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02-100026City of Federal Wap Community Development Services 33530 1st Way S Federal Way, WA 98003-6210 Ph: 253.661.4000 Fax: 253.661.4129 Project Name: LANGE Project Address: 611 S 301ST, jJ- Project Description: MECH - Replace gas water heater Mechanical Permit #:02 -100026 - 00 - ME —v Inspection request line: 253.835.3050 Parcel Number: 515200 0210 Owner Applicant Contractor John G Lang PLUMBING JOINT INC, THE PLUMBING JOINT INC, THE 611 S 301ST ST 351 UNION AVE NE 351 UNION AVE NE FEDERAL WAY WA RENTON, WA RENTON, WA 98003-3656 98059 (206) 228-3204 Mechanical Valuation..........................................750 Over the Counter Permit......................................Yes PERMIT EXPIRES July 2, 2002, IF NO WORK IS STARTED. Permit issued on January 3, 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 ccordance with the la s, rules and regulations of the State of Washington and the City of Federal Way. Owner or agent: Date: ~ CIrr OF �� ! • F� VV AY BUIIDING DIVLSION 33530 First Way South Federal Way, WA 98003 (253) 661-4000 Fax(253)661-4129 APPLICATION FOR ME(;14A* 1A1 APPLICATION `� ,`Z l �(/ L� PARCEL # �� v I MEC © Single Family 8 Multi -Family ❑ Commercial ❑ SITE LOCATION Tenant/Owner ) O h 1^ l - ,q k e� t - J < l Phone 1,53 - 13 / Address/City/State/Zip n 1�, blGiL � � Nature of Work ` `�,�1 Project Valuation: $ 7Q APPLICANT Name Address/City/St/Zip 1ontact Person ECHANICAL CONTRACTOR Company Name A 6 Phone ht m Fax Address/City/St/Zip 3 S/ ah i o h Ay AIF, F e', 1,4U �\ LA nO / 3 Contact Person - -- L � �t� �2 H 14{ Phone 'Y � 2n 3 2(0/ Fax State L& I Contractor Registration # PW N8 ii J 3 D -C ,8 Exp. Date Q (Card must be presented) MECHANICAL UNIT COUNT 11 Fuel other Gas Dryer Air Handling < = 10 OOOcfm Fuel Tanks: Length of gas pipingRange Air Handling > =10 OOOcftn Above Ground Fum <I OOK BTU's Gas Log Unit Heater Underground Furn>100KBTUs Fans Boiler BTU/H Miscellaneous Gas Hwt 0d 0 6f0> Hood I Boiler BTU/H Other Conv Burner Duct Work A/C TONS Other ;,•.r. DISCLAIMER I cafify, under penalty ofperjmy, that the mfoimation famished 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 permit application is made. I further agree to save harmless the City of Federal Way as to any claim (including costs, expenses, and attorneys' fees incurred in investigation and defense of such claim), which may be made by any person, including the undaswied, 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 employees, upon the accuracy of the information supplied to the city as a part of this application. 9 Owner/Agent e ,� Date / � 3 wUV MEca APP EEvum 8/26/97