00-104070City of Federal Way Mechanical Permit #: 00 -104070 - 00 - ME
CoanmmiV 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: MURPHY
Project Address: 1040 S 295TH Parcel Number: 515180 0070
Project Description: MEC - Installation of 25' gas line for 1 gas log
Owner. Applicant Contractor
Scott & Lorena Murphy NONE GASWURKS PLUS MECHANICAL
1040 S 295TH PL
14322 52ND AVE SW
FEDERAL WAY WA
9ann3-3716 NONE EDMONDS WA 98026
Mechanical Valuation..........................................480
Over the Counter Permit......................................Yes
Mechanical Fixtures
Deseri tion GZu(- DQuanta ` ('— Descriptlon
anti escription Quanta
" � Gas Piping 25
Firepiace Inserts
PERMIT EXPIRES January 23, 2001, IF NO WORK IS STARTED.
Permit issued on July 27, 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. �0®
7
Owner or agent: /� Date: !
PARCEL #
SITE LOCATION
APPLICATION FOR WaMAIWAL PERMIT
Federal Way Business License number: ovind
BUII DING DIVISION
33530 Fust Way South
Federal Way, WA 9W63
(253) 6614M
Fax (253) 661-0129
Single Family� Multi -Family ❑ Commercial ❑
Tenant/Owner X czeact 11%4f � A y Phone
Address/City/State/Zip /� f� 99S Feklee„
Nature of Work /A -i Ai ZZ -At X'*7 49-f (pus LOS 100r GGaS /091 Project Valuation: $
APPLICANT
Name 626v5Wg1<5 Fl, -,S I
Address/City/St/Zip )JW; S.Z J o4V lA' &`noA46 W
Contact Person Je �`w e,-1 Phone 412.5 -?z15-3322- Fax u-4- 779-?
MECHANICAL CONTRACTOR
Company Name 6r. -S WgZA P/KS lleactn.;�. I
Address/City/Sttzip 1 y 22 AV Ck✓ 4dMOAJs 61//7 M®-ze-
Contact Person Phone 6/15�S 7515*- 33 -1-1 Fax
State L & I Contractor Registration #
/
(T,� S �G� 4/�� Exp. Date
(Card must be presented)
MECHANICAL UNIT COUNT
Fuel other J`
G.Dry, -
Air Handling
< =10 000c&n
Fuel Tanks:
Length of gais piping�5 +
e
Air Handling
> =10 000cfin
Above Ground
Furs <100K BTUs
Gas JAM hkS
Unit Heat,
Underavund
Fum>100KBTU's
Fans
Boiler
BTU41
Miscellaneous
Gas Hwt
Hood
Boil,
BTU41
Other
Cony Burner
Dud Work
A/C
TONS
Other
DISCLAIMER: I ca*, wider penalty ofpe jury, timttbe information Awdshed by me is hue and correct to the test ofmy knowledge and Satrertbat I am authodwd by the owner ofthe above premises to perform the wmk
for which permitWHoadonismade.Itiatber agree tosavehawwwde4sSteCity ofpedemlWay astoany daim(ncliu gcasts,erperuses,andattomeWfeesincurredininvestigationanddefoseofsurdreWmjwbidwmaybe
made by any person, htduding the undersigned, and fled against the Cay of ftdeay Way but otdy where such dais arises oat ofthe reLmrce ofawe dty, indudiagits officers and employees, upon &a accuracy of&e
information supplied to the city as a pmt of tide applimtimn.
Owner/Agent � �c�� Date
7 t? 0
MeraAee /spy
Rrnssn InM