00-104809City or Federal Way
ComnBauty Development services Mechanical Permit #: 00 -104809 - 00 - ME
33530 1st Way S
Federal Way, WA 98003-6210 Inspection request li>ie: 253.661.4140
Ph 253.661.4000 Fax: 253.661.4129 (3:30pm cut-off for next day inspections)
Project Name: VEST
Project Address: 4825 SW 325TH
Project Description: MEC - Replace gas water heater
Parcel Number: 873219 0560
Owner
Applicant
Contractor
Rebecca D Vest
NONE
ACTION WATER HEATERS ONLY INC
4825 SW 325TH PL
"
FEDERAL WAY WA
12704 NE 124TH ST, SUITE 43
98023-1920
NONE
KIRKLAND WA 98034
Mechanical Valuation..........................................1661 Over the Counter Permit ...................................... Yes
Permit issued on
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.
F1';10rJ
PARCEL #
SITE LOCATION
u
SES' I q 7,000
APPLICATION FOR Mt 1X dAL PERMIT
Buu wGD[4 wrt
33530 Fust Way South
Fuleral Way, WA 98M
(253)661-4090
Fax (253) 66144
M'rC w _ 1048;
Single Family II Multi Family ❑ Commercial 0
Ttmant/Owuer �' Phone LZ -55 I (d— P S �
Ad&.. s/City/State/Lip a In, � �L.0.
Nature of Work 4-0 6 Project Valuation: �°—�-
r
APPLICANT
A 1. < b 1 l I_ Il "7" .
Name
Address/City/St/zip /sQ2 0 - q /V6 /� C/''� <-/.7 - L/ 3
Contact Person . to r -;� �r eL L Phone r
MECHANICAL CONTRACTOR
Company Name
-d` 10 Fax t,7-"
Address/City/St/Zip /" c a — - -
Contact Person eed 14L "cl Phone Fax
-� 2r �O l SQ
State L & I Contractor Registration # GP �^� Exp. Date—.—
(Card moat he ptt;4"W) ) - 31 -
MECHANICAL UNIT COUNT
Fuel T as/other
Gas Drver
Air Handlin
< - 10 000cfm
Fuel Tanks: 771
L.cngth of gas piping
Rana
Air Handlin
> =10 000c&n
Above Ground
Fum <100K BIUS
Gas Log
Unit Heater
Underground
Fum>100KBTLTs
Fans
Boiler
BTU/H
Miscellaneous
Gas Hwt
Hood
Boiler
BTU/H
Other
Conv Burner
Duct Work
A/C
TONS
Ofltef
Wood qfoyc-4
DISCLAIMER I certify, under penalty of pejury, that the iafornntion futtdshod by me is true and eoaea to the best of my knowledge and Gaiter Qat t sm authorized by the owner of the above paMises to perform the Mode
for which pemtit application is made. I Gntiher agree to save harmless the City of Federal Way as to anY claim (including costs. expaaus. °tut attorneys' fees incurted in investigation and defense of such claim). which msy bo
rote by any pemon, including the u ndesigned. and filed &gaunt the City of Fedeay Way but only where such claim uiscs out of the reliance orthe city. including in officers and employees, upon the eecuary oftbo
barauaioa supplied to the city as a put of ttp gTlication.
Owner/Agent
Rvya wS � ilei
ti
Date II L.-