03-104696.r`. r
City 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: WOO W&
Project Address: 32216 16TAW
Project Description: Remove and replace gas furnace.
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Mechanical Permit #:03 -104696 - 00 - ME
Inspection request line: 253.835.3050
Parcel Number: 010450 0940
Owner
Applicant
Contractor
Edward Mayo & Leilani Mayo
WASHINGTON ENERGY SERVICES CO
WASHINGTON ENERGY SERVICES CO
32216 16TH AVE SW
2800 THORNDYKE AVE W
2800 THORNDYKE AVE W
FEDERAL WAY WA
SEATTLE WA 98199
SEATTLE WA 98199
IMSdMi�*Valuation..........................................2823
Over the Counter Permit...(206)-282-4700........
Yes
Mechanical Fixtures
Description Quanti Description Quantity Description
Furnaces ��
PERMIT EXPIRES April 14, 2004.
Permit issued on October 17, 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;�"
' / /
Owner or agent: Date: �` l7l ��
F,'
~ ` CONSTRUCTION PERMIT APPS TION
CITv of P�� PPLICATION NUMBER:
Fe d e ra I Way APPLICATION NUMBER:
APPLICATION 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.
SITE ADDRESS: v�( LD �`, / '� SC JASSESSOR'S TAX/ PARCEL #t:
LEGAL DESCRIPTION OF SUBJECT PROPERTY (ATTACH SEPARATE DESCRIPTION IF LENGTHY):
PROJECT• •
TYPE OF PROJECT (This application): ❑ BUILDING O PLUMBING MECHANICAL o DEMOLITION
O ELECTRICAL O ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description):
PROJECT NAME: K4 vv \- yioo
PEOPLE•- •
PROPERTYOWNER: NAME'
DAYTIME PHONE: "
I C,75 -3V 3S OZ-(/ i
CONTRACTOR:
APPLICANT:
3ZZ ( (_0
NAPj � f � �
DAYTIME PHONE: i
6I
MAILING ADDRESS ( RE ADDRESS; , STA - `
EVENING PHONE' "
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER:
FAX NUMBER;
CONTRACTOR'S REGISTRATION NUMBER - -
SH L= S -Z ! p
EXPIRATION DATE:
(�a��� -
0 /3 os" i
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RELATIONSHIP TO PROJECT: FAX NUMBER.
O ARCHITECT O TENANT 'OTHER ( DESCRIBE): )
E-MAIL ADDRI
CONTACT PERSON FOR THIS PROJECT: ❑ PROPERTY OWNER 13APPLICANT CONTRACTOR I
EXISTING USE: EXISTING BUILDING ASSESSED/APPRAISED VALUATION $
PROPOSED USE: PROPOSED VALUATION FOR IMPROVEMENTS: SI ` J
SPRINKLERED BUILDING? ❑ YES O NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED: O YES O NO
WATER SERVICE PROVIDER: ❑ LAKEHAVEN O HIGHLINE O TACOMA O PRIVATE (WELL)
SEWER SERVICE PROVIDER: ❑ LAKEHAVEN ❑ HIGHLINE ❑ PRIVATE (SEPTIC)
2'd G2TbT992S2T:01 :14064 9S:TT 2002-2T-100
**NEW RESIDENTIAL CONSTRUCTION ONLY**
NUMBER OF BEDROOMS:
ESTIMATED SELLING PRICE:
� 't'Lx
Indicate number of each type of fixture
MECHANICAL
AIR HANDLING UNIT(S) EVAPORATIVE COOLER(S)
BGAS LOGM
S) REFRIG. SYSTEM(S)
BOILER(S) ILS FAN(S) HOOD(S) WOODSTOVE(S)
FIREPLACE INSERT(S) RANGE(S)
COMPRESSOR(S) FURNACE(S) MISC.
DUCT(S) GAS PIPE OUTLET(S) HEAT SOURCE: p ELECTRIC Jri( GAS
PLUMBING ` `
BATHTUBS) LAVATORY(S) URINAL(S)
DISHWASHEWATER HEATER(S)
DRINKING FOUNTAIN(S)
DISHWASHER(S) RAIN WATER SYS. VACUUM BREAKER(S) p ELECTRIC p GAS
SHOWER(S) WASH MACHINE OUTLET
GAS PIPE OUTLET(S) SINK(S)
INTERCEPTOR(S)WATER CLOSET(S) MISC.
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
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 City of Federal Way as to any daim (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 claim arises out of the reliance of the city, including Its officers and employees, upon the accuracy
of the Information supplied to city as a part of this application.
NAME/TITLE: C CJV ki DATE: I cV t (4/0_-;7>'
0 PROPERTY OWNER p APPLICANT NTRACTOR
Sob U&cu_46—y� 2 _3
COMMUNITY DEVELOPMENT SERVICES • 33530 FIRST WAY SOUTH • PO BOX 9718 • FEDERAL wAY WA 98063-9718 - 253.661-4000 • FAX: 2S3-661-4129
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b'd 62TbT99zS2T:01 :WONJ 9S:TT 2002-ZT-1D0