02-101170City of Federal Way
Community Development Services
33530 1st Way S
Federal Way, WA 98003-6210
Ph: 253.661.4000 Fax: 253.661.4129
Project Name: MILLER Q1
Project Address: 29404 7TH S
Mechanical Permit #: 02 -101170 - 00 - ME
Project Description: MECH - Install gas fireplace insert for existing residence.
Inspection request line: 253.835.3050
Parcel Number: 515250 0050
Owner
Applicant
Contractor
Ronald D & Joanne Miller
WASHINGTON ENERGY SERVICES CO (Get
WASHINGTON ENERGY SERVICES CO (Get
2427 SW 307TH ST
2800 THORNDYKE AVE W
2800 THORNDYKE AVE W
FEDERAL WAY WA 98023-7858
SEATTLE WA 98199
SEATTLE WA 98199
(206) 2824700
Mechanical Valuation..........................................2550 Over the Counter Permit...................................... Yes
Mechanical Fixtures
Fireplace Inserts 1
PERMIT EXPIRES September 17, 2002, IF NO WORK IS STARTED.
Permit issued on March 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 'll be in accordanc the la s, rules and regulations of the State of Washington and
the City of Fede ay
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Owner orjen, Date: ��C ('®
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MARt02 17:24 FROM-NORTHWEST-CASSIMAR
206-374-0634 T-536 P-01/02 F-267
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:ICATION NUMBER: L L a ~ LICATION NUMBER: - LICATION NUMBER: - -
"The roliowing is required information —Please print (in ink) or types*
Please note: Eloctrical, Fire Prevention Systems and Engineering permits may require a separate application.
.0 PROPERTY INFORMATION
SITE ADDRESS: —s2qJ 1 Qv ASSESSOR'S TAX/PARCEL #:
LEGAL DESCRIPTION OF SUBJECT PROPERTY (ATTACH SEPARATE DESCRIPTION IF LENGTHY):
PR03CCIr INFORMATION
TYPE OF PROJECT (This appileation): i7 BUILDING !a PLUMBING CHAN L 13 DEMOLITION
❑ ELECTRICAL Q ENGINEERING FIR REVENTION SYSTEM
PR03ECT DESCRIPTION (Provide detailed description):
PROJECT NAME;
PEOPLE• f
PROPERTY OWNER:
AMI!,/60
- y9�s-
�r1GADDRESS(SMfiT PATE, ?-°1 qnL �� Gtr Gl �UD�
CONTRACTOR: NAM%QF5DAYTIME PI
(wo)
MAlttl tG AODitF55 (Si'fiJ:ET�ADPRess: CrM `ATE, ZIP); n l Q I OWNING K
CrrY (w FEDERAI. WAY WJSTNESS UCE E NUMBER: FAX NUMM
a*m vzrms REGwwT[oN NUMBER: C _ i D on
APPLICANT: NAME.
W IFS c-0 ( )
MArUNG ADDRESS (SfRSEf ADDRESS: CrFY, STATI: ZIP): bUCNING P11P11
RBW11ONSHiP To PRWCCT: FAX NUMBEI
❑ IIRCFIITt cr ❑ TENANT ❑ OTHER ( DESCRIBE): ( )
CONTACT PERSON FOR THIS PROJECT: Q PROPERTY OWNER ❑ APPLICANT
DATE:
// & 162 -
ONE, 62ONE:
DNC:
EXWaNG USE: EXISTING BUILDING ASSESSED/APPRAISED VALUATION $
PROPOSED USE: PROPOSED VALUATION FOR IMPROVEMENTS: $ S SQ
SPRINKLERED BUILDING;' ❑ YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED: ❑ YES ❑ NO
WATER SERVICE PROVIDER: O LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE (WELL)
SEWER SERVICE PROVIDER: ❑ LAKEHAVEN ❑ HIGHLINC 11 PRIVATE (SEPTIC)
0
I
-02 17:24 FROM-NORTHWEST-CASSIMAR
a .WWElJ=QONSTRN(:1LW1 VINLA
OF
TOTAL:
206-374-0634
ESTIMATED SELLING
T-536 P.02/02 F-267
I
SY�TEM(S)
C.C.
T i
TER HEATERS)
11 GAS
I Certify under penalty of perjury that the information famished by me Is true and correct to the best of n y knowl4d9o, an
further, that I am a oiized by the owner of the above premises to perform the work for which the permit appfi tion Is Made. I
further agree to hol h,timless the City of Federal Way as to any claim (including costs, expenses, and attorneys' f incun ed In tt
Investigation and de ease ofsa lm), whl be made by any person, Including the undersigned, and filed galnst the City r
Federal Way, but onl -4en such d m ari o of the reliance of the city, including its officers and employees, pon the hecura<
of the Information pl:lled to the d as f�application. 1
NAME/T�E: --
❑ PRopmTy owN$R � APPLICANT
DATES
Indicate number of each type of fixture
MECHANICAL
AIR HAND
NO UNIT(S)
EVAPORATIVE COOLERS)
GAS LOG(S)
FANS)
HOOD(S)
BOILER(S)
FIREPLACE INSERT(S)
RANGE(S)
COMPRESSOP.CS)
FURNACE(S)
DUCT(S)
GAS PIPE OUTLETS)
HEAT SOURCE: 13 ELECT
PLUMBING
BATHTUB()
LAVATORY(S)
URINAL(S)
DISHWASHER(S) ^_
RAIN WATER SYS.
VACUUM BREAKER(S) ❑ FLEC1
DPJNI(JNG N)UNTAIN(S)
SHOWER(S)
WASH MACHINE OUTLET
GAS PIPE 11MET(S)
SINK(S)
WATER CLOSET(S);
INTFACE R(S)
SUMP(S)
I
SY�TEM(S)
C.C.
T i
TER HEATERS)
11 GAS
I Certify under penalty of perjury that the information famished by me Is true and correct to the best of n y knowl4d9o, an
further, that I am a oiized by the owner of the above premises to perform the work for which the permit appfi tion Is Made. I
further agree to hol h,timless the City of Federal Way as to any claim (including costs, expenses, and attorneys' f incun ed In tt
Investigation and de ease ofsa lm), whl be made by any person, Including the undersigned, and filed galnst the City r
Federal Way, but onl -4en such d m ari o of the reliance of the city, including its officers and employees, pon the hecura<
of the Information pl:lled to the d as f�application. 1
NAME/T�E: --
❑ PRopmTy owN$R � APPLICANT
DATES