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CITY OF FEDERAL WAY RECEIVED
BUILDING PER�eMITtAPPLICATION MAY 31 1990
CITY OF FL, -D
BOX 1 TENANT NAME: OUILE)iNG `P
OWNER ve-r e, r c- r / SITE LOCATION /r 0 v/. Y,
OWNER'S ADDRESS . GJ r,.- CITY__,,n0,/PHONE -9W/
DESCRIBE JOB e- s zP,' /j.}
THE PROPERTY IS OWNED B : SI GLE/MARRIED _ PARTNERSHIP CORPORATION
BOX 2 CONTRACTOR'S NAME _/�__0a �a�- �� Sri 5 -*t• _ CONTRACTOR'S REG. # /N�oOGf/pf{
Card MUST be presented
CONTRACTOR'S ADDRESS 2'� � �`' CITY_ �4F�' `� PHONE 3cPlSK/
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 .— o Pln PHONE 3,'3-ZT(/V
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 #
_
BOX 7 BUILDING SQUARE FOOTAGE: (Existing/Proposed)
1ST FLOOR / 2ND
FLOOR /
3RD FLOOR / BASEMENT _I_
._ DECK /
GARAGE, !
BOX 8 ( ) 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)
MECHANICAL APPLIANCES — BASIC FEE $
N0. WATERCLOSETS
GAS PIPING, FEET ,71
$
BATHTUBS
N0. � FURNACE, ELEC.
GAS $
SHOWERS
GAS HOT WATER HEATER
$
__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
_
$
_ $ ,
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 EMPLOYE S, UP N THE ACC LOF THE INFORMATION SUPPLIED TO THE CITY AS A PART OF THIS APPLICATION.
OWNER/AGENT: DATE:
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:
SEPA: 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 SQ. FT.
.............. @
_
BUILDING SQ. FT.
@
-
_.._ ....... ... BUILDING SQ. FT.
_ @
—.......-_...----------- ----- ------ - — BUILDING SQ. FT.
_ @ ..
BUILDING SQ. FT.
_ .. @ .
TOTAL SQ. FT.
TOTAL VALUATION
BUILDING DEPARTMENT REMARKS:
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
RECEIVED
ASSIGNED ADDRESS:
r
PARTIAL PLAN CHECK FEE RECEIVED
Amount - _ Date -- ------------------------------- - - Receipt #
BUILDING DEPARTMENT APPROVAL
BY DA it
ACCEPTED FOR FILING
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SET BACKS AND FOOTINGS
OX TO POUR FOUNDATION WALLS
PLUMBING GROUNDWORK
DATE BY
DATE _ _ BY
DATE .__ ._ BY
PLUMBING ROUGH IN
WATER LINE O.K. _..._
MECHANICAL INSPECTION
DATE. _....__BY
GAS PIPING O.K.,
DATE -- -.. BY -- - - --
_
O.K. TO ENCLOSE FRAMING
INSULATION
WALL BOARD AND FIRE WALL
DATE -------BY. -.
DATE BY _ .
_
DATE -_ BY
FINAL O.K. TO OCCUPY
0(' PSD FD
DATE _._ � BY _��