00-105082City Federal Way
Commamity Development Services Mechanical Permit #: 00 -105082 - 00 - ME
un
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: TURNER
Project Address: 30033 20TH SW Parcel Number: 012103 9111
Project Description: MEC - Oil to oil furnace changeout
Owner
Applicant
Contractor
Robert W Turner
NONE
ROSSOE ENERGY SYSTEMS INC
30033 20TH PL SW
FEDERAL WAY WA
9367 RAINIER AVE S
98023-3404
NONE
SEATTLE WA 98118
P'6p F-1 Ma/ I i/;i /d® 545
Mechanical Valuation..........................................3600
D��ai'i tion Q_uari#_i
Furnaces 1
Over the Counter Permit....................:.................Yes
Mechanical Fixtures
PERMIT EXPIRES April 7, 2001, IF NO WORK IS STARTED.
Permit issued on October 9, 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 Federal Way.
Owner or agent: Date: �d ®®
- •s
PARCEL # 012103911108
y
(J rT n q t
Qe-'r-a- A
010'lO� j III
APPLICATION FOR MECHANICAL PERMIT
Federal Way Business License Number:
SITE LOCATION
Tenant/Owner ROBERT TURNER
Single Family 0 Multi - Family ❑
AddressICky/State/Zip 30033 20TH PL �f
Nature of work OIL TO OIL FURNACE CHANGEOUT
APPLICANT
Name ROSSOE ENERGY SYSTEMS
Address/City/staterzip <street>
Contact Person
MECHANICAL CONTRACTOR
Company Name Rossoe Energy Systems
Address/City/State/Zip PO Box 18259
Contact Person
State L & I Contractor Registration # rossoes101 II
(cans must be presented)
MECHANICAL UNIT COUNT
<city>
Phone
Seattle
Phone
Phone 2538381905
BUILDING DIVIs1oN
33530 FIRST WAY SOUTH
FEDERAL WAY, WA 98003
(253)661-4000
Fax (253) 661-4129
MEC `"O - 0 S O,9h
Commercial ❑
_ Project Valuation: $ 3600.00
ST <zip>
Fax
WA 98118
Fax---
Exp. Date 11/17/2000
Fuel Type (gas/other)
Gas Dryer
Air Handling <= 10,000 cfm
Fuel Tanks:
Length of gas piping
Range
Air Handling >= 10,000 cf n
Above Ground
Furn < 100K BTUs 1
Gas Log
Unit Heater
Underground
Furn > 100K BTUs
Fans
Boiler BTU/H
Miscellaneous
_ ......
Gas Hwt
Hood
Boiler BTU/H
Other
Conv Burner
Duct Work
A/C TONS
Other
BBQ's
Wood Stoves
A/C TONS
otal Utatiunt
DISCLAIMER I certify, under penalty of perjury, that the information furnished by me is true and correct to the best of my knowledge and further that I am authorized by
the owner of the above premises to perform the work for which this application is made. I further agree to save harmless the City of Federal Way as to any claim
(including costs, expenses, and attorney's fees incurred in investigation and defense of such claim), which may be made by any person, including the undersigned, and
filed against the City of Federal Way but only where such claim arises out of reliance of the city, including its officers and employees, upon the accuracy of the
information supplied to the city as a part of this application.
Owner/Agent `/' `" Date: 10/03/2000
MECH.APP
REVISED 1/1/99