00-104623City of Federal Way
Commrmity Development Services Mechanical Permit #: 00 -104623 - 00 - ME
33530 Ist 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: BLAISDELL
Project Address: 2647 S 276TH Parcel Number: 757560 0530
Project Description: MEC - Replace hot water heater
Owner
Applicant
Contractor
Mark T & Sherry L Blaisdell
NONE
ADVANCED FILTER AND MECHANICAL
2647 S 276TH ST
FEDERAL WAY WA
516 VALLEY AVE NE
98003-6934
NONE
PUYALLUP WA 98372
Mechanical Valuation ......................................... 850 Over the Counter Permit...................................... Yes
PERMIT EXPIRES March 4, 2001, IF NO WORK IS STARTED.
Permit issued on September 5, 2000
I hereby certify that the above information is correct and that the construction on the above described propert
the occupancy and the use will be in accordance with the laws, rules and regulations of the State of Washingt
the City of Federal
Owner or agen . Date: 7� DO
CtrY
OF G BUILDING DivrsroN
33530 First Way South
�y�� Federal Way, WA 98003
(253)661-4000
Fax (253) 6614129
APPLICATION FOR MECHANICAL PERMIT
Federal Way Business License number:
MEC O
PARCEL # '+c5 -+ a5 4® 6ci-5o SingleFamilA Multi -Family ❑ Commercial ❑
SITE LOCATION
Tenant/Owner_ ,�;_
Address/City/StatelZip
Nature of Work
APPLICANT
Project Valuation: $
Advanced Filter & Mechanical, Inc.
Name 418 Valley Ave. NW
Suite 8-115
Address/City/St/Zip Puyallup, WA 98371-3309
Contact Person Phone? V Z Q Fax J g;:B Z?z2 ;,
MECHANICAL CONTRACTC Advanced Filter & Mechanical, Inc.
Company Name 418 Valley Ave. NW
Suite 8-115
Address/City/St/Zip Puyallup, WA 98371-3309
Contact Person �42JRV 4eS Phone Z = Fax � ?70 Z5Y,*
State L & I Contractor Registration # 4 ® _� Exp. Date
(Card must be presented)
MECHANICAL UNIT COUNT
Fuel T other
Gas Dryer
Air Handling
< =10 000c&n
Feed Taala:
Length of gas pipingRange
Air Handling
> =10 000cfin
Above Ground
Fum <100K BTUs
Gas Log
Unit Heater
LhOetwound
Fum >100K BTU's
Fats
Boiler
BTU/H
Miscellaneous
Gas Hwt
I Hood
I Boiler
BTU/H
Other
Cony Burner
Dud Work
A/C
TONS
Other
RRO'n
Wood Stoves
A/C
TONS
DISCLAIMER: I certify, under penalty of perjury, that the information fimaished by me is hue and correct to the bat ofmy knowledge and fu dzer that 1 am authorized by die owns ofthe above premises to perform the work
for which permit application is made. I Anther agree to save harmless the City of Federd Way as to any claim (including coats, atpease, and attorneys' fees incurred in inves0ption and defense ofsuch claim), which may be
made by any person, including the undersigned, and filed agaottt the City of Federay Way but only where such claim arises out of the reliance of the city. including its officers and employees, upon the acemaey of the
information supplied to the city as a part of application.
Owner/Agent
McCaAPP
REvis® 1/7,99
ff
Date E- ��