00-104432E
ral Way Mechanical Permit #:00 -104432 - 00 - ME
velopment Services
S Inspection request line: 253.661.4140
A 98003-6210
000 Fax: 253.661.4129 (3.30pm cut-off for next day inspections)
Project Name: BURMEISTER
Parcel Number: 787540 0110
Project Address: 3143211TH S
Project Description: MEC - Replace gas furnace and water heater
Owner
Applicant Contractor
George J Burmeister
NONE RITE WAY GAS SERVICE
13915 SE 241ST ST
PO BOX 994
KENT WA
98042-3315 NONE KENT WA 98035
Mechanical Valuation..........................................3000
Over the Counter Permit......................................Yes
Mechanical Fixtures
Desai ,tion 000 ti Description Quanti Description Quanti
Furnaces
PERMIT EXPIRES February 17, 2001, IF NO WORK IS STARTED.
Permit issued on August 21, 2000
I hereby certify that the above information is correct and that the construction on the above described propert3
the occupancy and the use will be in accor a th the laws, rules and regulations of the State of Washingto
the City of Federal Way.
Dat
Owner or agent:
1. �'I� ✓ /
/�
MY OF G
ate-
6se "w a � •.r91
APPLICATION FOR o � T ICAL PERMIT
Federal Way Business License number: 9-,,2 99
Bun DiNG DIVISION
33530 Fust Way South
Federal Way, WA 98003
(253) 6614000
Fax(253)661-4129
045
MEC 99
PARCEL # gk25r4 D®i l O Single Family's Multi -Family ❑ Commercial ❑
SITE LOCATION-
t/Owner Phone 631-611,3
Address/City/State/Zip 3l q 3,p, -
Nature of Work jenpmdi zwy /y7y Project Valuation: $ dO0 _O
APPLICANT
Name 17"x, k* Y X145 �l%f
Address/City/Stop
Contact Person Phone Fax
MECHANICAL CONTRACTOR c,.
Company Name d/ZE' WRY 4ZA5 t G ie V`/, I Q
Address/City/St/Zip �d 6 29NJ�/i`7- IZ f l90 36
Contact Person Phone 0763 -ro 5 1- 24!2 Fax
State L & I Contractor Registration # Exp. Date
(Card must be presented)
MECHANICAL UNIT COUNT
Fuel T er
Gas Dryer
Air Handling
< =10 000c&n
Fuel Tanks:
of
Range
Air Handling
> =10 000c1m
Above Ground
Furn <100K BTU's
CMLOA
Unit Heater
Underground
Fufn>100KBTUs
Fans
Boiler
BTU/H
Miscellaneous
Gas HWt
Hood
Boiler
BTU/H
Other
Cony Sumer
Dud Work
A/C
TONS
Other
RHO,
.3yaw Sim=
AJC
TONS
:;y{:;:%'rLL.'i'�.•SS,Cv:':Lnv '.{'iL�;y.•.; r'•..iL;titl `••
DISCI.AAM, I ca ty,underpataltyofperjmy, dwl&andwnatlmt 5mddmdbyme is hue and omre 'to the bad ofmy knowledge and Andw&a!I am audwrimdbydie ownerofthe above premises to perform the wodc
rorwlmchpannitapp5cationisWa&I5a9ieragree toamhmmlmethe CdyofF Wayas ttxqLQhn(bwbxb wd%cgmses, and attomeWfees inamedinhwatigafionand defense ofmchdahlwbwhmay be
made by -y persaft4 hf+fg dw undaslgn4 and isad What the �claim arises ort ofthe rdiarm of the city, including its offlom and anooyees, upon the accuracy ofthe
infammon suppwd to the city as a part of em appbwN.,�
Owner/Agent
MECLAn
>:EMM Vlsros
Date