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93-102808N FANS..........: 0 �3-/D� 8o S CITY OF FEDERAL WAY MECHANICAL GAS PIPING.: 0 ft P 0-3 HP......: 0 PERISSUED: MEC PRMT ISSUANCE... ; 33530 First Way South FURN<100K..: 1 DUCT WORK.....: 0 3-15 HP.....: 0 MEC APPLIANCE FEES.* ; 111/02/9381 Federal Way, WA 98003 Building Inspection Requests 661-4140 BY: FLF 661-4000 EXPIRES: 05/01/94 ADDRESS:33553 36TH AVE SW NO.: 109960-0490 PROJECT DESCRIPTION :HVAC - INSTALL GAS FURNACE OWNER GLENN OLSON 33553 - 36TH AVE SW FEDERAL WAY WA 98023 661-2718 CONTRACTOR NORTHWEST WATER HEATER 8201 DURANGO ST SW TACOMA, WA WA 98499 984-6404 588-0393 NORTHWH103R2 LENDER FUEL TYPES.:GAS FANS..........: 0 BOILERS/COMPRESSORS FEES: GAS PIPING.: 0 ft HOOD..........: 0 0-3 HP......: 0 MEC PRMT ISSUANCE... ; 20.00 FURN<100K..: 1 DUCT WORK.....: 0 3-15 HP.....: 0 MEC APPLIANCE FEES.* ; 10.00 GAS HWT....: 0 WOOD STOVES...: 0 15-30 HP....: 0 CONV BURNER: 0 FURN>10OK.....: 0 30-50 HP....: 0 BBQ......... 0 MISC........... 0 5+ HP........ 0 GAS DRYER..: 0 AIR HANDLING UNITS FUEL TANKS --------- RANGE ...... : 0 <-10,000 CFM: 0 ABOVE GROUND: 0 GAS LOGS..,: 0 > 10,000 CFM: 0 UNDERGROUND.: 0 TOTAL FEES ; 30.00 Ries the water supply system contain a Pressure Reduction Device or Check valve? () Yes () No (If 'Yes' then water expansion tank is required on Hot Water Tank) Inspection Record Water Line OK Mechanical Inspection Notes: GAS PIPING OK _ Date By PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS STARTED. RESIDENTIAL AND GRADING PERMITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE. I CERTIFY THAT THE INFORMATION FURNISED BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FERERAL WAY REQUIREMENTS WILL BE MET, OWNER OR AGENTDATE _�------------------------------------------ FILE COPY NOV— 2-93 TUE 10 31 NW WATER HEATER TACOMA FAX NO, 206 588 0353 , P,03 011 Pet# "-Ap113— Iii( CITY OF FEDERAL WAY BUILDING PERMIT APPLICATION -- Pleaoo Print — BOX 1 TENANT NAME: �j OWNER , It - SITE LOCA7jON OWNER'S ADDRESS�i3 �1 ,, Ut _ CITY PNONF lcrc ! – RISE' 1) ESC AI$EJOB ', r'jj rau THE PROPERTY IS OWNED BY: S GLEIMARRIED of PARTNERSHIP CORPORATION BOX 2 CONTRACTORS NAME k Ll j ! A J'ja .4–._..-- _ CONTRACTOR'S REG. # �12T Lo Card MINT be presented CQNTRACTCR'S ADORESa L�CITY 1'G_ PHONE EXPIRATION DATE )_ --OR— IHAVEREADCHAPTER 1$.27,0 0 RELATINO TO DEFINITI ONS OF GENERAL CUNTRACTORS AND SPECIALTY CCNTRACTORS AND CHAPTER 13.27,110 WHICH 'ROWSITS ISSUING PERMITS 1N'ITHIOUT PROOF DF REGISTRATION. BOX 3 CONTACT PERSON aOX 4 EERIER DISTINCT WATER DISTRICT BOX 5 E ,T1h1A" ED PROJECT COST__ EXISTING BUILDING VALUATION SOX 6 P +OPEPTY TAX ACCOUNT NUMBER LEGAL DESCRIPTION (I` necessary, please submit a separate page with the legal deaCriptIon,) K.C. Plat Recording # 14OX 7 BUILDING SQUAB` FOOTAGE: (Existing/Proposed) 1S7 FLOOR ----I 2ND FLOOR 3RD FLOOR ---j_ BASEMENT ----f— DECK j_ GARAGE .SOX 