00-104340City of Federal Way Mechanical Permit #: 00 -104340 - 00 - ME
Community Development Services
33530 1st Way S Inspection request line: 253.661.4140
Federal Way, WA 98003-6210
Pb: 253.661.4000 Fax: 253.661.4129 (3.30pm cut-off for next day inspections)
Project Name: VOSS
Project Address: 4622 SW 328TH Parcel Number: 802950 0040
Project Description: MECHANICAL - Install gas piping and (1) gas log for existing single family residence
Owner
Stephen M & Vicki L Voss
4622 SW 328TH PL
FEDERAL WAY WA
QW174-1975
Applicant
Stephen M & Vicki L Voss
4622 SW 328TH PL
FEDERAL WAY WA
98023-1925
Contractor
AQUA REC INC
1221 REGENTS BLVD
FIRCREST WA 98466
Mechanical Valuation..........................................425 Over the Counter Permit. ..................................... Yes
Mechanical Fixtures
Description Chant' Descri tion EQuenti D`escrition Quanti
Gas Logs 1 Gas Piping 1
PERMIT EXPIRES February 11, 2001, IF NO WORK IS STARTED.
Permit issued on August 15, 2000
I hereby certify that the above information is correct and that the construction on the above described properti
the occupancy and the use will be in accordance with the laws, rules and regulations of the State of Washingb
the City of Federal Way. /
Owner agent:— Date: / S tea'
CUT OF G d
i�
VV tF7�Y
APPLICATION FOR MECHANICAL PERMIT
Federal Way Business License number:
PARCEL # I�T �6
SITE LOCATION
Tenant/Owner
Address/City/State/Zip 2� `
Nature of Work
'I'Glt✓ Vd 5".
BUII DING DrMoN
33530 First Way South
Federal Way, WA 98003
(253) 661-4000
Fax (253) 661-4129
MEC�(9 - 10,3 0
Single Family Rl---' Multi Family ❑ Commercial ❑
Phone
Project Valuation:
APPLICANT /
Name & 4%5'S
Address/City/St/Zip 34;2Z sw 2?!`' A
Contact Person im /0�5"S Phone A<3 4—P?? Fax 45,23 cdl
MECHANICAL CONTRACTOR ���� %��C-.�!`�%� I�E�/�� f' r"��
Company Name
Address/City/St)
Contact Person d5' l4N41` Phone �3 9y/ 74'07 Fax X W— IS/ ZiQ X
State L & I Contractor Registration # Exp. Date .2 -1? -01
(Card must be presented)
MECHANICAL UNIT COUNT
Fuel other tA�5
Gas Dryer -
Air Handlim<=10
OOOefat
Fuel Tamlrs:
Length of gas vivitm
Range
Air Handling
> =10 OOOd'm
Above Ground
Fum <100K BTU's
Gas 1
Unit Beater
d
Fun >100K BTU's
Fats:
Boiler
BTU/H
Miscellaneous
Gas HWt
Hood
I Boiler
NW/H
Other
Cony Bumer
Dud Wank
A/C
TONS
Odw
DISCI.AIl4I M I certify, under penalty ofperjmy, &et&e information Sm&hed by me is ttm end ooaed to the bed ofmy ffiowk* and fiu&a&d I am mAodwd by the owner of&e above premises to perform &e wodc
fm whidt pe m8 app&cation is made. I ti Aa arae to save hamdess the My of Federal Way as to any claim (mchtft cas% acpe wwe and euomeW Seen incased in hwesbgatim and defense ofsu& daim), whish may be
made by airy person, m&WM the rmdasWwd, and fled against the City of Federay Waybut only where suds claim amen out of&e re&= of&e dry, hwhrft#s officers and employees, up= ft accmaey of&e
infommtim supplied to ace dry as a part ofWs applicafim
Owner/Agent
MuCHAW
Rev= Int"
Date F—Zs ®d