03-105377A.
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: MILLER
Project Address: 2680 SW 333RD P1
Project Description: Install gas line to fireplace.
Mechanical Permit #: 03 - 105377 - 00 - ME
Inspection request line: 253.835.3050
Parcel Number: 010060 0710
Owner
Applicant
Contractor
Frank B Miller
GODFREY'S PLUMBING
GODFREY'S PLUMBING
2680 SW 333RD PL
15015 88TH ST E
15015 88TH ST E
FEDERAL WAY WA
PUYALLUP WA 98372
PUYALLUP WA 98372
98023-2765
(425) 688-9888
Mechanical Valuation..........................................925 Over the Counter Permit...................................... Yes
Mechanical Fixtures
Description Quantity Description Quantity Description Quantity
Gas Piping
PERMIT EXPIRES June 7, 2004.
Permit issued on December 10, 2003
I hereby certify that the above information is correct and that the construction on the above described property and
the occupancy and th a wt bZina rdan with the laws, rules and regulations of the State of Washington and
the City of Federal ay.
Owne a — Date:
CONSTRUCTION PERMIT APPLICATION �
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.
SITF4 ADDRESS: D V" ' ASSESSOR'S TAX/ PARCEL #: r a Q(2 O - LO
ff
LEGAAL DESCRIPTION OF SUBJECT PROPERTY (ATTACH SEPARATE DESCRIPTION IF LENGTHY):
TYPE OF PROJECT (This application): o BUILDING o PLUMBING �1ECHANICAL o DEMOLITION
❑ ELECTRICAL o ENGINEERING o FIRE PREVENTION SYSTEM
PROAECT DESCRIPTION (Provide detailed description): C20isnI C� �-
PROJECT NAME:
PEOPLE•• •
PROPERTYOWNER: I � \^n-�i DAYTIME PHONE
MAILING DOSS�7R�EET �RE55; STIP).
CONTRACTOR: E: ; DAYTIME PHONE:
O S c.,� ti� ZS,� 60 -F���
AIl1NG ADDRESS (ST EET ADORES; CITY, ATE. Zi .EVENING PHONEr
OF FEDERAL WAY BUSINESS LICENSE NUMBER: t FAX NUMBER:
VONTRACTOR'S REGISTRATION NUMBER: I EXPI ATION DATE:
(a)Py of card required)
APPLICANT:
I
CONTACT PERSON FOR THIS PROJECT: o PROPERTY OWNER u APPLICANT ❑ CONTRACTOR I
EXISTING USE:
PROPOSED USE:
SPRINKLERED BUILDING?
WATER SERVICE PROVIDER:
SEWER SERVICE PROVIDER:
EXISTING BUILDING ASSESSED/APPRAISED VALUATION
PROPOSED VALUATION FOR IMPROVEMENTS: $
❑ YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/ REQUIRED: ❑ YES o NO
❑ LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE (WELL)
❑ LAKEHAVEN o HIGHLINE ❑ PRIVATE (SEPTIC)
R" TEREO`S PR(VII BY LAW ,AS
SNS CONT,,,-,,,,GENERAL"� , 'P, , �
:REGI -ST:', # EXP. DATE;
G`b1 GODFRP*055QO >11/1.7/2flf1 f
.EFFECTIVE. DATE 11/20/199 y
G !)FREY.'S PLUMBING u.`.
-.,015 08TH S$,,E
PXALLUP ''' 8 3 7 2
..
41:1
1
�RSUE 3 ; �T,'.r �i'RfiMi�T OF