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00-100825City of Federal Way Mechanical Peri #: 00 -100825 - 00 - ME Community Development Services 33530 1st Way S Inspection request line: 253.661.4140 Federal Way, WA 98003-6210 P q Ph: 253.661.4000 Fax: 253.661.4129 (3.30pm cut-off for neat day inspections) Project Name: BERNARD (MECHANICAL) Project Address: 3071419TH S Parcel Number: 092104 9282 Project Description: GAS HOT WATER HEATER CHANGEOUT FOR EXISTING SINGLE FAMILY RESIDENCE Owner Applicant Contractor Gary D & Patricia A Bernard Gary D & Patricia A Bernard NATURAL GAS SERVICES 30714 19TH AVE S 30714 19TH AVE S FEDERAL WAY WA FEDERAL WAY WA 38020 236TH AVE SE q g 98003-5103 Pj 3`r/�- 0 `i SCJ 98003-5103 ENUMCI-AW WA 98022 Mechanical Valuation..........................................650 Over the Counter Permit ...................................... Yes PERMIT EXPIRES August 30, 2000, IF NO WORK IS STARTED. Permit issued on March 3, 2000 I hereby certify that the above information is correct and that the construction on the above described propert the occupancy and the use will be in accordance with the laws, rules and regulations of the State of Washingb the City of Federal Way. 07 Owner or agen • - Date: v7 /- / 9- ©/ /�"-'e401 arrot= G AR Q 3,i APPLICATRO EDRAIECHANICAL PERMIT Federal WaMOUrf6rise number: PARCEL # b f2M 4� �PZ. 'Z SITE LOCATION BUII DING DIVISION 33530 First Way South Federal Way, WA 98003 (253) 661-4000 Fax(253)661-4129 g 00 - lDOS2S- 0U Single Family 9�\ Multi Family ❑ Commercial ❑ Tenant/Owner � 6/'Vy Phone 3 1 % 22 AddreWCity/State0p O l / � �c n Nature of Work / ` / G -mss �'�' � Z �� Project Valuation: APPLICANT Name Al A- i" (�" / 6-A—S. S iR v l L S Address/City/St/Zip 21U a C) Contact Person �� ` Phone IS MECHANICAL CONTRACTOR Company Name �/i`I-� SC2iG L ?011j� Iv�, VQ U5 ' WC P-'� 'DV-- 3��(d6 AddreWCity/St/Zip 0 Contact Person ti t/ �� Phone 3 3 / 15 c 7 State L & I Contractor Registration # A 2 G' S G 3 L� � �% Exp. Date (Cud must be presented) MECHANICAL UNIT COUNT Fuel T other ir9A-6 Gas Dryer Air Handling < =10 OOOcfrn Feel Taunks: Length of gas pipingRange Air Handling > = 10 OOOcftn Above Ground Furn <100K BTU's Gas Log Unit Heater Un&wxound F > OK BTU's Fans Boiler BTU/H Miscellaneous Hwt Hood Boiler BTUM Other Coav Burner Duct Work A/C TONS Other Wood Stoves A/C TONS DISCLAIMM I cetity, under penalty ofpe[jury. that the Wonnation 5mtished by me is hue and coned to the best of my knowledge and fi¢tlha that I am authorized by the owner ofthe above premises to pedam the work for which permit application is made. I finther agree to save harmless the (sty of Federal Way as to any claim (including costs. orponscs, and attorneys' fees incurred in investigation and defense ofsuch claims which may be made by any person, including the undersigned, and filed against the City of Fedeny Way but only where such clsilQ arises out of the reliance ofthe city, including its officers and emon employees, upthe accuracy of the information supplied to the city as a part ofthis application. �% // n / Date MzcnArr tizvcsm IY7/99