03-104695City 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: SABROWSKY
Project Address: 3911 SW 314TH 5f
Project Description: Remove and replace gas furnace.
Mechanical Permit #: 03 -104695 - 00 - ME
Inspection request line: 253.835.3050
Parcel Number: 873198 1980
Owner
Applicant
Contractor
Daniel L Sabrowsky & Georgene W Sabrowsky
WASHINGTON ENERGY SERVICES CO
WASHINGTON ENERGY SERVICES CO
3911 SW 314TH ST
2800 THORNDYKE AVE W
2800 THORNDYKE AVE W
FEDERAL WAY WA
SEATTLE WA 98199
SEATTLE WA 98199
upl.Valuation.......................................... 31231
Over the Counter Permit...(.206)•282-4700.........
Yes
Mechanical Fixtures
Description Quanti Description Quanti Description Quanti
Furnaces
PERMIT EXPIRES April 14, 2004.
Permit issued on October 17, 2003
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 WA�t'
Owner or agent: Date: 1611 ?`d
CONSTRUCTION PERMIT A PLICATION
CITY of PLICATION NUMBER: Q
Federal Way PLICATION NUMBER:
VPPLICA-RON NUMBER: - -
-The following Is required information - Please print (in ink) or type—
Please note: Electrical, Fire Prevention Systems and Engineering permits may require a separate application.
SITE ADDRESS: 3"i 11 S w 31 9- ASSESSOR'S TAX/PARCEL #: t-7
LEGAL DESCRIPTION OF SUBJECT PROPERTY (ATTACH SEPARATE DESCRIPTION IF LENGTHY):
PROIECT INFORMATION
TYPE OF PROJECT (This application): ❑ BUILDING ❑ PLUMBING RIECHANICAL ❑ DEMOLITION
❑ ELECTRICAL o ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description):
PROJECT NAME: VA- V ► Sa �, rn Lj J lct�
PEOPLE•• •
PROPERTY OWNER: NAME: Stiff i DAYTIME PHONE: ►�Z i� S t- �/ (Z 53) g7
MAILING ADDRESS (STREET ADDRESS; CITY, ATE, ZIP):
( (( sw 3 1 �(T*l^ S
CONTRACTOR:
APPLICANT:
CONTACT PERSON FOR THIS PROJECT: ❑ PROPERTY OWNER ❑ APPLICANT
EXISTING USE:
PROPOSED USE:
SPRINKLERED BUILDING?
WATER SERVICE PROVIDER:
SEWER SERVICE PROVIDER:
EXISTING BUILDING ASSESSED/APPRAISED VALUATION $
PROPOSED VALUATION FOR IMPROVEMENTS: $ 312 3
❑ YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/ REQUIRED: ❑ YES o NO
o LAKEHAVEN o HIGHLINE o TACOMA o PRIVATE (WELL)
o LAKEHAVEN ❑ HIGHLINE ❑ PRIVATE (SEPTIC)
9'd G2T17T99ZS2T:01 :WOdA LS:TT 2002 -2T -1D0
j DAYTIME PHONE:
-�
-Pt
-
1
MAILING ADDRESS (STREV ADDRESS;(/
STATE._ 11
`*
/ EVENING PHONE:
-
CITY OF FEDERAL WAY BUSWE55 LICENSE NUMBER
-
FAX NUMBER:
( J
I
CONTRACTOR'S REGISTRATION NUMBER:
m
<�r,e ,eIuleel
+^ CJ I I
K
/_ Q
(.�
EXPIRATION /ATE:
�
,(L!F__
z) 3
/ a s`
NAME:
DAYTIME PHONE:
( �)Z8Z
- ?
MAILING ADDRESS (MEET ADDRESS; CITY, STATE. P):
PHONE:
O
(E`VENING
-
RELATIONSHIP PRO]ECf:
FAX NUMBER:
❑ ARCHITECT ❑ TENANT
OTHER ( DESCRIBE):
CONTACT PERSON FOR THIS PROJECT: ❑ PROPERTY OWNER ❑ APPLICANT
EXISTING USE:
PROPOSED USE:
SPRINKLERED BUILDING?
WATER SERVICE PROVIDER:
SEWER SERVICE PROVIDER:
EXISTING BUILDING ASSESSED/APPRAISED VALUATION $
PROPOSED VALUATION FOR IMPROVEMENTS: $ 312 3
❑ YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/ REQUIRED: ❑ YES o NO
o LAKEHAVEN o HIGHLINE o TACOMA o PRIVATE (WELL)
o LAKEHAVEN ❑ HIGHLINE ❑ PRIVATE (SEPTIC)
9'd G2T17T99ZS2T:01 :WOdA LS:TT 2002 -2T -1D0
**NEW RESIDENTIAL CONSTRUCTION ONLY**
NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: S
Indicate number of each type of fixture
MECHANICAL
AIR HANDLING UNIT(S) EVAPORATIVE COOLER(S) GAS LOG(S) REFRIG. SYSTEM(S)
BBQ(S) FAN(S) HOOD(S) WOODSTOVE(S)
BOILERS) FIREPLACE INSERT(S)
COMPRESSOR(S) FURNACE(S) RANGE(S) MISC.
DUCT(S) GAS PIPE OUTLET(S) HEAT SOURCE: \ ,
❑ELECTRIC GAS
BATHTUB(S)
DISHWASHER(S)
DRINIQNG FOUNTAIN(S)
GAS PIPE OUTLET(S)
INTERCEPTORS)
PLUMBING
LAVATORY(S)
RAIN WATER SYS.
SHOWER(S)
SINK(S)
SUMP(S)
URINAL(S)
VACUUM BREAKER(S)
WASH MACHINE OUTLET
WATER CLOSET(S)
WATER HEATER(S)
0 ELECTRIC 0 GAS
I certify under penalty of penury 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
further agree to hold harmless the City of Federal Way as to any claim (Including costs, expenses, and attorneys' fees Incurred in the
Investigatlon and defense of such claim), which may be made by any person, including the undersigned, and filed against the City of
Federal Way, but only where such clalm arises out of the reliance of the qty, Including Its officers and employees, upon the accuracy
of the informations plied to a city as a part of this application. //��•
NAME/TITLE: / /, ^
DATE: LL l 7S
0 PROPERTY OWNER O APPLICANT TRACTOR
Sob U&tui-� n1 3 12-?,
COMMUNITY DEVELOPMENT SERVICES • 33530 FIRST WAY SOUTH • PO BOX 9718 • FEDERAL WAY, WA 98063-9718 •253-661.4000 • FAX: 253-661-4129
9'd G2TbT99092T:01 :W08A eS:TT 2002-ZT-1D0