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00-105656
City of Federal Way Community Development Services 33530 1st Way S Federal Way, WA 98003-6210 Ph: 253.661.4000 Fax: 253.661.4129 Mechanical Permit #:00 -105656 - 00 - ME Inspection request line: 253.660 (3:30pm cut-off for next day inspec ' s) Project Name: WOODMARK RETIREMENT CENTER Project Address: 31200 23RD S Project Description: MEC - Ventilation modifications Parcel Number: 192100127 07 Owner Applicant n or WOODMARK AT STEEL LAKE NONE S GINEERING INC. 31200 23RD AVE S V FEDERAL WAY, WA 90 ST 98003 NONE A WA 98409 Mechanical Valuation..........................................15150 Ducts 1 I hereby certify that the above information the occupancy and the use will be in accon the City of Federal Way. Owner or agent: a • Permit......................................No 21, 2001, IF WORK IS STARTED. d on No ber 22, 2000 ie cdo n the above described property and rule egulations of the State of Washington and L N Date: I, kc� / © Q Date: Date: Date: cmr OF BUIMING DimoN `` �/ 33530 Fust Way South Nov Federal Way, WA 98003 N16 20M Fax (253) 661-41290 APPLICATION FOA1 A LERMIT Federal Way Business License number: PARCEL # ®q V " ` q ) t -4- Single Family ❑ SITE LOCATION Tenant/Owner Address/City/S MEC67,(„) - 1(�j Multi Family 0 Commercial o r15-3) 941-5�� Natureof Work VIUz1CAT14071 FlMZW6 Project Valuation: $ ' 5► 1 �Q APPLICANT Nalene Address/City/St/Zip $JZ°Ct -2S � ri I tor, V I to Contact Person Phone Fax _ MECHANICAL CONTRACTOR �` Company Name � l� q S I L) 6' 6/ Address/City/St/Zip ` -Z67 <T > Gl GD LLta LC_Xx- gb6f Contact Person i ` db 4 y Phone Z ^ Fax253 3fF,&334' State L &I Contractor Registration # R� ` Exp. Date (Card must be presented) MECHANICAL UNIT COUNT Fuel other Gas Dryer Air Handling <=10 000cfm Fad Tanks: Len xth of xas pipingRange Air Handling > =10 000cfm Above Ground Furn <100K BTU's Gas Log Unit H Underground Futn>100KBTUs Fans Boiler BTU/H Miscellaneous Gas Hwt Hood Boiler BW/11 Other Cony Burnes I Dud Work X A/C TONS Other DISCLAIMERIartily,underpenaltyofpajury,thattheinformationtimushedtrymeishueandcomxttothebeatofmykwwledgeandfludwrthatIamaudimizedbytheowneroftheaboveprmisestoped mrthewads for whichpemhit application is made. I flutl=agree to save hannleaa the City of Fedad way as to any claim Cmclufg oos%and attomeW fees bwumed in investigation and defeim ofsuch daim� wbirhmay be made by any person, including the and filed againdthe City ofFederayWay but only whom such claim edgesoutofthereliance ofthesty,includingitsofficers ami emplcyeea,uponffiaaccuracyofthe information supplied to the g a pad of appficetion /1 'e- ,p Owner/Agent Maca.Aer Rraw ,n9M Date ` ` " - L