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03-105007f t City of Federal Way Cormnunity Development Services 33530 1 st Way S Federal Way, WA 98003-6210 Ph: 253.661.4000 Fax: 253.661.4129 Project Name: WORLEY �vv Project Address: 32615 6TH SW Project Description: Gas furnace changeout Mechanical Permit #:03 -105007 - 00 - ME Inspection request line: 253.835.3050 Parcel Number: 926491 0880 Owner Applicant Contractor David A Worley WASHINGTON ENERGY SERVICES CO WASHINGTON ENERGY SERVICES CO 32615 6TH AVE SW 2800 THORNDYKE AVE W 2800 THORNDYKE AVE W FEDERAL WAY WA SEATTLE WA 98199 SEATTLE WA 98199 98023-5623 (206)272-4700 Mechanical Valuation..........................................4369 Over the Counter Permit...................................... Yes Mechanical Fixtures Ph.©scrlpr...... .." ... Vit._ Furnaces 1 PERMIT EXPIRES May 19, 2004. Permit issued on November 21, 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: LC�AA Date: l ((2 l l 6 Z) (2 c' k. r(I V� a-, ��' /K 1Z - 2- � - n s c_,::�_J 0 0 0A-GCt CONSTRUCTION PERMIT APPLICATION CITY OF �.r/ ;-;_ ppLICATION NUMBER: Federal Way = MOD= - PPUCATION 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: JZ� L Q ` U� J LV ASSESSOR'S TAX/PARCEL #: LEGAL DESCRIPTION OF SUBJECT PROPERTY (ATTACH SEPARATE DESCRIPTION IF LENGTHY): PROJECT• • TYPE OF PROJECT (This application): o BUILDING O PLUMBING MECHANICAL O DEMOLITION 0 ELECTRICAL O ENGINEERING O FIRE PREVENTION SYSTEM PROJECT DESCRIPTION (Provide detailed description): PROJECT i r ■ PEOPLE INFORMATION PROPERTY OWNER: CONTRACTOR: APPLICANT: L w 0y I -e ADDRESS b to ZIP): r -ed ��t,) u1,+ cl �,o2 S N � � �nf t U—OU 1 DAYTIME PHONE: i MAfUNGE55 ($TRE ADDRESS; C ,STATE. 21P . kL41f 3 _ 7 EVENING PHONE' � _ ,c CrIY OF FEDERAL WAY BUSINESS LICENSE NUMBER: - FAX NUMBER; CONTRACTOR'S REGLSIRATION NUMBER: C �./ ^ (CON of card required) V ��� � L � � � g Z / D� — II EXPIRATION DATE: C 1 91,03 � � ✓ NAME: DAYTIME PHONE: --7 MAILING ADDRESS (STREET ADDRESS; CITY, STATE, P); ZeZ _ 9` •�� n � � EVENING PHONE: _ RUATIONSHIP TO PROJECT: ^� I FAX NUMBER: ❑ ARCHITECT ❑ TENANT OTHER ( DESCRIBE):g vim^ CONTACT PERSON FOR THIS PROJECT: ❑ PROPERTY OWNER' o APPLICANT VCONTRACTOR i I DETAILED BUILDING INFORMATION EXISTING USE: PROPOSED USE: EXISTING BUILDING ASSESSED/APPRAISED VALUATION $ SPRINKLERED BUILDING? U YES ❑ NO PROPOSED VALUATION FOR IMPROVEMENTS: $ FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED: ❑ YES ❑ NO WATER SERVICE PROVIDER: ❑ LAKEHAVEN O HIGHLINE SEWER SERVICE PROVIDER: ❑ LAKEHAVEN ❑ HIGHLINE S • d 62Tt7T990S0T :01 O TACOMA ❑ PRIVATE (WELL) ❑ PRIVATE (SEPTIC) WOdA Zb:2T 2002-9-nON A. % "NEW RESIDENTIAL CONSTRUCTION ONLY— NUMBER OF BEDROOMS: PdO le Z For W46, -lam ESTIMATED SELLING PRICE: BASEMENT FLOOR EXISTING . 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 AIR HANDLING UNIT(S) EVAPORATIVE COOLER(S) GAS LOG(S) IM REFRIG. SYSTEM(S) BO LER(S) FIREPLACE INSERT(S) RANGE(S) HOOD(S) WOODSTOVE(S) COMPRESSOR(S) Z FURNACE(S) () MISC. (kGAS DUCT(S) GAS PIPE OUTLET(S) HEAT SOURCE: ❑ ELECTRIC PLUMBING BATHTUBS) DISHWASHERS) DRINKING FOUNTAIN(S) GAS PIPE OUTLET(S) INTERCEPTORS) LAVATORY(S) RAINWATER SYS. SHOWER(S) SINKS) SUMP(S) URINAL(S) VACUUM BREAKER(S) WASH MACHINE OUTLET WATER CLOSET(S) WATER HEATER(S) ❑ ELECTRIC ❑ GAS 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 tine 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 daim), 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 su Plied to th "ty as a part of this ap ication. NAME/TITLE: �i l�S�d3 DATE: ❑ PROPERTY OWNER o to ❑ C CTOR '�Ob q?('0qr COMMUNITY DEVELOPMENT SERVICES • 33530 FIRST WAY SOUTH • PO BOX 9718 • FEDERAL WAY, wA 98063-9718 • 253-661-4000 • FAX: 253-661-4129 9'd 62TbT992S2T:01 :WodA Lb:OT 2002 -S -nal