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Z m CO m a �° L "� N• z U) m m - W rt m m Z v o v n rn O o mQn C 7C Y Z O O lY I > Z N m m m N Z C',m 0 _0 w C o D C a n v r v z m p z O D O Oa m < m ai G)m * d m<= n m 2 m O o �O N M C1 m m O o m D O 0 V fG N a v_> a r z v oo m K O m m z> v 0 0 D m 0 r- m z m w rt r, V 1 Z � co mm T c 7o r m G = n N N m D l� x z � m GZi m D rr Old U) z \\ Z m 70 D m r z C 0 O r m m v m W Z O •fl 3 > As r � I z o Z : D 3 m O `L o .J x m O r- m �p p tri m m O v D D m N O D O 9 pFri °v mcnOmD z n m m>n� oK m0 D x m n m m o pN� w W D m x a z ci Dr m < Z c z r" C: m 0 z o a V1 n M cn > D f.+ v m 3 > r n m m m 0 m Ln z o z z T T K m c m W x p cn w \ g v v IpO -j C n Z r O �, N c �' x z m N D z --im v m x < m O O m Z n t0 D m N N < r N v c 1 w m V rt o p Z co ZZ L a i Z X71cn y ul 0 CITY OF FEDERAL WAY BUILDING PERMIT APPLICATION — Please Print — BOX 1 OWNERPs _ JOB LOCATION 3y614' ly'b� "a" 5iV OWNER'S ADDRESS 3 CITYPHONE 944- 37;1 DESCRIBE JOBv.ejj' ,Y►e-✓ THE PROPERTY IS OWNED BY: SINGLE/MARRIED PARTNERSHIP CORPORATION BOX 2 CONTRACTOR'S NAME CONTRACTOR'S ADDRESS. ­CITY EXPIRATION DATE 2 .3 0 1 r o —OR— CONTRACTOR'S REG. # 4eft-jreJ*J, i o`-4 Card MUST be presented PHONE 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 J4's,%- 4'97PHONE.-fYA, -3')�l BOX 4 SEWER DISTRICT _ �e �v� V !�A WATER DISTRICT BOX 5 ESTIMATED PROJECT COST C:1 EXISTING BUILDING VALUATION BOX 6 PROPERTY TAX ACCOUNT NUMBER LEGAL DESCRIPTION )-%o T -P)VJ s. e.rr (If necessary, please submit a separate page with the legal description.) BOX 7 BUILDING SQUARE FOOTAGE: (Existing/Proposed) 1ST FLOOR / 1101,1V 2ND FLOOR 3RD FLOOR / BASEMENT / DECK______J_ GARAGE / BOX 8 (.i) SINGLE FAMILY (,.kl 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.__3._....... WATERCLOSETS GAS PIPING, FEET $ 3. 5,0 J l __BATHTUBS NO.,—J ,�FURNAGE, ELEC. GAS $ i o 00 _SHOWERS /—CAS HOT WATER HEATER $ (p �76 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 O'FHER .. —.... $ TOTAL FIXTURES _ ...... __.. $ . K =- T 5-' TOTAL MECHANICAL FEE $ Zt r 00 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 APPLICATIQN IS MADE. OWNER/AGENT: ---- DATE:/a' lfA "'/ (.) — ,02 c., OFFICE USE ONLY (PLEASE DO NOT WRITE BELOW THIS LINE) ZONE P-$ 7.7. SETBACKS: FRONT 2-0 / PLANNING DEPRTMEI�T APPROVAL �C- REMARKS:—trt ViA~ ` a -S K ,e4S-A REAR S� _ HEIGHT LIMIT f'7- rl� — r SEPA: EXEMPT--': NOT EgMP`r' r FIRE DEPARTMENT APPROVAL DAT REMARKS: PUBLIC WORKS DEPARTMENT APPROVAL �G �— _ _ DATE__3 -13 - ?0 REMARKS: TYPE OF JOB: