3=
m 3
z
I
n
�
O
-U
m
a
m
D m
a
'�
wCO LTJ
o
d
M
9
z
0
Zz
m
tsi
0M
m
rt
(D
n
H
m
CO)
3
�.
n
O
y
01 O
3
2
u
�D
O
p
O
-0
Q1
F i
U1 O
0
N
O
z
g
m
�-
C�]
0 0
I�
z
� o
D
m
3
H
H
GW
D
CD
m
m
�
rt,
'�
k
ko
v v
N
D
z
m
x
~
n
H
Z
H
z
O
1
a
(n
D
D
O
��
m m
CO) m
ti
O
fr
n
per,
v y
m
�]
�
=
m
O
(D
p
x1
3m;dz
m
x
m
�
D
z
c
c
N
CO
m
D
z
_1v
{
m
'p
zz
z
Z
'�
O
a
N
y
W
a
T
r
w 00
n
C
r
D
D
m
In
O
°
D
°
m
id
y
m
y
m
°z
M
-n
y
H
�
0
m c
m
O-1
�
�_
z
m
D
N
c
rt
r
cc(D
i
D m
z D
m
m
o
i
W
0
m
z
z
Z
0
v
<
m
>
H
I
In
C
W
m
Cn+J
v
�G
.
v
�
c
r
v
Z
LTJ
n
x
z
H
C7
r
P -mit #-
RECEIVED CITY OF FEDERAL WAY
JAN 18 1991 BUILDING PERMIT APPLICATION
— Please Print —
BOX 1 TENANT NAME: mits
OWNER SITE LOCATION .
OWNER'S ADDRESS clanol1w, CITY PHONE
DESCRIBE JOB Gfks 'Foe
THE PROPERTY IS OWNED BY: SINGLE/MARRIED PARTNERSHIP CORPORATION
BOX 2 CONTRACTOR'S NAME \'FtC 665 N_L_&_3WW\A ._. CONTRACTOR'S REG.
Card MUST be presented
CONTRACTOR'S ADDRESS s a' 1�-�' _ _ CITY_b_W_M PHONE 3 4 T?
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
BOX 4 SEWER DISTRICT
WATER DISTRICT
PHONE
BOX 5 ESTIMATED PROJECT COST EXISTING BUILDING VALUATION
BOX 6 PROPERTY TAX ACCOUNT NUMBER 6,360- U 31 6
LEGAL DESCRIPTION - -
(If necessary, please submit a separate page with the legal description.)
K.C. Plat Recording #
BOX 7 BUILDING SQUARE FOOTAGE: (Existing/Proposed)
3RD FLOOR / BASEMENT
BOX 8 ( ) SINGLE FAMILY
( ) MULTIFAMILY (NO. OF UNITS =
( ) COMMERCIAL/INDUSTRIAL
BOX 9 PLUMBING FIXTURES (including rough -ins)
N0. WATERCLOSETS
BATHTUBS
SHOWERS
LAVATORIES
SINKS
DISHWASHERS
ELECTRIC HOT WATER HEATER
LAUNDRY WASHER OUTLET
URINALS
DRINKING FOUNTAINS
RHMPS, SPRINKLER VACUUM BREAKERS
DRAINS
OTHER
TOTAL FIXTURES
1ST FLOOR
/ DECK /.
( ) NEW CONSTRUCTION
( ) EXISTING STRUCTURE
TOTAL AREA OF PROPERTY
2ND FLOOR
GARAGE /
MECHANICAL APPLIANCES —
BASIC FEE $
GAS PIPING, FEET
$
NO. FURNACE, ELEC_ GAS
✓ $
._.GAS HOT WATER HEATER
$
CONVERSION BURNER
$
BOILER, SIZE BTU
$
AIR HANDLING UNITS
$
I TEAT PUMPS, SIZE
$
UNIT HEATERS
$
AIR COOLING UNITS, SIZE
_ _ $
COMMERCIAL HOOD
$
OTHER _10Tv_6 r
$
TOTAL MECHANICAL FEE
$
FT
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 OF THE INFORMATION SUPPLIED TO THE CITY AS A PART OF THIS APPLICATION.
