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02-101122City Federal Way Community Development Services Mechanical Permit #:02 -101122 - 00 - ME + 33530 1st Way S Federal Way, WA 98003-6210 Ph: 253.661.4000 Fax: 253.661.4129 Inspection request line: 253.835.3050 Project Name: FULLNER 9% Project Address: 32209 11TH SW Parcel Number: 926493 0740 Project Description: MECH - Install fireplace insert & 8 feet of piping. Owner Applicant Contractor Leon S & Patricia R Fullner WASHINGTON ENERGY SERVICES CO WASHINGTON ENERGY SERVICES CO 32209 11 TH PL SW 2800 THORNDYKE AVE W 2800 THORNDYKE AVE W FEDERAL WAY WA SEATTLE WA 98199 SEATTLE WA 98199 98023-5558 (206) 282-4700 Mechanical Valuation..........................................2000 Over the Counter Permit......................................Yes Mechanical Fixtures �Description' , �i��g° IJW »&g$iCirtE=' Quarti Fireplace Inserts Gas Piping PERMIT EXPIRES September 11, 2002, IF NO WORK IS STARTED. Permit issued on March 15, 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 a in accordance with t e s, rules and regulations of the State of Washington and the City of Federal Way. �( Owner or age Date: �cJ CJ of RAR -13-02 17:29 FROM-NORTHWEST-CASSIMAR 206-374-0634 T-515 P-01/02 F-231 EEK C"L.._ PPLICATION NUMBER: 1 Q 1 a- Z= RUCA170N NUMBER: PPUCA-TION NUMESeR: - **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. SITE ADDRESS: �— ASSESSOR'S TAX/PARCEL #: Z � — ` � — ' 8 � — V LEGAL DESCRIPTION OF S2z 6 13ECT PROPERTY (ATTACH SEPARATE DESCRIPTION IF LENGTHY): 1YPE OF PROJECT (This application): ❑ BUILDING ❑ PLUMBING e. MECHANICAL ❑ DEMOLITION ❑ ELECTRICAL ❑ ENGINEERING❑ FIRE PREVENTION SYSTEM DESCRIPTION (Provide detailed description): PROJECT NAME: " PROPERTY OWNER: APPLICANT: I NAM 1A I C'< r_A I ( - glu 713 rcoNsrar To PROKiLm FAX NUMa@R:ARCHITECr ❑ TENANT' ❑ OTHER( DESCRIBE): ( E-MAIL ADDRESS: CONTACT PERSON FOR THIS PROJECT: Q PROPERTY OWNER ❑ APPLICANT NTRACTOR BUILDING.- EXISTING USE: EXISTING BUILDING ASSESSED/APPRAISED VALUATION $ �� PROPOSED USE: PROPOSED VALUATION FOR IMPROVEMENTS: $ SPRINKLERED BUILDING? ❑ YES Q NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED: ❑ YES ❑ NO WATER SERVICE PROVIDER: ❑ LAKEHAVEN ❑ HIGHLINE ❑ TACOMA 0 PRIVATE (WELL) SEWER SERVICE PROVIDiIR: ❑ LAKEHAVEN 0 HIGHLINE 0 PRIVATE (SEPTIC) ,MAR -13-02 17:29 FRONT-NORTHWEST-CASSIMAR �el"(EVU RESIDENTLAL v�,tn a • tcuw ave.... •... 1NUM5ER OF B DfiOOMS: 206-374-0834 ESTIMATED ■ FIXTURE T-515 P.02/02 F-231 • f Indicate number of each type of fixture MECHANICAL AIR HAND N© UNIT(S) EVAPORATIVE COOLER($) GAS LOG(S) BBQ($) FAN(S) HOOD(S) DOILIrR(S) i �..L FIREPLACE INSERT($) RANGE(S) COMPMSOP.�6) FURNACE(S) DUCT(s) i �— GAS PIPE OUTLETS) HEAT SOURCE: ❑ ELECi PLUMBING SYSTEM(S; GAS it BATHTUB() LAVATORY(S) URINAL(S) ATER HEATER(S) DISHWAS Elt(S) —RAINWATER SYS. YACUUM BREAKER(S) 103 ELEC'T C3 fdAS ORINICINGIMUNTAIN(S) SHOWER(S) WASH MACHINE OUTLET GAS PIPE OUM.ET(S) SINK(S) WATER CLOSE.T(S)! _MSC. ( - INTl:ItCB O k(S) SUMP(S) •BLOCK I Certify under penalty of perjury that the information furnished by me is true and correct to the best of y knowl0ge, an further, that i am avoorized by the owner of the above premises to perform the work for which fire permit appll tion is m, de. I further agree to hold Mu mless The qty of Federal Way as to any claim (including costs, expenses, and attorneys' f [ncuriled in tt Investigation and deferise of-stiId"i m), wht be made by any person, Including the undersigned, and filed gainst the CAty c Federal Way, but On[ylivtlere sucri ariseso of tf�e reliance of the dty, Including its olficers and employees, pen the oewra<of the information Buplriled to thas a pa o7 this application. NAME/T x=,. ❑ PROPERTY OWNffR APPLICANT COMMUNITY 4-)PMENT SERVICES • 33530 FIRSTWAY SOIAH -P.O. BOX 9710 • fM[ItAL WAY, WA9W3.0718.253.6U-4000• 2M -U1-4129 4