00-103086City dt Vederal Way
Community 1Aelopment Services
33530 1st Way S
Federal Way, WA 98003-6210
Ph 253.661.4000 Fax: 253.661.4129
Mechanical Permit #:00 -103086:- 00 - ME
Inspection request line: 253.6§1.4140
(3:30pm cut-off for next day inctions)
Project Name: JACKSON
Project Address: 3242012TH SW Parcel Number: 9 494 0070
Project Description: AMC - Retrofit of gas water heater
Owner Applicant /32ND
ractor
Steven D & Robyn L Jackson NONE FATER COMPANY
32420 12TH AVE SW
FEDERAL WAY WA 1E NE
98023-4914 NONE 2E NE
Mechanical Valuation..........................................499
PERMIT ETPIRES N
I hereby certify that the above information is coi
the occupancy and the use will be in accordance
the City of Federal Way.
Owner or agent:
•
Perrmt....411LAIPP.M,........... Yes
2 2000, IF NO VRK IS STARTED.
May 26, 2000
construc ' e above described propert;
rules and of the State of Washingt,
• Date: d
CITY OF G
++.+r► •
BUILDING DIVIS-ION
33530 1 ST WAY SOUTH
FEDERAL WAY, WA 98003 66 1 -4000
CORRECTION NOTICE
ADDRESS: �3- y IIA j4 .sw 5G(l PERMIT #: �� 4032
VIOLATIONS OF CITY AND/OR STATE LAWS ARE LISTED BELOW:
YOU ARE HEREBY NOTIFIED THAT NO MORE WORK SHALL BE APPROVED UPON THESE PREMISES UNTIL THE
ABOVE VIOLATIONS ARE CORRECTED. WHEN CORRECTIONS HAVE BEEN MADE, CALL 661-4140 FOR
REINSPECTION.
DATE INSPECTOR FOR BUILDING DEPARTMENT
DO NOT REMOVE THIS NOTICE
OF
"�"� ElDE1RRL
CZ��
A0 Ib4' N FOR MECHANICAL PERMIT
rViANACEMENT SERVICES gg-FedemMlSusisless License number:
CIT`l OF FE-CErltl,L WAYBUILDING DST.
PARCEL #
SITE LOCATION
Bu LDiNG DIVISION
33530 First Way South
Federal Way, WA 98003
(253)661-4000
Fax(253)661-4129
Single Family* Multi -Family 13 Commercial O
Tenant/Owner-`J A-ti�oi , 8,4-uen b Phone Asa-81q-6Co40
`ITM�r � e w �q� o�UjeAddress/City/State/Zip /
Nature of Work - II.Cel 'h+ oh aA� Project Valuation: $�
APPLICANT
Name
Address/City/St/Zip
Contact Person Phone
MECHANICAL CONTRACTOR
r�
Fax
Company Name ' r J �� l N ofer H u �o . „
Address/City/St/Zip Lq2 l OO 1 13 2 ro A Vs ' Yej
Contact Person `I 01 Oi � �4� j � z Phone � 81 - 853 1 Fax
State L &I Contractor Registration # �r I �� w WExp. Date
(Card must be presented)
MECHANICAL UNIT COUNT
Fuel other
Gas Dryer
Air Handling
< —10 000e&n
Fuel Tonka:
Length of gas pipingRange
Air Handling
> -10 000cf n
Above Ground
Fum <100K BTITs
Gas Log
Unit Heater
Underground
Fum >100K BTUs
Fans
Boiler
BTU/H
Miscellaneous
Gas Hwt
Q Hood
Boiler
BTU/H
Other
Cony Burner
Dud Work
A/C
TONS
Othr
DISCLAIMEIL• I oa*, under pe natty ofperjmy, thatthe information furnished by me is fix and c , -, to the bat of my knowledge and tLdher that I am autha®ed by the owner of the above pranisa to perform the work
for which permit application is made. l Further agree to save hamilas the City of Federal Way as to any daim (including oasts, aperms, and anomeys' fes incurred in investigation and defense of su h da®), whish may be
made by any 1erso4 including the undavoted, and Mod against the City of Fedaay Way but only where such claim arises out of the reliance of the dty. haduding its otHoera and employes, upon the accuracy of the
mfaaution suDpHW to the city as a part of this application.
Owner/Agent Date
aPwao 1n/99
V