03-104003City of Federal Way
Community Development Services Mechanical Permit #: 03 -104003 - 00 - ME
33530 's'
Way S
Federal Way, WA 98003-6210 p 2 2
Ph: 253.661.4000 Fax: 253.661.4129 Inspection request line: 25G 3.035.3050
Project Name: FRY SPRAY
Project Address: 30023 6TH SW
vp►JG
Project Description: Install gas furnace
Parcel Number: 039600 0060
Owner
Applicant
Contractor
Cynthia L Fry -Spray
GATEWAY HEATING & AIR CONDITIO
GATEWAY HEATING & AIR CONDITIO
30023 6TH AVE SW
3802 AUBURN WAY N
3802 AUBURN WAY N
FEDERAL WAY WA
AUBURN WA 98002
AUBURN WA 98002
98023-3520
(253) 931-0610
PERMIT EXPIRES February 23, 2004.
Permit issued on August 27, 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 W
Owner or agent: Date: 7/Z -1 6';'
cr;oF,e,c-- RECEIVED BUILDING DrvisioN
33530 First Way South
Federal Way, WA 98003
AUG 2 7 2003 (253) 661-4000
CITY OF FEDERAL WAY Fax (253) 661-4129
APPLICATION FOR M"'EC'HARICAL PERMIT PAE-
Federal Way Business License number:
PARCEL # 039 � () C) 0o lib
SITE LOCATION
Tenant/Owner
ri
Single Family
Address/city/state/zip - -1?00,�3 1,44, Alte S� ,
Nature of Work � L&Zj LL/f tt4k--e—
APPLICANT
Name
Address/City/St/Zip 5
Contact Person 5&1�7
MECHANICAL CONTRACTOR
17ii
Company Name
NKNIm
94!�;l
Phone
MEC03 - I OJiMS-06
Multi -Family 0 Commercial 0
Phone a53 9V/ -a 9 V-3
F0
Project Valuation: S
Address/City/SVZip3&,? A19z All, �WlJ4!Z,4
D -
Contact Person Phone ,,2-2--2/22� Fax
State L & I Contractor Registration # 6D4`;ELYq SAS -C-7 Exp. Date 42
(Card must be presented)
MECHANICAL UNIT COUNT
Fuel Type (gas/other)
Gas Dryer
Air Handling<
- IO OOOcPrn
Fuel Tanks:
Len Wh of as piping
Range
Air Handling
> = 10,000cfm
Above Ground
Furn, <100K BTUs 1
Gas Log
Unit Heater
Underground
Fum >I OOK B'1Us
Fans
Boiler
BTU/H
Miscellaneous_____
Gas Hwt
Hood
Boiler
BTU/H
Other
Conv Burner
J- Duct Work
A/C
TONS
Other
Wood Stoves
A/C
TONS
DISCLAIMER-, I certify, under penalty of perjury, that the information lumished by me is true and correct to the best of my bwwkdge and fiuthcr that I am authorized by the owner of above remises to perform the wi
for wiiich permit application is made. I further agree to save harmless the City of Federal Way as to any claim (including Owtl, cxPcnscs� and attomeyz* leas incurred in investigation and dcrcrLsc of such claim), which may be
made by any person, including the undersigned, and filed against the city orFedeny Way but only where such claim arises out of the reliance of the city, including its officen and employees, upon the accuracy of the
information supplied to the city" a P ofNis ap
Jwner/Age Date
pe
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