00-103459City of Federal Way Mechanical Permit #: 00 -103459 - 00 - ME
Cormmmity Developnmt 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: MORTON
Project Address: 2861015TH S Parcel Number: 720300 0140
Project Description: MEC - Retrofit electric furnace & hot water heater to natural gas, includes piping.
Owner
Applicant
Contractor
Richard H Morton
NONE
GLENDALE HEATING & A/C
28610 15TH AVE S
FEDERAL WAY WA
12462 DES MOINES WAY S
98003-3160
NONE
SEATTLE WA 98168-2266
Mechanical Valuation..........................................5367.66 Over the Counter Permit ...................................... Yes
Mechanical Fixtures
Descrition ` Quant Descri tion Quanti Description Quanti
Furnaces 1 Gas Piping 1
PERMIT EXPIRES December 18, 2000, IF NO WORK IS STARTED.
Permit issued on June 21, 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.
Owner or agent: Date: d�i1,112 r �O
cmrof G gid° P tN°'4d
VN>AY JUN 2
PARCEL #
u-'¢. , A
APPLICATION FORWMANICAL PERMIT
Federal Way Business License number:
`77v 3OD- ()coo
SITE LOCATION
BUnb]NG ])n=ON
33530 Fust Way Soudi
Federal Way, WA 98003
(253) 661-4000
Fax (253) 661-4129
MEC - (0-3145q,
Single Family 0"'� Multi -Family O Commercial El
Address/City/StateJZip �%
Nature of WorkL66
APPLICANT
Name Ntriall,
Address/City/St/Zi
Contact Person �✓
MECHANICAL CONTRACTOR
Company Name/l
Address/City/St/Zip
Phone q . l
Project Valuation: $— d
Phone X66) A3 2W Fax ab .
Contact Person / Phone Fax
State L &I Contractor Registration # �' ��� `� Exp. Date
(Card must be presented)
MECHANICAL UNIT COUNT
Fuel T other
Gas Dryw
Air Handling
< —10 000ofm
Fuel Tarim:
Length of vipin-R
EME
Air Handling
> —10 000ofm
Above Ground
Furn <100K BTUs
On Loa
Unit Heater
Underground
Frun >100K BTU's
Fans
Boiler
BTU/H
k isodfaneous
Gas Hwt
Hood
Boiler
BTU/H
Odie•
Cony Burner
Dud Work
A/C
TONS
Other
$•.
DISCLAIMM' I certify, undo paWty ofpaj%w. dut the infammfim BmdshW by me is to and, - -- to the bet ofmy knowledge and 6utharffist t am aWhotbed by the owns of do above premiaea to paf— the work
for Much p=t apphmhon is made. I further agnea to salve hermles dw City of Fedmd Wty a to any olein &wkft costs, ertpemes, and aft wApl &aa irtamed m b-s*tiwt and Wbw ofsw,h chm j whlahmay be
made by any person, mduding the undersigned, and Bled against dw City of Fedeny Way bul only whoa a wh dam arae out of da rdmm offfia dly, hwhWhW its offi ms aW emAoycm upon ft acauacy of We
irdomration suppBed to the okas a part of this appBation.
Owner/Agent J)Ikul f ct 41� Date l k), 16
MaatAee
Runs® Inl"