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90-1000212— D D O w `2 to m v rry v < v cn r cn x> co � -0 U) D z� m 0 0 T 0 0 m 0 r r 9= O m a a M D 1 C D M > �n Z < O D r C m Z U) C x g z z m z f7 m C 2 c m C) m m D D 2 Z 3 C 2 T. to a I x m 3 Co m m D m -� -� m 2 31 M Z D n m m m m r D Z W n � D O m C 31 W D v C7 3 D J] -n m y m n Z x T O � 3] m (i Z 7C W O r W m 0 Z 3 m m z { O m m z< m r m X m z a z z m C) �D N x m m m m m � m; z m 0 Z C/3 � x m m m Z N< D O 2 c_mn 9 o F m m m N N N o v z F O po r z TO o W O t;i ON-- Z m w t=7 i0 m VP { D V ,a D O D ' m I SQ ll i O> �I s s v C D M ° rt or a m m >' D n z z Z n >> n Z N O .n V_ T z cn O m < x O C Z W Mr Oc --i O O x MA � z VGA rtm 2 D � C° D D m O O Co T '� U) D cn m (n E5 Z D rd T n O H z Cn m m m m M Z LTJ t7 > yd O b H r m W °' D H Z z o m O p O " b dd m H C Z O 1) > m m F- D CO) r o D O M ° Z fdD M zO D O o D m < m mozn Om cm co n = 2 z m M x x cm) -uv 0 2 m Om 102m m a m w v m fn v z Z O m W p Q} V X33 O ro rt m Z m Z D° m x D r m O r m z ° m ci w rt 2 m c m m D x- 7o 2 O x l� m n ill C/1 M Wz r' ' z= Z D m v a T 43 O m D m w w n u' Z o o N z 0 D 7 p O IE;O z 0 •'� :E m cD 5 m o 'D D C4 v CO 0C CD00 m O rij rt a D v Oo mi m 0 Oo 3 D W W 9 0:0 W� v n x r W m m 0 o d x r m z e- N �m m W v M 0 D N• z c z m fD W A� r m z_ O H. a -P, © p o N T v m m D 3 n a °nz ro OO r O m 1 m m e z m z 0 O K c m O I\ c = N m m W m O r p lV coo Z D z m x m ~ m n m z v v O rr D m v - 90 Ol N C W W rt 0 NJ y o v CITY OF FEDERAL WAY BUILDING PERMIT APPLICATION — Please Print — BOX 1 OWNER AlVi-0 JOB LOCATION `'��' J �f 4q- S�'tl OWNER'S ADDRESS-��a "a "`'`" _=� CITY PHON V `" DESCRIBE JOB ��-�`�=x r'�w++w►i �>-� _ _ THE PROPERTY IS OWNED BY: SINGLE/MARRIED PARTNERSHIP CORPORATION BOX 2 CONTRACTOR'S NAME CONTRACTOR'S REG. # QIP f4 Ing 1 rr'l5' ,-GAS HOT WATER HEATER Card MUST be presented CONTRACTOR'S ADDRESS CITY_ PHONE EXPIRATION DATE ............ SINKS BOILER, SIZE BTU —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 !*01 PHONE flk-25 -91 BOX 4 SEWER DISTRICT ��+: _ w�.g�C _ WATER DISTRICT BOX 5 ESTIMATED PROJECT COST yS oar EXISTING BUILDING VALUATION BOX 6 PROPERTY TAX ACCOUNT NUMBER URINALS LEGAL DESCRIPTION �- c °� ? P��+��-�-�� '�-4 ��� ❑ 3Ji.f: a_ ,1' I _ (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 _ I GARAGE / BOX 8 LX) 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 $ NO.