90-100454� mo
Z pm
m
x mT
3
O m-<
7o m -{
m c
zx
rm
Wz
mo
�x
O
Z
T
� c
2
Z_
U)
2
m
v
co
m
c
m
D
z
C)
0
O
x
x
m
0
O
1
2
m
co
m
U)
O
T
z
O
p r
v
m O
m
D
Z
v
m
D
r_
0
D
W
r
m
0
O
T
T
m
C)
m
D
r
D
D O
N**
2
5
w
v
>
;
v
v T
O
m
m Z
D
m
z
v
{
=i z
w
r
5 mx
O m.
D
m
m
a-4
C
D=
v
9
z 9
m
D
O
v
M
D
aO
Z 7C
O
1 T
c
D
(n
m
<_
(i
Wr
z
z
L7
m T
m
v m
m
D
m
z
T
v
(7
m
m
m
m
z<�
m
r
m
X
az
o
6
y
T
T
m
m
m
x
x
m
2
v
m
m
Z
Z
v
r
O
L7
Z
m m
m
D
m
v
p
r
C
M
�
T
n
o
G
rrr H
O
.`E
W
N
N
O
rt
a
N
((D
(D
W
N
n
(D
rt
O
a
rt
ro n
ro r
H W
6) (OD
�r
ro
H
ro
H
6)
m
H
a
1-3
H
cn
8
k
H
cn
ro
H
H
H
L-1
r
2
cnq
H
C+]
D
p
2
5
2
D>
>
r
m
O
O
m
m Z
D
m
z
v
{
=i z
w
C
m
x
D
0=�
v
Z
C
1
v
-u
co
m
D
O
v
M
D
aO
Z 7C
O
M
c
D
oo
D
Z
cn
m O
`r
m
�
n
z
2
�m-1mm
m
r
z
y
Cq
r'
az
q
C/)
y
m
m
o
m
m
x
x
2
v
O
m
Z
Z
v
r
O
z
Z
m m
3
D
m
v
p
r
C
M
T
`
f
fO
I�
D
I
I
I
z
n
--I K v c m
D n Z Z Z n
r D p
x
X O < O
m c D D
cmi� z zm
D 2
(D D
m
m
m
Ell
Ln
v
m
n
0
c
D
Z
{
Oco
D
> O
-
O m
�
>
!�, n
n
z O D
O
O
m
m Z
D
m
z
v
{
=i z
w
n
m
r
n
v
Z
G) -4
v
-u
x
m
D
O
v
M
D
Z 7C
O
M
z:2
m
U]
Z
U7
m O
`r
D
�
n
m
o
�m-1mm
O
L
D
O
Cq
r'
az
q
Oz
y
m
m
o
c
x
x
2
v
O
m
Z
Z
v
r
O
z
Z
m m
3
D
m
v
p
r
C
M
T
D
m
D
n
z
m
bl
3
Oco
D
> O
-
O m
�
>
!�, n
n
D D
c
9
m Z
m
z
v
zo
m
m
zo
m
m
r
Z
G) -4
z
c Z
D
Z 7C
r
m
U]
,b
U7
Lo
�
N
O
L
D
O
Cq
q
Oz
y
m
m
o
V: m
K
v
2
O
O
m
O
Z
v
r
O
z
Z
m m
3
m
v
p
O
C
D
z
O
z
m
O
3:
O
z
Fn
c
m
v
-i
zO
m
-
O m
�
m
z z �
O
c
Om
m Z
m
zo
zo
g
z
00�
z
m
U]
,b
U7
Lo
�
N
O
L
D
O
Cq
q
Oz
y
D
V: m
v
D
tl� c'
z
m
yz
y D
FZ�
m
!n z
v =
c O
C
z Z u
M u
r C F
C c�
D D O
r
p Z z "n
m
m"i
9 0 F
O
Z m W
m F- Lrl
Ci o
O
9
D
o m
D D
F-
D N
v o
D
� N
z �O
v
c
� D
.7 D m
3 r 1
D
A v
DO
n
z
m
C �
0
0
O
z
x
O
z
m
Jj
Jj
I
r
V1^
T
r
O
CD
7�
RECEIVED
1
4.4y 1 81990
�17Y OF
ULD
RP L WAYBUILD_far CITY OF FEDERAL WAY
BUILDING PERMIT APPLICATION
— Please Print —
BOX 1 OWNER'JOB LOCATIONdL-
OWNER'S ADDRESS -v /a'- CITY E4t��c PHONE 3�321-tLr
DESCRIBE JOB
THE PROPERTY IS OWNED BY: SINGLEMARRIO PARTNERSHIP CORPORATION
BOX 2 CONTRACTOR'S NAME CONTRACTOR'S REG.7�Y0�iDCs13�c�`�`
Card MUST be presented
CONTRACTOR'S ADDRESS aY CITY/ G PHONES
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
PHONE -752.3 •-Z-
BOX 4 SEWER DISTRICT
WATER DISTRICT �!
