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93-100183
CITY OF FEDERAL WAY 33530 First Way South Federal Way, WA 98003 661-4000 SITE ADDRESS: 33007 27TH AVE SW PARCEL NO.: 894520-0940 PROJECT DESCRIPTION: HVAC OWNER DOROTHY WESTLUND 33007 27TH AVE SW FEDERAL WAY WA 98023 -6707 FUEL TYPES.:GAS T FANS..........: 0 GAS PIPING.: 1 ft HOOD..........: 0 FURN<100K..: 0 DUCT WORK.....: 0 GAS HWT....: 0 WOOD STOVES...: 0 CONV BURNER: 0 FURN>100K.....: 0 BBQ........: 0 MISC..........: 0 GAS DRYER..: 0 AIR HANDLING UNITS RANGE......: 1 «10,000 CFM: 0 GAS LOGS...: 0 > 10,000 CFM: 0 Water Line OK 0S PIPING OK �1 1 CERTIFY THAT THE OWNER OR AGENT bld mech 07/01/92 MECHANICAL P BUILDING INSPECTION - 661-4140 CONTRACTOR PUYALLUP GAS APPLIANCE INC. P.O. BOX 95 PUYALLUP WA 98371 848-1549 PUYALGA285R1 BOILERS/COMPRESSORS 0-3 HP......: 0 3-15 HP.....: 0 15-30 HP....: 0 30-50 HP....: 0 5+ HP.......: 0 FUEL TANKS --------- ABOVE GROUND: 0 UNDERGROUND.: 0 INSPECTION RECORD Mechanical Inspection Notes: Date -9-AC- 3 By 43• IaD) C3 PERMIT NO.: BLD93-0062 ISSUED: 01/22/93 BY: JJ LENDER FEES: NEC PRMT ISSUANCE... $ 20.00 NEC APPLIANCE FEES.* S 9.50 TOTAL FEES $ 29.50 ALL PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS STARTED. FURNISHED BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY REQUIREMENTS WILL BE MET. DATE or 'Perm CITY OF FEDERAL WAY BUILDING PERMIT APPLICATION -- Please Print — BOX 1 TENANT NAME: W j L_ 4,, nA OWNER DO I -el QAA SITE LOCATION OWNER'S ADDRESS ' d T. -A. U2 CITY FP6 PHONE 20 s DESCRIBE JOB c THE PROPERTY 1S OW14GI EIMARRIED PARTNERSHIP CORPORATION BOX 2 CONTRACTOR'S NAME CONTRACTOR'S REG. ##. CONTRACTOR'S ADDRESS 1E —CITY f StV 4 llk ,�2 EXPIRATION DATE 0 4/— 15 � 9• rel be 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 1 m PtPHONE BOX 4 SEWER DISTRICT WATER DISTRICT BOX 5 ESTIMATED PROJECT COST EXISTING BUILDING VALUATION BOX 6 PROPERTY TAX ACCOUNT NUM LEGAL DESCRIPTION (if necessary, please sm` eparate a e with the Iai description.) K.C. Plat Recording # `?' — ©`yd BOX 7 BUILDING SQUARE FOOTAGE: (Existing/proposed) 1ST FLOOR_____J 2ND FLOOR 3RD FLOOR__) BASEMENT_.____J DECK ------J— GARAGE / BOX 8 ( } SINGLE FAMILY ( } NEW CONSTRUCTION { } MULTIFAMILY (NO. OF UNITS = } ( ) EXISTING STRUCTURE ( ) COMM ERCIALJINDUSTRIAL 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 DRAINS OTHER TOTAL FIXTURES MECHANICAL APPLIANCES — BASIC FEE $ GAS PIPING, FEET $ N0. FURNACE, ELEC. GAS $ GAS HOT WATER HEATER $ CONVERSION BURNER $ BOILER, SIZE BTU $ AIR HANDLING UNITS $ HEAT PUMPS, SIZE $ UNIT HEATERS $ AIR COOLING UNITS, SIZE $ COMMERCI L HOJD$ OTHER G, J �i 0 'l $ $ $ $ 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 T#k CITY OF FEDERAL WAY, BUT ONLY WHE E SUCH CLAIM.ARISES OUT OF THE RELIANCE OF THE CITY, INCLUDING ITS OFFICERS AND EMPLOYEES, UPON THE ACCURACY OF THE I RMATION SUPPLIED TO THE CITY AS A PART OF THIS APPLICATION. OWNER/AGENT:� � --DATE: / L ANP -006 3,90 '.j CITY OF FEDERAL WAY 33530 First Way South Federal Way, WA 98003 661-4000 SITE ADDRESS: 33007 27TH AVE SW PARCEL NO.: 894520-0940 PROJECT DESCRIPTION: HVAC OWNER DOROTHY WESTLUND 33007 27TH AVE SW FEDERAL WAY WA 98023 6707 FUEL TYPES.:GAS ? GAS PIPING.: 1 ft FURN<100K..: 0 GAS HWT....: 0 CONV BURNER: 0 BBQ. .. 0 GAS+DRYER..: 0 RANGE......: 1 GAS LOGS...: 0 Water Line OK 9S PIPING OK FANS..........: 0 HOOD..........: 0 DUCT WORK.....: 0 WOOD STOVES...: 0 FURN>100K.....: 0 MISC..........: 0 AIR HANDLING UNITS <=10,000 CFM: 0 > 10,000 CFM: 0 MECHANICALPERMIT PERMIT NO.: BLD93-0062 BUILDING INSPECTION - 661-4140 ISSUED: 01/22/93 BY: JJ CONTRACTOR PUYALLUP GAS APPLIANCE INC. P.O. BOX 95 PUYALLUP WA 98371 848-1549 PUYALGA285R1 BOILERS/COMPRESSORS 0-3 HP......: 0 3-15 HP.....: 0 15-30 HP....: 0 30-50 HP....: 0 5+ HP.......: 0 FUEL TANKS --------- ABOVE GROUND: 0 UNDERGROUND.: 0 INSPECTION RECORD Mechanical Inspection Notes: Date By LENDER FEES: NEC PRMT ISSUANCE... S 20.00 NEC APPLIANCE FEES.* S 9.50 TOTAL FEES $ 29.50 ALL PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS STARTED. I CERTIFY THAT THE INF TION FURNISHED BY ME IS TRUE AND COR/RCT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY REQUIREMENTS WILL BE MET. OWNER OR AGENT DATECk bld_mech 07/01/92