03-103420A*' -A.
City unity Development Services Federal Way
mun
ComMechanical Permit #: 03 -103420 - 00 - ME
33530 1 st Way S
Federal Way, WA 98003-6210
Ph: 253.661.4000 Fax: 253.661.4129 Inspection request line: 253.835.3050
Project Name: ANDERSON
Project Address: 27931 21ST 1 p�tS Parcel Number: 757562 0590
Project Description: Remove/replace gas water heater
Owner
Applicant
Contractor
CAROL ANDERSON
FAST WATER HEATER COMPANY
FAST WATER HEATER COMPANY
2320 HUGHES AVE S
12601 132ND AVE NE
12601 132ND AVE NE
SEATTLE WA 98116
KIRKLAND WA 98034
KIRKLAND WA 98034
(425) 814-8381
Mechanical Valuation..........................................449 Over the Counter Permit ...................................... Yes
PERMIT EXPIRES February 18, 2004.
Permit issued on August 22, 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 Way.
Beation
Owner or agent:SePA DateNe� l
FEB -17-04 16:46 FROM -JOHN L, SCOTT BELLEVUE
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T-447 P.02/02 F-504, , , .,
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RFF!"T'DERY
CITY OF
Federal Way AUG 2 2003
r
CONSTRUCTTON PERMIT APPLICA] Olgd
**The folknving Is required information — Please Vint (in ink) or type" 018816
ase note., Electrical, Fire Prevention Systems and Engineering pr mita may require a separate application.
PROPERTY INFORMATION
SM ADORESS,. 2793121 AVE S, FEDERAL WAY, WA 98003 ASSESSOR'S TAX/PARCEt M 7575620590
LEGAL DESCRIPTION GF SUBJECT PROPERTY (ATTACH SEPARATE DESCRIPTION IF LENGTHY):
PR03ECT INFORMATION
TYPE OF PROJECT "S application): o BUILDING a PLUMBING X MECHANICAL t) DEMOLITION
a ELECTRICAL a ENGtNEERM 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description)" Remove/Replace Gas Water Heater
APPLICANT:
0) :1 -w-1:401telAx wo]
PROJECT INFORMATION
ANDERSEN, CAROL
2320 HUGHES AVE SW
SEATTLE, WA 98116
myrIME PhDtIE!
((206)37-4884-
F
FAST WATER HEATER COMPANY
ti0nMt WW,
((425)414-3124-
(S"Eff APM5'%- 9TY, 5TAn, ZIP),VaNw.
PHOW:
12601 132ND AVE NE KIRKLAND, WA 98034
MY OF MOMI. WAY BUSMZ l NUIMM
ox M~.
87 - 000047 00
(425 ) 814-9516
CONTIRACrOkS JWGISM" "Kik
EXPOUT" DAM
Ito" ofmtd nw*&vd) FAST')VHC052DF
02/16/2065
KAIILM ADWSS (STUFT AbOkM- CIIY, STAIX, EMING PW*E:
MATIOW" TO "Jwt, FAX "bM
o ARCHITECt In TENANT 0 OTHER (DESCRISE).-_
■ PROJECT INFORMATION
EXLSTIWG USE. EX3TING BUILDING ASSESSED/APPRAMD VALUATION
$449.00
PROPOSED USE: PROPOSED VALUA`TIO" FOR IMPROVEMENTS: $— -
SPRINKLERED BUILDING? D YES n NO FIRE SUPPRESSION SYSTEM PROPOSEDIREQUIRED: a YES a NO
WAT13t SERVICE PROVIDER: o LAKEHAVIEN n 1416HUNE a TACOMA c3 PRIVATE (WELL)
SEWER SERVICE PROVIDER., o LAKEHAVEN 0 M43HLINE 17 PRIVATE (SEPTIC)
"INEW RESIDENTIAL CONSTRUCTION ONLY**
NUMBER OF BEDROOM$-.
SELLING PRICE:
PROJECT FLOOR AREAS
NG sQ. FT.—T' PROPOSED so, FT.TOTAC
BASEMENT
!E—tff --T--- - -T-�-- - I -
Indicate number of each type of fixture
MECHANICAL
AIR HANDLING UNIT(S) EVAPORATIVE COOLER(S) GAS LDG(S) REFRIG. SYSTEM($)
B8Q(S) FAN(S) HOOD(S) WOODSTOVF(S)
801LER(S) FIREPLACE INSERT(S) RANGE(S) MISC. f
COMPRESSOR(S) FU (S)
DUCT($) GAS PIPE OUTLET(S) HEAT SOURCE: t3 ELECTRIC 0 GAS
PLUMBING
BATHTUR(S) LAVATORY(S) URINAL(S) I WATER HEATER(S)
VISHWASHER(S) RAIN WATER SYS. VACUUM BREAKER(S) n ELECTRIC X GAS
DRINKING FOUNTAIN(S) SHOWER(S) WASH MACHINE OUTLET
GAS PIPE OUTLET(S) SINK(S) WATFACLOSET(S) MISC.
INTERCEPTOR(S) SUMP(S)
DISCLATMERISIGNATURE RLC
I a&" undw 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 vm4w of the above premises to perform the work for which the permit application is "MKIC I
further agree to hold harmless the City of Federal Way as to any claim (including costs, expenses, and attmmys' few bmnTed in the
lac air and 'd eters of vith dalmlo which alay be trade by arty person, including the utWersigned, and filed agairiA the City of
Federal Way, but only where such dalm arises out of the reliance of the city, including Its officers and employees, upon the accuracy
of the h4ormabon supplied to the city as a part of this application.
NAME17TTLE: Permit Mgr DATE.- 08/20/2003
- iz C
COMMUM DEVELOPMEAff SERVICES # 33M FIRST WAY $0VTH - PO BOX 9718 - FEDER& WAY, WA 981x63-9738. 253-661-40W - FAX 253461-4129
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