OWNER/AGENT. _ DATE: (� i {tV
ANP -009 3/90
z
m
D
O
m
z
0
m
m
2
r m m
co Z
mO o
m� v
7 D
> N
o D
Z �
c M
Z m
� c
= a
M Z
v "
co m
m O n (�
-1 0
m O
c X rr H
m 0 9
z
v ro
0 p LTJ
0
M p
v
M 8y
M
N
m Iv
_ z N
m a I
r
CO 0 II
m a O
O v A.
m
� a
Z
z L7
O
H
m
m N W
D m N
z
v 33 (D
--I m (D
m
m O
m
r_ m
C) �
c a
m m
C) �
v
� a
O m Nm
M ' n
0 Fp (D
N•
X C
r- a
0 z
O
> m
i�
ro
H
ro
Z
6)
X
j
N (3D
rt 0F
F-
0
H
N z
ro
H
rt z
H.
O %h
O
0
rt
(D
I
Fn 2 D 2 D> r m 0
(A Z < O I C -i z
x 7C D 2 m 3 m m
0 m c D M D
CDi M D m n Z h
m m w M O O
:13 cn
co
I m
cn z
i i z
al
0 g v D r O
O M D- m c m n
r 0 ZZ D Z n n
m mr v D
UJ O Z
c O <
m c D D
U) Z Z m
D D N
z x Fn
U) D m
m
m
D
O
z o a o o D m {
z M D K M 0 D
x m `o m D� D m
m :134 D v_ U) ZZ O
A O D p 0 D m 0
D al m C D r 33 (zii
m 0 m
D D m D
z o
m z
N
(111113
O D D O
N D c
C) D m29
m z D m
m m v m
D Iz
G) y
z
D z
r � �
a
3
x
D
D0�
g O
z z M
D D
cmi z0
zm
z
D
D
ry
O0
m
c�
mn
O
o
m
(�
m
m
m
D-1
D
m
�.�
x
C
D m
Z 3
Oc
m
C
Z
D
('�
D
D
D
m
>
m
D
z
n Zi
m�
m
m
v
m
I
z
x m
3
c�
O
Z
m
Z
c
m
M
m>
-n
z m
M
m
m
z
m
x
I
U)
0
n
m
m
p
m
m
�m
x
m
m
�
m
m
2
r m m
co Z
mO o
m� v
7 D
> N
o D
Z �
c M
Z m
� c
= a
M Z
v "
co m
m O n (�
-1 0
m O
c X rr H
m 0 9
z
v ro
0 p LTJ
0
M p
v
M 8y
M
N
m Iv
_ z N
m a I
r
CO 0 II
m a O
O v A.
m
� a
Z
z L7
O
H
m
m N W
D m N
z
v 33 (D
--I m (D
m
m O
m
r_ m
C) �
c a
m m
C) �
v
� a
O m Nm
M ' n
0 Fp (D
N•
X C
r- a
0 z
O
> m
i�
ro
H
ro
Z
6)
X
j
N (3D
rt 0F
F-
0
H
N z
ro
H
rt z
H.
O %h
O
0
rt
(D
I
Fn 2 D 2 D> r m 0
(A Z < O I C -i z
x 7C D 2 m 3 m m
0 m c D M D
CDi M D m n Z h
m m w M O O
:13 cn
co
I m
cn z
i i z
al
0 g v D r O
O M D- m c m n
r 0 ZZ D Z n n
m mr v D
UJ O Z
c O <
m c D D
U) Z Z m
D D N
z x Fn
U) D m
m
m
D
O
z o a o o D m {
z M D K M 0 D
x m `o m D� D m
m :134 D v_ U) ZZ O
A O D p 0 D m 0
D al m C D r 33 (zii
m 0 m
D D m D
z o
m z
N
(111113
O D D O
N D c
C) D m29
m z D m
m m v m
D Iz
G) y
z
D z
r � �
a
3
x
m
m
O
m
g O
z z M
D D
cmi z0
zm
z
Ln
ry
m
c�
O
m
x
K m
c
m
O
N
O
Oc
("
n
c
-
c
zIm
m
a
z
m
m
m
v
v
I
Fn
C:
m
v
X
n
O
m O
c
m
O
m
g O
z z M
D D
cmi z0
zm
z
p
g
D
m
v
m
z
c
m
zIm
D
v
�
v
=i
Z
O
Z
vI
m
z
z
m
n
m
m
lA z D
E) v v
z m O D
DZ m
m m
D
r �
M 2
v z
m mCD m
o
C)
O
O
z m
O� m
T 0
m
n
O
m o
0
D D
F -
>
v o
1D
M.
z
v
C
D
D
v
0
n
m
w 0
m
I
c
a
r
c
O
CID
D
v
v
D
m
cn