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[ 7 EE N LL- I-r O c it c7 Rl ¢ +lC Cr a O 0 W J_ i =WF m fi- PLEASE PRINT BU11LDWGDMS10N 33530 First Way South Federal Way, WA 98003 (253) 661-4000 Fax (253) 661-4129 spy VeWAY'1311"ILICATION FOR BUILDING PERMIT A PPI IrATInN Af N N 50`�`�'">• ` Site address Tenant name Lot # Assessor's Tax # 0 gq'9'5 b -Qoro Building Owner's � Namer—ia v I � � Address city a A,) C,' zip If F Phone E-FS-735T32 Description of Work FA Name (F,M,L) Address City State Zip Contact Person Day Phone Other Phone Fax J---------- Ft-dp.ral Wpiv Rtminp-qq I irAn-z4- # Company Name Address City State Zip (D 4:3 7 Contact Person r—l�c111--\ 1 cal one Fax Contractor's # (card must be presented) I Expiration Date I Verified 0 Yes 0 No i i Name Address City State Zip Contact Person Phone Fax LEGAL DESCRIPTION ':::.. - s .. _xistin Use 9 Proposed Use S t` J Permit includes: ❑ Building ❑ Plumbing ❑ Mechanical ❑ Other Type of Work:Residential 'Q Commercial ❑ New ❑ Addition ❑ Remodel ❑ Repair ❑ # of bedrooms ❑ Garage ❑ Deck ❑ Shed 1� V Enter 1st Floor 8� sq ft Area Basement sq ft 2nd Floor Decks sq ft 3rd Floor sq ft sq ft Garage sq ft Existing Floor Area Proposed Total Area sq ft sq ft Water Availability Sower Availability U On -Site Septic System Availability ❑ Project Valuation $ Zoning — rz, Lot Size Existing Bid Valuation S For new residential Name osed selling cost: $ Address Contractor Name Address City State Zip Contact Phone Fax License # I Expiration Dye Verified ❑ Yes ❑ No I FI UM SFiI[G?iialTli.:.;` Contractor Name Addr s City tat. Zip t. Contact Phone Fax License # Expiration Date Verified ❑ Yes ❑ No Water Closets Sinks Urinals Lawn Sprinklers Bathtubs Dish Washers Drinking F ntains Other Showers Electric Water 4aters Sumps Lavatories Washing Ma ine Drains PUta,_FW4j4),Oo;yft. MECHANICAL EVAL NLY $ Fuel Type ( as/electric/o er) Gas Dryer Air Handling < = 10,000 CFM 15-30 Length of Gas Piping/Range Air Handling > = 10,000 CFM 30-50 Tons Furn <1OOK BTU Gas Log Unit Heater 50+ Tons Furn > 100 BT s Fans Miscellaneous Fuel Tanks Gas Hwt Hood Boilers Above Ground ConV'Bd cr Duct Work 0-3 Tons Underground BBQ's Wood Stoves 3-15 Tons 6w1 t 64;Caum DISCLAIMER: 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 put of the reliance f city, including its flicets and employees, upon the Accuracy of the information supplied to the city as a part of this application. ,_,_ Owner/Agent: Date: � BUILDi Are REVISED 5/18/99 REVISION DATE AN 0 7V p� DEFT: OF -` 3Ll i @ �t DE V�{ E1P .�CP ,EIVT FtHMITNUMBER ADDRESS � -• I RIANS'=° - - OWNER i u rri 5S"� ftp 1: 7= M c a—, 77 S 11 G, M, r, c.» 'c-;; a --c elS ir '77 41 =t cz, t4 Xa lot -nr TEE Z" OIL C.— zff M. mg = = �-s PC 22 :1, '60 r t=l DG C4 SETBACKS & FOOTINGS.. Date By 2 FOUNDATION WALLS Date By 3 OLUMB.ING GROUNDWqk ...:. Date By 4 SLAB: INSULATION . Date By 5 FoonNalIDOWNSRO .UT []RAINS Date By 6 UNDERFLOOR -FRAMING Date By 7 SHEAR WALLS Date�hlo By6 8 PLUMBING ROUGH -IN Date By 9 GAS PIPING Date By 7MIECHANICALROUGH-IN Date By 7FRAMING Date By 12 INSULATION Date By 13 GWB ..1ST LAYER Date By 14 OWL3 -,2ND IAYER Date By 15 SUSPENDED C.EILlNG Date By 16 PLANNING FINAL .... Date By 17 PUBLIC WORKS FINAL. Date By 18 .FIRE FINAL Date By 19 WIL 011401:01NAL Date By U• zi�M6 20 :OTHER: Date By CDO193 (Ray 4/97)