00-102540•City of Federal Way Mechanical Permit #: 00 -102540 - 00 - ME
Conomnity 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: LYONS
Project Address: 33236 37TH SW Parcel Number: 109961 0990
Prniect Descrintion: HVAC - new gas furnace, hwt and associated gas pipe
Owner. Applicant Contractor
Craig P & Leticia Lyons NONE NORPAC HEATING & A/C INC
33236 37TH PL SW
FEDERAL WAY WA 3414 "A" ST SE SUITE #102
98023-2959 NONE I AUBURN WA 98002
T,A ,1 ",,;.."t vah,atinn......... ..............................1856
Over the Counter Permit......................................Yes
Mechanical Fixtures
Description Quanti Description Quanti (--Description
Fumaces I Gas Piping 1 I I Water Heaters
PERMIT EXPIRES October 23, 2000, IF NO WORK IS STARTED.
Permit issued on April 26, 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_9
the City of Federal Way.
Owner or agent: Q Rl�i Sl LOD^V Date: L.. Fier _V.Lji'ie,'i'i
0 B Y Ut- AL ViVdS V
BUILDING DEPT
Mechanical rough -in: Date:
Gas pipe: Date: j A
FINAL MECHANICAL: dr Date:
C" OFF (i— r— BU]WINGI)imoN
D 33530 First Way South
Federal Way, WA 98003
(253) 6614000
Fax (253) 6614129
'OPLICATION FOR MECHANICAL PERMIT
Federal Way Business License number: 2 1 a
MEC
PARCEL # I CA I Single Family Multi -Family 0 Commercial 0
SITE LOCATION
Tenant/Owner �. M ) C,' Phone
Address/City/StateMp a —25201, 1--; w '--J
Nature of Work EtR—LA3 C -11S atfuri , Project Valuation: $ ZQ
f% A Kt'r
OAF -F -L.
Name
Addra
Contact Person o
MECHANICAL CON TOR
Company Name mo� PA
Address/City/St/Zip
Phone
2s3
Contact Person Phone
State L & I Contractor Registration #
(Card must be presented)
MECHANICAL UNIT COUNT
Fax
Exp. Date
Fuel other)
Gas Dryer
Air Hanriling
< =10 000cfin
FuelTaidis:
Length of ps Wt)ing
IF
AIAK Range
Air Handling>
=10 000cf n
Above Ground
Furn <00K BTUs
Gas Lost
Unit Heater-
Un and
Furn >100K BTUs
Fans
Boiler
BT(J/H
Miscellaneous
Gas Hwt
Hood
Boiler
BTU/H
Other
Cony Burger
Duct Work
A/C
TONS
Other
....
DISCLAWER: I certify, under penalty ofpe*iry, that the fifformidiort Aunialted by me is true and correct to the best ofmy knowledge and find= that I am authorized by the owner oflhe above premises to perform ffic WO&
far which permit application is made. I fluther agree to save harmless the City of ederal Way as to any claim (including costs, cqmws, and aftorrWe few incurred in investigation and defense ofsach claim), whichmay be
made by any pgwnJa&h&q 1he undersigned. and filed apmd the city of Fede Way but only where such claim arises out ofthe reliance ofthe czWI including its officers and employees, upon 1he accuracy Offiw
infinmation sufWlied to the atyps a part ofthis application.
Owner/Agent Date
MECH-App
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