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97-100232q'7 E:.:1 1y Of UEI)ERFM- WM PERM11 NO: MEC91 0022 33530 Fit -SL Way Im C C. I'll 04 F11 Jr C e-14 L' Fe(Jural. Way, Wo 9800:1 Uuil.,Jiiiq lrmpr'('tioti 1�'t 661-4000 ().11 E 0 1 1, 6, 9 8 ADMIEIE;S:?9900 i T f T HVI !-M NO. : 720500-0-100 1-'RO"If.'(*f DFS0M,*I'100:MUHAMI(AL -199A11 GA5 PIPING AND*? INSERTS OWNER (OHIRACIOR =;.... .......... LLNDLR (fiRl LIN[, JR 'f, & G, GAS APPLIANCE INSI 29900 4tH AVE. SM 417027 316111 AVE SI. fENRAL WAY WA 98023 RAVENSDALL WA 98051 941-1971 711.2 J , P of (ICA IM V*# Ifftf PING SKES TAX IJV PROP C 1' 141111 A Iff CITY Of 1FEM!, MY. M RAO 8. � � Ff t0CA 25 xii PROJECT VALUATION 1000 FUEL IYPES.:GAt f ANS 1, r; P t pelffiill t 32.00 GAS PIPING.: 50 ft HOOD... U 0.- '1p fuptvlow.: 0 DUCT WORk ..... 0 3-) GAS NWT....: 0 W# SST 0 115-j W"... CORY OUPHER: 0 f UR Iol BBQ......... o mt f isc..' 't — AS � ('AS DRYER..: o AIR HAX{ -_z. ! RANGE...,..: 0 /--Io*W' 0 ABOVE GROUND: 0 GAS LOGS...: 21 10,000 0 UNDERGROUND.: 0 TOTAL fEES S 52.00 Does the water supply systes contain a Pressure Reduction Device or Check valve? Yes No (it "Yet* then water expansion tank is required on Not Water Tank) Inspection Record Water Line OK hechanical Ae tion Notes: GAS PIPING OtO�r? Date 6y MHUS MIRE 180 DM AMI ISSUANCE It NO Ut IS MRUP. RISIKNIIAI AND UARIAG FERNY!: LXPIRE 61F YUK AT Itt PAT( Of Isstm. I CUPfIfY 101 Ila 17� CORKm to lot usl of my nam. mip m APPIKARLL CITY Of tIMAL MAY RIQUIRMNIS V.Ht Bi 1111. OWNU HGLT1r �4-11 /Z PAIL FIELD COPY CITY OF' FEDERAL WAY 33530 F i r -s t Way South P4 C:' 1< I• P !1 014 F"11iKll I�•.., f;m, ir.:: ilrmi P44, 11, ,...1,.. Fe(Jer-al Way, WA 98003 I3uii(J-i7*) 1 inspection Rc.rquests 661--4140 661-4000 ADDRE<SS:29900 4 FI.1 AVE 5W NO.: 720.500-01.8U PROJECT DESCFZI P T ION : MECHANICAL --INSTALL GAS PIPING AND 2 INSERTS r= OWNER CARL LINE, QTR 29900 4TH AVE. SW FEDERAL WAY WA 98023 1 941-1971 CONTRACIOR G ✓4 G GAS APPLIANCE INST 27027 3161H AVE SE RAVENSDALE WA 98051 886-7112 GGGASAI093BZ PERMIT- N0: I1EC97--0022 ISSUED: 01/22/97 BY: FC EXPIRES: 01/16/98 LENDER=_-.______.-__.•____-____-__=-_-_______________.__:� Sts CONTRACTORS, PLEASE USE LOCATION CODE 1132 WHEN REPORTING SALES TAX FOR PROJECTS WITHIN THE CITY OF FEDERAL MAY. TAX RATE : 8.25 ;;_ GAS DRYER..: 0 AIR, HANDLING UNITS RANGE......: 0 <:10,000 CFM: 0 GAS LOGS...: 2 > 10,000 CFM: 0 FUEL TANKS --------- ABOVE GROUND: 0 UNDERGROUND.: 0 TOTAL FEES $ 52.00 : s Does the water supply system contain a Pressure Reduction Device or Check valve? () Yes () No (If "Yes" then water expansion tank is required on Hot Water Tank) Inspection Record Water Line OK Mechanical Inspection Notes: _- ------------------------ GAS _---- - --------------.._ GASPIPING OK ._..__-.__......_ Date ..._..__.. BY . ___._..-------------- ------------------- .