99-102264M
CITY OF FEDERAL WAY
33530 First Way South 1'"I :�". Mw;:: tl If,,I H .""f M::,,: If"11 I,,,.,. F" ;.:f`q,. P"t :Ji.°:.,.I,,,
Federal Way, WA 98003 rlechariical Irisraect:icri Requests 253-,661-.4140
2.53--661--4000
ADDRESS:140 S 297TF1 PL
NO.: 776420-0040
PROTECT DESCRIPTION: HVAC - FURNACE AND HWT CHANGEOUT
�= OWNERCONTRACTOR
PERTIS JOHNSON WASHINGTON ENERGY SERVICES CO
140 S 297TH PL 2800 THORNDYKE AVE W
FEDERAL WAY WA 98003 SEATTLE WA 98199
i
9ASHIES07403
!----_----.-------__...-------------_____.._..____.__._.
------------------------------- --- .___ __..-----..-------------------_----- -- --
tts CONTRACTORS, PLEASE USE LOCATION CODE 1732 WHEN REPORTING- SALES
PROJECT VALUATION 2978
FUEL TYPES.:GAS ? FANS..........: 0 BOILERS/COMPRESSORS
GAS PIPING.: 0 ft HOOD..........: 0 0-3 TON.....: C
FURN<100K..: 1 DUCT WORK._.:
GAS HWT.... : 1 WOOD STOVES...: 0 15=30 TOL''
CONV BURNER: 0 F'JRN>1OOK.....: 0 50 TON...
BBQ......... 0 MISC........... 0 5 TON....,.
GAS DRYER—: 0 AIR HANDLING UNITS FUEL KS --------
RANGE......: 0 <:10,000 CFM: 0 A 0UND: 0
GAS LOGS...: 0 > 10,000 CFM: 0 A ND
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Does the water supply system contain Pl%sdV&A§W fi Device or C
Inspection Record MecA?n&jMh 1V I ------- Date
MIcflbIL d Date
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PERMIT NO: MEC99-0214
ISSUED 06/22/99
BY: FC2
EXPIRES: 12/18/99
THE CITY OF FEDERAL WAY. TAX RATE : 8.25 Ut
S:
M PERMIT FE
t
i
TOTAL FEES
N (If "Yes" then water expansion tank is
Date
r
PERMITS EXPIRE 180 DAYS SSUAN IF NO WORK IS STARTED.
I CERTIFY THEINF NISHED ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY REQUIREMENTS WILL BE MET.
OWNER 0 AGENT _ ---, DATE N�w --- f
FILE COPY
1 t=
E�
JUN Z 21999
PARCEL #
CITY OF t-tt, "n^L vr„ r
APPLICATION FOR WMA101-CAL PERMIT
SITE LOCATION
Tenant/Owner
Address/City/State/Zip
Single Family--
T::N
BUHDING DIVISION
33530 First Way South
Federal Way, WA 98003
(253) 6614000
Fax(253)661-4129
MEC ��-�-Z L )J
Multi -Family ❑ 4nimercial O
_ Phone` 4
Nature of Work � t I�lL Project Valuation: $��
�D ylltyl
APPLICANT
Name
Address/City/St/Zip
Contact Person
MECHANICAL CONTRACTTOCR,
Company Name
Address/City/St/Zip
I-
Contact Person G�
State L & I Contractor Registration #
(Card mast be presented)
MECHANICAL UNIT COUNT
Phone
Fax
Exp. Date
Fuel Type as/other
Gas Dryer
Air Handling
< = 10 000cf n
Fuel Tanks:
Length of gas pipirig
Range
Air Handling
> = 10 000cfm
Above Ground
Fum <100K BTUs
Gas Loa
Unit Heater
Underground
Fum>100KBTUs
Fans
Boiler
BTU/H
Miscellaneous
Hood
Boiler
BTU/H
Other
LHZwt
Burner
Duct Work
A/C
TONS
Other
Wood Stoves
A/C
TONS
(WAI Untl
DISCLAIMER: 1 certify, under penalty of perjury, that the information furnished by me is true and correct to the best of my knowledge and further that 1 am authorized by the owner of the above pra—a to perform the work
for which permit application is made. l further agree to save harmless the City of Federal Way as to any claim (including costs, expenses, and attorneys' fees incurred in investigation and defense of such claim), which may be
made by any person, including the undersigned, and filed against the tatty of Fedeny Way but only where such claim arises out of the reliance of the city, including its officers and employees, upon the accuracy of the
information supplied to the city as a part of this apphcati I\
Owner/Agen Date
Maar Aee
Rr:vsm V26/97