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03-100993City of Federal Way Community Development Services 33530 1st Way S Federal Way, Wt1 98003-6210. In Ph: 253.661.400Qs E'' 3.6(1.4129 I ti MechanicalPermit#:03 -100993 - 00 - ME ` 94 ' ction. request line: 253.835.3050 Project N ` J©RKEUND — Project Address-ar--4237 SW --323RD arcel-Nurnber: 873202 0710 Project Do > t han2k4toftas furnace and a/c - Mechanical Valuation..........................................6211 Over the Counter Permit ...................................... Yes Mechanical Fixtures „. x .. `3;.< Descrlpt,or Qu 1 Desc_rption. = Quarto Air Handhn Units 1 Furnaces 1 PERMIT EXPIRES September 9, 2003. Permit issued on March 13, 2003 I hereby -Ci ',Wv that the above information is correct and that the construction on the above described property and the occupancy and theltr,-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: 3LI-3 0 -3 i Applicant _Contractor Riva M Bjorklund -- GATEWAY HEATING & AIR CONDITIO - GATEWAY HEATING & AIR CONDITIO 4237 SW 323RD ST 3802 AUBURN WAY N 3802 AUBURN WAY N FEDERAL WAY WA AUBURN WA 98002 AUBURN WA 98002 98023-2495 (253) 931-0610 Mechanical Valuation..........................................6211 Over the Counter Permit ...................................... Yes Mechanical Fixtures „. x .. `3;.< Descrlpt,or Qu 1 Desc_rption. = Quarto Air Handhn Units 1 Furnaces 1 PERMIT EXPIRES September 9, 2003. Permit issued on March 13, 2003 I hereby -Ci ',Wv that the above information is correct and that the construction on the above described property and the occupancy and theltr,-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: 3LI-3 0 -3 i r 411 i r 411 neo * CONSTRUCTION PERMIT APPLICATION CITY OF �....� PPLICATION NUMBER: Federal Way APPLICATION NUMBER: F�OE�p�p( PPUCATION NUMBER: **The follovvi %Iii A-llinformation —Please print (in ink) or type** Please note: Electrical, Fire Prevention Systems and Engineering permits may require a separate application. SITE ADDRESS: 2s--<` 2f( -,L^ ASSESSOR'S TAX/PARCEL #:S Z O - LEGAL DESCRIPTION OF SUBJECT PROPERTY (ATTACH SEPARATE DESCRIPTION IF LENGTHY): ■ PROJECT INFORMATION TYPE OF PROJECT (This application): o BUILDING o PLUMBING X MECHANICAL ❑ DEMOLITION o ELECTRICAL o ENGINEERING ❑ FIRE PREVENTION SYSTEM PROJECT ■ PEOPLE INFORMATION PROPERTY OWNER: CONTRACTOR: APPLICANT: MAILING ADDRESS (STREET ADDRESS; CITY, STATE, ZIP): NAME: ' Loefy Rfj9=zA--G 6-% c I DAYTIME PHONE: i (�63) X131- C (o /O MAILING ADDRESS (STREET ADDRESS; CITY, STATE, ZIP): EVENING PHONE: CITY OF FEDERAL WAY BUSINESS LICENSE NUMBE •i FAX NUMBER: q - l OS-lS�- C�IE�I (ZS3) 8C - 014(9 0 CONTRACTORS REGISTRATION NUMBER: (SPY or card required) (D l�i"T BUJ i-} A d'otcJe�' _ IXPIRATIO DATE: / a ©/ Q3 DAYTIME PHONE: (2s 3) R`3 ( -0(o I MAILING ADDRESS (STREET ADDRESS; CITY, STATE, ZIP): EVENING PHONE: - RELATIONSHIP TO PROJECT: FAX NUMBER: I ❑ ARCHITECT ❑ TENANT THER ( DESCRIBE): CONTACT PERSON FOR THIS PROJECT: ❑PROPERTY OWNERPPLICANT CONTRACTOR DETAILED BUILDING INFORMATiON EXISTING USE: PROPOSED USE: SPRINKLERED BUILDING? WATER SERVICE PROVIDER: SEWER SERVICE PROVIDER: EXISTING BUILDING ASSESSED/APPRAISED VALUATION $ PROPOSED VALUATION FOR IMPROVEMENTS: $ (p a 11 o YES o NO FIRE SUPPRESSION SYSTEM PROPOSED/ REQUIRED: ❑ YES o NO ❑ LAKEHAVEN o HIGHLINE ❑ TACOMA o PRIVATE (WELL) ❑ LAKEHAVEN ❑ HIGHLINE 0 PRIVATE (SEPTIC) "NEW RESIDENTIAL CONSTRUCTION ONLY" 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: AIR HANDLING UNITS) BBQ(S) BOILERS) COMPRESSOR(S) DUCT(S) BATHTUB(S) DISHWASHER(S) DRINKING FOUNTAIN(S) GAS PIPE OUTLET(S) INTERCEPTORS) Indicate number of each type of fixture MECHANICAL EVAPORATIVE COOLER(S) GAS LOG(S) REFRIG. SYSTEM(S) FAN(S) HOOD(S) WOODSTOVE( FIREPLACE INSERTS) RANGE(S) Z MISC. G �— FURNACE(S) GAS PIPE OUTLET(S) HEAT SOURCE: o ELECTRIC ,Akf(;AS PLUMBING LAVATORY(S) RAIN WATER SYS. SHOWER(S) SINKS) SUMP(S) URINAL(S) WATER HEATER(S) VACUUM BREAKER(S) o ELECTRIC o GAS WASH MACHINE OUTLET WATER CLOSET(S) MISC. ( ) ■ DISCLAIMER/SIGNATURE BLOCK I certify under penalty of perjury that the information furnished by me is true and correct 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 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 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 the city as a part of this application. NAME/TITLE:--� daqlw DATE:I �l"moi o PROPERTY OWNER APPLICANT )Q TRACTOR COMMUNITY DEVELOPMENT SERVICES • 33530 FIRST WAY SOUTH • PO BOX 9718 • FEDERAL WAY, WA 98063-9718. 253-661-4000 • FAX: 253-6661-4129 www.dl`roffederalway.com