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City of Federal Way _ 4 ' 1'1 ` U LL( J ~i
CITY OF G 33530 First Way South
• - FE-E3ErKFIL._ Federal Way, WA 98003 RECEIVED
(206)661-4000
WFIY
APPLICATION FOR PERMIT MECHANICALO C T 121994
Cl i Y OF FEDERAL WAY
BUILDING DEPT,
PARCEL if. Single Family 0 Multi-Family 0 Commercial)
SITE LOCATION:
Terra Owner: C-4 C/ti4 7 . U�/ 114i Phone:
Address/City/State/Zip: a f t 7 s 7/6. , .S 7
Nature of work: 0=:Fiet&t::241.774pe, Project Valuation: $ (P Cre
APPLICANT:
Name: �( N
Address/City/St/ip:
Contact Person: Phone: Fax:
MECHANICAL CONTRACTOR:
Company Name: -D- Q< gem&G'/& / C O
Address/City/St/Zip. o 2i- & ?-----7-4Pil/ , s(,�� ai' P ' '
Contact Person:T & Phone: 77/—rd /Fax:72 5` ?O7
Statepgt-
L & I Contractor Registration #: b RI 1e�C - . ®4�g Cr Exp. Date:
(Card must be presented)
MECHANICAL UNIT COUNT:
Fuel Type(gas/other) Gas Dryer Air Handling < = 10,000cfm Fuel Tanks:
Length of gas piping Range Air Handling > = 10,000cfm Above Ground
Furn <100K BTU's Gas Log Unit Heater Underground
Furn >100K BTU's Fans Boiler BTU/H Miscellaneous 6 6.`06-3 KP)
Gas Hwt Hood Boiler BTU/H Other
Cony Burner Duct Work A/C TONS Other
BBQ's Wood Stoves A/C TONS .f>.`•'"4.0l%a&:
DISCLAIMER: I certify under penalty of perjury that the information f • me is true correct to the but 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 m I ea to lase the City of Federal Way u to any daim(including cuts,expenses and attorneys'feu
incurred in investigation and defense of such dai Y i 'iv the undersigned,and filed%Idi st the City of Federay Way but only where such claim arises
out of the reliance of the City,Including its on acr information supplied to the City as a pert of this application. _
Owner/Agent: Date: /4 ' O)