97-100231i"- "
(71TY Of FETERAL WAY
3' 530 F i re=; t W a y c. -'c) u t -, I i
FqderAl Way, WA 9000',A
6-41 -.4000
NO.: 784300-0170
[)P,O,IF('T DU
(Peck repair permit only).
13tji 1, 1 iwj I w;pec:tdori Kegtiests 66-1-41 1()
SW 11 1-1 j t.: ()
- ILE 10 GAS FURHA(L & OWT (HANGIOU'l W11 ASSOC. GAS PIPING.
OWNER ... 1(OHIRACTOR .........
KIN NEIN HOFTHW19 WhI A HLATER
31718 4810 LH SIN, 11A 8201 DURANGO Sl SW
FEDERAL WAY WA 980413 IA(OMA WA 9801
PERM11 NO: MUC91-0023
Is�;ut-O.- 011,23/97
UY- KI - C
el
ok MJ (fly 01 ILKRAI �,11,
JAX ItAlt z 8.zy M
PROJECT VALUATION 3500
e f 3. 00
FUEL IYPES..'GAS ILE FANS. 20.00
e
GAS PIPING.: 40 ft Ht)0-1
GAS HW I .... : I W
COMV BURNER: 0 P
ABO......... 0 his(.
GAS DRYER..: 0 Al 111) \Q1
RANGE......: 0 :10,000 0 B, GROUND: 0
GAS LOGS—: 0 > 10,000 (F 0 U RGROUND.: 0 lOTAt f[IS 83.0o
. ............ . . ................ . ...... ........ . ...t.... ........:a....... -....
Does the water supply s ain a Pressure Reduction Device or Check valve? it Yes No (If *Yes' then nater expansion tank is required on Not Water lank)
Inspection Record Water Line Ok Mechanical Inspection Notes:
GAS PIPING OK te B'i
PtRAI IS IXPI1t 100 DAYS 6J 11:10 ISWAKf1 It' NO IS St-101Z�i [At AND GRADIK. PIK"lls IXPIR[ On YEAR AF lu ow of ISSUANCE..
j4 --L
4
I OfIfy Ifit 1111-ow,1100 IUoI
MPLD BY OL IS # 11k NIS 01 MY tKWLI.WI AND Ilit APPLKAIJI-L 01Y (it 11,111RAI, PAY RtMIRtfilkis VILL a Nu.
414HO OR AGINIVAIL
% *.. .12
FIELD COW
I&
CITY OF FEDERAL WAY
33530 First Way South
Federal Way , WA 9.3003
661-4000
ADDRESS:31710 48111 LN
NO.: 784300-0170
PROJECT DESCRIPTION:HVA(
(Deck repair permit only).
F= OWNER
KIM WEIN
31118 48TH LN SW, #A
FEDERAL WAY WA 98023
941-9652
1141 r:::. W:;
City of Federal Way
CITY OF G 33530 First Way South
Federal Way, WA 98003
(206)661-4000
\�
APPLICATION FOR MECHANICAL PERMIT
CITY OF FE1:1
BUILDff,,,C rr_
PARCEL A• �S`4 3(% G �v\ �G l Single Family:❑j Multi -Family ❑ Commercial ❑
SITE LOCATION:
Tenant/Owner: �'� , izd t'APhone: ` vL
tL C
Address/City/State/Zip: '"l b
Nature of work:
i (,d /�l �i C IFl �, K 0i Y `�� �Project�Va nation: S cc
APPLICANT:
Name
Address/City/St/Zip:
Contact Person: Phone:
MECHANICAL CONTRACTOR:
Company Name: ` ll aLI fi;Rt CE!&
iv
Fax:
Address/City/St/Zip:
Contact Person: " Phone: `�-'� Fax:
State L & I Contractor Registration #: NU�`T� I I O7[�t Exp. Date:—�
(Card must be presented)
MECHANICAL UNIT COUNT:
Fuel Type (gas/other)
Gas Dryer
Air Handling < = 10,000cfm
Fuel Tanks:
Length of gas piping '`
Range
Air Handling >
= 10,000cfm
Above Ground
Furn <100K BTU's (
Gas Log
Unit Heater
Underground
Furn > 1 OOK BTU's
Fans
Boiler
BTU/H
Miscellaneous
Gas Hwt I
Hood
Boiler
BTU/H
Other
Conv Burner
Duct Work
A/C
�J
TONS
Other
BBQ's
—waad-Blayl s
A MI
— -
DISCLAIMER: I certify under penalty of perjury that the information furnis y e is true
premises to perform the work for which permit application is made. rther agree to sa
incurred in investigation and defense of such claim), which ms made by any pars , in
out of the reliance of the City, including its officers and a yeas, upon scc
correct best of my knowledge and further that I am authorized by the owner of the above
le City f Federal Way as to any claim (including costs, expenses and attorneys' fees
the undersi red, and filed against the City of Federay Way but only where such claim arises
xmation sup lied to the City a a per of this application.
Owner/Agent: 4 ��_,y� .4 \..4 Date: