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90-100017A z m O c m z a v m Om W T m-< F_ rm WZ m -n mm O z T C W z_ U) x m v W m U) S C C m D z O C) O M m C) O 2 m co m O m z O r m v G) m D z v 2 m D m r D co r m C) O T T m v m D r D D O 0 m z m D 0 m n m m D 70i D= D D 0 m `m W x x m n mr D z z m m O c m m U) D Z m < m m D r T n x m z m n x 3 m m m m m m m m cn 4n m v_ N y= D* 'a m G _ � < O -4 � C - z a m m m m �'A x W D am m x m cn C) z z m m cn r0 O cn x i O z 0 v c r m O m 00 x D o c) r x m -n cn < O z c O m < W C a D m Cl) --I Cf) m m D W z x v m m x 0 C: O D O O D m :q z cn x K cf) C) m = m x OR mx m x m > C) D c) D z Z O m 0 (n O C) x n x z i m r D z c m � �' x z � D C mx D m D .n z O m z Cl) 3 m a co O n n D O O M m z x m m m v cn D C) y z c z N C) z D Z r D 3 x m m ry � O D m C m WO cn x C) r O Oc c W m O D -� m 70 p 0 Vii N O N rt rt p1 F} cn cn C m v D m m O m Fn C: m m-0 O g m z m x O C m C — 3 i o z o{ W MLD ON v o,N z z m V I � O v Z V O v Z m Cn Z D � v o z O v x � z m �M x � r � O O x D 0 Z W r U7 m O m m 4 n � � O CA N O m M z o C] w rt a Vi" 1 o w 3 O 0 Z w m � x C) o D D v 00 m mxx w m otp- D .o V m m x z O O O O N z Z m m Ci z D m m z v C 4 x D r D v 0 z m m c co r- 0 C) T C co C) D C) 0 r Ol r Go C r v Z m C L J cc ZZ d ul V Z 00 4n D v_ N y= D* 'a m G _ � < O -4 � C - z a m m m m �'A x W D am m x m cn C) z z m m cn r0 O cn x i O z 0 v c r m O m 00 x D o c) r x m -n cn < O z c O m < W C a D m Cl) --I Cf) m m D W z x v m m x 0 C: O D O O D m :q z cn x K cf) C) m = m x OR mx m x m > C) D c) D z Z O m 0 (n O C) x n x z i m r D z c m � �' x z � D C mx D m D .n z O m z Cl) 3 m a co O n n D O O M m z x m m m v cn D C) y z c z N C) z D Z r D 3 x m m ry � O D m C m WO cn x C) r O Oc c W m O D -� m 70 p 0 Vii N O N rt rt p1 F} cn cn C m v D m m O m Fn C: m m-0 O g m z m x O C m C — 3 i o z o{ W MLD ON v o,N z z m V I � O v Z V O v Z m Cn Z D � v o z O v x � z m �M x � r � O O x D 0 Z W r U7 m O m m 4 n � � O CA N O m M z o C] w rt a Vi" 1 o w 3 O 0 Z w m � x C) o D D v 00 m mxx w m otp- D .o V m m x z O O O O N z Z m m Ci z D m m z v C 4 x D r D v 0 z m m c co r- 0 C) T C co C) D C) 0 r Ol r Go C r v Z m C L J cc ZZ d ul V Z CITY OF FEDERAL WAY BUILDING PERMIT APPLICATION — Please Print — BOX 1 OWNER ,O• JOB LOCATION .t 3 11> 6A '(14/ OWNER'S ADDRESS 7pw CITY PHONE V 4 _ -;x i DESCRIBE JOB N,c'*j=a-,ldr� THE PROPERTY IS OWNED BY: SINGLE/MARRIED PARTNERSHIP CORPORATION BOX 2 CONTRACTOR'S NAME CONTRACTOR'S REG. # Card MUST be presented CONTRACTOR'S ADDRESS CITY—. PH EXPIRATION DATE) 3 r+ 9 —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 * C --&1 -4 PHONE BOX 4 SEWER DISTRICT DISTRICT v BOX 5 ESTIMATED PROJECT COST�� EXISTING BUILDING VALUATION BOX 6 PROPERTY TAX ACCOUNT NUMBER 11 LEGAL DESCRIPTION .4,0.0- r' r 4-A�C7�4y"f v"S' ,✓' a` (If necessary, please submit a separate page with the legal description.) BOX 7 BUILDING SQUARE FOOTAGE: (Existing/Proposed) 1ST FLOOR e' 2ND FLOOR GARAGES 3RD FLOOR / BASEMENT /- DECK / BOX 8 (9) SINGLE FAMILY (JCj NEW CONSTRUCTION ( ) MULTIFAMILY (NO. OF UNITS = 7 ( ) EXISTING STRUCTURE ( ) COMMERCIAL/INDUSTRIAL TOTAL AREA OF PROPERTY SO FT BOX 9 PLUMBING FIXTURES (including rough -ins) MECHANICAL APPLIANCES — BASIC FEE $ N0. WATERCLOSETS _BATHTUBS GAS PIPING, FEET <$ ` NO.._ _FURNACE, ELEC. _ GAS $ _SHOWERS ZGAS HOT WATER HEATER $Q CONVERSION BURNER $ __VLAVATORIES 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 BREAKERSOTHER $ DRAINS . ...... OTHER -- $ TOTAL FIXTURES -.. —. TOTAL MECHANICAL FEE $ Ti_ C 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 PER- FORM THE WORK FOR WHICH PERMIT APPIACA iON IS MADE. OWNER/AGENT: DATE: ANP -006 2/90 Q6)_ 6.2(-/ OFFICE USE ONLY (PLEASE DO NOT WRITE BELOW THIS LINE) ZONE 5 7• Z SETBACKS: FRONT ZO SIZES Ncrc REAR S . HEIGHT LIMIT 30 PLANNING DEPARTMENT APPROVAL REMARKS: C[7Jtr-0-0`4-- - 2- Vat—IC("GJ // SEPA: EXEMPT___Z_ NOT EXEMPT FIRE DEPARTMENT APPROVAL REMARKS: DATE_ PUBLIC WORKS DEPARTMENT APPROVAL DATE REMARKS: TYPE OF JOB: NEW RESIDENCE X RES. ADD/ALT NEW INDUSTRIAL. IND. ADD/ALT NEW COMMERCIAL COMM. ADD/ALT NEW MULTIFAMILY (UNITS ) MULTIFAMILY ADD/ALT— I I-_NAN I IMP. ROOF OTHER OCCUPANCY 17.3 _ TYPE OF CONSTRUCTION UJ STORES L -f v I (�& 9 BUILDING -SO. FT. 1-73 @ o o Gard BUILDING SQ. FT- H 7 S @_ 17� 3 O - Z 7 v BUILDING SQ. FT. - @ - BUILDING SQ. FT. @ - 8UILDING SQ. FT. @ BUILDING SQ. FT. @ ut'ta, s2 =55 TOTAL SQ. FT. TOTAL VALUATION7-7o Z Oq EBUILDING PERMIT NO. PERMIT FEE _L_ -__.J _ PLAN CHECK FEE TOTAL FEES _ _ SBCC SURCHARGE BUILDING DEPARTMENT APPROVAL ----- REMARKS: RECEIVED MAR 0 2 1990 Y OF FEDERAL WAY BUILDING DEPT. RECEIVED PLA . iECK FEE RECD RECEIPT NO. Z PLUMBING FEE --� -0 J-- MECH. 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TO ENCLOSE FRAMING 9_ INSULATION WALL BOARD AND FIRE WALL _ -- �G DATE BY /SIJ _ DATE _'7` BY _ / DATE BY FINAL .K. TO OCCUPY. DCD PSD FD DATE BY cV 11 XdA4/J A.V9 /,4 /N 6- jC /LG% � Sir j T r%