00-100724City of Federal Way
Community Development Services
33530 1st Way S
Federal Way, WA 98003-6210
Ph: 253.661.4000 Fax: 253.661.4129
Project Name: NELSON (GAS PIPE)
Project Address: 32816 43RD SW
Proiect Description: NEW GAS PIPING FOR SPA
Mechanical Permit #:00 -100724 - 00 - ME
Inspection request line: 253.661.4140
(3:30pm cut-off for next day inspections)
Parcel Number: 873201 0330
Owner
Applicant
Contractor
Diana Christine Nelson
DIANA NELSON
SWIFT GAS SERVICES
32816 43RD PL SW
32816 43RD PL SW
FEDERAL WAY WA
FEDERAL WAY WA 98023
22710 RD PL S
98023-2625
BRIER A 98036
PERMIT EXPIRES August 22, 2000, IF NO WORK IS STARTED.
Permit issued on February 24, 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 Washing
the City of Federal Way.
Owner or agent:
1� �;- 64�
it
Date:
p
w
i
CRY OF
BUILDING DIVISION
33530 First Way South
Federal Way, WA 98003
(253) 661-4000
Fax(253)661-4129
APPLICATION FOR MECHANICAL PERMIT
Federal Way Business License number:
d®'�
MEC
PARCEL #
SITE LOCATION
Tenant/Owner
n
Address/City/State/Zip
Nature of Work
APPLICANT
Name
Addre:
Single Family Multi -Family ❑ Commercial
Phone Z S� 5 1
Project Valuation: $ v oo
Contact Persons Phone 1Fax�a—
MECHANICAL CONTRACTOR
Company Name
Address/City/SU
Contact Person � � , 4 Phone (Z�6�, �d �' Fax
State L & I Contractor Registration # �✓� C( Exp. Date `� o
(Card must be presented)
MECHANICAL UNIT COUNT
Fuel T other
Gas Dryer
Air Handling
< = 10 000ofrn
Fuel Tanks:
I,ength of gas piping ®
e
Air Handling
> =10 000cfin
Above Ground
Furn <100K BTU's
Gas Log
Unit Heater
Underground
Fum > 100K BTUs
Fans
Boiler
BTU/H
Miscellaneous
Gas Hwt
I Hood
I Boiler
BTU/H
Other
Conv Burner
Duct Work
A/C
TONS
Other
91
Wood Stoves
A/C
TONS
DISCLAIMER: I certify, under penalty of perjury, thatthe information famished by me is tme and correct to the best ofmy knowledge and fudher that I am authorized by the owner ofthe above premises to perform the wo*
for wldch permit application is made. I father agree to save harmless the City of Federal Way as to any claim Cmduding costs, expenses, and attorneys' fees me rred 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 officers and employees, upon the accuracy of the
information supplied to the city as a part ofthis application. J
/J/
Owner/Agent �✓ G� T r - - - - Date
MwH.APP
Revco m 1/7/99