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02-100973
City of Federal Way Conmmnity Development Services 33530 1st Way S Federal Way, WA 98003-6210 Ph: 253.661.4000 Fax: 253.661.4129 Project Name: MCCULLEY Mechanical Permit #:02 -100973 - 00 -ME f Project Address: 32746 6TH �W aJ Pi Project Description: MEC - CHange out gas to gas furnace Inspection request line: 253.835.3050 Parcel Number: 926491 1290 Owner Applicant Contractor Michael W & Nancy K McCulley NORTHWEST PERMIT WASHINGTON ENERGY SERVICES CO 32746 6TH AVE SW 2320 1 ST AVE SUITE 250 2800 THORNDYKE AVE W FEDERAL WAY WA SEATTLE WA 98121 SEATTLE WA 98199 98023-5624 (206) 282-4700 Mechanical Valuation..........................................2000 Over the Counter Permit......................................Yes Mechanical Fixtures Description .. t Qu .. l u.: Description Quantity "d�scriptlo" Furnaces PERMIT EXPIRES September 4, 200'2, IF NO WORK IS STARTED. Permit issued on March 8, 2002 I hereby certify that the abov information is /orren that the construction on the above described property and the occupancy and the used be inaccordae laws les and regulations of the State of Washington and the City of Fe era Way. " � MAR -05-02 10:56 FROM-NORTHWEST-CASSIMAR 206-374-0834 T-463 P.02/04 F-130 PPLICATION NUMBER: _ PUCATION NUMBER: PPLICATION NUMBER: **The following is required information ^ Please print (in Ink) or type** Please note: Electrical, Fire Prevention Systems and Engineering permits may require a separate application. PROPERTY INFORMATION SITE ADDRESS: U'(P_ _ -W ASSESSOR'S TAX/PARCEL #: 1 ? + 2 d LEGAL DESCRIPTION OF SIJSJECT PROPERTY (ATTACH SEPARATE DESCRIPTION IF LENGTHY): ■ : PROIECT INFORMATION TYPE OF PROJECT (This application): ❑ BUILDING ❑ PLUMBING 0 MECHANICAL ❑ DEMOLITION ID ELECTRICAL ❑ ENGINEERING❑ FIRE PREVENTION SYSTEM PROTECT DESCRIPTION (Provide detailed description): 0-6* OLA PROJECT NAME: �,�.WpEoPLEINFORMA170N PROPERTY OWNER: _-_ DAYTIME N,*cqMcCAC4 oM J► 6- -08(00 CONTRACTOR: APPLICANT: '1(4 NAM9� �� © C DAYTIME prypNE; (bra) a -L1140 MAILIIIDRt<SS�nADORfSS; CRY, LATE, 7-IP)!� � I �I p� EVENING PHONE: - CITY GF FEOERAL WAY BUSINESS UCDU NUMOM y — — FAK NUMBER: CO MACTORS ReGISIAATION NUh{BEIL: EXPIRATION DATE: NAILIIIG AMPM (STM f AOORf55; CIM STATE, ZIP); EVENING PHONE: RELATIONSHIPTO PRO7ECr: FAX NUMBER: ❑ A.RCNITEcT ❑ TENANT O OTHER ( DESCRIBE): ( ) CONTACT PERSON FOR THIS PROJECT: ❑ PROPERTY OWNER EXISTING BUILDING ASSESSED/APPRAISED VALUATION PROPOSED USE; PROPOSED VALUATION FOR IMPROVEMENTS: SPRINKLEREO BUILDING? ❑ YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/ REQUIRED: ❑ YES ❑ NO WATER SERVICE PROVIOEL- SEWER SERVICE PROVIDER; ❑ LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE (WELL) 0 tAKEHAvEN ❑ HIGHLINE A PRIVATE (SEPTIC) MAR -05-02 13:16 FROM-NORTHWEST-CASSIMAR I**NEW RUbLU .Ia.u... r11W..,......�.. _..-- KI 206-374-0834 T-467 P.04/05 F-137 AIR HANDLXKQ UNIT(S) EVAPORATIVE COOLER(S) GAS LOG(S) R£FRIC. SYST£M(S BBQ(S) FAN(S) HOOD(S) WOODSTOVE(S) BOILERS) FIREPLACE INSERT(S) RANGES) MISC. C _ COMPRESSO10) . __.: FURNACE(S) t]UCT(S) GAS PIPE OUTLET(S) HEAT SOURCE: ❑ ELECTRIC a GAS PLUMBING BATHTUBS) LAVATORY(S) URINAL(S) WATER HEATER($ DISHWASHER(S) RAINWATER SYS. VACUUM PREAKER(S) ❑ ELECTRIC ❑ DAS DRINMG PDUKTAIN(S) SHOWERS) WASH MACHINE OUTLET GAS PIPE OUTW(S) SINK(S) WATER CLOSET(S) Misc.( INTERCEPTC KS) SUMP(S) BLOCK'DISCLAIMER/SIG NATURE I certify under penalty of perjury that the information furnished by me Is true and correct to the best of my knowledge, at further, that I am authorized by the owner of the above promises to perform the work for which the permit application Is made. I further agree to hold hannless the City of Federal Way as to any Balm (including costs,, expenses, and attorneys' fees Incurred in ti Investigation and defenste of su (m), which be made by any person, including the undersigned, and filed against the City Federal Way, but only ikhere stfch d m a o of the reliance of the dry, including its officers and employees, upon the aocuta of the Information supplied to the d a pais appllcadan. NAME/TITLE: ❑ PROPERTY OWNER/,,,M APPLICANT R DATE:1 nv COWUNi1Y GL'YtiU "EN T SMVICES - 33530 FIRST WAY SOUTtt • P.O. BOX 9718 9 FERN. WAY, WA 96%3,97L8 . M461i000 - PAX: 253.661-4129