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04-101836Citv of"'^derAl Way Community flevelopment Services 33530 1st Way S Federal Way, WA 98003-6210 Ph: 253.661.4000 Fax: 253.661.4129 Project Name: SMITH Mechanical Permit #: 04 -101836 - 00 - ME Project Address: 29616 2ND 1 PI S Project Description: Install gas furnace with air-conditioning unit. Inspection request line: 253.835.3050 Parcel Number: 718300 0130 Owner Applicant Contractor DELMON & LAURIE SMITH WASHINGTON ENERGY SERVICES CO WASHINGTON ENERGY SERVICES CO 29616 2ND PL S 2800 THORNDYKE AVE W 2800 THORNDYKE AVE W FEDERAL WAY WA 98003 SEATTLE WA 98199 SEATTLE WA 98199 (206) 282-4700 Mechanical Valuation..........................................7869 Over the Counter Permit ...................................... Yes Mechanical Fixtures Description Quantity Description Quantity Description` Quanti Furnaces PERMIT EXPIRES November 9, 2004. Permit issued on May 13, 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 �13t Owner o : �� Date: agent i H MAY -13-2004 07:16 FROM: T0: 12536614?25 IO (P'f P.4 MAILING ADD ESS (SrREET nDDR SS;}: S CITY. STATE, ZIP v 64+-L w4 C IFU63 FAX NUMBER: ( ) - 1 93530 hRST WAY SOM - PBOX 9 . Cl" os Federal Way PERMIT APPLICATION FEDERAL WAY, WA 98063-9718 a53a6LI1IS- FAX, 253-661-4129 IN VIU. ritynRndemh ;C�Y�T , Z CELL PHONE: - .` FAX NUMBER:--- CONTRACTORS REGISTRATION NUMBER:� (copy of card required with each application) O � � EXPIRATION DATE: / / tJ Fur Off; -.U- Only. FW File Number: _q (2 TD: _ The following is required information - an Incomplete application will not be accepted. Please print Ieaiblt/ lin ink) or tune_ SITE ADDRESS: 71 i LQ 1 (4 z - y% SUITE/APT ii ASSESSOR'S TAIL/PARCEI, !t: 7 E 9,✓ D 0 ©_ QUARE FOOTAGE OF LOT: Ili di�Ks LEGAL DESCRIPTION /e.g.i: Acme Estates, Lot 1) (Attach sepnrate page for lengthy legal description) TYPE OF PERMIT (This application(: ❑ BUILDING 0 PLUMBINGMECHANICAL ❑ DEMOLITION ELECTRICAL 0 ENGINEERIPl ❑ IRE PREVENTION SYSTEM PROJECT DESCRIPTION lPmAde defailpd de ennnfinn of....A- inrbirlprl nn thic n—;t nn/uF PROJECT NAME (Name of Business/Owner Last Name): PROPERTY OWNER CONTRACTOR:- LENDER. ONTRACTOR: LENDER: (If r"Po"d V.laa > $3.000) APPLICANT: NAME - ' l LA U J .I J ►V l.` 1 V 1 COMPANY OFFICE PHONE: - ,EVENING/PHONE: p P 1, N / ) MAILING ADD ESS (SrREET nDDR SS;}: S CITY. STATE, ZIP v 64+-L w4 C IFU63 FAX NUMBER: ( ) - NAM9 COMPANY OFFICE PHONE: MAILING ADD ST ET A1bDREjSj, ;C�Y�T , Z CELL PHONE: - CITY OF F� I W� BUSINESSE7NUMBEREXPIRATION DATE: FAX NUMBER:--- CONTRACTORS REGISTRATION NUMBER:� (copy of card required with each application) O � � EXPIRATION DATE: / / tJ NAME: DAYTIME PHONE: ( ) MAILING ADDRESS (STREET ADDRESS;): CITY. STATE, ZIP NAME: , " t ' COMPANY OFFICE PHONE: - ,EVENING/PHONE: MAILING ADDRESS (STREET ADDRESSI: CITY, STATE. ZIP RELATIONSHIPTO PROJECT: O Architect ❑ Tenant 0 Other (Describer FAX NUMBER: ( ) - I CONTACT PERSON FOR THIS PROJECT: 0 Property Owner )Q Contractor Q Applicant I C -MA, AVVKZO [ DETAILED BUILDING INFORMATION EXISTING USE:, PROPOSED USE: , EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK: $ SPRINKLERED BUILDING? ❑ YES 0 NO FIRE SUPPRESSION SYSTEM PROPOSED /REQUIRED?: 0 YES 0 NO WATER SERVICE PROVIDER: 0 LAKEHAVEN ❑ HIGHLINE ❑ TACOMA 0 PRIVATE (WELL) SEWER SERVICE PROVIDER: 0 LAXEHAVEN 0 HiGHLINE 0 PRIVATE (SEPTIC) MAY -13-2004 07:16 FROM: PROJECT FLOOR AREAS TO:12536614129 P.5 AREA DESCRIPTION EXISTING SQ. FT. PROPOSED SQ. FT. TOTAL BASEMENT RAINWATER SYS URINALS HOSE Blass FIRST ELECTRIC WATER HEATERS CHANGE OF USE? a YES o NO SECOND UP/SEPA/SII? o YES o NO -PLATTED LOT? o YES o NO THIRD D NO FOURTH ADDITIONAL FLOORS (DESCRIBE) DECK (COVERED?) GARAGE/CARPORT HOW MANY FLOORS? rams. rxtsruw svui. vnorosrn IMAM E=M(3 AM iR0PMM —NEWHOMESONLY" NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $ Indicate number of each type of fixture that is to be installed or relocated as part of this project. Do not include existing fixtures to remain. 3EFCHAA7C.AL Value of Mechanical Work S. / -AIR HANDLING UNITS EVAPORATIVE COOLERS GAS LOGS REFRIG. SYSTEMS BBQS FANS HOODStca­i4 WOODSTOVES BOILERS FIREPLACE INSERTS RANGES MISC (Describe) _ COMPRESSORS Z FURNACES Q.4S WATER HEATERS DUCTS GAS PIPE OUTLETS PLUMBING BATHTUBS Tor Tub/Shower Combo) DISHWASHERS GAS PIPE OUTLETS WASHING MACHINES LAVS (Bath. Sink SHOWERS WATER CLOSETS (toaeq _ SINKS DRINKING FOUNTAINS SUMPS RAINWATER SYS URINALS HOSE Blass VACUUM BREAKERS ELECTRIC WATER HEATERS F)ISCLAIMF.R/SIGNATURE BLC MISC (Describe) I certify under penalty of perjury that the tnformation furnished by me is true and correct to the best of my knowledge, and further, that I am autAorized 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 claim (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 Ci of federal Way, but only where such claim arises out of the reliance of the city, including its ofJtcers d employees u on the accuracy the information suppli d to the city asap of this appil tion. NAME/TITLE: DATE: 5/ 3 �y (Signature) (Title) r RELATIONSHIP TO PROJECT: ❑ Property Owner O Applicant Xbontractor O Architect O 7 - e -25 2-�4 ROFFICE SE ONLY zac ail q^NEW v ADDITION O ALTERATION a REPAIR D TENANT IMPROVEMENT, BUIi:DING SHELL,ONLY? D:YES.' v NO BASIC.: PLAN? o YES o. NO ZONING bE31 ATION: CHANGE OF USE? a YES o NO NEW ADDRESS REQUIRED? o YES ONO UP/SEPA/SII? o YES o NO -PLATTED LOT? o YES o NO DEMO PERMIT REQUIRED? o YES D NO Pae 2 (kilEr Urt #I (l;i -,J,. r2U.a"b 1..300-1 K