03-102530City of Federal Way
Community Development Services
33530 1st Way S
Federal Way, WA 98003-6210
Ph: 253.661.4000 Fax: 253.661.4129
Mechanical Permit #:03 - 102530 - 00 - ME
Inspection request line: 253.835.3050
Project Name: TOBIN-JQClt'
Project Address: 33339 40TH SW Parcel Number: 327900 0710
Project Description: Remove/replace gas water heater
Owner
Applicant
Contractor
Laurel A Tobin
FAST WATER HEATER COMPANY
FAST WATER HEATER COMPANY
33339 40TH AVE SW
12601 132ND AVE NE
12601 132ND AVE NE
FEDERAL WAY WA
KIRKLAND WA 98034
KIRKLAND WA 98034
98023-2914
1
1 (425) 814-8381
Mechanical Valuation..........................................449
Over the Counter Permit ...................................... Yes
PERMIT EXPIRES December 16, 2003.
Permit issued on June 19, 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.
See Application
Owner or agent: Date: pp ication
u
s
C1 TY OF �oMMr,� RECEIVED BY
Federal'' '' ' a Y�
E1E� 0-'"r_ 17 T��paR71e,niT
JUN 19 2003
CONSTRUCTIONPERMIT
r a r r Y
**The following Is required information Please pint (in Ink) 4r type" 018438
please note: Electrical, Fire Prevention Systems and FAgineering Permits may require a separate application.
PROPERTY INFORMATION
SITE ADDRESS: 33339 40 AVE SW, FEDERAL WAY, WA 98023 EAR'STAX/PARCEL #: 3279000710 —
LEGAL DESCRIPTION OF SUWECT PROPERTY (ATTACH SEPARATE DESCRIPTION RIPTION IF LENGTHY):
■ PROJECT INFORMATION
TYPE OF PROJECT (This application): a BUILDING a PLUMBING Xt MECHANICAL t) DEMOLITION
a ELECTRICAL a ENGINEERING; 0 FIRE PREVENT][ON SYSTEM!
PRO3ECT DESCRIPTION (Provide detailed description): Remove/Replace Gas Water Heater
PR03ECT NAME: JQDIN. LAUREL
PROJECT INFORMATION
PROPERTY OWNER. ►= — GA1 iC1E �r -
TOBIN, LAUREL(253)15-0838
MA LWG AIRES �STRU7 . CM. �STNTE. ZIP); � "........... 1((253)115
33339 40 AVE SW FEDERAL WAY, WA 98023
APPLICANT:
N,WE:
FAST WATER HEATER COMPANY
((425)414-3124 -
UNc ao {TRE TAnMW 4Trr, STATE;. ZIP),
EVERM P"Dw;
12601 132ND AVE NE KIRKLAND, WA 98034
My OF Iran:. WAY
tv
87 _ 000047 00
( 425 ) 814-9516
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Ex' U—T" FM's:
(ca" ofeWd re*de FASTWHC052DF
02/16/2065 +�
KM'I G (STiIfETAbDRESS CRY, SrAt , xt7•j: EVIMING Pi CAL
AfLAnOW>V TO PWJWU FAX "Kk-
a ARCHITECT o TENANT 0 OTHER (DESCRISE): ( }
PR03ECT INFORMATION
ANG USE.: EXISTING BUILDING ASSESSED/APPRAISED VALUATION
SPRINIQ.ERED BUILDING?'
C,'Llt e 4,,U 4:Vj (0-4, TslT ,4,Ja
43 YES a NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED: ca YES u NO
o LAKEHAVEN €l HIGHLINE I3 TACOMA E3 PRIVATE (WELL)
SEWER SERVICE PROVIDER: o LAKE14AV'EN a HIGHLINE a PfUilA'TE (SEPTIC)
)ISCLAI iER/SIGNATURE BLG
I ce,ttiry ewer penalty of perjury that the anon ed by me is true and correct to the best of my knowledge, and
further, that I am auftwb d by the owner of the above premim to perform the work For which the pernrlt application Is nmle, I
Further agree to hold harmless the: City of Federal Wary as to any claim (including costs, expenses, and s' fees incurred in the
kwastigatim and defense of such claim), which may be matle by any perm, incltiding the understgned, and filed agakmt the City of
federal Way, but only witere such claim arlses otrt of the relianoe of the city, including Its offlom and employees, accuracy
of the Wormati s supplied to the city as a pat of his application.
N/IME/TTTLE; - ` � Permit Mor ATE 06/17/2003
COMMC1" Y DEVELOPMElrr SERVICES • 33S30 FIRST WAY SO i`Ir - Ppb BOX 9718 • FEDOM WAY, WA 9 -WIs • 2S3-661-4000 + FAX: 253.661-4129
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