------_------..,__ ) I � PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS 5TARTED. RESIDENTIAL AND GRADING PERMITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE. I CERTIFY THE INFORMA FURNISHED BY IS TRU- CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY REQUIREMENTS WILL BE MET. OWNER AGENT 1r/l2'-zz DATE' FILE COPY PROJECT VALUATION 1000 FEES: FUEL TYPES.:GAS ? FANS..........: 0 BOILERS/COMPRESSORS ( Mechanical Permit* $ 32.00 GAS PIPING.: 50 ft HOOD..........: 0 0-3 HP......: 0 MEC PRMT ISSUANCE.., $ 20.00 r FURN<100K..: 0 DUCT WORK.....: 0 3-15 HP.....: 0 i § GAS HWT.... : 0 WOOD STOVES...: 0 15-30 HP....: 0 CONV BURNER: 0 FURN>100K,....: 0 30-50 HP....: 0 BBQ......... 0 MISC........... 0 5+ HP........ 0 i GAS DRYER..: 0 AIR, HANDLING UNITS RANGE......: 0 <:10,000 CFM: 0 GAS LOGS...: 2 > 10,000 CFM: 0 FUEL TANKS --------- ABOVE GROUND: 0 UNDERGROUND.: 0 TOTAL FEES $ 52.00 : s Does the water supply system contain a Pressure Reduction Device or Check valve? () Yes () No (If "Yes" then water expansion tank is required on Hot Water Tank) Inspection Record Water Line OK Mechanical Inspection Notes: _- ------------------------ GAS _---- - --------------.._ GASPIPING OK ._..__-.__......_ Date ..._..__.. BY . ___._..-------------- ------------------- .------_------..,__ ) I � PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS 5TARTED. RESIDENTIAL AND GRADING PERMITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE. I CERTIFY THE INFORMA FURNISHED BY IS TRU- CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY REQUIREMENTS WILL BE MET. OWNER AGENT 1r/l2'-zz DATE' FILE COPY CIrY F G • E=FE \9rL— W'11>AY :4EGE:IVErD BUILDING DIVISION 33530 First Way South Federal Way, WA 98003 (206) 6614000 Fax (206) 661-4129 APPLICATION FOR MECHANICAL PERMIT (,;1jBUILDING DEPT. AY MEC - 00ZL PARCEL # �© Single Family Multi -Family ❑ Commercial ❑ SITE LOCATION Tenant/Owner Ca L t I / ki� Phone `"W- r'7 Address/City/State/Zip - �� �� �U �� A- %,,,'�" Nature of Work Ll--, G� / Ll r �ci ✓ -t �t✓� ���%C t A / Project Valuation: $ ���� -017r— APPLICANT Name 6'1 /- ( I / Address/City/St/Zip Contact Person / %� �� �' �� ! r✓� Phone �,�' ' 4' U '�� Fax MECHANICAL CONTRACTOR Company Name + Cr 41I"G� S �i �IGlC Pi15 /�' Ila, 1'-1(IyJ Fuel Tanks: Length of gas piping Range Air Handlin > = 10 000ctin Address/City/St/Zip 2? l2 X 614r 5 E �% UC�i"S l/�i� � iS L7 �� S; Contact Person Phone 2 2122 05 Fax State L & I Contractor Registration # It ,,- e2— Exp. Date 1_ (Card must be presented) MECHANICAL UNIT COUNT l (' Fuel T e other) Gas Dryer Air Handling < = 10 000cfm Fuel Tanks: Length of gas piping Range Air Handlin > = 10 000ctin Above Ground Furn <100K BTUs Gas Log Unit Heater Underground Furn >100K BTUs Fans Boiler BTU/H Miscellaneous Gas Hwt Hood Boiler BTU/H Conv Burner Dud Work A/C TONS Other jaaQ:a- Wood Stoves A/C TONS DISCLAIMER -"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 permit application is made. I further agree to save harmless the City of FedeW Way as to any claim (mcluding costs, expenses, and attorneys' fees incurred in investigation and defense of such claims which may be made by any person, including the undersigned, and tiled against the City of FederayWay 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 apphcation. Owner/ gent �� Date %-22—% 7 MP.Ca APP Rrn m 12/11/96 01