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i rmit # q 0 ' __ l n�J
CITY OF FEDERAL WAY P���l�o
BUILDING PERMIT APPLICATION MAY 3
— Please Print — G,QF 1 _ 19g�
BOX 1 TENANT NAME:
OWNER - �� r �r v I SITE LOCATION
%
OWNER'S ADDRESS !.f/I . 6,1 Co--lr^t • S��' 1.2� CITY e
PHONE 7 -
_
DESCRIBE JOB Gg,00 e
THE PROPERTY IS OWNED BY: SI GL /MARRIED PARTNERSHIP _
CORPORATION
BOX 2 CONTRACTOR'S NAME .1 4�a'� �D'" 17 ifs r•., CONTRACTOR'S REG. # seslyow
Card MIDST be presenj�d
CONTRACTOR'S ADDRESS I �L f� "'` P CITY T" .
PHONE 3 P3 J "X 1U,1
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 Z040m aF/ laed11
PHONE 3 P3
BOX 4 SEWER DISTRICT WATER DISTRICT
BOX 5 ESTIMATED PROJECT COST EXISTING BUILDING VALUATION
BOX 6 PROPERTY TAX ACCOUNT NUMBER
LEGAL DESCRIPTION�C� ��l 7 _I A/a�
(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 J
3RD FLOOR / BASEMENT. 1 DECK_____J_
GARAGE /
BOX 8 ( ) SINGLE FAMILY ( ) NEW CONSTRUCTION
( ) MULTIFAMILY (NO. OF UNITS = ) ( ) EXISTING STRUCTURE
( ) COMMERCIAUINDUSTRIAL TOTAL AREA OF PROPERTY
SO FT
BOX 9 PLUMBING FIXTURES (including rough -ins)
N0. WATERCLOSETS
BATHTUBS
SHOWERS
-LAVATORIES
_SINKS
DISHWASHERS
_ELECTRIC HOT WATER HEATER
LAUNDRY WASHER OUTLET
URINALS
DRINKING FOUNTAINS
SUMPS, SPRINKLER VACUUM BREAKERS
RAINS
4fHER —
TOOTTAL FIXTURES
MECHANICAL APPLIANCES — BASIC FEE $
GAS PIPING, FEET 75.' $
NO. FURNACE, ELEC. GASB $
GAS HOT WATER HEATER $
CONVERSION BURNER $
BOILER, SIZE BTU $
AIR HANDLING UNITS $
HEAT PUMPS, SIZE _ $
UNIT HEATERS $
AIR COOLING UNITS, SIZE $
COMMERCIAL HOOD $
OTHER $
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 , UP N THE ACC R OF THE INFORMATION SUPPLIED TO THE CITY AS A PART OF THIS APPLICATION.
OWNER/AGENT: _ DATE:
ANP -000 3/90
OFFICE USE ONLY (PLEASE DO NOT WRITE BELOW THIS LINE)`
ZONE SETBACKS: FRONT SIDE ilEAR HEIGHT LIMIT
PLANNING DEPARTMENT APPROVAL
REMARKS:
SEPA: EXEMPT NOT EXEMPT
FIRE DEPARTMENT APPROVAL [?ATE
REMARKS:
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 SO. FT. @
BUILDING SQ. FT. @
.._...-- BUILDING SQ. FT. @
BUILDING SQ. FT. _ @
BUILDING SQ. FT. @—
BUILDING SQ. FT.
TOTAL SQ. FT. TOTAL VALUATION
BUILDING DEPARTMENT REMARKS:
*4
RECEIVED
ASSIGNED ADDRESS: _
PARTIAL PLAN CHECK FEE RECEIVED
Amount . Date _.......... Receipt #
BUILDING DEPARTMENT APPROVAL
BY .... _ 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
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