04-100018City of Federal Way
C'onununity Development Services
33530 1st Way S
Federal Way, WA 98003-6210
Ph: 253.661.4000 Fax: 253.661.4129
Project Name: DRAKE
Project Address: 30220 10TH $ ftVf-
Project Description: Replace gas hot water tank.
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Mechanical Permit #: 04 - 100018 - 00 - ME
Inspection request line: 253.835.3050
Parcel Number: 515370 0100
Owner
Applicant
Contractor
Bianca E Drake
FAST WATER HEATER COMPANY
FAST WATER HEATER COMPANY
30220 10TH AVE S
12601 132ND AVE NE
12601 132ND AVE NE
FEDERAL WAY WA
KIRKLAND WA 98034
KIRKLAND WA 98034
98003-4103
(425)814-8381
Mechanical Valuation..........................................449 Over the Counter Permit...................................... Yes
PERMIT EXPIRES July 3; 2004.
Permit issued on January 5, 2004
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 accordance with the laws, rules and regulations of the State of Washington and
the City of Federal Way.
Owner or agent: See Application
application Date: %S — Q -3
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Federal Way JAN 0 PPLICATION NUMBER:
POUCAbON NUMBER:
**The following Is required information - Please mint (in ink) or type* CKI 177
Please note: Electrical, Fire Prevention Systems and Engineering permits may require a separate application.
PROPERTY INFORMATION
SITE ADDRESS. 30220 10TH AVE S, FEDERAL WAY, WA 98003pSESSOR-S T /PARCEL#: 5153700100 S AX
LEGAL DESCRIPTION OF SU83ECT PROPERTY (ATTACK SEPARATE DESCRIPTION IF tENGTHY)-
■ PR03ECT INFORMATION
TYPE OF PR03ECT (This application): a BUILDING a P1.UM8tNG X MECHANICAL L3 DEMOLITIM
a r
ELECTRICA1 c ENGINEERING 0 FIRE PREVENTION SYSTEM
PR03ECT DESCRIPTION (Provide detailed description): Remove/Replace Gas Water Heater
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PROPERTY OWNER: NAM=
DAYfWEPMW..'
DRAKE, BIANCA
((253)141-6971-
KWUG ADDRESS (57,RUT ADMM 'Urf. STATE. ZIP):
30220 10TH AVE S FEDERAL WAY, WA 98003
CONTRACTOR: KAPE;
FAST WATER HEATER COMPANY
DATIMF, PHDw�
Q425)M4-3124-
1491ii i-AWRE!-.&(ST'-WTAW4K9% CITY, STATF, ZIP)-,
EVIMING WOW.
12601 132ND AVE NE KIRKLAND, WA 98034
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FAX Wd"MR:
87 - 000047 00
425 ) 814-9516
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02/16/2065
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PROJECT INFORMATION
EXISTING USE: EXLSTXNG BUILDING ASSESSED/APPRAMD VALUATION $ - 449 .. .. 0 .. 0
PROPOSED USE: PROPOSED VALUATION FOR IMPROVEMENTS:
SPRINKLIERED BUILDING? n YES a NO FIRE SUPPRESSION SYSTEM PROPOSED/ REQUIRED., f i YES t-INO
WATER SERVICE PROVIDER: o LAKEHAVEN n 1416HUNE In TACOMA o PRIVATE (WELL)
SEWER SERVICt PROVIDERt 0 LAKEHAVEN 0 H16HUNE 0 PRIVATE (SEPTIC)
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