97-103839A�Y OF F-EDUPAL, WAY
t Way Sotith
10 Fii-s
tederal Wiy, WA 9E,30(13
253 - 64b 1 - 4 000
SW 333RD
NO.: 926495-0740
PRCQEC'r DESsCRIPT TON: g -g furnace replace
Does the witer supply sy,.tes contain a P
Inspection Pwriu: hechani
I MEC97 -0300
MECHOMICAL, PER -4111 1,0/16/9 ?
By. V,(. X,
[_XP_M11:1'-: 04/1�3/98
CONTRACTOR
NORTMIST WATER HEATER
2501 104 ST (T., SIA
TACOMA WA 98444
(253)984 6404
MIND: 0
MOD,: 0
LENDER- -,, ;, aar.
SALES FAX FOR PROTECTS VIININ THE CHY Of Mflfit NAY. TAX RAIF : 9.25
w filcal V frett" 4 VU
MU PIMT I$WKE... 20. 00
TOTAL f[IS
$ 4i.00
valve?
No (If "Yes' then eater expansion tank is required on Not Water Tank)
Dale
I INALC j Date `1,t) --e- -)
- L 7
PERMITS EXPIRE 180 DAYS UIEK 11,11stimotag No wwt is STAKII0.
I ClEfIry IR INIORMHON FUMS010 P ANO COUL(I 10 INE
ANif 0 OR A(4H I
.?, $ I, IN-_-, i
AN
MM -14 AD 11W,AMI(AK1 MY K f [URAL VAY ALIMIMIMS M1. it NEI.
DATE
FIELD COPY
JAMES MGH
1111 SW 33RD ST
FEDERAL WAY VA 93023
874-249
sit
commeni V%4#CAI
PROJECT VALUATION
255
PAL TYPIS.:GAS GAS
fAMS
GAt PIPING.: 0 ft
HOOD.
I
rupfl(loft..: 1
3
6A, . r M....: 0
1
CORY BURNER: 0
FoRo, 0
BBQ......... 0
"IS(..
iAS DPYIR..: C
AIR HANDt44
RANGE...,... 0
<:10,000 (fp:
-A
GAS LOG'?...: 0
10,000 0
Does the witer supply sy,.tes contain a P
Inspection Pwriu: hechani
I MEC97 -0300
MECHOMICAL, PER -4111 1,0/16/9 ?
By. V,(. X,
[_XP_M11:1'-: 04/1�3/98
CONTRACTOR
NORTMIST WATER HEATER
2501 104 ST (T., SIA
TACOMA WA 98444
(253)984 6404
MIND: 0
MOD,: 0
LENDER- -,, ;, aar.
SALES FAX FOR PROTECTS VIININ THE CHY Of Mflfit NAY. TAX RAIF : 9.25
w filcal V frett" 4 VU
MU PIMT I$WKE... 20. 00
TOTAL f[IS
$ 4i.00
valve?
No (If "Yes' then eater expansion tank is required on Not Water Tank)
Dale
I INALC j Date `1,t) --e- -)
- L 7
PERMITS EXPIRE 180 DAYS UIEK 11,11stimotag No wwt is STAKII0.
I ClEfIry IR INIORMHON FUMS010 P ANO COUL(I 10 INE
ANif 0 OR A(4H I
.?, $ I, IN-_-, i
AN
MM -14 AD 11W,AMI(AK1 MY K f [URAL VAY ALIMIMIMS M1. it NEI.
