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02-100422City of Federal Way Conmiunity Developme: , Services 33530 1st Way S Federal Way, WA 98003-62 10 Ph: 253.661.4000 Fax: 253.661.4129 Project Name: KELLEY Project Address: 5401 SW 326TH -� Project Description: HVAC - Changeout gas furnace Mechanical Permit #:02 -100422 - 00 - ME Inspection request line: 253.835.3050 Parcel Number: 189831 0220 Owner Applicant Contractor Paul R & Susan Kelly WASHINGTON ENERGY SERVICES CO WASHINGTON ENERGY SERVICES CO 5401 SW 326TH CT 2800 THORNDYKE AVE W 2800 THORNDYKE AVE W FEDERAL WAY WA SEATTLE WA 98199 SEATTLE WA 98199 98023-3601 (206) 282-4700 Mechanical Valuation..........................................2000 Over the Counter Permit ...................................... Yes Mechanical Fixtures Descri tion ,,.��„ r�, = Quanti Furnaces 1 PERMIT EXPIRES July 31, 2002, IF NO WORK IS STARTED. Permit issued on February 1, 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 ill be in accordance with the 1 s, rules and regulations of the State of Washington and the City of Federal Way. Owner or ag nt: Date: (--,2 �'- lm-L k- of -I- � � ( 1, ( cl; �- -- "I I (41 "o ��L �41 r JAN -29-02 13:14 FROM-NORTHWEST-CASSIMAR 206-374-0834 T-251 P.03/04 F-764 r t`=L-Je=ams-"ice kPPLICAATION NUMi3ER:�_UCKRON NUMBER:LICATION NUMBER: ®® ay "The following is required infannation – Please print (in ink) or type— �,APlease note: Electrical, Fire Prevention Systems and Engineering permits may require a separate application, SITE ADDRESS: )' J w SESSOR'S TAX/PARCEL IF; LEGAL DESCRIPTION OF SUBJECT PROPERTY (ATTACH SEPARATE DESCRIPTION IF LENGTHY): ^ TYPE OF PRO]FCT (This at'Plication): " ❑ BUILDING ❑ PLUMBING kMECHANICAL ©DEMOLITION ❑ ELECTRICAL ❑ ENGINEERING❑ FIRE PREVENTION SYSTEM PRO3i:CT DESCRIPTION (Provide detailed desCription): 0-'-A4,t G ....... PROJPCi' NAME: PROPERTYOWNER: HAr,e: L /�• L G• �• / DAYCIME PFtONL•: wwsl IG ADDRESS (TWEC ADDRESS: CiY, SrATS, Z:P): C" S o / Sw - rye' uJa-y�i at -7 CONTRACTOR: CONTACT PERSON FOR THIS PRO]ECT: ❑ PROPERTY OWNER EXISTING USE: EXISTING BUILDING ASSESSED/APPRAISED VALUATION PROPOSED USE; PROPOSED VALUATION FOR IMPROVEMENTS: SPRIIVKLERED BUILDING? [] YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED; 0YES [I No WATER SERVICE PROVIDER: [3 UIKEHAVEN ❑ HIGNLINE ❑ TACOMA ❑ PRIVATE (WELL) SEWER SERVICE PROVIDER,: 0 LAKEHAVEN Cl HIemiNE 0 PRIVATE (SEPTIC) JAN -29-02 13:15 FROM-NORTHWEST-CASSIMAR 206-374-0634 T-251 P.04/04 F-764 � y - NUMBER OF BEDROOMS: ESTIMATIFP SELLING PRICE: $ FLOOR FLOOR EXISTING SQ. FT. PROPOSED Q. FT. TOTAL BASEMENT AIR HANDLING UNIT(S) FIRST GAS LOG(S) REFRIG, SYSTEM($) BBQ(S) BOILER(S) SECOND HOODS) RANGE(S) WOOOSTOVE(S) MISC.( COMPKE=i;F S) THIRD DUCr(S) FOURTH HEAT SOURCE:. ❑ ELECTRIC VGAS OTHER FLOORS (DESCRIBE) OATHTUB(S) DECK URINAL(S) WATER HEATER(S) DISHWASHER(S)RAIN GARAGE HOW MANY FLOORS? VACUUM BREAKER(S) ❑ ELECTRIC ❑ GAS DRINKING K)UNTAIN(S) TOTAL: WASH MACHINE OUTLET GAS PIPE OU'f1.E7(S) 1KMRCWr0A(S) DISCLAIMER/STGNATt)RE Sr c I certify under penalty of perjury that the information furnished by me is true and correct to the bast of my knowledge, ane further, that i am autfujrized by the owner of the above premises to perform the work for which the permit application Is made. I further agree to hold ha:rmless the qty of Federai Way as to any Bairn (including costs, expenses, and attorneys' fees incurred In th( Investigation and defenma Lim)' whic hn be made by any person, Including the undersigned, and filed against the City of Federal Way, but only wrhare such cmes o of the reliance of the dty, including its Officers and employees, upon the accuracy of the Information supplied to the g pa f this application. NAME:/TITLE: ' ❑ PROPERTY APPLICANT DATE: l O 2-- OMMUNr1Y DEVELOFMWr SERVICES . 33530 MAST WAY SOM . PO. OOX 9718 • FEDM- & WAY, WA 98063.9718.753.661-M . FAX: 253.661.4129 Indicate number of each type of fixture MECHANICAL AIR HANDLING UNIT(S) EVAPORATIVE COOLERS) GAS LOG(S) REFRIG, SYSTEM($) BBQ(S) BOILER(S) FANS) FIREPLACE INSERT(S) HOODS) RANGE(S) WOOOSTOVE(S) MISC.( COMPKE=i;F S) FURNACES) DUCr(S) GAS PIPE OUTLETS) HEAT SOURCE:. ❑ ELECTRIC VGAS PLUMBING OATHTUB(S) LAVATORY(S) URINAL(S) WATER HEATER(S) DISHWASHER(S)RAIN WATER SYS. VACUUM BREAKER(S) ❑ ELECTRIC ❑ GAS DRINKING K)UNTAIN(S) SHOWER(S) WASH MACHINE OUTLET GAS PIPE OU'f1.E7(S) 1KMRCWr0A(S) SINK(S) SUMP(S) WATER CLOSET(S) MISC. DISCLAIMER/STGNATt)RE Sr c I certify under penalty of perjury that the information furnished by me is true and correct to the bast of my knowledge, ane further, that i am autfujrized by the owner of the above premises to perform the work for which the permit application Is made. I further agree to hold ha:rmless the qty of Federai Way as to any Bairn (including costs, expenses, and attorneys' fees incurred In th( Investigation and defenma Lim)' whic hn be made by any person, Including the undersigned, and filed against the City of Federal Way, but only wrhare such cmes o of the reliance of the dty, including its Officers and employees, upon the accuracy of the Information supplied to the g pa f this application. NAME:/TITLE: ' ❑ PROPERTY APPLICANT DATE: l O 2-- OMMUNr1Y DEVELOFMWr SERVICES . 33530 MAST WAY SOM . PO. OOX 9718 • FEDM- & WAY, WA 98063.9718.753.661-M . FAX: 253.661.4129