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03-102699City of Federal Way Community Development Services 33530 1st Way S Federal Way, WA 98003-6210 Ph: 253.661.4000 Fax: 253.661.4129 Project Name: GRAHAM Project Address: 30444 2ND $ AVG 5 Project Description: Exchange gas for gas waterheater t Mechanical Permit #:03 - 102699 - 00 ME Inspection request line: 253.835.3050 Parcel Number: 339190 0150 Owner Applicant Contractor Daniel L Graham WASHINGTON ENERGY SERVICES CO WASHINGTON ENERGY SERVICES CO 30444 2ND AVE S 2800 THORNDYKE AVE W 2800 THORNDYKE AVE W FEDERAL WAY WA SEATTLE WA 98199 SEATTLE WA 98199 980034001 1 (206)282-4700 Mechanical Valuation..........................................500 Over the Counter Permit ...................................... Yes PERMIT EXPIRES December 28, 2003. Permit issued on July 1, 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 Wax. �\ Owner or agent: 4 Date: ? �� s CONSTRUCTION PERMIT APPLILCATION. CITY of PPLICATION NUMBER: Federal Way PPLICATION NUMBER: PPLICATION NUMBER: - - "The following is required information - Please print (in ink) or type=* Please note: Electrical, Fire Prevention Systems and Engineering permits may require a separate application. L� •ILI r\'+ • • • SITE ADDRESS:©� % G"I v ASSESSOR'S TAX/PARCEL se: •� �� - �Cj LEGAL DESCRIPTION OF SUBJECT PROPERTY' (ATTACH SEPARATE DESCRIPTION IF LENGTHY): PR03ECT INFORMATION TYPE OF PROJECT (This application): O BUILDING o PLUMBING MECHANICAL o DEMOLITION o ELECTRICAL O ENGINEERING •••a FIRE PREVENTION SYSTEM PROJECT DESCRIPTION (Provide detailed description): PROJECT NAME - PEOPLE INFORMATION PROPERTY OWNER: NAME -- _ E ,11t b+ • ' — _.... ..—__—..—_—__.— ---r' DAYIIM ' pMQNF:—--_�_.__� CONTRACTOR: NAME:— DAYTIME PHONE, ' 1 MAIUNG ADDRESS E ADDRESS; CITY. STATE, ZIP)' a EVENING PI IpNE: �— 2v �Znz d �.�- •��- Wil CITY FEDERAL WAY BUSINESS LICENSE NUMBER. FAX NUM8ER CONTRALTO" REGISTRATION NUMBER: l EXPIRATION DATE: (co„ or Iara I CgINI•Q) � tai / / APPLICANT: NAME: y DAYTIME PHONE: MAIUNG ADDRESS (STAEET ADDRESS; CITY, STATE, ZIP): _ EVENING PHONt.: kEIATIONSNIP TO PROJEGTI -- FAX NUMBER: u ARCHITECT p TENANT p OTHER (DESCRIBE): ( EMAIL ADORrSs: - CONTACT PERSON FOR THIS PROJECT: ❑ PROPERTY OWNER p APPLICANT)CONTRACTOR EXISTING USE: EXISTING BUILDING ASSESSED/APPRAISED VALUATION 'F PROPOSED USE. _ ____._ _ PROPOSED VALUATION FOR IMPROVEMENTS: SPRINKLERED BUILDING? ❑ YES o NO FIRE SUPPRESSION SYSTEM PROPOSED/ REQUIRED, ❑ YES ❑ NO WATER SERVICE PROVIDER: 0 LAKEHAVEN n HIGHLINE 0 TACOMA ❑ PRIVATE (WELL) SEWER SERVICE PROVIDER: ❑ LAKEHAVEN ❑ HIGHLINE ❑ PRIVATE (SEPTIC) £0 1 d 1.8L.£ tpzt. 9Zi1, zzna WH 8r.:90 £00z-02-Nnr **NEW RESIDENTIAL CONSTRUCTION ONLY" NUMBER 4P14- 2 IL -Y 6r-4 A -E k--,. ESTIMATED SELLING PRICE: ■ 1`1103ECT FLOOR AREAS FLOOR EXISTING SQ. FT. PROPOSED SQ. FT. TOTAL BASEMENT FIRST —~ SECOND THIRD FOURTH OTHER FLOORS (DESCRIBE) DECK GARAGE HOW MANY FLOORS? TOTAL: FIXTURES Indicate number of each type of fixture MECHANICAL AIR HANDLING UNIT(S) EVAPORATIVE COOLER(S) GAS LOGS), REFRIG. SYSTEM(S) $DQ(S) FANS) HOOD(S) WOODSTOVE(S) BOIUR(S) FIREPLACE INSERT(S) RANGE(S) MIsc. ( ) COMPRESSOR(S) FUKNACE(S) DUCT($) GAS PIPE OUTLET(S) HEAT SOURCE: o ELECTRIC XGAS PLUMBING DATHTUB(S) LAVATORY(S) URINAL(S) _ WATER HEATER(S) DISHWASHER(S) RAIN WATER SYS. VACUUM BREAKERS) n ELECTRIC ❑ GAS DRINKING FOUNTAIN(S) SHOWER(S) WASH MACHINE OUTLET GAS PIPE OUTLET(S) SINK(S) WATER CLOSET($) MISC. ( ) INTERCEPTOR(S) SUMP(S) I certify under penalty of perjury that the Information furnished by me Is true and Correct to the best of my knowledge, and fuMwp 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 m to any clalm (Including costs, expenses, and attorneys' fees Incurred In the Investigation and defense of such claim), which may be made by any person, Including the undersigned, and filed against the City of Federal Way, but only where such clalm arises out of the reliance of the city, Including its officers and employees, upon the accuracy of the informations pplled to acity as a part of this appiicatton. l s - ic. NAME/TIE: </Y�? DATE: T1. 37 n PROPERTY OWNER ❑ APPLICANT IeWCONTRACTOR J vl0 Vq COMMUNITY DEVELOPMENT SERVICES a 33530 FIRST WAY SOUTH , PO BOX 9718 a FEDERAL WAY, WA 98063-971,8 •253.661.9000 a FAX: 253.661-4129 t10 ' a Lst2 tpzt, 9ztp zzna 14V 89:90 £00z-0£-Nnr