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SETBACKS & FOOTINGS'.
Date By
FOUNDATION WALLS
Date By
PLUMBING GROUNDWORK
Date By
....... ........................................................................
... ..............................................................................
UNDERFLOOR FRAMING
Date By
..................................................................................
.................................................................................
SHEAR WALLS
..................................................................................
Date By
..................................................... ...........................
PLUMBING;ROUGH4:IN
Date By
..................................................................................
..................................................................................
..................................................................................
GAS:;PIPING::;;
Date By
MECHANICAL ROUGH-IN
.............................................. . .. . . .. ....
Date By
MECHANICAL (OTHER)
Date By
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Date By
INSULATION:
Date By
GWB:- 1ST'
LAYER
Date By
GWB 2ND LAYER
Date By
SUSPENDED CEILING
Date By
PLANNING FINAL
Date By
ENGINEERINGFINAL
Date By
FIRE.FINAL
Date By
BUILDING FINAL
Date By
OTHER
Date By
OTHER
Date By
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I qIPC--)-5-S3530
Ity of Federal Way illiki)' %
CITY OF �— III First Way South . . ,.
_ F -..--1:38.1-KFM--.
Federal Way, WA 98003 -1�=i�Si''wra— Ail LJJQ
(206)661-4000
WFIF"5fian &393 - aei
APPLICATION FOR MECHANICAL PERMIT '�
y''� ( id77
PARCEL ff. t �I 1 LP h - I? .0 P4 l Single Family Multi-FamilR C I ❑
LV
pt * 6Lo3 - 13(si / i/���. �--
SITE LOCATION: 14 211994
PQT Q OF FEDERAL WAY
Tenant/Owner: APhonre:Egil ;�j/.
Address/City/State/Zip: L 53 S W `"i `34- dQTL� c ci C -Vo3
Nature of work: I Y1S- A --()(ift C1Y) (6) 90-1) On i1tProject Valuation: $ 4-0
�r n�.�q 3—)
tic- - lldtpa±jU /
APPLICANT:
Name: ma) LLicitiil kock,U(
Address/City/St/Zip: SDC) c j ( ii fir) C) S+ SW
Contact Person: j (A-1 C k_a n Ci ( ( ' rC ,/ C� �Q
1�Y Phone: "I U `l T `1L '�/ Fax: � �^ �� l 1�
MECHANICAL CONTRACTOR: -�—
Company Name: , w' 1 `'(�---- 12-A. 4 D
a-4 LA
Address/City/St/Zip: ac\A l Wri'' SA-• 5 `'u •
.
Contact Person: C S 1 tC ,.rt A J vu x Qphone: qoF3X, ' R-C1393
State L & I Contractor Registration #: )30(' #h win \0 3R0 Exp. Date: lal. ....19V
(Card must be presented)
MECHANICAL UNIT COUNT:
Fuel Type (gas/other) _rz,`D Gas Dryer Air Handling < = 10,000cfm Fuel Tanks:
Length of gas piping Range Air Handling > = 10,000cfm Above Ground
Furn <100K BTU's 1 Gas Log Unit Heater Underground
—
Furn >100K BTU's Fans Boiler BTU/H Miscellaneous
Gas Hwt f Hood Boiler BTU/H Other
Cony Burner Duct Work A/C TONS Other
..............................:*,: .... .............iei i......
.................................................................
........................................ ..........................
BBQ's Wood Stoves A/C TONS ::'T tarttiii:Ci i t::i*:>: »>i i*:i> »>
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 Federay Way but only where such claim arises
out of the reliance of the City,including its l)offic�' `
officers and employees,upon the accuracy
of the information supplied to the City as a part of this application.
Owner/Agent: JJC� --. '- -J1�- v I Date: 1 ��