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04-100390City of Federal Way Community Development Services 33530 1st Way S Federal Way, WA 98003-6210 Ph: 253.661.4000 Fax: 253.661.4129 Mechanical Permit #: 04 - 100390 - 00 - ME Inspection request line: 253.835.3050 Project Name: BARG -A Project Address: 32120 6TH SW Parcel Number: 926490 0730 Project Description: Replace existing w/ new gas furnace, 3 ton air conditioner, and bathroom fan Owner Applicant Contractor Donald K Barg ALL SEASONS INC (ELECTRICAL) ALL SEASONS INC (ELECTRICAL) 32120 6TH AVE SW 5118 N HIGHLAND ST 5118 N HIGHLAND ST FEDERAL WAY WA TACOMA WA 98407 TACOMA WA 98407 98023-5618 (253)879-9144 Mechanical Valuation..........................................3500 Over the Counter Permit ...................................... Yes Mechanical Fixtures Description Quantit Description Quantity Description ii'tj uantityj Air Handling Units Fans Furnaces PERMIT EXPIRES August 2, 2004. Permit issued on February 4, 2004 I hereby certify that the above information is correct and that the construction on the above described property and the occupancy and the useAl 1 be in accordance with the laws, rules and regulations of the State of Washington and the City of Federal Way. Owner or agent: Date: 02--04— t ar`roF G Una CONSTRUCTION PERMIT APPLICATION PPLICATION NUMBER: -— RECEIVED PPLICATION NUMBER: _ _ - _ PPLICATION NUMBER: **The folio p rpg4lr7 jformation -Please print (in ink) or type** Please note: Electrical, Fire Prevention Systems and Engineering permits may require a separate application. SITE ADDRESS: '�>g u_o #4i1 Si - ASSESSOR'S TAX/PARCEL #: q Z (o 4 c LEGAL DESCRIPTION OF SUBJECT PROPERTY (ATTACH SEPARATE DESCRIPTION IF LENGTHY): PROJECT•• • TYPE OF PROJECT (This application): 13,1BUILDING ❑ PLUMBING MECHANICAL ❑ DEMOLITION OF Ry�� ❑ ENGINEERING FIRE PREVENTION SYSTEM I/ PROJECT DESCRIPTION (Provide detailed description): t?EPL.1I 5 rItiJL� (yJ Nit ��� C-, a s ��I (Z-►� ncE 3 �� -�, � co � L7 � -c, �� 1��-,-���a�� ra-o.� PROJECT NAME: PROPERTY OWNER: CONTRACTOR: NAME: DAYTIME PHONE: 1\ (2-5 3) MAILING ADDRESS (STREET ADDRESS; Cif`(, STATE, ZIP): I (i?Ih) SW FED �t� WA c`3C�i 3 NAME: DAYTIME PHONE: MAILING ADDRESS (STREET ADDRESS; CITY, STATE, ZIP): EVENING PHONE: CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER: FAX NUMBER: --'------'-- (zS:�,)e3-q-9/43 CONTRACTORS REGISTRATION NUMBER: EXPIRATION'DATE: APPLICANT: NAME: �) KYS' I F CITY, STATE, ZIP): DAYTIME PHONE: �j (2Jd)'84 1 -qI ( ) RELATIONSHIP TO PROJECT: FAX NUMBERI ❑ ARCHITECT ❑ TENANT ❑ OTHER ( DESCRIBE): �/ E-MAIL ADDRESS: CONTACT PERSON FOR THIS PROJECT: ❑ PROPERTY OWNER ❑ APPLICANT 03 CONTRACTOR EXISTING USE: PROPOSED USE: Sr EXISTING BUILDING ASSESSED/APPRAISED VALUATION SPRINKLERED BUILDING? ❑ YES ❑ NO WATER SERVICE PROVIDER: ❑ LAKEHAVEN SEWER SERVICE PROVIDER: 0 LAKEHAVEN PROPOSED VALUATION FOR IMPROVEMENTS: $ S S(50, GU FIRE SUPPRESSION SYSTEM PROPOSED/ REQUIRED: '❑ YES ❑ NO ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE (WELL) ❑ HIGHLINE ❑ PRIVATE (SEPTIC) ;*NEW RESIDENTIAL CONSTRUCTION ONLY** NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: Indicate number of each type of fixture ��cOjj` 0111`' MECHANICAL AIR HANDLING UNIT(Sa EVAPORATIVE COOLERS) GAS LOG(S) 1 FAN(S) HOOD(S) BBQ(S) FIREPLACE INSERTS) RANGE(S) BOILERS) FURNACE(S) COMPRESSOR(S) _�_ DUCT(S) GAS PIPE OUTLETS) BATHTUB(S) DISHWLASHER(S) DRINKING FOUNTAIN(S) GAS PIPE OUTLET(S) INTERCEPTORS) PLUMBING LAVATORY(S) RAIN WATER SYS. SHOWER(S) SINKS) SUMP(S) REFRIG.SYSTEM(S) WOODSTOVE(S) MISC. ( HEAT SOURCE: ELECTRIC URINAL(S) VACUUM BREAKER(S) WASH MACHINE OUTLET WATER CLOSET(S) 7m= WATER HEATER(S) ❑ ELECTRIC ❑ GAS MISC. ( ) I certify, under penalty of perjury that the information furnished by me is true and correct to the best of my knowledge, and further, that I am authorized by the owner of the above premises to perform the work for which the permit application is made. I Incurred in the further agree to hold harmless the Cityof Federal Way as to any claim (inccludindudcei g,expen the undersignednand filecl against the City of investigation and defense of such claim), which may be made by any pe Federal Way, but only such clai ' es out of the reliance of tfy�it including its officers and employees, upon the accuracy n-thp rity ag ��ie annliratinn. of the information su DATE: 0 2— -/#- NAME/TITLE: _ — ❑ PROPERTY OWNER ❑ A CANT •LK CONTRACTOR COMMUNITY DEVELOPMENT SERVICES ' 33530 FIRST WAY SOUTH ' P.O. BOX 9718 ' FEDERAL WAY, WA 98063-9718 '253- 661-4000 ' FAX: 253-661-4129