00-103073City 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: HALL
Project Address: 2628 SW 320TH
Proiect Description: MEC - 35' gas nininQ only
Mechanical Permit #: 00 -103073 - 00 - ME
Inspection request line: 253.661.4140
(3:30pm cut-off for next day inspections)
Parcel Number: 873190 0100
Owner
Applicant
Contractor
Guy E & Helen E Trotter
NONE
GLENDALE HEATING & A/C
2628 SW 320TH PL
FEDERAL WAY WA
12462 DES MOINES WAY S
98023-2268
NONE
SEATTLE WA 98168-2266
Mechanical Valuation..........................................250
Over the Counter Permit......................................Yes
Mechanical Fixtures
DescriptionQuanti Description Quanti '' Description Quanti
Gas Piping 35
PERMIT EXPIRES November 22, 2000, IF NO WORK IS STARTED.
Permit issued on May 26, 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 Washingt,
the City of Federal Way. Z1112 C—�
Owner or agent: Date: 05-
,�af / L
PARCEL #
[,IAY 2 6a
APPLICATION ft0I,. MECHANICAL PERMIT
Federal Way Business EAN%966r: 4
BunMG D1VUWN
33530 Fust Way South
Federal Way, WA 98003
(253) 661-4000
Fax 0253) 661.4129
MEC - :5o
Single Family- Multi Family 0 Commercial 0
SITE LOCATION
Tenant/Owner "J A Phone
Address/City/State/Zip 026 a k
t�
r -
Nature of Work &A S P/ /0":- Project Valuation:
APPLICANT
Name
e� 1 1 AL t ��Z
re-
Address/City/St/Zip—�—
Contact Person �,L 1�� � � �Phone I Yl - 7 70 0 1 Fax Ztnt 30-f 3q Y
MECHANICAL CONTRACTOR
Company Name v "----4 r -(
Address/City/St/Zip f � � �� c/ ' S % �� C, 5 %✓c . /77)r-
Contact
d )r
Contact PersonC✓ � IdLL"i �eC % Phone o 7 -7520 Fax 20 -'F3?9
State L & I Contractor Registration # `> Q oZ Exp. Date �r
(Card must be presented)
MECHANICAL UNIT COUNT
Fuel T other
Lias Dryer
Air Handling
< =10 000cf n
Fuel Tanks:
Length of
e
Air Handling
> =10 000cSn
Above Ground
Fum <100K BTUs
Gas Log
Unit Heater
Underground
Fum>100KBTUs
Fans
Boiler
BTU/H
Misoallaneous
On Hwt
I Hood
I Boger
MUM
Other
Cony Burner
Dud Work
A/C
TONS
Other
HBO's
Wood
A/C
DISCLAIMER: I certify, under penalty of perjury, that the information f nished by me is true and correct to die boat ofmy knowledge and 8¢fher *at I am autttaized by the owner ofthe above Premises to perfoon ffic work
for which permit application is made. I further agree to save harmless the City of Federal Way as to any daim (including costs„ expenses. and attorneys' fees in-ned in imeatifion and defense of mch dacal which maybe
made by eny person, including the undersigned, and the City of Federay Way but only where such daim arises out of the reliance ofdro city, including its officers and employees, upon the accuracy ofthe
information supplied to the city as a part of thisyppliffi on.
Owner/Agent
MEMAn
Ravers® inrgs
Date �S o2 a0