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03-102399City of Federal Way Cwirn¢nity Development Services 33530 1st Way S Federal Way, WA 98003-6210 Ph: 253.661.4000 Fax: 253.661.4129 Project Name: CARPENTER Project Address: 27668 26TH 1S, Ave 5 ' Mechanical Permit #:03 -102399 - 00 -ME D 1 D Inspection request line: 253.835.3050 Project Description: Gas hot water heater changeout in existing residence. Parcel Number: 757560 0370 Owner Applicant Contractor Glenn K Carpenter Jr. FAST WATER HEATER COMPANY FAST WATER HEATER COMPANY 27668 26TH AVE S 12601 132ND AVE NE 1 12601 132ND AVE NE FEDERAL WAY WA KIRKLAND WA 98034 KIRKLAND WA 98034 98003-6932 1 (425) 814-8381 Mechanical Valuation..........................................449 Over the Counter Permit......................................Yes PERMIT EXPIRES December 8, 2003. Permit issued on June 11, 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. Owner or agent: See Application Date: ' it -o3 RECEIVED BY CITY 0� CTAVfJN17Y DFVFI-rr�IENT DERAPT"FN'T' Federal Way JUN .112003 TfON NUMEWR: PPPLICKnON NUMBER, **The follow" is required information - Please print (in ink) or type - 018396 Plea" note: Electrical, Fire Prevention Systenu and Engineering permits may require a separate application SITE ADDRESS: 27668 26 AVE S, FEDERAL WAY, WA 98003 ASSESSORSTAX/PARCEt #: 7575600370 LEGAL DESCRIPTION OF SU83ECT PROPERTY (ATTACH SEPARATE DESCRIPTION IF LENGTHY). - PROJECT INFORMATION TYPE OF PROJECT (This application): a BUILDING a PLUMSING )o MECHANICAL a DEMOLITION (3 ELECTRICAL 0 ENGINE ri FIRE PREVENTION SYSTEM PROJECT DESCRIPTION (Provide detailed description): Remove/Replace Gas Water Heater PR03EU NAME: CARPENIEF- QLEbTN & LLJCY PROPERTY OWNER: ► DArIME CARPENTER, GLENN & LUCY-5752 MAILING AMRE55 WRIET ALGIRX55; CM. S-r,%n-. ZIP); (211)146 27668 26 AVE S FEDERAL WAY, WA 98003 APPLICANT: KWE: FAST WATER HEATER COMPANY x«Fw WIMP P'4W:, ((425)$14-3124- WJIM ADOREf.S (STUCT ADWS; CM, STAU, ZIP)-, EVINW. NOW; 12601 132ND AVE NE KIRKLAND, WA 98034 avy (w Rom wAy mjgwz ucwi mmixgt I'm KOO": 87 - 000047 00 (425 ) 814-951,6 VrrWT" Off: FASTWHC052DF 02/16/2065 --- ..... ...... .... . . W410 biw", 0 PROJECT INFORMATION EXISTING USE* EXISTING BUILDING ASSESSED/APPRAISED VALUATION PROPOSED USE., PROPOSED VALUATION FOR IMPROVEMENTS. *' $449.00 SPRINKLERED BUILDING? o YES n NO FIRE SUPPRESSION SYSTEM PROPOSED/ REQUIRED: s7 YES aNO WATER SERVICE PROVIDER. o LAKEHAVEN n 14IGHL1NE 0 TACOMA El PRIVATE (WELL) SEWER SERVICE PROVIDER,. o LAKEHAVEN o MQHLINE o PravATE (SEPTIC) * *'I'Jg-W RESIDENTIAL CONSTRUCTION ONLY** OF BEDROOMS; ESTIMATE) SELLING PRICE: PR03ECT FLOOR AREAS AIR HANDLING UNIT(S) BBQ(S) SOILER(S) COMPRESSOR(S) O T(S) BATHTUS(S) DtSHWASHER(S) DRINKING FOUNTAIN(S) GAS FIFE OUTLET($) INTERCEPTOR(S) FIXTURES indicate number of each type of fixture MECHANICAL EVAPORATIVE COOLER(S) GAS LOG(S) REFRIG. SYSTEM(S) FAN(S) HOOD(S) WOfJDMVE(5) FIREPLACE INSERT(S) RANGE(S) MISC. FURNACE(S) GAS PIPE OUTLETS) HEAT SOURCE: o ELECTRIC J GAS LAVATORY(S) RAINWATER SYS. SHOWER(S) SINK(S) SUMP(S) URINAL(S) VACUUM RREAKER(S) WASH MACHINE OUTLET WATER CLOSET(S) ISCLATMFR/SIGNA'°tURE AtC WATER HEATER(S) iia ELECTRIC X GAS --- MISC. ( ) I certify eller penalty of perjury that tate Intortma ion furnished by the 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 ww wk for Which the pennit 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 W the investigation and defense of tartar clairn), Which may be made by any person, Including the understgne4 and filed against the City of Federal Way, but only where such claim arises out of the reltanoe of the catty, including Its officers and employees, upon the accuracy of the Information supplied to the city as a part of this application. NAME/TITLE: -� -�'Permit Mpr DATE. 06/09/2003 E] PROPERTY OWNER 0 APPLICANT N CONTRACTOR COW4UNrTY D&ELOPMEW SERVICES s 33530 FIRST WAY SyESVM - PQ cif 9718 • FWERAL WAY, WA 98%31718 v 25 14OW • FAX253.661-4 Q9