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02-102103CCity mmum2y Development Services of Federal Way Mechanical Permit #: 02 - 102103 - 00 - ME s 23530 1 z Way S Federal Way, WA 98003-6210 Ph: 253.661.4000 Fax: 253.661.4129 Inspection request line: 253.835.3050 Project Name: STANLEY p�►QJ Project Address: 32135 32ND SW Parcel Number: 873190 1120 Project Description: MEC - Replace gas hot water heater Owner Applicant Contractor Michael R Stanley Michael R Stanley Michael R Stanley 32135 32ND AVE SW 32135 32ND AVE SW 32135 32ND AVE SW FEDERAL WAY WA FEDERAL WAY WA FEDERAL WAY WA 98023-2206 98023-2206 Mechanical Valuation..........................................500 Over the Counter Permit......................................Yes PERMIT EXPIRES November 17, 2002, IF NO WORK IS STARTED. Permit issued on May 21, 2002 I hereby certify that the above information is correct and that the construction on the above described property and the occupancy and the use will be in accordance with the laws, rules and regulations of the State of Washington and the City of Federal Way. i Owner or agent: Date:Z— C"Of G RECEIVED CONSTRUCTION PERMIT APPLICATION f�F�:- APPLICATION NUMBER: (2L - L© d' - vv �y MAY 2 1 2002 - APPLICATION NUMBER: CITY OF FEDERAL WAY PPLICATION NUMBER: - BUILDING DEPT. - - - - - - **The following is required information — Please print (ih ink) or type** Please note: Electrical, Fire Prevention Systems and Engineering permits may require a separate application. INFORMATION'PROPERTY SITE ADDRESS: 3.2/ S 32NJS•W F.W• %�dZ3 ASSESSOR'S TAX/PARCEL#: Z 3 L LEGAL DESCRIPTION OF SUBJECT PROPERTY (ATTACH SEPARATE DESCRIPTION IF LENGTHY): IPR03ECT INFORMATION TYPE OF PROJECT (This application): ❑ BUILDING 14 PLUMBING ❑ MECHANICAL ❑ DEMOLITION ❑ ELECTRICAL ❑ ENGINEERING❑ FIRE PREVENTION SYSTEM PROJECT DESCRIPTION (Provide detailed description): /`N 5"TSL[_.= -` F��/./C�') .,.•�S i -Fa r �A-7�2 �-/c"74f2x PROJECT NAME: PROPERTY OWNER: ,. CONTRACTOR: APPLICANT: NAME: DAYTIME PHONE: of I C ���2 �✓�EY3s- MAILING ADDRESS (STREET ADDRESS; CITY, STATE, ZIP): NAME: DAYTIME PHONE: I MAILING A DOMESS (STREET ADDRESS; CITY, STATE, ZIP): EVENING PHONE: I ( ) CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER: FAX NUMBER: i CONTRACTORS REGISTRATION NUMBER: (copy of card required) EXPIRATION DATE: / NAME: ,—,,, /� , ' DAYTIME PHONE: MAILING ADDRESS (STREET ADDRESS; CITY, STATE, ZIP): EVENING PHONE: RELATIONSHIP TO PROJECT: FAX NUMBER: ❑ ARCHITECT ❑ TENANT ❑ OTHER ( DESCRIBE): ( ) - E-MAIL ADDRESS: CONTACT PERSON FOR THIS PROJECT: ❑ PROPERTY OWNER ❑ APPLICANT ❑ CONTRACTOR EXISTING USE: PROPOSED USE: SPRINKLERED BUILDING? WATER SERVICE PROVIDER: SEWER SERVICE PROVIDER: ❑ YES N DETAILED BUILDING INFORMATION EXISTING BUILDING ASSESSED/APPRAISED VALUATION $ PROPOSED VALUATION FOR IMPROVEMENTS: $x ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/ REQUIRED. ❑ YES ❑ NO ❑ LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE (WELL) ❑ LAKEHAVEN ❑ HIGHLINE ❑ PRIVATE (SEPTIC) **NEW RESIDENTIAL CONSTRUCTION ONLY** 10NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $ _ ■ PROJECT FLOOR AREAS FLOOR EXISTING SQ. FT. PROPOSED SQ. FT. TOTAL BASEMENT- ASEMENTFIRST FIRST SECOND THIRD FOURTH OTHER FLOORS (DESCRIBE) DECK GARAGE HOW MANY FLOORS? TOTAL• AIR HANDLING UNIT(S) BBQ(S) BOILERS) COMPRESSOR(S) DUCT(S) BATHTUB(S) DISHWASHERS) DRINKING FOUNTAIN(S) GAS PIPE OUTLET(S) INTERCEPTORS) Indicate number of each type of fixture MECHANICAL EVAPORATIVE COOLER(S) GAS LOG(S) REFRIG. SYSTEM(S) FAN(S) HOOD(S) WOODSTOVE(S) FIREPLACE INSERT(S) RANGE(S) MISC. ( ) FURNACE(S) GAS PIPE OUTLET(S) HEAT SOURCE: ❑ ELECTRIC d GAS PLUMBING LAVATORY(S) RAIN WATER SYS. SHOWER(S) SINK(S) SUMP(S) URINAL(S) VACUUM BREAKER(S) WASH MACHINE OUTLET WATER CLOSET(S) �rsc�etMER/SIGNATURE BLC M X WATER HEATERS) ❑ ELECTRIC 2 GAS 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 any claim (including costs, expenses, and attorneys' fees incurred in the investigation and defense of such claim), which may be made by any person, including the undersigned, and filed against the City of Federal 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 partt of this application. y NAME/TITLE: ��� / DATE: PROPERTY OWNER ❑ APPLICANT ❑ CONTRACTOR COMMUNITY DEVELOPMENT SERVICES - 33530 FIRST WAY SOUTH - PO BOK 9718 - FEDERAL WAY, WA 98063-9718 - 253-661-4000 - FAX: 253-661-4129 www atvoff-ralwav com