99-100685CITY OF FEDERAL_ WAY
33530 First Way South I'l E �1
Federal Way, WA 98003 Mect,ianical :Inspection Requests 253-.661--4140
253-661-4000
ADDRESS -32140 9TH AVE S
NO.: 609390--0120
PROJECT DESCRIPTION -HVAC - REPLACING WATER HEATER (GAS)
/ 'NA
OWNER=__________________ _____=___________= ____________ = CONTRACTOR
DENISE MIDDLETON WASHINGTON ENERGY SERVICES CO
32140 9TH AVE S ONE UNION SO 9TH FL
FEDERAL WAY WA 98003 PO BOX 91,060
SEATTLE WA 98111-9160
946.4295
WASHIES07403
Sts CONTRACTORS, PLEASE USE LOCATION CODE 1732 WHEN REPORTING SALES TAX,29
PROJECT VALUATION
FUEL TYPES,:GAS ?
GAS PIPING.: 0 ft
FURN<100K..: 0
GAS HWT....: 1
CONV BURNER: 0
BBO........ . 0
GAS DRYER..: 0
RANGE......: 0
GAS LOGS...: 0
350
FANS..........: 0
HOOD........... 0
DUCT WORK.....: 0
WOOD STOVES...: 0
FURN>1OOK.....: 0
MISC........... 0
AIR HANDLING UNITS
<:10,000 CFM: 0
> 10,000 CFM: 0
Does the water sy"Ly sys
Inspection Re
BOILERS/COMPRESSORS
0-3 TON...... 0
3-15 TON. : 0
15-30 TON 0
30-50 TON.. 0
0+ TON.....
F TANKS------
L
GROUND:
GROUND.:
Device or Check
9h'W-..-�-------- Date
Date
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CIO, -iot0S
PERMIT NO: MEC99-0045
ISSUED: 02/11/99
BY: FC2
EXPIRES: 08/09/99
CITY OF FEDEROir NAY. TAX RATE : 8.25 Us
CH PERMINFEE
TOTAL FEES
$ 23,50
23.50
f "Yes" then water expansion tank is required on Hot Water Tank)
Date
PERMITS EXPIRE 180 DAY ER ISSUANCE IF NO WORK IS STARTED.
I CERTIFY THE IMF ON FURNIS D BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CIITTY OF FEDERAL NAY REQUIREMENTS WILL BE MET.
OWNER OR AG _ .. - -_Too -
- ------------------- DAT��1
FILE COPY
CrrY OF G
y�;o�Go�e APPLICATION FOR MECHANICAL PERMIT
G�� 6v Federal Way Buslness Llcense number:
MEC
PARCEL #
SITE LOCATION
Mq
Tenant/Owner
BUILDING DIVISION
33530 First Way South
Federal Way, WA 98003
(253) 6614000
Fax (253) 66113129
Single Family 0 Multi -Family ❑ Commercial 11
Phone
Nature of Work
APPLICANT
Name -1_1"-
Address/City/St/Zip
Contact Person
MECHANICAL CONTRACTOR
Company Name �'/ e.5C O
Address/City/St/Zip
Phone
Fax
/� ` 7cI(o WZ c�
Contact PersonIL�W
X � � lPhone Fax
� �-c�
State L & I Contractor Registration # �� , ASH ` � Exp. Date Cl /9? -7
(Card must be presented)
MECHANICAL UNIT COUNT
Fuel T Wother
Gas Dryer
Air Handlin < = 10 000ofm
Fuel Tanks:
Length of gas piping
Range
Air Handlin > = 10 000cfm
Above Ground
Fum <100K BTUs
Gas Log
Unit Heater
Underground
Fum>100KBTU's
Fans
Boiler BTU/H
Miscellaneous
Gas HWt
Hood
Boiler BTU/H
Other
Conv Burner
Duct Work
A/C TONS
Other
BBQ's
Wood Stoves
A/C TONS
DISCLAIMER I certify, under penalty of perjury, that the information famished by me is true and correct to the best of my knowl,dge and furtha that I am authorized by the owner of the above premises to perform the work
for which permit application is made. I fintha agree to save harmless the City of Federal Way as to any claim (including costs, expense, and attorneys' fees incurred in investigation and defense of such claim), which may be
made by any person, including the and ' ed, and filed against the City of Federay Way but only where such claim arises out of the reliance of the city, including its officers and employee, upon the accuracy of the
information supplied to the city as a p of this application. /
Owner/Agent Date
Macm.APP
Revis®7/29/98
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