DATE
FIELD COPY
I
CITY Uig FEDERAL_ WAY
38530 First Way south
Federal Way, WA 98003
2.53-661-4000
ADDRESS:1119 SW 333RD ST
NO.: 926495-0740
PROJECT DESCRIPTION:g-g furnace replace
OWNER
JAMES PUGH
1119 SW 33RD ST
FEDERAL WAY WA 98023
874-2429
�'vl E. IFIP, 11`'4,11 ...., F'-' E"i1'''�;. MJ."'. 'T"
Mechanical Inspection Requests 253-661-4140
CONTRACTORLENDER
NORTHWEST WATER HEATER
2506 104 ST CT., S#A
TACOMA WA 98444
(253)984-6404
NORTHWH103R2
PERMIT NO: MEC97-0300
ISSUED: 10/16/97
BY: FC2
EXPIRES: 04/1.3/98
ttt CONTRACTORS, PLEASE USE LOCATION CODE 1732 WHEN REPORTING SALES TAX FOR PROJECTS WITHIN THE CITY OF FEDERAL WAY
PROJECT VALUATION 255
i'
i
TAX RATE : 8.25 ttt
FUEL TYPES.:GAS GAS
FANS..........:
0
BOILERS/COMPRESSORS
GAS PIPING.: 0 ft
HOOD..........:
0
0-3 TON.....:
0
FURN<100K..: 1
DUCT WORK.....:
0
3-15 TON....:
0
GAS HWT....: 0
WOOD STOVES...:
0
15-30 TON_.:
0
CONY BURNER: 0
FURN>100K.....:
0
30-50 TON...:
0
BBQ......... 0
MISC...........
0
50+ TON......
0
GAS DRYER..: 0
AIR HANDLING UNITS
FUEL TANKS ---------
RANGE.. _.: 0
<:10,000 CFM:
0
ABOVE GROUND:
0
GAS LOGS...: 0
R
> 10,000 CFM:
0
UNDERGROUND.:
0
ti
t_-------.--------------------------------..__..._-_-____..._-----------------_____
--------------------.....
Does the water supply
system contain a
Pressure
Reduction Device
or Check valve? ( ) Yes O No
Inspection Record: Mechanical Rough -in ---------------- Date ---------- Gas Piping
MECHANICAL FINAL Date
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS STARTED.
I CERTIFY THE INFORMATION FURNISHED BY ME IS TRUE AND CORRECT TC
OWNER OR AGENT
$ 22.00
$ 20.00
$ 42.00
(If "Yes" then water expansion tank is required on Hot Water Tank)
Date
7
r
THE APPLICABLLEECITY OF FE ERAL WAY REQUIREMENTS WILL BE MET.
DATE L------cc-//--�
FILE COPY
crrY OF G
�L
vii RY
APPLICATION FOR MECHANICAL PERMIT
PARCEL # 2—CP
SITE LOCATION
Tenant/Owner —�
Address/City/State/Zip
Nature of Work
APPLICANT
Name
Address/City/St/Zip
Contact Person _
r
BUILDING DIVISION
33530 First Way So th
Federal Way, WA 9803
(253) 6614000
Fax (253) 6614129
MEC
Single Family,❑f Multi -Family ❑ Commercial ❑
Phone
MECHANICAL CONTRACTOR
Company Name
Phone
Project Valuation: $ �.
Fax
Address/City/St/Zip :x��117-
1 � VL"� T
Contact Person , /�✓% �'/ % �'� Phone �� L� Fax
State L & I Contractor Registration # Exp. Date
(Card must be presented)
MECHANICAL UNIT COUNT
Fuel aas/ er
Gas Dryer
Air Handling < = 10 000cfrn
Fuel Tanks:
Len "iping
Range
Air Handling > = 10 000cfm
Above Ground
Furn <100K BTUs
Gas Log
Unit Heater
Under ound
Furn>100KBTUs
Fans
Boiler BTU/H
Miscellaneous
Gas Hwt
Hood
Boiler BTU/H
Other
Conv Burner
Duct Work
A/C TONS
Other
DISCLAIMER: I certify, under penalty of perjury, that the infom)atiort-frugished by me is true
for which permit application is made. I further agree to savehairnless the City of Federal
made by any person, including the undersigned, and filad�against the City of Fed '
information supplied to the city as a part of this ap cation.
Owner/Agent
Mecu.Arr
Ravrsm 8/26/97
to the best of my knowledge and further that I am authorized by the owner of the above premises to perform the work
h (including costs, expenses, and attorneys' fees incurred in investigation and defense of such claim), which may be
such claim arises out of the reliance of the city, including its officers and employees, upon the accuracy of the
Date
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