BOX 5 ESTIMATED PROJECT COST _ �~
EXISTING BUILDING VALUATION
BOX 6 PROPERTY TAX ACCOUNT NUMBER
LEGAL DESCRIPTION zv,
(If necessary, please submit a separate page with the legal description.)
BOX 7 BUILDING SQUARE FOOTAGE: (Existing/Proposed)
1ST FLOOR / 2ND
FLOOR
3RD FLOOR / BASEMENT / DECK______J_
GARAGE /
BOX 8 ( ) 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
d
— BASIC FEE $ 0o0
N0. WATERCLOSETS
GAS PIPING, FEET
$
.BATHTUBS
NO. 7 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
$
S MPS, SPRINKLER VACUUM BREAKERS—OTHER-
OTHER -
$
NS
RAINS
-
$
OTHER
-=—
TOTAL FIXTURES
TOTAL MECHANICAL FEE
$
1 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-
I IS
FORM THE WORK FOR WH1ERM17
MADE.
�� ,APPLICATION
OWNER/AGENT:
DATE:
ANP -006 2/90
OFFICE USE ONLY (PLEASE DO NOT WRITE BELOW THIS LINE)
ZONE SETBACKS: FRONT -
PLANNING DEPARTMENT APPROVAL
REMARKS:
SEPA: EXEMPT NOT EXEMPT
SIZE REAR__ _ HEIGHT LIMIT
REMARKS:
y -yo Is,
RECEIVED
ACCEPTED FOR FILING
PUBLIC WORKS DEPARTMENT APPROVAL
_ _ DATE_ _
REMARKS:
IND. ADD/ALT
NEW INDUSTRIAL
TYPE OF JOB: NEW RESIDENCE RES. ADD/ALT
NEW COMMERCIAL
COMM. ADD/ALT
NEW MULTIFAMILY
(UNITS )
MULTIFAMILY ADD/ALT
TENANT IMP.
ROOF OTHER
OCCUPANCY .
TYPE OF CONSTRUCTION
STORES -
„ BUILDING SQ. FT.
@
BUILDING SO. FT. _
_ _ @
-.
BUILDING SQ. FT.
@ _
-
BUILDING SO. FT.
- @
BUILDING SO. FT.
@
-
BUILDING SQ. FT.
@
_
TOTAL SQ. FT.
TOTAL VALUATION
EBUILDING PERMIT N0.
PLAN CHECK FEE RECD
RECEIPT NO.
