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03-103405City of Federal Way Community Development Services Mechanical Permit #: 03 —103405 — 00 — ME 33530 lst Way S Federal Way, WA 98003-6210 Ph: 253.661.4000 Fax: 253.661.4129 Inspection request line: 253.835.3050 Project Name: MYERS Q` Project Address: 33007 16THlSW Project Description: Install air conditioner Parcel Number: 010457 0520 Owner Applicant Contractor Robert E Myers WASHINGTON ENERGY SERVICES CO WASHINGTON ENERGY SERVICES CO 33007 16TH PL SW 2800 THORNDYKE AVE W 2800 THORNDYKE AVE W FEDERAL WAY WA SEATTLE WA 98199 SEATTLE WA 98199 98023-6461 (206)282-4700 Mechanical Valuation..........................................5373 Over the Counter Permit ...................................... Yes PERMIT EXPIRES February 17, 2004. Permit issued on August 21, 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 / Owner or agent: a1 Date:—G Z / / l r 1 t%L� CONSTRUCTION PERMIT APPLICATION CITY OF P'�./ RE�E[uEi PPLICA ON NUMBER: - Federal Way APPLICAMN NUMBER: AUG 2 1 Z003 APPUCATION NUMBER: - - "The following is required Information - Please print (in ink) or type{ CITY QF F -DERAL W�' Please note: Electrical, Fire Prev"'QUI g�n ngineering permits may require a separate application. PROPERTY INFORMATION SITE ADDRESS: ��`� l l 1 '� 1�/ ASSESSOR'S TAX/ PARCEL 9:0 �/� J �_ - �� 2� LEGAL DESCRIPTION OF SUBJECT PROPERTY (ATTACH SEPARATE DESCRIPTION IF LENGTHY): PROJECT• • TYPE OF PROJECT (This application): O BUILDING D PLUMBING MECHANICAL O DEMOLITION D ELECTRICAL 0 ENGINEERING O FIRE PREVENTION SYSTEM PROJECT DESCRIPTION (Provide detailed description): PROJECT NAME: f ■ PEOPLE INFORMATION PROPERTYOWNER: i NAMEe _L ,^wf_5 CONTRACTOR: 33 dv - - I (a�3) e�s8 - c,(JA q602_3 NAME: �5C0IZ DAYTME PHONE: (24*ZZZ '- i �'/c/.�� MAIU, STATE. AAE Q./•I _Cj % EVENING PHONE'©U CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER: FAX NUMBER: ( ) I CONTRACTORS REGISTRATION NUMBER: WA S H ( E5 9q o CLc,— EXPIRATION DATE: ' Z / l / (cWfofcard m,uired) — (S— APPLICANT: I NAME: DAYTIME PHONE' Gcl:p) 2-@?-- g7WI ....... L EVENING PHONE - j RELATIONSHIP TO PROJECT- I FAX NUMBER: 0 ARCHITECT 0 TENANT 0 OTHER ( DESCRIBE):, F (� ^ E-MAIL ADDRESS: —I CONTACT PERSON FOR THIS PROJECT: O PROPERTY OWNER j� APPLICANT 0 CONTRACTOR • BUILDING 'INFORMATION EXISTING USE: EXISTING BUILDING ASSESSED/APPRAISED VALUATION PROPOSED USE: PROPOSED VALUATION FOR IMPROVEMENTS: $ SPRINKLERED BUILDING? o YES 0 NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED: o YES 0 NO WATER SERVICE PROVIDER: 0 LAKEHAVEN 0 HIGHLINE 0 TACOMA 0 PRIVATE (WELL) SEWER SERVICE PROVIDER: 0 LAKEHAVEN 0 HIGHLINE 9'd 62Tt1T992S2T:01 O PRIVATE(SEPTIC) W08J SO:TT 2002-8T-Jnu r F=or" /14Y -P -r3 "NEW RESIDENTIAL CONSTRUCTION ONLY" NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: ■ PR03ECT FLOOR AREAS FLOOR EXISTING FT. PROPOSED SQ. FT. TOTAL BASEMENT AIR HANDLING UNIT(S) FIRST GAS LOG(S) REFRIG. SYSTEM(S) BBQ(S) SECOND HOOD(S) WOODSTOVE(S) BOILER(S) THIRD RANGE(S) MISC. ( ) COMPRESSOR(S) FOURTH DUCT(S) OTHER FLOORS (DESCRIBE) HEAT SOURCE: o ELECTRIC 4 GAS DECK BATHTUB(S) GARAGE HOW MANY FLOORS? URINAL(S) WATER HEATER(S) OISHWASHER(S) TOTAL: VACUUM BREAKER(S) a ELECTRIC ❑ GAS DRINKING FOUNTAIN(S) :)ISCLAIMERISIGNATURE 13LC 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 further agree to hold harmless the City of Federal Way as to any claim (including costs, expenses, and attomeys' fees Incurred In the Investigation and defense of such dalm), which may be made by any person, Including the undersigned, and filed against the City of Federal Way, but only where such daim arises out of the reliance of the city, including Its officers and employees, upon the accuracy of the Informations plied a citya,sna,part of th�ntlon.NAME/TITLE: �� r Y` (' DATE; ❑ PROPERTY OWNER ❑ APPLICANT o CONTRACTOR 141/1� ODMMUNITY DEVELOPMENT SERVICES • 33S30 FIRST WAY SOUTH • PO BOX 9718 • FEDERAL WAY, WA 98063-9718 • 253-661-4000 • FAX: 253.661-4129 www.c tvofrederal mwmn L'd G2TbT990S2T:01 :WOd-d 90:TT 2002-BT-onu 0 FIXTURES 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) BOILER(S) FIREPLACE INSERTS) RANGE(S) MISC. ( ) COMPRESSOR(S) FURNACE(S) DUCT(S) GAS PIPE OUTLET(S) HEAT SOURCE: o ELECTRIC 4 GAS PLUMBING BATHTUB(S) LAVATORY(S) URINAL(S) WATER HEATER(S) OISHWASHER(S) RAIN WATER SYS. VACUUM BREAKER(S) a ELECTRIC ❑ GAS DRINKING FOUNTAIN(S) SHOWER(S) WASH MACHINE OUTLET GAS PIPE OUTLET(S) SINK(S) WATER CLOSET(S) MISC. ( ) INTERCEPTORS) SUMP(S) :)ISCLAIMERISIGNATURE 13LC 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 further agree to hold harmless the City of Federal Way as to any claim (including costs, expenses, and attomeys' fees Incurred In the Investigation and defense of such dalm), which may be made by any person, Including the undersigned, and filed against the City of Federal Way, but only where such daim arises out of the reliance of the city, including Its officers and employees, upon the accuracy of the Informations plied a citya,sna,part of th�ntlon.NAME/TITLE: �� r Y` (' DATE; ❑ PROPERTY OWNER ❑ APPLICANT o CONTRACTOR 141/1� ODMMUNITY DEVELOPMENT SERVICES • 33S30 FIRST WAY SOUTH • PO BOX 9718 • FEDERAL WAY, WA 98063-9718 • 253-661-4000 • FAX: 253.661-4129 www.c tvofrederal mwmn L'd G2TbT990S2T:01 :WOd-d 90:TT 2002-BT-onu