00-104287.b.
ral Way
Mechanical Permit #: 00 -104287 - 00 - ME
elopment Services
S
Inspection request line: 253.661.4140
FIst
A 98003-6210
00 Fax: 253.661.4129
(3.30pm cut-off for next day inspections)
Project Name: KOCH
Parcel Number: 053700 0100
Project Address: 2207 S 304TH
MECHANICAL - Install gas piping, (1) B -B -Q, and (1) gas log insert in existing single family residence
Project Description:
Applicant Contractor
Owner
ADVANCED FILTER AND MECHANICAL
FS3041TH
Jerome F Koch
T
2207 S 304TH ST
516 VALLEY AVE NE
Y WA
FEDERAL WAY WA
PUYALLUP WA 98372
98003-4807
Mechanical Valuation..........................................4228
Over the Counter Permit......................................Yes
Mechanical Fixtures
riptlon' p4auar;►uty� 4,.,,.r F ,..: �__ ,
BBQs I
I Gas Logs
1 Gas Piping 1
PERMIT EXPIRES February 7, 2001, IF NO WORK IS STARTED.
Permit issued on August 11, 2000
I hereby certify that the above information is correct and that the construction on the above described propeM
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. ®�
Date:
Owner or agent:
q1 I I /0� 10
V�
O OF
BUILDING DlvrsloN
33530 Fust Way South
Federal Way, WA 98003
(253) 661-0000
j Fax (253) 661-4129
ONE �4,
ffiPLICATION FOR MECHANICAL PERMIT
�e� ��`�®®��® Federal Way Business License number:
b�)lb 6 - MEC06
PARCEL # 607�0"
Single Family ❑ Multi -Family ❑ Commercial ❑
SITE LOCATION
Tenant/Owner
Address/City/Stat &ip
Nature of Work A
INI, _a4a
APPLICANT
Phone
Name of, &YA
Address/City/St/Zip
Contact Person Phone
MECHANICAL CONTRACTOR
Company Name
UPIP
State L & I Contractor Registration #
(Card must be prmnt4
MECHANICAL UNIT COUNT
Fax
Exp. Date
Fuel other)
Gas Dryer
Air Han&ing
<=10 000cfm
Fuel Tanks:
Lmmth of ymm
Raw
Air Handffim
> =10 000cfm
Above Ground
Fttm <100K BTU's
rr
Gas L40Rl
Unit Heater
Underground
Furn >100K BTU's
Fans
BoOer
BTU/H
h isoallaneous
Gas Hwt
Hood
Boiler
BTU/H
Other
Cony Buttner
Dud Work
A/C
TONS
Other
DISCLAIMER Icertify. mWer penalty ofperjury,&atthe informationfamisleedbymeistmeand comedto&abed ofmylmowledgeand Bcfhaf dIamauthoriadbyOnowner o£ltieabove promises topetfarmthework
forwldd<permitapplicationismadc.IAwdwagreetoamhaanlcsstheCityofFederalWayastoairyclaim(awloftoasts,expenses,andattomeys'fees hicumed in investigation and defense ofsmirddmlwbidimay be
me& by any person, mcludmg the raider and filed againd the City of Fed -y Way but only whoa each da® arises out ofthe reliance oftlre city, inducting its officers and employees, upon the acamul ofthe
infomretion supplied to the city as a part oftbisWpoatioo.
Owner/Agent
1
Ravrero tn/"
Date s • r