04-100625City of Federal Way
C ,eiununity Development Services
33530 1st Way S
Federal Way, WA 98003-6210
Ph: 253.661.4000 Fax: 253.661.4129
Project Name: STO Y ��
Project Address: 3:9TII�W 1 uN/T D
Project Description: Replace gas hot water tank.
Mechanical Permit #:04 -100625 - 00 - ME
Inspection request line: 253.835.3050
Parcel Number: 864800 0120
Owner
Applicant
Contractor
THOMAS STOREY
WASHINGTON WATER HEATERS INC
WASHINGTON WATER HEATERS INC
31730 49TH LN SW
8714 59TH DR NE
8714 59TH DR NE
FEDERAL WAY WA 98023
MARYSVILLE WA 98270
MARYSVILLE WA 98270
(360)653-6429
Mechanical Valuation..........................................500 Over the Counter Permit ...................................... Yes
PERMIT EXPIRES August 21, 2004.
Permit issued on February 23, 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: Date: '� �Z� 10`�
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33530 FIRST >VAT SOUTH • PO 3C'7( ATlI
Federal way PERMIT APPLICATION FEB 2 3 Zo¢ci;,g,Zy
ro<nn..�a.oPi PW File Number'— 1 - L �c LG Slr L Pu!��11 G DEPT.`
The followirto is reautmd trxlbrmattoa - an Inco feto apPtiratton Iutil not be accepted. PIeass
SITE ADDPJM. '�'i \ 3 �'l�— 'Mu SVITE/APT IV ,
ASSESSOR'S TAX/PARCEL It � 0 U - j i.0 SQUARE FOOTAGE OF LOT:
3 (q5.1
LEGAL DESCRIPTION (eg. Acm.o Estates, Lot IJ
(Attach separate page for Lengthy legal descripticn)
TYPE OF PERMIT rrhis applicatlont ❑ BUILDING ❑ PLVMBI Qd 9 RMCI ANICAL G DEMOLITION
❑ ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION LR►ouide de!ailed des ion of Uork included on thfs�ae.►►mit n+rlt&..
Owner Last NGmd•
PROPERTY NAME. PRIMARY PHONE
OWNER: !�h 16 — - _- (Li -t,5) (r\4 -5
MAUNC: ADD7ZS9 ( DDEESE;): -- r`ITY STAT&, 2IP
3 \13A �L�'1ck -
CONTRACTOR
LENDER:
arFropu� VaY� � Oe.0o0i
APPLICANT:
MAIUNQ ADDAF-S5dul ltW1 ABDRE$f;j CITY, ST.9TE. Z1P CELL PHONE:
`li 27 (y V5) 3-S
CITY OF FELIfkAL WAY EIILSIN685 L V S NUMHEB: EXPIRATION DATE: F ' NUMBER:
CUNTRA(:IV" REGISTRATION NUMBER: L �•I�T �(�, �/ Q EXPIRATION DA?CES:
{copy of Card nqutred vkh aaoh aproaguouI� (t5 ' .ive--� ^ S 3 f % O 1 � I\-) / "�
NAME -- —{ DAYTIME PHONEr ---
MAILING ADW,E-98 (STREETADDRESS;--- i CITY, STATE, Z:P --
NAME: OFFICE PHONE:
Mali:Nf, A -)DRESS (STREET ADDRESS)' cm, sEvi::. ZIP _ ::VENIN❑ PHONE: ..�
RRUTIONSHIPTO PROJ& T: FAX NUMBER:
❑ Architect ri Tenant ❑ Other (Describe):
CONTACT PERWJN FOR THIS PRDJECT: ❑ Property owner a Contractor `U ApPRcant •MAIC ADDRESS:
INFORMATIONDETATTFD BUILDING
233819M asst" PROPOSED USE:
EXISTING ASSESSED/APPRAISED VALUE VALUE OF PROPOSED WORK: t4
SPRINXLERED BUILDING? c YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQLIMED?: c YES ❑ NO
WATER SERVICE PROL'IDSR: ❑ LAKEHAVEN n HIGHLINE u TACOMA ❑ PRIVATE (WELL)
SEWER SERVICE PROVIDER: 0 LAKEHAVEN G HIGHLINS ❑ PRIVATE (SEPTIC)
r PROJECT FLOOR MEAS
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Indicate number of each t3 -de Of Um -C U'= i Sae iaszaucd k1r, s^;oc 3t; d a'. );.arc of this p;o)ect, i�� ret ir,c'' do c +ing fi- ;u ra to
L'utue vfMe�3�anieesl Work �__ ___----__
NR HANDUNO 'JINIT5
_ SBQS
SOILS"
COMPRESSORS
DUCTS
PLUMING
r``;rl"?f3R.4T1�.'E C�'10�fiR8
FIREPLACE IFURT8
GAS LOGS RrFRIQ. 5v$T?1d9
_ iaCGr7S(tonecan:aG __.. w�rJIiyTO'•':>ns
- - - RA WEe WAC (Deacrbe)
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SIATHT AW p r mel, — Cern. ._. _ SHOWERS _ WA'i &P. CJ :SXTS ?sr. MIFC' ;D!ecnbel
0113F AV:ISHE:RS SIrlK8 DRINKItiO NOUX-14' s
OA& PIP"L 0Vr !.'rS, : L't'FS __ _.. RAiP iNATMR SZS
WASHING AAChINNS L' i C%:3 `S _ .. _ HUM 5flalt8
LAVE Iewuoas"51ck------ VACV'.' ' BRFAKFR.S _ �._ IDLELTIUC" WA+Tk R MOA' F$i S
I certylo under pertatty of pejury that than Information farnishad bg aw is true and correct to the bait of my
know Ledge, and far -titer-, that S a.n% authoriteO 'ry Wx of nv- of the above premises to perform the worh for which the permit
Qppttcuttvn is Made. fjkartfjar agree rn hold het, irULas the City o'Fkder•at AI'ag as to any ciatm final-adinyr coats, expenses, and
attorneys'fees irtcurrrd tit the irnrrasttya.lar and dvfen:re of such c UtInV, which may be Ptatde by any pias -son, inctudeng the
ands -signed, and ftled against the City *,'Federal Wv.W but onty u:hery such claim arises out Vj the rell atn4.w of the Rtty,
inciudifig its ofjImrs and emptayees, usre+t the a"mrtwy qr ths: f1farnlavon rlppIfed tD the eity an a pare of this applicatalar.I.
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