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99-101350(-TTY ov rFDERAL, 3:1530 F i 1-rF >t F-0deral, W, -Ay. WA 2153-661-4000 WAY,:: MEC1, N C�."` 98003 Mechanical Inspect,icm RcqUu�sts 253-661-4140 ADDRESS:22249 7TH AI�E SW NO.: 926492-0220 PROJECT DE;CR1PTI0H:RVAC - G/G HNI OWNER JIM KLOUSE 361249 ?IN AVE SW FEDERAL WAY #A 98003 PROJECT VALUATION FUEL TYPES.:GAS CAS PIPING.: 0 FURK<100r..: 0 Cps WT.... : I CONY BURNER: 0 A80......... 0 GAS DRYER—: 0 RANGE....... 0 GAS LOGS...: 0 S*s (0011KfORS, CONTRACTOR.......=--:.... — WASHINGTON ENERGY SERVICES CO 001 UNION SQ 91H FL PO Box 91060 SEATTLE WA 98111-9160 Soo Rough -in GAS FARS *t�`40 I tip -- Gas Piping Date ft HOOP FINAL *0 DU(l WOO— 9 3-15 TOM. . - WOOD SlovLS-7 P 1- 30+41-- 0 FUMI�Iof ...... 0 30 0 "IS( ........ —: 0 tof 0 AIR HANKFIr, UN -11t HAL <:10,000 CIN: 0 ABOVE GROUND: 0 ) 10,000 CIN: 0 UNDERGROUND.: 0 Cr - PERMIT NU: MLL99--U112 JSSkJEI,): 04/07/99 BY: 'FN EXPIRES: 1,0/03/99 UNDER........... --------------- Is TAX FOR WifflS, 41fNIN TK CITY Of Fimm NAY. TAX RATE :: 8.25 "1 1 $ 23.50 TOTAL FEES $ 23.50 k X.U= t ... : .axm..Ucc- ==Mars... Does the water supply systes contain a Pressure Reduction Device or Check valve? Yes No (If "Yes' then water expansion tank is required on Not Water lank) Inspection Record: Mechanical Rough -in Date -- Gas Piping Date NECHAKI(AL FINAL batt PWITS EXPIRE 180 DAYS Afill ISSUWE if NO VORK Is SIM111. I CE911ty fit INFORNAllow, IUINISHED By N1 is TRUI An CW0 10 THE HEST OF V VWKL AND 101 APPLICULE C;TV Of IEKAAL VAV REQUIAMNIS PILL I Nil, OWNER OR AG DATE FIELD COPY CITY OF FEDERAL WAY � „,,,,� p,,. p pp PERMIT NO: MEC99-0112 33530 First Way S o u t i, P1 ll;;:;. ��.„., 11-11 i�°"'li li `4l .,,II„. I1: ;j4, "�Il 'I.. » II » ISSUED: 04/07/919 Fecleral Way, WA 03003 Mechanical Inspection Requests '5::1_�61-4140 BY: TN 253-661-4000 EXPIRES: 10/03/99 ADDRESS:32249 7TV] AVE SW NO.: 926492--0220 PROJECT DESCRIPTION: HVAC - G/G HWT = OWNER ________________________________.___ _______________;= CONTRACTOR =_________=_____ ____==_=-_____________=====q= LENDER JIM KLOUSE ! WASHINGTON ENERGY SERVICES CO 32249 7TH AVE SW ONE UNION SQ 9TH FL FEDERAL WAY WA 98003 PO BOX 91060 SEATTLE WA 98111-9160 WASHIES07403 , _st CONTRACTORS, PLEASE USE LOCATION CODE 1732 WHEN REPORTING SALES TAX FOR PROJECTS WITHIN THE CITY OF FEDERAL WAY. TAX RATE = 8.25 xi# PROJECT VALUATION 500 ` FEES FUEL TYPES.:GAS GAS FANS..........: 0 BOILERS/COMPRESSORS MECH PERMIT FEE $ 23.50 GAS PIPING.: 0 ft HOOD..........: 0 0-3 TON.....: 0 FURN<10OK..: 0 DUCT WORK.....: 0 3-15 TON....: 0 GAS HWT....: 1 WOOD STOVES...: 0 15-30 .TON...: 0 1 CONV BURNER: 0 FURN>100K.....: 0 30-50 TON...: 0 BBQ........: 0 MISC..........: 0 50+ TON.....: 0 GAS DRYER..: 0 AIR HANDLING UNITS FUEL TANKS--------- RANGE......: 0 <=10,000 CFM: 0 ABOVE GROUND: 0 GAS LOGS...: 0 > 10,000 CFM: 0 UNDERGROUND.: 0 TOTAL FEES 1 $ 23.50 Does the water supply system contain a Pressure Reduction Device or Check valve? ( } Yes ( ) No (If "Yes” then water expansion tank is required on Hot Water Tank) Inspection Record: Mechanical Rough -in ------------------ Date ---------- Gas Piping ................. Date MECHANICAL FINAL Date PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS STARTED. I CERTIFY THE INFORMATION FURNISHED BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE C TY PF FEDERAL WAY REQUIREMENTS WILL BE MET. OWNER OR AGENTP_--j DATE _ .... FILE COPY BUILDING DIVISION 1Xr11 OF G 33530 First Way South Federal Way, WA 98003 / (253) 6614000 SCE' V �© Fax (253) 661.4129 APPLICATION FOR MECHANICAL PERMIT Federal Way Business License number: (,1r t13 UtLD1NGm DEPT. MEC 90 - � � �- PARCEL # C� f' 1 r) �%�a�� — Single Family/ Multi -Family ❑ Commercial 11 SITE LOCATION Tenant/Owner S �" Phone q Address/City/State/Zip C� % LL K-ItccP 0-2 Nature of WorkLcc project Valuation: $ APPLICANT r"w -�if'J'k=-Y—(- Name Address/City/St/Zip Contact Person Phone MECHANICAL CONTRACTOR Fax Company Name Address/City/St/Zip Phone Z`� �Z � Fax Contact Person C, Q ,- I t U Ex I � � _� State L & I Contractor Registration # p' Date (Card must be presented) MECHANICAL UNIT COUNT Fuel T as/other Gas Dryer Air Handlin < = 10 000cfrn Fuel Tanks: Length of gas piping Range Air Handlin > = 10 000cfrn Above Ground Furn <100K BTU's Gas Log Unit Heater Underground Furn>100KBTU's Fans Boiler BTU/H Miscellaneous Gas Hwt Hood Boiler BTU/H Other Conv Burner Dud Work A/C TONS Other DISCLAIMER: 1 certify, under penalty of perjury, that the information famished by me is true and correct to the best of my kn•rwledge and further that I am authorized by the owner of the above premises to perform the work for which permit application is made. 1 further agree to save harmless the City of Federal Way as to my 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 tiled against the City of Federay Way but only where such claire 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 application. Owner/Agent Meca.ArP Revum 7/29/98 M L 4 % Date ��i h)q 0-