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90-100025p — a D O cn cL Cn T T T < O f/) W W (/) D z< 0 0 m 0m r m 0 _ < p- r- zcn X g m z z m z Om r 0= � m n m m D > x z 3 a > g m 3 W m m > m 3 m C z m (� m m m v a! 0� D O m c 70 - v n c c- O m a m D rr n m z = m Oc W p 2 m v m m m z< m T c) x m m m m p m O z m z 0 z �o -� Z 2 (p m (7 (� m Tl m m m m -1 m z M O m cn m m m m O O �O Z _ vmmi 9 O r,m m z0 Na z ro�0 OD ZOSI o mpph� z C 1 p CO) D T T T s 'A o c D 'O O D r m U O 0 Z Z Z C7 n O� v 0 O T .!1 = r 2 D C 2 O X G> �' m < O a O z Z = N t� --I m T v D D n Fr O Z m M n Z m z m o �. v CO m j D m �' a tf vzi m 'n m m M z > O m W cn z D ❑ -q m O m ..__ �_ z � m yi D m y m N I vi r m L� cn t�7 v O D � �-� C v D D D r 0 O LJ d Lri z N m D m m m p O O D { m m L) m n O 0 2 .J� = m x m O v 2 D m i m CO)Cn D m o a� m z Z O m W m -5 O 3 �p N V O m m z a m O c� D m O m z m Z W m C m r r, O 2 n H w czn m r c r z, m D D m m r C 2 T O C!} (m Z o z 0 z m H m y a o a v- °z °' ;KZ O1 W 3 m 0 z O '9 Ln l!1 O_ aa b D m m O O Z r: �0 n m v co a a In 0 p p m Z�_ I� W D m W m m m f'i v 2 D r n m I D m Cl) l_ W 2 m m 9 o m m O H zv W y em m 0tJs c om N D D D m m t++ w G� v m n z_ o O a ►QD D a r m r O V D oo D ~ > C O v N V n I pq � G O O O O m co z QO H Z z yO O „ m= M mz r 0 m O K m c m U) W w f�i1 N c W m O p N 03 z Cn D D � m m m -1 �O n m k z 0 In < N O 4A N m N n a r 0 v c r v Z m m CITY OF FEDERAL WAY BUILDING PERMIT APPLICATION — Please Print — BOX 1 OWNER JOB LOCATION 3 q 7 L voce- OWNER'S ADDRESS 3..57.4-6 52 CITY I!��,/ � PHONE `f `-/G z;,4 DESCRIBEJOB s`—vie.—s -OWW THE PROPERTY IS OWNED BY: SINGLE/MARRIED PARTNERSHIP CORPORATION BOX 2 CONTRACTOR'S NAME CONTRACTOR'S REG. # 40 ¢ .!r Card MUST be presented CONTRACTOR'S ADDRESSCITY__ PHONE EXPIRATION DATE S 7 .7e 4p —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 hy ". -•" vas r.'9c)_'S. PHONE df VA BOX 4 SEWER DISTRICT V, WATER DISTRICT- W BOX 5 ESTIMATED PROJECT COST e2 o 0 0 0' s` EXISTING BUILDING VALUATION BOX 6 PROPERTY TAX ACCOUNT NUMBER LEGAL DESCRIPTION 7,-0 � `v ox,, v, (If necessary, please submit a separate page with the legal description.) BOX 7 BUILDING SQUARE FOOTAGE: (Existing/Proposed) 1ST FLOOR / 9ao 2ND FLOOR 3RD FLOOR / BASEMENT /_ __ DECK _ ----J— GARAGE / y o0 BOX 8 Xj SINGLE FAMILY ( NEW CONSTRUCTION ( ) MULTIFAMILY (NO. OF UNITS = ) ( ) EXISTING STRUCTURE ( ) COMMERCIAL/INDUSTRIAL TOTAL AREA OF PROPERTY SO FT BOX 9 PLUMBING FIXTURES (including rough -ins) MECHANICAL APPLIANCES — BASIC FEE $ NO.:3 WATERCLOSETS GAS PIPING, FEET $ 5 �' —73 BATHTUBS NO. --/--FURNACE, ELEC. GAS X $ I oZ SHOWERS ZGAS HOT WATER HEATER $ 5 3 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 $ z< 5 ; GU , c ,• TOTAL MECHANICAL FEE S I CERTIFY UNDER PENALTY OF PERJURY THAT THE INFORMATION FURNISHED BY ME IS TRUE AND CORRECT TQ THE BEST OF MY KNOWLEDGE AND FURTHER THAT I AM AUTHORIZED BY THE OWNER OF THE ABOVE PREMISES TO PEI -- FORM THE WORK FOR WHICH PERMIT APP T}O IS MADE. DATE: OWNER/AGENT: -- ANP -006 2/ C U d-3 OFFICE USE ONLY (PLEASE DO NOT WRITE BELOW THIS LINE) ZONE 7c7- SETBACKS: FRONT S ' SIZE 5- C0 REAR HEIGHT LIMIT Z Z PLANNING DEPARTMENT APPROVAL - 7 REMARKS_ Fe lei ZZ FIRE DEPARTMENT APPROVAL DATE REMARKS: PUBLIC WORKS DEPARTMENT APPROVAL DAT 3 ` Z —c(d REMARKS: TYPE OF JOB: NEW RESIDENCE__ RES. ADD/ALT NEW INDUSTRIAL IND. ADD/ALT NEW COMMERCIAL COMM. ADD/ALT MULTIFAMILY ADD/ALT-_ _- TENANT IMP. NEW MULTIFAMILY (UNITS ) ROOF OTHER OCCUPANCY -� TYPE OF CONSTRUCTION IIA) STORES Lj V BUILDING SQ. -FT. IC -0 @ o d - d it pr, , o C3 BUILDING SQ. FT. `f �a _- @ -- BUILDING SQ. FT. @ - BUILDING SQ. FT. @- BUILDING SQ. FT. BUILDING SQ. FT. @ @ C `a t5(4 TOTAL SQ. FT. TOTAL VALUATION to 3 ?-q I' 6 D EBUILDiNG PERMIT NO. PLAN CHECK FEE RECD RECEIPT NO. PERMIT FEE - D Q PLAN CHECK FEE PLUMBING FEE ---&6) Tri MECH. FEE. 2 - d 0 TOTAL FEES SBCC SURCHARGE Y - 510 ENERGY SURCHARGE7f2- AMOUNT DUE BUILDING DEPARTMENT APPROVAL --------------------------- DATE REMARKS: ASSIGNED ADDRESS:, RECEIVED MAR 0 Z 1990 ' OF WkRft WAY ACCEPTED FOR FILING 1 'C' y o W 1 X r 1 w 0 Z •7 0 Zi 3 as ©o zv m U m %PJIZ� Et- Q = -> » o » \ § = 2 m > 2 @ > $ > ® r, d f < ] S S » m � § 2 � % a 2 = _ ? f ° t m ® £ m 0 - > ? m H 5 § ] k g ] \ # > § { § \ > / m / 9 § \ ) E 0 m > § 5- m -4 -n >$ m- F z z_ m P 9 @§ 0 o m « m o m m g 2= c° a 0 m ° m = $ $+ o §$ /§ ' = m a = m ®� �¥» m m §# m m m _ e z w» z z= > zI � nn m ® m z C) )� m 7 m m m ® o p&® z k® § ) w \) 0 lz m mra §) \ , >< ^ \ k / d 3 § % > r o » m � > I k > \ ( § 2 ) �= f) 2 z 2 z .§ m° \ ) k\Z§ o ® 2 / z m @ q z z £ = > k m = z M o m m z ® * o 2 [ k a 0 / z m m U) 0 § m m o o # ( z ) $ 0 2 3 0\ m ) m 7§ m ® z° k$° s 7 o m § (0 / = > } + K 9 ® & 0 §§ ce\ j i r, \_ z a g $ > § \ ) B / r z = _ 7 a 2) m n §% m o ° < k > } 2 » m 2 z Q § n \ >§ z § o > m G a » m Q k 8 G ] ( [ / 7 f \ § \ 7 o > a - = m ? a m �7 r/ m m 0 2@ \R ` ° c� j > m > ƒ Q) M z a �_ Z _ 2 m M 7®® :z 7 k > e > » f > 7 G \ m k 0 n § L 3 § e / m \ z q» = z = f = T m c ) \ ( k 7 \ co ( c K z§ m ® e § m } z § _ < ( \ § � Go � � � � � � 13 m � � �