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03-104911City 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: RICKETTS Project Address: 5330 SW 315TH Si - Project Description: Gas to gas water heater changeout Mechanical Permit #:03 - 104911 - 00 - ME Inspection request line: 253.835.3050 Parcel Number: 321020 0050 Owner Applicant Contractor Jeff Ricketts WASHINGTON ENERGY SERVICES CO WASHINGTON ENERGY SERVICES CO 5330 SW 315TH ST 2800 THORNDYKE AVE W 2800 THORNDYKE AVE W FEDERAL WAY WA SEATTLE WA 98199 SEATTLE WA 98199 4g0_xa31tqJ,Valuation..........................................600 1Over the Counter Permit. .1206) 282.4700......•••Yes PERMIT EXPIRES April 28, 2004. Permit issued on October 31, 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: G� t �(�� C Date: F �rt � A m&j #t exi ok I // / 7/" 3 � � CONSTRUCTION P M APP CATION _ CITY OF �� PPLICATION NUMBER: _ - - �P 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. SITE ADDRESS: : 7 -?O J W ASSESSOR'S TAX/ PARCEL #: e3-2-1(5 2-0 (00� LEGAL DESCRIPTION OF SUBJECT PROPERTY (ATTACH SEPARATE DESCRIPTION IF LENGTHY): PROJECT•• • TYPE OF PROJECT (This application): O BUILDING O PLUMBING MECHANICAL ❑ DEMOLITION O ELECTRICAL O ENGINEERING ❑ FIRE PREVENTION SYSTEM PROJECT DESCRIPTION (Provide detailed description): PROJECT NAME: DI L. �= 1 411 V PEOPLE•• • PROPERTY OWNER: I NAME: 1 l i J) 1 Ili DAYTIME PHONE: CONTRACTOR: APPLICANT: rjE� 1VA I DAYTIME PHONE: 2- J V760: MAILING ADDRESS (STREE7 ADDRESS: U : STATE, ZIP). EVENING PHONE' CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER: FAX NUMBER: CONTRACTORS REGIS'IAATSON NUMBER: (COPY of mrd required) g 7 l © EXPIRATION DATE: , NAME: DAYTIME PHONE: MAILING ADDRESS (STREET ADDRESS; CnY; STATE, IIP): EVENING PHONE: EC RELATIONSHIP TTO—PROOIECT: FAX NUMBER: ❑ ARCHITECT ❑ TENANT XOTHER ( DESCRIBE): - i E-MAIL ADDRESS: CONTACT PERSON FOR THIS PROJECT: ❑ PROPERTY OWNER O APPLICANT rONTRACTOR DETAILED BUILDING•• - EXISTING USE: EXISTING BUILDING ASSESSED/APPRAISED VALUATION PROPOSED USE: PROPOSED VALUATION FOR IMPROVEMENTS: $ SPRINKLERED BUILDING? ❑ YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED: ❑ YES ❑ NO WATER SERVICE PROVIDER: ❑ LAKEHAVEN ❑ HIGHLINE O TACOMA ❑ PRIVATE (WELL) SEWER SERVICE PROVIDER: ❑ LAKEHAVEN ❑ HIGHLINE ❑ PRIVATE (SEPTIC) z'cl 62TtT99ZS2T:01 :WO�U ZT:OT 2002-62-1D0 **NEW RESIDENTIAL CONSTRUCTION ONLY** NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: ■ PROJECT FLOOR AREAS BASEMENT FLOOR EXISTING SQ. FT. PROPOSED SQ. FT. TOTAL FIRST SECOND THIRD FOURTH OTHER FLOORS (DESCRIBE) DECK GARAGE HOW MANY FLOORS? TOTAL: Indicate number of each type of fixture MECHANICAL l 14a Iw� AIR HANDLING UNIT(S) EVAPORATIVE COOLER(S) GAS LOG(S) REFRIG. SYSTEM(S) aBQ(S) FANS ( ) BOILER(S) FIREPLACE INSERT(S) HRANGE 8) M OODSTOVE S ) COMPRESSOR(S) FURNACE(S) DUCT(5) GAS PIPE OUTLET(S) HEAT SOURCE: ❑ ELECTRIC GAS PLUMBING ' BATHTUBS) LAVATORY(S) URINAL(S) WATER HEATER(5) . DISHWASHER(S) RAIN WATER SYS. VACUUM BREAKER(S) ❑ ELECTRIC O GAS DRINKING FOUNTAIN(S) SHOWER(S) WASH MACHINE OUTLET GAS PIPE OUTLET(S) SINKS) WATER CLOSET(S) 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 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 claim (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 sugplled to the as a part of this application. / NAME/TITLE: ` 0 /2f / v3 DATE: O PROPERTY OWNER ❑ APPLICANT ❑ CONTiIUCTOR 11r2 --5-17O —?)'� 8 ,)Ob vk lu.:,- _ fn, 11 _—�,a6 o . -- COMMUNITY DEVELOPMENT SERVICES • 33530 FIRST WAY SOUTH • PO BOX 9718 • FEDERAL WAY, WA 98063-9718 •253-661-4000 • FAX: 2S3-661-4129 mm.Otmffedera Way. oom 9'd 62Zt7S992S2T:01 :WO�Id 2T:0T 2002-62-100