03-105516City of Federal Way
Community Development Services
33530 1 st Way S
Federal Way, WA 98003-6210
Ph: 253.661.4000 Fax: 253.661.4129
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77Mechanical Permit #: 03 -105516 - 00 - ME
0
Project Name: MARSHALL
Project Address: 29808 6TH S. Ave 5
Project Description: Gas to gas water heater changeout
Inspection request line: 253.835.3050
Parcel Number: 515190 0320
Owner
Applicant
Contractor
Mary J Pt Marshall
WASHINGTON ENERGY SERVICES CO
WASHINGTON ENERGY SERVICES CO
29808 6TH AVE S
2800 THORNDYKE AVE W
2800 THORNDYKE AVE W
FEDERAL WAY WA
SEATTLE WA 98199
SEATTLE WA 98199
98003-3624
1
1 (206)282-4700
Mechanical Valuation..........................................600 Over the Counter Permit ...................................... Yes
PERMIT EXPIRES July 6, 2004.
Permit issued on January 8, 2004
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 Wa
Owner or agent: u it xmr' Date:
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:
Project Address:
MARSHALL
29808 6TH S
Project Description: Gas to gas water heater changeout
1C !s Y
Mechanical Permit #: 03 -105516 - 00 - ME
Inspection request line: 253.835.3050
Parcel Number: 515190 0320
Owner
Applicant
Contractor
Mary J Pt Marshall
WASHINGTON ENERGY SERVICES CO
WASHINGTON ENERGY SERVICES CO
29808 6TH AVE S
2800 THORNDYKE AVE W
2800 THORNDYKE AVE W
FEDERAL WAY WA
SEATTLE WA 98199
SEATTLE WA 98199
98003-3624
1 (206) 2824700
Mechanical Valuation..........................................600 Over the Counter Permit ...................................... Yes
PERMIT EXPIRES July 6, 2004.
Permit issued on January 8, 2004
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. f
-"
s, f-
Owner or agent: ' �� t� :tea ' Date: _ , E �s
SCF__ jED
CONSTRUCTION PE MIT APPLI TION M
CITY OF �.� DEC 2 2 2003 PPLICATION NUMBER: - _ (/ / 117
Federal Way "PLICATION NUMBER: -
CITY OF FEDERAL WA PPLICATION NUMBER: — — — — — —
BUILDING DEPT. — — — -
--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.
PROPERTY INFORMATION
SITE ADDRESS: v `! 111 v ASSESSOR'S TAX/PARCEL #: LcLv - ,/-)3 Zl�
LEGAL DESCRIPTION OF SUBJECT PROPERTY (ATTACH SEPARATE DESCRIPTION IF LENGTHY):
PROIECT INFORMATION
TYPE OF PROJECT (This application): 0 BUILDING PLUMBING 0 MECHANICAL O DEMOLITION
0 ELECTRICAL XENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description):
PROJECT NAME: ' " ` ''_ `� IAQ " / " 'a rs / �` `
PROPERTY OWNER: NAME:
ice, �a►�- PRArs1,14-
MAILING ADDRESS (SIRE DDR ' CITY, STATE, ZIP):
_stud l�1W -- So F�evorvj lit kz
CONTRACTOR:
APPLICANT:
(Z5�) 01> -
�
NAME: ^
W 7v
DAYTIME PHONE: i
- 7
) 482
MAIUNG ADDRESS (SMME ADDRESS:
00
. STATE._ ZIP). _ e
EVENING PHONE. -
CRY OF FEDERAL WAY BUSINESS UCENSE NUMBER:
IFAX NUMBER:
CONTRACTORS REGISTRATION NUMBER:c
Wiq K L C. Q
EXPIRATION DATE:
(odor or cafe mqulred)
E-MAIL ADDRESS:
NAME:) „ � /
OA'YzTiM£ PHONE:
��/ii'n'"' f f�' d�4c3 'V
' "`•+-
' CO*) ZeZ -,K-7, i
MAIUNG
JADDRESS (STREET ADDRESS; CRY, STATE.RP):
EVENING PHONE:
RELATIONSHIP TO PROJECT:
❑ ARCHITECT ❑ TENANT 'OTHER ( DESCRIBE):
FAX NUMBER:
E-MAIL ADDRESS:
CONTACT PERSON FOR THIS PROJECT: O PROPERTY OWNER n APPLICANT
NTRACTOR
EXISTING USE: EXISTING BUILDING ASSESSED/APPRAISED VALUATION ;
PROPOSED USE: PROPOSED VALUATION FOR IMPROVEMENTS: $
SPRINKLERED BUILDING? ❑ YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/ REQUIRED: O YES U NO
WATER SERVICE PROVIDER: ❑ LAKEHAVEN 0 HIGHLINE ❑ TACOMA ❑ PRIVATE (WELL)
SEWER SERVICE PROVIDER: In LAKEHAVEN O HIGHLINE ❑ PRIVATE (SEPTIC)
�'d 63ZbZ990S2Z:01 :WO6A 22:2Z 2002-22-330
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"NEW RESIDENTIAL CONSTRUCTION ONLY9*
NUMBER OF BEDROOMS:
ESTIMATED SELLING PRICE:
■ PROJECT FLOOR AREAS
FLOOR
EXISTING SQ. FT.
PROPOSED SQ. FT.
TOTAL
BASEMENT
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) REFRIG. SYSTEM(S)
BBQ(S) FAN(S) HOOD(S) WOODSTOVE(S)
BOILERS) FIREPLACE INSERTS) RANGE(S) MISC. ( )
COM PRESSORS) FURNACE(S)
DUCTS) GAS PIPE OUTLET(S) HEAT SOURCE: ❑ ELECTRIC ❑ GAS
PLUMBING
BATHTUB(S) LAVATORY(S) URINAL(S) WATER HEATER(S)
DISHWASHERS) RAIN WATER SYS. VACUUM BREAKER(S) ❑ ELECTRIC ''GAS
DRINKING FOUNTAIN(S) SHOWER(S) WASH MACHINE OUTLET
GAS PIPE OUTLET(S) SINK(S) WATER CLOSET(S) MISC. ( )
INTERCEPTOR(S) SUMP(S)
DISCLAIMER/SIGNATURE 13LC
I certify under penalty of perjury that the Information furnished by me Is true and coned 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 dalm (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 VV the d s a part of this application. _
NAME/TITLE: tct , C�-Q�'] DATE: ( 2-2-
0
ZO PROPERTY OWNER o APPLICANT o CONT CTOR
Sob V&tu, rA
COMMUNITY DEVELOPMENT SERVICES • 33530 FIRST WAY SOUTH • PO 80X 9718 • FEDERAL WAY, WA 98063-9718 • 253-661-4000 • FAX: 253-661.4129
www. cftMTedera twa v. cDm
t7*d 62Tt�T992S6T:Ol :WOdA 22:2T 2002-22-330