PERMIT FEE _
PLAN CHECK FEE --
PLUMBING FEE
----------- MECH. FEE
TOTAL FEES
SBCC SURCHARGE
ENERGY SURCHARGE
AMOUNT DUE
BUILDING DEPARTMENT APPROVAL
- - --
- - -----
------- DATE
REMARKS:
y -yo Is,
RECEIVED
ACCEPTED FOR FILING
O
m-
>
D O Sn
¢
cn v
-i g
v v,
v
<
v-
cn
(n
m*'a
Cl)
ti
D
z
n
n
m
mC)
r
0 x m��
v M
O-1 c
c
m
_
<
p�
C
c
X
m
z
Z
x
z
r
c m n
m m>
x
z
a
cn
>�
M
m
3
m
m
m
m
CC Imo
�
m
z D 0
M M
>, v
D
m n�
O
m
c
X
m
D
v
(D7
o
3
c
O
D
D�
�
2 T
A T
M cn
m o
M z
z x
T
�
O
D
(n
31
�
m
n
z
m
O
m
m
m
0
z
3
T
Irl
>
x
m
z
mx
m
to
(n
O
to
{
O
m
m
m� m
Z<
M
m
z
z
D
x m
m
m
Imo
z:
p
m
cn
m
m m
G)
m m
m
m
Zx
<
x
cn
0)
-mm
r
o �Z
CD Z mo
o
z
m
C
m�
v
�D
�
>
N
Z
�
D
C
m
00
ZT
z
Z
o
(�
0
�
O
Cr
r
c
x
c
c
O
Z
N
X
O<
O
v
Z
D
m
O
M
D
3333
z
z
Co m
D
z
3
x
N
a
z
z
>
m
3
m
D
m
m
"'
M
O
n n
rt
m
cn
z
a
Fn
°
ro
n
z
c
p
o
m
ro
r"
m
x
z
C
m
H
~
(n
z
O
m
ca
w
D
N
O
(D
r
z
o
U)
a
ro
O
O
H
D
D
=
n m
Hp
O
x x
H
v
r
V
zz
M
z
c
o
G)
m
O
0
G)
3
m
z
z
("
p
H
z
O
D
O
D
m
<
m
cn
O
m
0
mM
H<_
�
v
O
c
x
i
m
OT
O
_
m
N
in
D
fn
Z
m
Z
m
m
°
N
y
m
Z
m
Z
m
m
D
T
m
r
D
Z
p
2
N
(.s�
V
c
m
M
D
D�
Z
2-
m
I'
Z
x
Z
m
c
O
x
m
y
D
D
a
a
m
--ni
o�
N
m
z
3
O
T
G)�P
m
rat
Hy
N
n
(D
2
OR
7
txj
a
3
z0
-V
H
cn
n
z
g
a
m
AN
�
�
tr]
I:.
r-
m
o
r
my
mH
Q
H
rtj
d
y
cn
m
rn
-
w
O
b�
bd
v
m
a
v
m
W'
1-'
H
H
m
D
v
m
m
m
m
0
r�
v'
rt
"
D?5
n
x
m
y
Cl)
m
(D
all,
z
xK
m(n
p
T
mm
On
O
O
c
D
O
D
G�
D
m
q
�
Dm
r
a
7
a
zx
O
0
r
D
co
In
v
�
v
v
r,
rt
IZJ
n
n
(D
C7
>
x
CD
z
n
O
m
m
;U
H
H
m
v
m
z
m
=
O
T
M
m
N
O
H-
�
H
K
c
m
c
m
m
O
O
p
x
b
`
C"'
C'
c
z
mx
m
m
.i
H
n
Z
m
D
z
m
v
a
Z
m
Z
v
C
C
�
c
m
r
H
O
O
Q
SET BACKS AND FOOTINGS
DATE _BY
PLUMBING ROUGH IN
DATE ... .. BY
O.K. TO ENCLOSE FRAMING
DATE -...BY ...-�
FINAL O.K. TO OCCUPY
DATE _�f,( .��f/ BY
OX TO POUR FOUNDATION WALLS
DATE
WATERLINE O.K.
GAS PIPING O.K.
INSULATION
DATE
DCD
PSD
PLUMBING GROUNDWORK
DATE _BY
MECHANICAL INSPECTION
DATE
WALL BOARD AND FIRE WALL
DATE
FD