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02-100130City of Federal Way Community Development Services 33530 1st Way S Federal Way, WA 98003-6210 Ph: 253.661.4000 Fax: 253.661.4129 Project Name: MINNICK Project Address: 505 SW 305TH 5� Mechanical Permit #: 02 -100130 - 00 - ME Project Description: MEC - Install new gas furnance with piping Inspection request line: 253.835.3050 Parcel Number: 178890 0180 Owner Applicant Contractor Robert E & Diane E Minnick NORTHWEST PERMIT WASHINGTON ENERGY SERVICES CO 505 SW 305TH ST 2320 1 ST AVE SUITE 250 2800 THORNDYKE AVE W FEDERAL WAY WA SEATTLE WA 98121 SEATTLE WA 98199 98023-3952 (206)282-4700 Mechanical Valuation..........................................3500 Over the Counter Permit ...................................... Yes Mechanical Fixtures Description Qtanti Description Quarati Qescripflart ,, m Quanti Furnaces 1 Gas Piping 1 PERMIT EXPIRES July 10, 2002, IF NO WORK IS STARTED. Permit issued on January 11, 2002 I hereby certify that the above,information is correct an the construction on the above described property and the occupancy and the use w be in accordance wi h ws, rul and regulations of the State of Washington and the City of Federal Way. Owner or age Date: JAN -09-02 20:50 FROM-NORTHWEST-CASSIMAR tea. ;c_— ^-'a r-- r •-- r * f ir— f-% F[15--e� JAN 1 206-374-0834 T-129 P.04/05 F-563k4j�eff I..VIVJ 1 f'tl./l.l J.Vty t" ►—+�+'+x + r•t+ + �.+ a� �.v PLICATION NUMBER: _ - 4 g 1 5 - PLICATION NUMBER: PLICATION NUMBER: - *4"0y&jt &0P"d information - Please print (in ink) or type** Please note: El ectricalf Fre Prevention Systems and Engineering permits may require a separate application. SITE ADDRESS. -7 :50J Z)1 ASSESSOR'S TAX/PARCEL #: l D 2 Q - e l k0_ LEGAL DESCRIPTION OF SLIDJECT PROPERTY (ATTACH SEPARATE DESCRIPTION IF LENGTIiY): PR03LCT INFORMATION TYPE OF PROJECT (Chis application): ❑ BUILDING ❑ PLUMBING MECHANICAL [I DEMOLITION O ELECTRICAL Q ENGINEERING❑ FIRE PREVENTION SYSTEM PROJECT DESCRIPTION (Provide detailed PROJECT NAME: /AU . PROPERTY OWNER: CONTRACTOR: APPLICANT: ■ IPEOPLEINFORMATION Wu—nONSHIPTO PRWeCT: FAX Q .ARCHITECT ❑ TENANT ❑ OTHER ( DESCRIBE): CONTACT PERSON FOR PHIS PROJECT: ❑ PROPERTY OWNER 0 APPLICANT EXISTING USE; � EXISUNG BUILDING ASSESSED/APPRAISED VALUATION ; PROPOSED USE: PROPOSED VALUATION FOR IMPROVEMENTS: $ SPRINKLERED BUILDING? ❑ Yes 11 NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED: ❑ YES ❑ NO WATER SERVICE PROVIDER: 0 LAKEHAVEN © HIG"LINE Q TACOMA ❑ PRIVATE (WELL) SEWER SERVICE PROVIDER: 0 LAKEHAVEN 0 HIGHLINI: 0 PRIVATE (SEPTIC) JAN -09-02 20:50 FROM-NORTHWEST-CASSIMAR 206-374-0834 T-129 P.05/05 F-563 --- ---........�.u¢. ESTIMATED SEi LING PRIM: Indicate number of each type of fixture MECHANICAL AY R HANDLING UNIT(S) ---� PSORATIVE COOLERS) 8 R HA LACE LOG (S) LOS) HOOD(S) REFRIG. SYSTEM(S) WOODSTOVE(S) BOILERS) FIR INSERT(S) RANGE(S) MISC. COMPRESSOR(t5) �- DUCT(S) r FUR CE(S) �L_. GAS IPE OUTLETS) HF_AT SOURCE: Q ELECTRIC GAS PLUMBING BATHTUBS) LAVATORY(S) URINAL(S) WATER HEATER(S) ❑ GAS DISHWASHERS) RAxN WATER SYS. VACUUM BREAKER(S) Q ELECTRIC PRINKING FOUNTAINS) SHOWER(S) SINKS) WASH MACHINE OUTLET WATER CLOSET(S) �^. MISC. [ GAS PIPE OU7I.ET(S) INTERCEPTOM',S) SUMP(S) I certify Under penalty of perjury that the Information furnished by me is true and correct to the best of my knowledge, and further, that I am authorized by the owner of the above premises to perform the work for which the permit application Is made- I further agree to hold harmless the City of Federal way as to an ydaY (indudtndudin9ing �tihe undersigned, ned and filand ed fees atnst odl n the of Incu Investigation and defense.of�adr im), which be made b an person, 9 g Federal Way, but only -w -tere such d m arises o of the reliance of the city, including its officers and employees, upon t3he acwracy of the Information suppt.ed to the d a pa f this application. L'-'�DATE: (L0-2_ Q PROPERTY OWNER/.. -U APPLICANT CX4H NEiY t)6V W14E Nr SEStV[CES • 33530 KW WAY SOUGH • P.O. SOK 9718 1 FMOIA WAY, WA 98063-9718.253.rAlAom a FAX: M-"14JS