---A-__.WATERCLOSETS GAS PIP!IG, FEET $ BATHTUBS N0._ FURNACE, ELEC._._ . GAS $ SHOWERS ,-GAS HOT WATER HEATER $ �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 $ _ c o 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 PER- FORM THE WORK FOR WHICH PERMIT APPLIC TIODI IS MADE. OWNER/AGENT: _ 4 - � � C_ ,� DATE: 90 ANP -000 2/90 ��mo2y OFFICE USE ONLY (PLEASE DO NOT WRITE BELOW THIS LINE) ZONES 7<Z SETBACKS: FRONT "-0' SIZE^ REAR, _36 HEIGHT LIMIT 17' PLANNING DEPARTMENT APPROVAL L --C- 3 _ 13 ` ?o - REMARKS: S U`'Jc ICVIIK �__ o 1 Co V t-+' cry �- . c- ► u v l (A c1 art ISP / (S , f G1 SEPA: EXEMPT -I' NOT EXEMPT FIRE DEPARTMENT APPROVAL REMARKS: DATE PUBLIC WORKS DEPARTMENT APPROVAL F C DATE 3-/3 --!? a REMARKS: TYPE OF JOB: NEW RESIDENCE w, RES. ADD/ALT NEW INDUSTRIAL IND. ADD/ALT NEW COMMERCIAL COMM. ADD/ALT NEW MULTIFAMILY (UNITS ) MULTIFAMILY ADD/ALT TENANT IMP. ROOF OTHER OCCUPANCY K I _ TYPE OF CONSTRUCTION STORES L < o BUILDING SQ. FT. 14 1' Z' @ _ - BUILDING SQ. FT. 4go @ 17. 3a _ _ 76 t d0 BUILDING SQ. FT. @ _ BUILDING SQ. FT. @ _ BUILDING SO. FT. @ -_ BUILDING SQ. FT. @ _e4fot,ci_ cC iT=Er = U< TOTAL SQ. FT. i TOTAL VALUATION 1 ZK3 5--, LU EBUILDING PERMIT NO. . PERMIT FEE LC ,use PLAN CHECK FEE TOTAL FEES SBCC SURCHARGE BUILDING DEPARTMENT APPROVAL ----- REMARKS: ECEINJED 4AR 0 21990 r OF FE=L l AY PLAN CHECK FEE REC'D RECEIPT NO. --��� �� PLUMBING FEE - �Ca-C - MECH. FE 2-0-00 % ENERGY SURCHARGEAMOUNT DUE --- _ �--------- DATE- - - - - ASSIGNED ADDRESS: ACCEPTED FOR FILING 2 n N � ~ � a _ 0 m Uj z" M © m IL my u� Weke o m ^m Y�� � y 3 L'' N -�Y m Emu ZZ L C+ � Z N N cn m n 0 Z O D 0�n CA . m K v v T < cn r to w g v i� l F D Z m n (7 m r 0= U7 D D m Z m y D � cn z x O a r 1 G x 0 0 m m � 0 m n m m D D 2 Z K C x a x m m m m a m -zi m m Cm m z D i� D x x v r D W o� j D O m C 31 W nco p n C O D D m{ m m cn C) z 0° 1 O o m m> m<� p (7 G) Z x m Cl) r < CO G) 0 2 m� m m Z< m r- m z m m � ? y Z Z D N 2 m m m m m 1 m Z m C')k m m m 0 O x m z r,m O m m0 0 i Z m mD { I m N Z n O m x D 0 D m -4 m 0 D c) z z C m Z c> 0 0 v v C m r 7C D vX C vi 2 OC D O m D z ]7 m D z- p 3m7 m cf)z D Cl)x Ln zD Co T z cn x m 0 m z m Z AI IIm M _ O (a Z D G7 G) 0 v 2 Oz m U D Z M m m p m m C15 a r G) G) _ D D 0 T C. G) m n G) 3 � D p Z z m 2 zz m m cz ai n v m n G) n m x m x 0 m m v_ = D m Om n i m D x m p m v M. Z Z O m O Cl) m O 3 a O ' O D D (n G) 0 C 'j) Z O Z m m r m 0 p m O M. 2 -{ c m m D x i 2 m 0 m D r x x z z v x O x r- m D m m D r 1 T o z 0 z 0 m n < OZ D 3 m O 0 O 71 m "' 70 D x 0 r v) m fn 0 -0 a o N m m m � F W D M m g cn 0 m C] z x 0> sin x -1 mO m m z v m z z mD n x m z v � v c U) zm 0 D x r D D Z T. O D 0 r W D m v p m m 3 n m D 0 O m m m C13 p z m O z O 0 G) om O 1 3 0 = Z m r O C m C � m m m m m O m W n tz m r D m p z O < m x c W D v � I 0 m Emu ZZ L C+ � Z N N cn m n 0 Z