03-101765Project Name: PARKER 91
Project Address: 32510 10TH -JS Parcel Number: 326070 0830
Project Description: Gas furnace changeout in existing residence.
Owner
Applicant
City of Federal Way
u
SANDY PARKER & Tim Parker
Mechanical Permit #: 03 -101765 - 00 - ME
Community Development Services
32510 10TH PL S
2320 1ST AVE SUITE 250
33530 1st Way S
FEDERAL WAY WA 98003
SEATTLE WA 98121
Federal Way, WA 98003-6210
Ph: 253.661.4000 Fax: 253.661.4129
Inspection request line: 253.835.3050
Project Name: PARKER 91
Project Address: 32510 10TH -JS Parcel Number: 326070 0830
Project Description: Gas furnace changeout in existing residence.
Owner
Applicant
Contractor
SANDY PARKER & Tim Parker
NORTHWEST PERMIT
WASHINGTON ENERGY SERVICES CO (Gen
32510 10TH PL S
2320 1ST AVE SUITE 250
2800 THORNDYKE AVE W
FEDERAL WAY WA 98003
SEATTLE WA 98121
SEATTLE WA 98199
(206) 282-4700
F-1 � 4. 1 51, 1 If ��' 45�"
0
MAY -05-03 08:36 FROM-NORTHWEST-CASSIMAR
206-374-0834 T-021 P-01/04 F-324
WY OF CONSTRUCTION PERMIT APPLICATION
Aye - PPLICATION NUMBER: _ 3- Q '� _ _ vd
Alt-
PPLICATION NUMBER: - _ _ _ _
PPLICATION NUMBER:
"The fallowing Is required information — Please print (in Ink) or typew}
Please note: Electrical, Fire Prevention Systems and Engineering permits may require a separate application.
SITE ADDRESS: 32510 10TH PL S, FEDERAL WAY WA 91
ASSESSOR'S TAX/PARCEL #d': 3 2 6 0 7 0- 0 8 3 0
LEGAL. DESCRIPTION OF SUBJECT PROPERTY (ATTACH SEPARATE DESCRIPTION IE LENGTHY):
TYPE OF PR03ECT (This application): ❑ BUILDING 0 PLUMBING MECHANICAL 0 DEMOLITION
❑ ELECTRICAL❑ ENGINEERING C3 FIRE PREVENTION SYSTEM
PROJEcT DESCRIPTION (Provide detailed description): Z
PROJECT NAME.
PROPERTY OWNER:
CONTRACTOR:
APPLICANT:
SANDY PARKER
32510 10TH PL S,
WESCO
Y WA 98003
2800 THORNDYKE AVE At, SEATTLE WA 98188
FEDERAL WAY 6USINESS L-CkNSE NUMBER,'
CYOR'S REGISTRATION NUMBER: -
cm rey„ied) 'N A S H I E S 9 9 0 C W
hii r A
3251OVTH PL
253 ) 839 4896
(360 ) 378 -6680
EVENING PHONE;
FAX NUMBER:
)
EXPIRATION DATE:
02 / 16 /05
Q ARCHITECT ❑ TENANT 0 '01111 ER ( DESCRIBE): FAX NUMBER:
( )
CONTACT PERSON FOR THIS PRo]ECT: ❑ PROPERTY OWIYER d APPLICANT b CONTRACTOR
ExTSTING USE: EXISTING BUILDING ASSESSED/APPRAISED VALUATIO
PROPOSED USE: PROPOSED VALUATION FOR IMPROVEMBN : S 1662.0
SPRINKLEREp BUILDING? ❑YES ❑ NO
FIRE SUPPRESSION SYSTEM PROPO . ❑YES ❑ NO
WATER SERVICE PROVIDER: q L,AI( HAVEN ❑ HIGHLINE p TACOMA o PRIVATE (WELL)
SEWER SERVICE PROVIDER: q LAKEHAVEN 0 HIGHLINE C1 PRIVATE (SEPTIC)
�,4AY-05-03 08:36 FROM-NORTHWEST-CASSIIMR
**NEW RESIDENTIAL CONSTRUCTION ONLY**
NUMBER OF
206-374-0834
T-021 P.02/04 F-324
Aaec nwrypLING UNIT(S) EVAPORATIVE COOLER(S) GAS LOG
($) FANSS) () REFRIG. SYSTEM(S)
BOILERS HOOD(S) WOODSTOVE
FIREPLACE INSERTSS) RANGES) MISC. ( ( )
COMPRESSOR(S) FURNACE(Si) )
DUCT(S) GAS PIPE CGUTLET(S) HEAT SOURCE: 0 ELECTRIC
GAS
PLUMBING
BATHTUBS)
—_� DISHWASHER(S)
DRINKING FOUNTAIN(S)
GAS PIPE OUTLET(S)
INTERCEPTOR(S)
LAVATORI'(S)
RAIN WATER SYS.
SKOWER(S)
SINK(S)
SUMP(S)
URINAL(S)
s, VACUUM BREAKER(S)
WASH MACHINE OUTLET
WATER CLOSET(S)
WATER HEATER(S)
0 ELECTRIC ❑ GAS
MISC, (.,)
I certify under penalty of perjury that the Informlition 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 qty of Federal Way as to any claim (including costs, expenses, and attorneys' fees incurred in the
investigation and defe se of such claim), Which may be miade by any person, Including the undersigned, and filed against the City of
Federal Way, but onl h such -claim arises a reliance of the city, Including its officers and employees, upon the accuracy
of the information s 1 the city asart i appii ion
NAM E/TITLE: 05/02/03
DATE;
D PROPERTY OWNER ❑ APPLICANT O CONTRACTOR
NEW ----1:1
....,_� ADDITION 0 ALTERATION o REPAIR
COMP PLAN DESIGNATION
SECTION TOWNSHIP RANGE
OF USE? ❑
n
COMMUMTY DEVELOPMENT SERVICES - 33530 FIRST WAY SOUTH 0 PO 6OX 9718 - FEDEM WAY, WA 98063-9718 •253-661-4000 - FAX; 253-661-4129
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