00-104115City of Federal WayMechanical Permit #: 00 -104115 - 00 - M E
couammity Developmnt Services
33530 1st Way S Inspection request line: 253.661.4140
Federal Way, WA 98003-6210
Ph 253.661.4000 Fax: 253.661.4129 (3:30pm cut-off for next day inspections)
Project Name: HUISINGA
Project Address: 2920713TH S Parcel Number: 720560 0110
Prniect Description: HVAC - new furnace and duct work for new addtition
Owner. Applicant Contractor
Larry R & Susan J Huisinga NONE HERITAGE ENTERPRISES INC
29207 13TH PL S
FEDERAL WAY WA 1321 E 26TH ST
98003-3743 NONE TACOMA WA 98421
Mechanical Valuation..........................................3000 Over the Counter Permit ...................................... Yes
Mechanical Fixtures
Description; Quant! = Description Quant!,` (— Description Quant!
Furnaces
PERMIT EXPIRES January 28, 2001, IF NO WORK IS STARTED.
Permit issued on August 1, 2000
I hereby certify that the above information is correct and that the construction on the above described propert3
the occupancy and the use a in a cordance with the laws, rules and regulations of the State of Washingb
the City of Federal Way
Date:
Owner or agent:
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PARCEL #
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APPLICATION FOR MECHANICAL PERMIT
Federal Way Business License number: 8-70c
BrJIIAING DIMON
33530 First Way South
Federal Way, WA 98003
(253) 6614000
Fax(253)661-4129
Single Family Multi -Family O Commercial ❑
SITE LOCATION
Tenant/Owner Rt d- B-�, i �� Phone
Address/City/State/Zip ttftb a� 2 o - 13 fits P'L- , 5t- .
Nature of Work F - (A-- cons Eur"ft-(A— 'J f)uvT�.,Q�11A- Project Valuation: $
APPLICANT
Name t4" IT` + G L &T-.
Address/city/st/Zip 900
Contact Person �i LN t e- Phone L 2 2 11 Fax 5-32 - d'Z V7
MECHANICAL CONTRACTOR
Company Name
Ad&ess/City/St/Zip
Contact Person Phone
Fax
State L & I Contractor Registration # l-% �RTT �`l 13 (° �'Exp. Date O
(Card must be presented)
MECHANICAL UNIT COUNT
Fuel other
(Ms Dryer
Air Handlin
< =10 OOOcfim
Fuel Tanks:
lmmffi orgas pipinixAir
Haadlin
> =10 000cfm
Above Ground
Furn <100K BTUs I
Gas 1AW
Unit Heater
Underground
Furn >100K BTUs
Fans
Boiler
BTU/H
Miscellaneous
Gas Hwt
Hood
Boiler
BTU/11
Other
Cony Burner
Dud Work
A/C
TONS
Other
Wood Sto,
A/C
DISCI.AtMER: I certify, underpenalty ofpezpzy, ffid fhe hOrm vicn 6wrished byme is Ince and oto the beat ofmy Imowledge and find=ticet I an au&oii=d by the owns offfie above premises to pecffaan 9:e wmk
forwidch permit application is made. I further agree to save harmless the (Sty of Federal Way as to any ddm (mchb ng costs. a merwes, and attomeys' fees ioctmed in investigation and defense ofsuch CWMX which may be
made by airy pasoa. including dw mWe sigrred, and filed agaueit the City of Fedemay Way Wordy where such claim areas sit ofthe reharm ofthe iaty. mclu rng its of ors and employees, upon ffi¢ accuracy offfie
information stwulied to the city as a amt offfiis apcfiadien. --I
Owner/Agent
Meca.Aes
RevrM 1/71"
Date
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