03-104097ys •,
City of Federal Way
Community Development Services
33530 1st Way S
Federal Way, WA 98003-6210
Ph: 253.661.4000 Fax: 253.661.4129
Mechanical Permit #:03 -104097 - 00 - ME
Inspection request line: 253.835.3050
Project Name: SARBER 'JL
Q
Project Address: 35120 19TH SW Parcel Number: 795630 0070
Project Description: Remove/replace gas water heater
Owner
Applicant
Contractor
Stephanie J Sarber
FAST WATER HEATER COMPANY
FAST WATER HEATER COMPANY
35120 19TH AVE SW
12601 132ND AVE NE
12601 132ND AVE NE
FEDERAL WAY WA
KIRKLAND WA 98034
KIRKLAND WA 98034
N4ltyj59tlyaluation..........................................449
Over the Counter Permit.
.(-425)-8t4-8394...••.••• Yes
PERMIT EXPIRES March 1, 2004.
Permit issued on September 3, 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.
See A 2
Owner or agent: ,�Ul1C �()n Date: �' 3 _ r�
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TYO Si"R 3MON PERMIT APPLICATIO J
CITY OF } PLICA ON NUMBER.,
Federal WayAUG 7 z . �.
PPU&
ON
POLICAtION NUMBER.
**The following is required information — Please print (in ink) or type**
018838
Please note: Electrical, Fire Prevention 5ysterns and Engineering permits may require a separate application.
PROPERTY INFORMATION
SITE CRESS: 35120 19 AVE SW, FEDERAL WAY, WA 98023 ASSESSOR'S TAXIpARCEt #: 7956300070
LEGAL DESCRIPTION OF SUS)ECT PROPERTY (ATTACH SEPARATE DESCRIPTION IF LENGTHY):
PR03ECT INFORMATION
TYPE OF PROTECT (This application): o BUILDING a PLUMBING Xi MECHANICAL rT DEMOLITION
ri ELECTRIC AL 0 Eriw`UEMUNG 0 FIRE PREVENTION SYSTElg
PROJECT DESCRIPTION (Provide detailed description): Remove/Renlace Gas Water Heater
PROTECT NAME:
PR03ECT INFO, s
PR0KRT`it OWNER: DAYTIME RXINE:.
SARBER, STEPHANIE ( (253)61-6571 _
KOJUnG ADDRESS (STREET ADO9LA CM. STATE-. Iia);
PO BOX 24893 FEDERAL WAY, WA 98093
4
HAi kid (TitEETA7iQ�& S: CITY S kT • ..,u,,. ...,,,�..� E "TNG PONE- .,
MAT14"w rQ PWAM
_... n FAX "W:
ca ARCHITECT o TENANT O OTHER ( DESCRIBE): � �(
CONTACT PERSON FOR THIS PR03ECT* u PROPERTY OWNER o APPLICANT CONTRACTOR
' PRO --ECT INFORMATION
EXISTING BUILDTN6 QED/APPRAISED VALUATION �.................._..._.._._....
PROPOSED USE: PROPOSED VALUATION FOR IMPROVEMENTS: �_ $449.00
SPRIlVKLERED BUILDING? 0 YES n NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED: ti YES n NO
WATER SERVICE PROVrDER: oLAKEHAVEN n HIOHLINE a T"ACOt4A o PRIVATE (WELL)
SEWER SERVICE PROVIDER.- D LAKEHAVEN 0 HIGHUNE a PRIVATE (SEPTIC)
1
iC"ILMFVTlA L E ONSTRUCTI]ON ONLY* k
NUMBER OF BEDROOMS
ESTIMATED SELLING PRICE:
PROIEC i' FLOOR AREAS
DISCLAIMER/SIGNATURE ALC
I certify ung penalty of perjuiry that the Information furnished by me is true and correct to the Crest of my knowledge, and
further, that I am authorl2ed by the owner of the above premises to perform this Cork for which the permit application is made* I
further agree to hold harmless the. City of Federal Way as to any claim (Including costs,Vies, WW attorneys' fees incurred in the
Investigation and defense of such china), which may be made by any person, including the undersigned` and filed against the City of
Federal 'Way, but e y where such claim arises out of the reliance of the cky, including its officers and employees, upon the accuracy
of the Informathm supplied to the ckyr as a part of this application.
NAME/TILE- -' `� , Permit MQr BATE;; 08/28/2003
13 PROPt M OWNER 0 APPLICANT S CONTRACTOR
COMMUNMY DeVEU MEW SERvitTS • 33530 FIRST WAY StSUM • PO BOX 9718 • FEDEM WAY, WA M63.9118 + ZS3461-WW • FAX.. 253.661+11 Z9
Indicate number of each tyf a
of fixture
MECHANICAL.
Alii HANDLING UNIT(S)
EVAPORATIVE COOLER(S)
GAS t OG()
REFRIG. SYSTEM(5)
BBQ(S)
BOILERS)
FAN(S)
FIREPLACE INSERT(S) �
HOOD(S)
� RANGE(S)
WOODSTOVE(S)
MnX_ ( )
COMPRESSOR(S)
FURNACE(S)
DUCT($)
GAS PIPE OUTLET(S)
HEAT SOURCE:
0 ELECTRIC a GASB
PLUMBING
BATHTUBS)
LAVATORY(S)
URINAL(S)
1 WATER HEATERS)
DISHWASHER(S)
RAIN WATER SYS.
VAC UU 4 BREAKER(S)
0 ELECTRIC X GAS
DRINKING FOUNTAIN(S)
SHOWER(S)
WASH MACCHINE OUTLET
CTAS PIPE OUTLFT(S)
WATER CLOSET(S)
misc. ( )
INTERCEPTOR($)
SUMP(S)
�
DISCLAIMER/SIGNATURE ALC
I certify ung penalty of perjuiry that the Information furnished by me is true and correct to the Crest of my knowledge, and
further, that I am authorl2ed by the owner of the above premises to perform this Cork for which the permit application is made* I
further agree to hold harmless the. City of Federal Way as to any claim (Including costs,Vies, WW attorneys' fees incurred in the
Investigation and defense of such china), which may be made by any person, including the undersigned` and filed against the City of
Federal 'Way, but e y where such claim arises out of the reliance of the cky, including its officers and employees, upon the accuracy
of the Informathm supplied to the ckyr as a part of this application.
NAME/TILE- -' `� , Permit MQr BATE;; 08/28/2003
13 PROPt M OWNER 0 APPLICANT S CONTRACTOR
COMMUNMY DeVEU MEW SERvitTS • 33530 FIRST WAY StSUM • PO BOX 9718 • FEDEM WAY, WA M63.9118 + ZS3461-WW • FAX.. 253.661+11 Z9