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99-104279CITY OF FEDERAL 14AY 33530 Vir-ct; Way soutri rederal Way, WA 98003 253-661 -4000 1% M el K I C M L Hit f1% H I 'I" Mecharii-c.al lr)sp(-,�ctioti Pe(4m,;L:� 253 -661 -4140 ADDRU13S.30222 4TH OV NO.: 064310--0040 PRO,FECT DESCRIP'T ION -.NEC - REPI ACE GAS FURNACE OWNER..� ....... ROGER BODIKER 30222 419 AVr S FEDEAL WAY WA 98003 2531941-2471 its PROJECT VALUATION 11500 FUEL TYPES.:GAS ? FANS.. . . — 0 GAS PIPING.: 0 ft HOOD..— .... (I FUP,N<IQOK..: I #- D0(f"R (AS NWT....: 0 Woo (OKV BURNER: 0 FURK"100k ..... 1 BM ....... : 0 HIS(.... ...... : U GAS DRYER..: 0 AIR HANDLIM6 UNITS RANGE......: 0 <:10,000 (M ") GAS LOGS...: 0 > 10,000 (F": 0 CONTRACTOR =.:i... ­ ...... ... m .. WASHINGTON ENERGY SERVICES CO 2800 MORODYKE AVE W SEATTLE WA 98199 WASPIESO1403 ANVE GROUND: 0 UNDERGROUND.: 0 LENDER ) yj PERMI1 NU: MLC99--UJ8/ ISISUE12): 11/04/99 BY: FC2 EXPIRES: 05/01/00 SALES TAX FOR PROJECTS VITHII 19 CITY Of FEDERAL MY, TAX RATE : 8.25 M FEE 83,41 TOTAL FEES 83.25 Poes 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) laspection Record: Mechanical Rough -in Pate . ....... Gas Piping Date MECHANICAL FINAL Date jj� PEROM EXPIRE 180 DAYS AFTER ISSUANCE It K WRI IS STARIE0. I CERTIFY IRE INFORMATION FURNISHED BY Nt IS TRUE A*1 COR210 10 Iff REST Of RY KNKEDU AND IRE APPLICAKE CITY Or FEMEM NAY RLQUIRCKNIS WILL Of' 104 OWNER OR AGENT DATE F1 FIELD COPY CITY OF FEDERAL WAY 33530 First Way South 'M, ? ': ;` II�"f P4, J. (_:. el I;°,I . 11 1,44 I I,,, Federal Way, WA 9300::31 Mec'rianic al Inspe.:t-ion Requests 253 66"1--4140 253-651--4000 ADDRESS:30222 4TH AV S NO.: 064310-0040 PROJECT DESCRI PT ION : MEC - REPLACE GAS FURNACE PERMIT NO: MEC99-0387 ISSUED: 11/04/91) BY. FC2 EXPIRES: 05/01/00 T= OWNERCONTRACTOR 1 ROGER BODEKER WASHINGTON ENERGY SERVICES CO 30222 4TH AVE S 2800 THORNDYKE AVE W i FEDEAL WAY WA 98003 ' SEATTLE WA 98199 253/941-2471 F WASHIES01403 US CONTRACTORS, PLEASE USE LOCATION CODE 1732 WHEN REPORTING SALES TAX FOR PROJECTS WITHIN THE CITY OF FEDERAL NAY. TAX RATE : 0.25 M PROJECT VALUATION 2500 !� FUEL TYPES.:GAS ? FANS.... ... .: 0 30IL-�RS/COMPRESSORS `"EC,i PERMIT IEE $ 83.25 ! GAS PIPING.: 0 ft HOOD. 0 0-? TOS. ..,: C i FURN<100K..: 1 GAS HWT....: 0 CONY BURNER: 0 BBQ......... 0 GAS DRYER..: 0 RANGE......: 0 GAS LOGS...: 0 DUCT '14"1.... . WOOD STOVES.. u FURN>100K..,..: MISC........... 0 AIR HANDLING UNITS <:10,000 CFM: 0 > 10,000 CFM: 0 50+ TOSi. , _ : 0 FUEL TANKS --------- ABOVE GROUND: 0 UNDERGROUND.: 0 R TOTAL FEES $ 83.25 Does the water supply system contain a Pressure Reduction Device or Check valve? O Yes ( } No(If "Yes" then water expansion tank is required on Not 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 CITY OF FEDERAL WAY REQUIREMENTS WILL BE MET. ft OWNER OR AGENT FILE COPY DATE ___Lt _ ern, or _1'\fF � 1999 APPLICATION FOII'iMECHANICAL PERMIT Federal Way Business License number: PARCEL # ©� Single Familklu SITE LOCATION BunDING DnWON 33530 First Way South Federal Way, WA 98003 (253) 661-4000 Fax (253) 6614129 MEC - �J Multi -Family ❑ Commercial ❑ Tenant/Owner I or- �� �-� Phone ` ��� Address/City/State/Zip Nature of Work C -I to k�3'ornci'Q—k Project Valuation: $ APPLICANT Name • • • :, a _.%iiI/IMMMF Contact Person WL l 2&&0- ilk r�0• Fax MECHANICAL CONTRACTOR Company Name �k6�F�p • . • • ��1�/IIs/////////////�f•Ili���I�����.�3/rsssi/i�a���� ��Aj MOO" Contact Person - State L & I Contractor Registration # �� ���%LTE�-� b 7�� Exp. Date (Card must be presented) MECHANICAL UNIT COUNT Fuel T as/other Gas Dryer Air Handling < — 10 000cfm Fuel Tanta: Len0h of as piping Range Air Handl in > = 10 000cfm Above Ground Fum <100K BTUs Gas Log Unit Heater Underground Fum>100K BTUs Fans Boiler BTU/H Miscellaneous Gas Hwt Hood Boiler BTU/H Other Conv Burner Dud Work A/C TONS Other BRO'S Wood I.Rtnvcs A/C TONS DISCLAIMER I certify, under penalty of perjury, that the information famished by me is hue and correct to the bet of my Ivaw-ledge and further that I am authorized by the comer of the above premises to perform the Mode for which permit application is made. I further agree to save hurnkss the City of Federal Way as to any claim (including teats, expenses, and attorneys Cees imcuned in investigation and defense of such claim), which nay be made by any persm including the unders4ned, and filed against the City of Federay Way but only when such claim arias out of the reliance of the city, including its otHcen and employees, upon the accuracy of the information supplied to the city asypiirt of this applimfim. Owner/Agent _ mw".Arr Date