00-103744City of Federal Way Mechanical Permit #:00 -103744 - 00 - NW
Commamity Development Services
33530 1st Way S Inspection request line: 253.661.4140
Federal Way, WA 98003-6210
Ph: 253.661.4000 Fax: 253.661.4129 (3:30pm cut-off for next day inspections)
Project Name: RIDER
Project Address: 34243 36TH SW
Project Description: HVAC - g to g furnace ch
not
Parcel Number: 638515 0150
N1Prhanical valuation..........................................1400 Over the Counter Permit ...................................... Yes
Mechanical Fixtures
Descri tion Quanti Descri tion Quanti " Description Quanti `
Furnaces
PERMIT EXPIRES January 6, 2001, IF NO WORK IS STARTED.
Permit issued on July 10, 2000
I hereby certify that the above information is correct and that the construction on the above described propeM
the occupancy and the use will be in accordance with the laws, rules and regulations of the State of Washingb
the City of Feder ay.
Owner or agent:
Date: 0 tel)
Owner
Applicant
Contractor
NONE
RIDER
BRENNAN HEATING CO INC
34243 36TH AVE SW
FEDERAL WAY WA 9:
4601 S 134TH PL
NONE
2904 128TH AVE SE (BELLEVUE)
N1Prhanical valuation..........................................1400 Over the Counter Permit ...................................... Yes
Mechanical Fixtures
Descri tion Quanti Descri tion Quanti " Description Quanti `
Furnaces
PERMIT EXPIRES January 6, 2001, IF NO WORK IS STARTED.
Permit issued on July 10, 2000
I hereby certify that the above information is correct and that the construction on the above described propeM
the occupancy and the use will be in accordance with the laws, rules and regulations of the State of Washingb
the City of Feder ay.
Owner or agent:
Date: 0 tel)
CITY OF
VY
PARCEL #
SITE LOCA'
Tenant/Owner
CITY OF Fi tPLPIAt_ vvAy
BUILDING DEPT.
APPLICATION FOR MECHANICAL PERMIT
Federal Way Business License number:
W
Single Family ®-'
Bun nING DIVISION
33530 First Way South
Federal Way, WA 9803
(253) 6614000
Fax (253) 6614129
-� 1034 y�
MEC -
Multi -Family ❑ Commercial ❑
695
Phone 3 •f - �✓ �/� (.,
A_
Address/City/State/Zip
Nature of Work -Ct- Project Valuation: $ Z5/LY)
Contact Person kV-) V^\'C�_ Phone d(-1 2 2 (1) Fax 12SZR 7 2 f 5—
MECHANICAL CONTRACTOR
Company Name ' r �j
Address/City/St/Zip �� �� 1 _3�J�-t
Contact Person ��� b 1 �- Phone 6 0 Fax 2 (f k 7 CSS`
State L &I Contractor Registration # ,434%iV J J C4�1 -2 Exp. Date `3 r
(Card must be presented)
MECHANICAL UNIT COUNT
Fuel T other
Gas Dryer
Air Handlin
< = 10 000cf n
Fuel Tonics:
Len of as i in
Range
Air Handling
> = 10 000cftn
Above Ground
Ftun <100K BTUs
Gas Log
Unit Heater
Underground
Ftun>100KBTUs
Fans
Boiler
BTU/H
Miscellaneous
Gas Hwt
Hood
Boiler
BTU/H
Other
Conv Burner
Duct Work
A/C
TONS
Other
Wood St,
A/C
TONS
DISCLAIMEW I certify, under penalty ofpedW. that the information finished by me is trace and correct to the best of my knowledge and further that I am authorized by the owner ofthe above premises to perform the work
for which permit application is made. I fiuther agree to save harmless the City of Fadwal Way as to any claim (mchuling costs, expenses, and attorneys' fees incurred in investigation and defense of such claims which may be
made by any person, inclu ' undersigned, and Sled 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 ofthe
information supplied to the ly as a of this application.
L
Owner/Agent c-1, "�
�--�'�-�� Date t>
MP.cSAPe�
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