00-100374City of Federal Way
Conununity Development Services
33530 1st Way S
Federal Way, WA 98003-6210
Ph: 253.661.4000 Fax: 253.661.4129
Project Name: MITCHELL (MECH)
Project Address: 1904 SW 350TH
Mechanical Permit #:00 -100374 - 00
Inspection request line: 253.661.4140
(3:30pm cut-off for next day inspections)
Parcel Number: 795620 0080
Project Description: CHANGEOUT OF EXISTING GAS WALL FURNACE IN EXISTING SINGLE FAMILY RESIDENCE
Owner
Applicant
Contractor
Jon H & Norma O Mitchell
MIKES HTG & AIR CONDITIONING
MIKES HTG & AIR CONDITIONING
2110 S 272ND ST #13106
1909 HONEYSUCKLE LANE
KENT WA
CENTRALIA WA 98531
1909 HONEYSUCKLE LANE
98032-7959
1 CENTRALIA WA 98531
Mechanical Valuation..........................................450
Over the Counter Permit ...................................... Yes
Mechanical Fixtures
Description Qtaanti Description TQualrti t Description Quanti
Furnaces 1
�441
J/� ')
GG"I ef
PERMIT EXPIRES July 26, 2000, IF NO WORK IS STARTED.
Permit issued on January 28, 2000
I hereby certify that the above information is correct and that the construction on the above described property and
the occupancy and the use will be in accordance with the laws, rules and regulations of the State of Washington and
the City of FederalWay.
Owner or agent: lv „ (., Date:'
X915OF FEDERAL �i�
UI ®NG DEPT -
APPLICATION FOR MECHANICAL PERMIT
Federal Way Business License number:
PARCEL # `7 �5- Z & `3 � � Single Family
SITE LOCATION
Tenant/Owner
\l
Bun unvG DmaoN
33530 First Way South
Federal Way, WA 98003
(253) 661-4000
Fax(253)661-4129
MEC 0D - 100 374 - ®1O
Multi -Family ❑ Commercial ❑
Phone
Address/City/State/Zip WA O ` ` , Ivo ` )abs J
Nature of WorkZ 6'aUT akg LUf-u FvRNAaE Project Valuation: $ �5U
APPLICANT
Name
Address/City/St/Zip 1010
Contact PersonDl l -e (x-
MECHANICAL CONTRACTOR
\ I.
Phone t. !2 ax
Company Name I II v m
Address/City/SdZip V/1 b( QA rt
\1 e i f- (no—, \ )\ �-U!� Phone Ax �� " L a
Contact Person r ^� �+'State L & I Contractor Registration # 1 44!2 L( Exp. Date v
�1 121 Jk()
(Card mast be presented)
MECHANICAL UNIT COUNT
Fuel T as/other
Gas er
Air Handling<
= 10 000cfin
Fuel Tanits:
Length of gas pipingRange
Air Handling
> = 10 000cfm
Above Ground
Furn <100K BTU's
Gas Log
Unit Heater
Underground
Furn>100KBTUs it
Fans
Boiler
BTU/H
Miscellaneous
Gas Hwt
I Hood
I Boiler
BTU/H
Other
Cony Burner
Duct Work
A/C
TONS
Other
DISCLAIMER I certify, under penalty ofperjury, that the information fimiished by me is true and correct to the best ofmy knowledge and Unlher that I am authorized by the owner of the above premises to perform the work
for which permit application is made. I further agree to save harmless the City of Federal Way as to any claim (including costs, expenses, and attorneys' fees incurred in investigation and defense of such claim), which maybe
made by any person, including the undersigned, and filed against the City of Federay Way but only where such claim arises out of the reliance ofthe city, including its officers and employees, upon the accuracy of the
information supplied to the city as a part of this application.
Owner/Agent
Mecu.App
atvs® 117/99
Date - 6 U