NEW RESIDENCE—X RES. ADD/ALT NEW INDUSTRIAL_ IND. ADD/ALT NEW COMMERCIAL COMM. ADD/ALT NEW MULTIFAMILY (UNITS ) MULTIFAMILY ADD/ALT TENANT IMP. ROOF OTHER OCCUPAgGY TYPE OF CONSTRUCTION V A) STORES � BUILDING SQ. FT. f 73 -7 @ 5. d O = — If 9 73, d 0 BUILDING SQ. FT. 7 S @ 17.3o 7, S O BUILDING SQ. FT. @ - - BUILDING SQ. FT. @ _ BI)ILDING SQ. FT. @ _ BUILDING SQ. FT. @ iTglobs_Q i TOTAL SQ. FT. TOTAL VALUATION x t Z 7 Z o EBUILDING PERMIT NO. ' PLAN CHECK FEE RECD _ RECEIPT NO. PERMIT FEE A °,�. 60 PLAN CHECK FEE I � PLUMBING FEE — - — MECH. FEE 2_0.0C) TOTAL FEES SBCC SURCHARGE � . 5 Q ENERGY SURCHARGE_ AMOUNT DUE BUILDING DEPARTMENT APPROVAL -------------------------- DATE REMARKS ASSIGNED ADDRESS: RECE1Vr=D MAR 11990 PERMIT# RECEIVED ACCEPTED FOR FILING � � n � g a or yrn Z � � � y TIN a C-> r 3 '0 M C) m m v N T CSo y V 0 ac n� ac � coo O Sze 4A r � � hr yrn r 3 '0 M C) m m v N T CSo y V 0 ac n� ac � coo O Sze 4A r � � 13 m � � co Z . _ u cyl 'am 0 O z K % m > r- r- M > 7 § ? > > r, $ § > 4) § § m 2 m / r, w / / \ ° ° ®G E $ b @ 4 > ] > 9 z £ c ° > m % & CO A % > 5 5 £ K § ] z = n = _ m � » o g t > G m / / f b = I = m- m m- n co z z= § e a== n z = o e 9 m n z o« m = m= m M»= m 5 m@#-° B e e m m = m r o Q m « c a R ---i o = m w c m® �< m m m m m _ e CO z+ a> z z= ° § 7 \ j§ m k m m m A �m z k� § Rm m z k o z CO k k r' z 9 m $ o ) �a cn w � \ k m \\ Z Z » z\ / c z 3 / c f 3 c § § z 2 U) w = ® E z ƒ k % ) > > ® G m § 0G n S K ) = ° co m3 y @ z ) m > m \ Z o m m > > az 2 e § ) m m z z ) m o » § ® Fn \ cn > > } w c G z ? § § > 3 § 2 % / 7 § ¥ Tl ® I Cl) 6 § \ = m ® 7 § % ) ® > § % + k % 7 ] 0 m ) k > m§ 9 ) z> ) m 2 > k $ r-\ ° ) \ k _ B M % 7§ § 2 g F CO a )/ m j a (% C) m o ®m ® > o I < > a o z §' m ® z ), m / )§ >\ 4 7 2 \ k x / I Fn 1 @ = m z 2 / § � e G $ ) m 0 m m § � K > > z § ) § \ _ 2 m 6 = z z = % % e m 4 ® ® > > f » 7 G k/m k « \ § § mzm -n q > = z = w o § q E@ z � >> z¥ ® m m § 2 \ J m . c § � f ( / R � � 13 m � � co Z . _ u cyl 'am 0 O z SET BACKS AND FOOTINGS DATE S ` " BY _ 4 ..-. O.K TO POUR FOUNDATION WALLS DATE _3-4-0-�c BY �3 _ WATER LINE O.K. _ _ GAS PIPING O.K.-- r7 i iO �� _ PLUMBING GROUNDWORK DATE -,� BY PLUMBING ROUGH IN DATE_ MECHANICAL INSPECTION DATE - ----- -- -BY WALL BOARDANDFIRE WALL DATE .�L.-'.�-- BY O.K. TO ENCLOSE FRAMING DATE_BY INSULATION DATE�b BY FINAL O.K. TO OCCUPY DATE �`` �� BY _ DCD PSD FD 1,2 f! r "OIL� �� ► J,�-• �! � rc?c�•�'� �Ci Uva r� a s }C'•� c �1�yS ��id� 46 I qoI/If7[: �C--i[Tru�-Tv �-i v �[►-il N� 10,74M r PE6-rTbH 42- �D �i EoCA/44 rG