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SE'rB/•CKS& FOOTINGS
0
Date By
7 FOUNDATION WALES 1
Date By
PLUMBING GROUNDWORK
Date. By
UNDERFLOOR.FRAMING
Date By
..................................................................................
..................................................................................
..................................................................................
..................................................................................
SHEAR WALL$
Date By
PLUMBING;AOUGH�IN
Date By
GAS PIPING;
Date By
MECHANICAL ROUGH-IN
Date By
....................................................................... ..........
..................................................................................
MECHANICAL #OTHER)
Date By
FRAMING
Date By
..................................................................................
INSULATION
................... ............................... .
Date By
GWB- 1 ST LAYER
Date By
GWB - 2ND''LAYER
.............................. ......... .. .. . .
Date By
SUSPENDED CEILING
Date By
PLANNING::FINAL
.....................................................
................................................. .
Date By
ENGINEERING FINAL
Date By
FIRE FINAL '
Date By
BUILDING FINAL
Date By
OTHER
Date By
OTHER
Date By
C D0193
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City of Federal Way
CITY OF �-- • 33530 First Way South III 1
• _ Eo Federal Way, WA 98003 RCMS - � 0(206)661-4000 .
›/V1=1, ' ‘VE
APDL/CAT/ON FOR MECHANICAL PERMIT
so, 01
PARCEL it F FEr/%A T. Single Family ❑ Multi-Family ❑ Commercial,
4WA
0 u D1NG tP
SITE LOCATION: J/
rf p 1
Tenant/Owner: 6---V-Ci �'�` `- �j V1(� Phone: f - 7° `
Address/City/State/Zip: f 70 6 2-- II , 36) +�
Nature of work: .k c1 'to 5 Cje,fry /!rSt f-Cr- Project Valuation: $
APPLICANT:
Name: �C bC t 0 C--)
Address/City/St/Zip:
Contact Person: Phone: Fax:
MECHANICAL CONTRACTOR:, , w
r .'
Company Name: t w` ' e /�re eot�Yi
Address/City/St/Zip: oRY00 rt-i U V)" 017 Cc. kx- • Lu) ,
Contact Person: MOO4'1./ c Phone: 2 d g-70(.7) Fax: 02 F39:57/6-
J 9 �5
✓
4
State L & I Contractor Registration #: �U V ��t �'J `� I l tJ G.—. Exp. Date: ' �' 7
(Card must be presented) -
MECHANICAL UNIT COUNT:
Fuel Type gas they) Gas Dryer Air Handling < = 10,000cfm Fuel Tanks:
Length of gas piping l SRange Air Handling > = 10,000cfm Above Ground
Furn <100K BTU's Gas Log Unit Heater Underground
Furn >100K BTU's Fans Boiler BTU/H Miscellaneous
Gas Hwt Hood Boiler BTU/H Other
Cony Burner Duct Work A/C TONS Other
BBQ's
Wood Stoves
A/C
TONS >7�et�itf3rt�� irr ?>>:.>.>:>:>::z»»>?3»»»>
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 rrde by any person,including the undersigned,and filed against the City of Federay Way but only where such claim arises
out of the reliance of the City,including its officers and employees, on the accuracy of the information supplied to the City as a part of this application.
Owner/Agent: 7-IC�(:^ Date: -/)'/