8 ( ) SINGLE FAMILY ( ) NEW GONSTRUGTIQN ( ) MULTIFAMILY (NO. OF UNITS - �) ( ) EXISTING STRUCTURE ( ) COMMERCIAUINDUSTRIAL TOTAL AREA OF PROPERTY ____SQ FT BOX 9 PLUMBING FIXTLRES (including rough-irs) MECHAN!CAL APPLIANCES — BASIC FEE $ NQ- WATERCI OSETS GAS PIPING, FEET —t. � $ BATHTUBS NO. FURNACE. ELEC. GAS t� $ SHOWERS GAS HOT WATER HEATER _ LAVATORIES —CONVERSION BURNER $ -----SIKHS BOILER., SIZE — BTU $ —DISHWASHERS— IR HANDLING UNITS S �� --ELECTRIC HOT WATER HEATER _,HEAT PJM, SIZE_ $ –� LAUNDRY WASI-ER OUTLET UNIT BEATERS $ —URINALS DRINKING FOUNTAINS ------AIR COOLING UNITS. SIZE $ � S,COMMERC;AL HOOD $UMPS, SPRINKLER VACUUM BREAKERS DRAINS —OTHER– $ —_____OTHER S —T OTAL FIXTURES $-- S TOTAL MECHANICAL FEE _ I CERTIFY UNDFP RENALTV OF PERJURY THATTHE INFORMATION FURNISHED BY ME IS TRUE AND CORRECTTO THE BESTOFMY KNOWLEDGE AND FUR T HERTHAT I AM AUTHCRIZED BY THE CWNEROFTHE ABOVw PREMISES TO PERFORM THE WORKFOR WHICH PERMIT APPLICATION IS MADE. I FURTHER AGREE TO SAVE HARMLESS THE CITY OF FEDERALYt'AY AS TO ANYCLAIM (INCLUDING COSTS, EXPENSES, AND ATTORNEYS' -EES i 'CURRE!? IN INVESTIGATION AND DEFENSE OF SUCH CLAIM), WHICH MAY BE MADE BY ANY PERSON, INCLUDING THE UNDERSIGNED, AND FILED AGAINST THE CITY OFFEDERA. WAY, BUT ONLY WHERE SUCH CLAIM ARISES OUT OFTHE RELIANCE OF THE CITY, INCLUDING ITS DFFICERS AND EMPLOYEES, UP0141THE ACCURACY OF T�­tE INFORMATION SUPPLIED TO THE CITY AS A PART OF THIS APPLICATION, A i DWNERlAGENT DATE: (. -w 'Qw aim CITY OF FEDERAL WAYMECHANICAL PERMIT I7ERB1/02/93x1 33530 First Way South ISSUED: Federal Way, WA 98003 Building Inspection Requests 661-4140 BY: FLF 661-4000 EXPIRES: 05/01/94 ADDRESS:33553 36TH AVE SW NO.: 109960-0490 PROJECT DESCRIPTION : NYAC - INSTALL GAS FURNACE OWNER CONTRACTOR GLENN OLSON NORTHWEST NATER NEATER 33553 - 36TH AVE SW 8201 DURANGO ST SW 0EDERAL WAY WA 98023 TACOMA, WA WA 98499 661-2118 984-6404 588-0393 NORT I0392 -- z ze --u-.� -- - -. FUEL TYPES.:GAS FANS..........; a "WE Rsi,MpF'."uSoil IZ GAS PIPING.: 0 ft 0000........... 0 0 ? 4P. FURNO OOK..: 1 DUCT WORK....3-11, OF-- 0 � GAS HINT....: 0 WOOD,5"I`GYE$;., '' 15-30 Nr-� CONY BURNER: 0 FUR01009...... 30 ...: � ae 880........: 0 ... .... GAS DRYER..: 0 AIR T 1'Ui TAN° )-- RANGE......: 0 <=1 GAS LOGS...: 0 > 10, 0ilN4i,CRtas ,r LENDER the water supply systes contain a Pressure Reduction Device or Check valve? () Yes () No (If 'Yes' then water expansion tank is required on Hot Water Tank) Inspection Record Water Line OK Mechanical Inspection Notes: GAS PIPING OK&SS W� 'Date 11-4918y 6!?N PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS STARTED. RESIDENTIAL AND GRADING PERMITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE. I CERTIFY THAT THE INFORMATION FURNISED BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FERFRAL WAY REQUIREMENTS WILL BE MET. OWNER OR AGENT DATE —_- ��' - ---------------------------- FIELD COPY To V4 tl