00-102840City of Federal Way
Community Development Services Mechanical Permit #:00 -102840 - 00 - ME
33530 1st Way S
Federal Way, WA 98003-6210 Inspection request line: 253.661.4140
Ph: 253.661.4000 Fax: 253.661.4129 (3:30pm cut-off for next day inspections)
Project Name: SIEGFRIED
Project Address: 2932211TH S
Project Description: HVAC - install a furnace and WHT
Parcel Number: 515230 0110
Owner
Applicant
Contractor
John M Siegfried
NONE
NORPAC HEATING & A/C INC
1030 S 286TH PL
FEDERAL WAY WA
3414 "A" ST SE SUITE #102
98003-3173
NONE
AUBURN WA 98002
Mechanical Valuation..........................................5520 Over the Counter Permit ...................................... Yes
Mechanical Fixtures
Description Quanti Description JFQuanfiDescription Quanti
Furnaces 1
PERMIT EXPIRES November 11, 2000, IF NO WORK IS STARTED.
Permit issued on May 15, 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 Washingto
the City of Federal Way.
Owner or agent: k�W ]DOM 0 dMAAafV-, Date: U
A".,plo*Z
��,� � � -7 (—d 0 C.CJ
CITY of G r7. r-7 I?�I!F ,
C^
204)
PARCEL #
SITE LOCATION
Tenant/Owner
.� h.. ti.r 0.
APPLICATION FOR MECHANICAL PERMIT
Federal Way Business License number:
Single Family [9
BunmiNG DIVISION
33530 First Way South
Federal Way, WA 98003
(253) 661-0000
Fax(253)661-4129
MEC
Multi -Family -0 Commercial ❑
Phone . �10
Address/City/State/Zip 2 q � ` `-i_ au `> I e A a.Q `X'° &4=
Nature of Work M"I&LU�- �� �- ���10 —aLNProject Valuation: t SSDD' Do
APPLICANT
Name
K
Address/City/St/zip 1A i q 6 E f 5�- -W1 D2 khkAA 1 d) Cje- X �
Contact Person Phone Fax
MECHANICAL CONTRACTOR
Company Name
Address/City/St/Zip F4A\ q IS cT is ' -* \b-)-- , CM -?—
Cont
MZContact Person 4 Phone 1Q -®w)p,� Fax
State L & I Contractor Registration # 3w PA V% Exp. Date
(Card must be presented)
MECHANICAL UNIT COUNT
Fuel other
Gas Dryer
Air Handling
< =10 000cfin
Fuel Tamm:
Lanp,th ofgas i m*
Range
Air Handlin
> =10 000cfin
Above Ground
Furn <100K BTUs
Gas Log
Unit Heater
Underground
Furn>100K BTU's
Fans
Boiler
BTU/H
Miscellaneous
Gas Hwt
Hood
Boiler
BTU/11
Other
Cony Burner
Duct Work
A/C
TONS
Other
DISCLAHaW I certify, under Penalty ofp4ay. that the information fimdshedby me is true and coned to bre best ofu y knowhAge and further that I am authorized by the owner ofthe above premises to pe&no the work
fin permit appfication is made. I further agree to save harmless the City of FeW Way as to any claim (=hWing cis. expanses. and attomeW fees insured in investigation and defense ofsuch daimj which may be
made by any person, inchai ng the m designed, and Mad against the City of Fedaay Way but only where mot daim arises out ofthe reliance ofthe city, mduding its offices and employees, upon the accuracy ofthe
information supplied to the city as a part ofthis application.
MEC20"
REV=) 117M