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00-100711City of Federal Way Conu n unity Development Services 33530 1st Way S Federal Way, WA 98003-6210 Ph: 253.661.4000 Fax: 253.661.4129 Mechanical Permit #:00 -100711 - 00 - ME Inspection request line: 253.661.4140 (3:30pm cut-off for next day inspections) Project Name: CARLISLE (M ECH) Project Address: 3111 SW 302ND Parcel Number: 416710 0085 Project Description: INSTALL GAS FURNACE, PIPING AND GAS HOT WATER TANK FOR SINGLE FAMILY DFV.Mv.lvvv Owner Applicant Contractor Michael L Carlisle Michael L Carlisle ADVANCED FILTER AND MECHANICAL 3111 SW 302ND PL 3111 SW 302ND PL FEDERAL WAY WA FEDERAL WAY WA 516 VALLEY AVE NE 98023-2342 98023-2342 PUYALLUP WA 98372 Mechanical Valuation..........................................3989 Over the Counter Permit ...................................... Yes Mechanical Fixtures Description Quanti Description Quanti DescriptionQuanti Furnaces 1 Gas Piping I 1 mech P-Inaf F ! ice' 1v ED t►Y Ur r1 1G pEPT° APPLICATION FOR MECH�'IgCAL PERMIT PARCEL # SITE LOCATION Federal Way Business License number: Single Famii>� BUILDING DIVISION 33530 First Way South Federal Way, WA 98003 (253) 6614000 Fax (253) 661-4129 MEC -O—) - Multi -Family ❑ Commercial ❑ Tenant/Owner � � "�' �� ��e_ Phone Address/City/State/Zip Nature of Work �0+����� �c� (e� Yl%CC� �� t (1C� - F1c, CL CIL Project Valuation_ $_7 APPLICANT Name C" �I l �C' r`� Address/City/St Contact Person MECHANICAL CONTRACTOR Company Name � t_ C�1 V_, I k �t Address/City/St/Zip Contact Person -Phone State L & I Contractor Registration # A0-V1\N--FMC', ( l � `/� (Card must be presented) MECHANICAL UNIT COUNT Fax ;Exp. Date Fuel Type as/other 5 Gas Drver Air Handlin <= 10 000cfm Fuel Tanta: Length of as piping Range Air Handling > = 10 000cfm Above Ground Fum <100K BTU's Gas Log Unit Heater Underground Fum >100K BTUs Fans Boiler BTU/H Miscellaneous Gas Hwt Hood Boiler BTU/H Other Conv Burner Duct Work A/C TONS Other BBO'.,; Wood Stoves A/C TONS DISCLAIM ER I certify, under penalty of perjury, that the information famished by me is true and correct to the best of my knowledge and finther that[ 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 Fedmy Way but only where such claim arises out of the reliance of the city, including its officers and employees, upon the accuracy of the information supplied to the city as a part of this application. D Owner/Agent �lK/"� ate AIEro.APP REv sm 1/7/99