95-101821CITY OF FEDERAL WAY
33530 First Way South
Federal Way, WA 98003
661-4000
MECHANICAL PERMIT
Building Inspection Requests 661-4140
ADDRESS:211 S 296TH PL
NO.: 718300-0090
PROJECT DESCRIPTION:NECH - REPLACE FURN TO 100,000 BTU, A/C UNIT
OWNER CONTRACTOR
GEORGE MATHESON UNIVERSAL REFRIGERATION INC.
211 S 296TH PL 4102 B PLACE NN
FEDERAL WAY WA 98003 AUBURN WA 98001
946-8694
on
FUEL TYPES.:GAS ?
GAS PIPING.: 0 ft
FURK(1OOK..: 1
GAS HWT.... : 0
CONV BURNER: 0
BBQ........: 0
GAS DRYER..: 0
RANGE......: 0
GAS LOGS...: 0
939-5501
LENDER
a�-1 0 [87.
PERMIT NO: BLD95=0600
ISSUED: 08/04/95
BY: FC2
EXPIRES: 01/31/96
HiTRINk'T ,' PLEASE US _100"
WCOK -1732-01j", NG SALES TAX FOR INJECTS VITNIN THE CITY OF FEDERAL WAY, TAX RATE = 8.25 su
FANS „. 0 BOfLERS/CORPRESM FEES:
HOOD ...: 0 ; 4-3�HP...... 4-pRPIT-4 SUAKE... $ 20.00
DUCT._.WORK. a 4 � ` 1-15 �IP.� -0 ; —� � � 1 � �NE�A LIA�CE FEES.$ $ 19.00
W060 STOVES:..:
F-UCH>0OX
AIRAMOLIUG UNITS , UILAiNd4 ---- ±
> 10,
TOTAL FEES $ 39.00
Does the Yater supply system contain a Pressure Reduction Device or Check valve? O Yes O No (If °Yes° then pater expansion tank is required on Hot Nater Tank)
Inspection Record Water line OK Nechanical Inspection Notes:
Ill
CITYOFFrAr.—City of Federal Way #hFoFtEDclTirof 33530 First Way South
_ - - Federal Way, WA 98003
(206)661-4000 AUG 0 4 �99�
APPLICATION FOR MECHANICAL PEIMP EDEA L WAY �/"1 J�O
Bu v V
PARCEL A• Single Family ❑ Multi -Family ❑ Commercial ❑
SITE LOCATION:
Tenant/Owner: /�/4T/fel 15,Px) Phone:
Address/City/State/Zip: ( ��� ��G&e%��Jr G✓� 1��� 3
Nature of work: -L'- _'�l e(� % Gd�r t v2>� « Project Valuation: S
APPLICANT:
Name: �j eL-141-
Address/City/St/Zip: �� aZ 4 �(4 e ,c/ t f S 'A
Contact Person: 12,4 �'`��`"1 Phone:
MECHANICAL CONTRACTOR:
Company Name:
Address/City/St/Zip: y/0Z �� ���� %✓�
Fax: 73f- 3y.�7 Z
Contact Person: 70 ` �qos �J/C �� Phone: �LZ - Fax:
0
State L & I Contractor Registration #: uiiiyt_� � /r9' 2F Exp. Date: 2 6 5s—
(Card must be presented)
MECHANICAL UNIT COUNT:
Fuel Type (gas/other)
-1>O Gas Dryer
Air Handling
< = 10,000ofm
Fuel Tanks:
Length of gas piping
Range
Air Handling
> = 10,000ofm
Above Ground
Furn <100K BTU's
4/0 155 Gas Log
Unit Heater
Underground
Furn > 100K BTU's
Fans
Boiler
BTU/H
Miscellaneous
Gas Hwt
Hood
Boiler
BTU/H
Other
Conv Burner
Duct Work
A/C 5
TONS
Other
DISCLAIMER: 1 certify under penalty of perjury that the Information furnished by me is trWand correct to the beet of my knowledge and further that I am authorized by the owner,6f the above
premises to perform the work fou which application ade. 1 f agree t o harmless the of Federal Way as to any claim (Including costa, expenses and attomays• fees
incurred in investigation and daferuae of aim), w may be a by an including ersigned, and filed against the City of Federey Way but only where such claim arises
out of the reliance of the City, including id fticars employ on curacy of ormation supplied to the City as a part of this application.
Owner/Agent:
Date:
' CITY OF FEDERAL WAY PERMIT HU: iLD95-0600
• 33530 First Way South MECHANICAL PERMIT ISSUED: 08/04/95
Federal Way, WA 98003 Building Inspection Requests 661-4140 BY: FC2
1 661-4000 EXPIRES: 01/31/96
ADDRESS:211 S 296TH PL
NO.. : 718300-0090
PROJECT DESCRIPTION:MECH - REPLACE FURN TO 100,000 BTU, A/C UNIT
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GEORGE MATHESON UNIVERSAL REFRIGERATION INC.
211 S 296TH PL 4102 B PLACE NW
FEDERAL WAY WA 98003 AUBURN WA 98001
946-8694 939-5501
UNIVERI159RF
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In CONTRACTORS, PLEASE USE LOCATION CODE 1732 'MFA PFPARTING SALES TAX FOR PROJECTS WITHIN THE CITY OF FEDERAL NAY. TAX RATE = 8.25 m
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FUEL TYPES.:GAS ? FANS..........: 0 FILERS/COMPRESSORS FEES:
GAS PIPING.: 0 ft HOOD • 0 0-3 HP • 1 MEC PRMT ISSUANCE... $ 20.00
FURN<100K..: 1 DUCT WORK • 0 3-15 HP • O "LC APLIA'NCE FEES.* $ 19.00
GAS NWT • 0 WOOD STOVES ..: 0 15-30 HP....: 0
CONY BURNER: 0 FURH?100K.,...: 0 30-50 HP... . r'
BBQ • 0 MISC....... .,. 0 5+ HP.. .. 0
GAS DRYER..: 0 AIR NANDLIK UNITS FUEL
RANGE • 0 <=10,440 CFM: 0 ABOVE GROUND: 0
GAS LOGS...: 0 ) 10,004 CM 0 UNDERGROUND.: 0
TOTAL FEES $ 39.00
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Does the water supply syste, contain a Pressure Reduction Device or Check valve? () Yes () No (If "Yes" then water expansion tank is required on Hot Water Tank)
Inspection Record Water Line OK Mechanical Inspection Notes:
GAS PIPING OK4 5$ 7/J J Date 1/ By /✓
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PERMITS EXPIRE 1,! DAYS AFT€R)ISSUANCF IF NO WORK IS S TED,,-RESIDENTIAL AND GRADING PERMITS EXPIRE 01W YEAR AFTER DATE OF ISSUANCE.
I CERTIFY THE INFORMATION FUWSNIS $ BY ME IS fRUE CORRECT TO THE HEST OF NY KNOWLEDGE AND THE APPLICAILE CITY OF FEDERAL WAY REQUIREMENTS MILL BE NET.
" • OWNER OR AGENT /// DATE
FIELD COPY