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93-102972 • - 9 - io� 9.7.) CITY OF 33530 First Way South MECHANICAL PERMIT PER ISSUED: 11 44 1/23/93 Federal Way, WA 98003 Building Inspection Requests 661-4140 BY: FC 661-4000 EXPIRES: 05/22/94 ADDRESS:2721 SW 345TH PL. NO. : 011460-0220 PROJECT DESCRIPTION:HVAC - INSTALL GAS FURNACE. OWNER — CONTRACTOR — LENDER CAROLYNE STEVENSON NORTHWEST MATER HEATER 2721 SW 345TH PL 8201 DURANGO ST SM CDERAL MAY MA 98023 TACOMA, MA WA 98499 661-0836 984-6404 588-0393 NORTHMH103R2 FUEL TYPES.:GAS FANS • 0 BOILERS/COMPRESSORS FEES: GAS PIPING.: 0 ft HOOD • 0 0-3 HP • 0 MEC PRMT ISSUANCE... $ 20.00 FURN<100K..: 1 DUCT MORK • 0 3-15 HP • 0 MEC APPLIANCE FEES.* $ 10.00 GAS HMT • 0 NOOD STOVES...: 0 15-30 HP • 0 CONY BURNER: 0 FURN>100K • 0 30-50 HP • 0 BBQ • 0 MISC • 0 54 HP • 0 GAS DRYER..: 0 AIR HANDLING UNITS FUEL TANKS RANGE • 0 <:10,000 CFM: 0 ABOVE GROUND: 0 GAS LOGS...: 0 > 10,000 CFM: 0 UNDERGROUND.: 0 TOTAL FEES $ 30.00 Its the water supply system contain a Pressure Reduction Device or Check valve? () Yes () No (If 'Yes' then water expansion tank is required on Hot Water Tank) Inspection Record Water Line OK Mechanical Inspection Notes: GAS PIPING OK Date By PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO MORK IS STARTED. RESIDENTIAL AND GRADING PERMITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE. I CERTIFY THAT THE INFORMATION FURNISED BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FERERAL WAY REQUIREMENTS MILL BE MET. OWNER OR AGENTs -.�--- DATE - //- FILE COPY NOV-I8--93 THU 12:28 NW WATER HEATER TACOMA FAX NO. 206 688 0363 011212.1z401 • rurally ) CITY OF FEDERAL WAY BUILDING PERMIT APPLICATION —Please Print— X 1 TENANT NAME: OWNER Giro . •. `-t •1111 SITE LOCATION '' OWNER'S ADORESS r9f\ S Lu 3 5 b1-- CITY FU . PHONE (as(-C]g_ (, 3 DESCRIBE JOB —l�1 L1 ! C-t THE PROPERTY 13 OWNED BY: SINGLE/M RRIED `,/ _PARTNERSHIP CORPORATION X 2 CONTRACTORS NAME . . 4 . I 1 i WR I CONTRACTOR'S REG.# ND"_MMIR '_ Card MUST be presented CONTRACTOR'S ADDRESS `5 t 1.11(1 rOC' ` L`-CITY T Y'\a PHONE Ceti–el?LrQV . EXPIRATION DATE 12ja Ft3 _ —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. _ X 3 CONTACT PERSON - ` =,,_VA �" �-�t- - - . . __ _._ _PHONE C1,49 -. ZQLoy iX 4 SEWER DISTRICT WATER DISTRICT IX 5 ESTIMATED PROJECT COST 15.Q________ _ _ . _ EXISTING BUILDING VALUATION ix 8 PROPERTY TAX ACCOUNT NUMBER 6 f i•_rO, .. 0* LEGAL DESCRIPTION _ , _ (If necessary, please submit a seperate page with the legal description.) K.O. Plat Recording# IX 7 BUILDING SQUARE FOOTAGE: (Existing/Proposed) 1ST FLOOR_._ I --,. 2ND FLOOR I 3RD FLOOR I____. _- BASEMENT_J_— DECK / _ GARAGE _ ___f _ . - IX 8 ( ) SINGLE FAMILY ( ) NEW CONSTRUCTION ( ) MULTIFAMILY (NO. OF UNITS + ) ( ) EXISTING STRUCTURE ( ) COMMERCIAL/INDUSTRIAL TOTAL AREA OF PROPERTY SO FT )X 9 PLUMBING FIXTURES (including rough-Ins) MECHANICAL APPLIANCES -BASIC FEE$ NO. WATERCLOSETS GAS PIPING, FEET $ _BATHTUBS NO. I FURNACE, ELEC, GAS ✓ $ —___SHOWERS _GAS HOT WATER HEATER $ LAVATORIES CONVERSION BURNER 5 SINKS BOILER, SIZE BTU $ __DISHWASHERS AIR HANDLING UNITS $ ELECTRIC HOT WATER HEATER HEAT PUMPS, SIZE 5 _ _LALNORY WASHER OUTLET UNIT HEATERS $ URINALS AIR COOLING UNITS, SIZE $ DRINKING FOUNTAINS _COMMERCIAL HOOD $ SUMPS, SPRINKLER VACUUM BREAKERS _ OTHER . 5 DRAINS ___--- - - . 3 OTHER $ . TOTAL FIXTURES S TOTAL MECHANICAL FEE 5 _.___.__..._ :ERTIFY UNDER PENALTY OF PERJURY THAT THE INFORMATION FURNISHED BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE tin FURTHER THAT I AM AUTHORIZED BY THE OWNER OF THE ABOVE PREMISES TO PERFORM THE WORK FOR WHICH PERMIT APPLICATION IS ADE.I FURTHER AGREE TO SAVE HARMLESS THE CITY OF FEDERAL WAY AS TO ANY CLAIM(INCLUDING COSTS,EXPENSES,AND ATTORNEYS' _ES INCURRED IN INVESTIGATION AND DEFENSE OF SUCH CLAIM). WHICH MAY BE MADE BY ANY PERSON,INCLUDING THE UNDERSIGNED, NO FILED AGAINST THE CITY OF FEDERAL WAY, RUT ONLY WHERE SUCH CLAIM ARISES OUT OF THE RELIANCE OF THE CITY,INCLUDING ITS =FICERS AND EMPLOYEES, UPON THE �,ACCURACY OF THE INFORMATION SUPPLIED TO THE CITY AS A PART OF THIS APPLICATION. 4JJLl K...�–�` DAT : 1qNNEP.�AGENT: � AHP.ao/In / —IS z 3> ° yr17 f d o 0 t, ,� v, � 4 •, Is - ©-a o 4t!yW • 3.4 O�r rn o c � ® i274J '. r -Pi 'ro = cn � t � � o 1m. (n t.< , m '� , �l1 = Lr� It. 444 rn Tr g 3> a ! ( 0 Jrnms � g . rnO vp VON K r* r";11 c.000moaa � 'c I I H ( CO iO .�so a 4Crie v "7 N DaO! W 'D ti) Z' E 444 C w mo, ,z , ® � to 0 DI^ i a " � 1:-... ..7/, a- .tSw r-{ Ii4 g - � r 3,,,, 1 d � Ar CI aa ;14 : I n1{ = m r % i'1 nrro T 4/1 93.LJC 4 ? ,o yN� '- ' .app -y. co ti f+.t O C M' oc --1 d tO .. , . .., , , H P jij pp„.. y� �__ , _ �C .., (tl i = Q! i I N . 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