04-100347City of Federal Way
Community Development Services Mechanical Permit #: 04 -100347 - 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: MUNTZ ,ir
Project Address: 32621 49TAw Parcel Number: 873219 1010
Project Description: Gas water heater changeout
Owner
Applicant
Contractor
TOM MUNTZ
NARROWS HEATING/AIR CNDTNG,INC
NARROWS HEATING/AIR CNDTNG,INC
32621 49TH CT SW
1601 6TH AVE
1601 6TH AVE
FEDERAL WAY WA 98023
TACOMA WA 98405
TACOMA WA 98405
(253) 627-7543
Mechanical Valuation..........................................2500 Over the Counter Permit ...................................... Yes
PERMIT EXPIRES July 28, 2004.
Permit issued on January 30, 2004
I hereby certify that the above f Tac
- correct and that the construction on the above described
the occupancy and the use w' 1 b in ac or ance with the laws, rules and regulations of the State of
i
the City of Federal Way. {
Owner or agent: I I Date:
Mechanical rough -in:
Date
Gas pipe:
ate
FINAL MECHANICAL:
Date
and
n and
ik
JAN. 30. 2004 1t!."N63PM'
- `14ARROWS HEATING
N0. 163 P.3/5
+r
E
My
00'P
/
d1CtS
WAyS0U -F0B=9716
'•!
der l way,
APPLICATION
te, WA 9900)
759bl115. P4* l.4229MIT
iRly
dhmMmryumj,,
ThO following is required information - an incomOtte c9np8calion will not be accepted. Pl
I Ia.
'
SITE ADDRESS:
h,
«1!I� ASSS,9SOR'S TADS/PARCEI. #' — _ _ ^ _ _ _ SQUARE FOOTAGE OF LOT:
SUITE/APT k
LEGAL DESCRIPTION (e.g.: Acme Estates Lot 1)
(Attach Separate page for lengthy legal descnption)
TYPE OF PERMIT (This application): 0 BUILDING XPLUMBING Q PAECIZAMCA.L ❑ DEMOLITION
a ELECTRICAL ❑ XWGINEERNG ❑ FIRX PREVENTION SYSTl A4
PROJECT DESCRIPTION (Provide detailad description ofu4rk included on Ls tit onlvh
n . . . _ i . i
PROJECT NAME (Name of Business/Owner Last Name): n
PROPERTY NAMP,: PRIMARY PHONE,:
CONTRACT'OX-
LENDER:
lir1'mv dv.ru.a.d,0601
APPLICANT:
I
� CQi�TAOT ��
1: msmrG VSE:
or
PROPOSED USE:
MISTING ASOWSED/APPRAISED VALUE $---.VALUE OF PROPOSED WORK: $
SPRDUMER$D BUILDING? Q YES ONO FM 8MVRESSION SYSTEM PROPOSED/REQUMED?: ❑ YES ❑ NO
WATRR $BIMC$ PROVMM. O LAEMFAVEN Q 814IUrINE Q TACOA+IA Q PRIVATE (WELL)
SEWER SERVICE PROVIDER: q Y.ArttrUAVEN t] MQIFLINE ❑ PMVATR (SEPTIC)
JAN.30.2004 12:08PM
NARROWS HEATING
NO. 163 P.4/5
-I a of Ildechanica; Work $
AIR HANDLING UNITS
BBQS
BOILERS
COMPRESSORS
DU=
PLUMBI ew
$ATI-rPUHs jar 7 tlblgi eo
combo)
DISHWASHERS
OAS PIPE OUTLETS
WASHING MACHINES
LAVs ,,,, Bt k
EVAPORATIVE
COOLERS
FANS
FIREPLAOE;NprMS
FURNACES
OA,9 PIPE OUTLETS
SHOWERS
SINKS
SUMPS
URINALa
VACUUM BREAKERS
GAS LOGS
HOODS )Gommmmlm)
RANQM
GAS WATER HEAmRS
REFFIG.SYSTEMS
WOODSTOVES
MISC (Describe)
WATER CLOSETS
p MISC (Describe)
�„ bRIIYKIPIO
FOUNTAINS
RAINWATER SYS
HOSE BIBBS
=W=91r. WATER HEATERS
Z certify under penal o e hat the WOrMation furnished by ms is true and correct to ties best o
and frtrther, that Z am ed owner o the above f my knowledge,
made. 'rfurther a ree ho f Premises to perform the work J�br which the permit appZicatton is
g the MY of Pedaral Way as to any claim. (including costa, expenses, and attorneys' fees
incurred in the invests tion F. nse of such claim), which may be made bg any person. includia9 utl�israigned, and
filed the Cilay B ra W but only where such claim arises out of the retia►ece of the city, nciud its officers
and employees, upon the information supplied to the oilty as a part qr this applicatio
'\
NAM£/TITLI DATI: 5c%
igncup MCIRELATIONSHIP TO T: ❑ Property Owner 0 Applicant C3 Connector q Architect q
a NEW o ADDITION
BUILDING SEMI, ONLY%
ZONING D 02FATION;
NEW ADDRESS REQMRED?
PLAT=D LOT?
o ALTERATION o REPAIR a TENANT
YES c NO IIASIC PLAN?
C11"GE OF USE?
M TM p N0
I TEE a NO
�. DIN 4"'10 4
aYSS No
M YES ❑ NO
Q YES ❑ NO
M YES ❑ NO
Bulletin #100 — ]anuary 13, 2004 Pgge 2 of 4 k:Oarldou;s — Revised\Permit Application