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02-105572r City of Federal Way Community Development Services 33530 1st Way S Federal Way, WA 98003-6210 Ph: 253.661.4000 Fax: 253.661.4129 Mechanical Permit #:02 -105572 - 00 - ME Project Name: HUNGERFORD Project Address: 618 SW 299TH P1 Project Description: MECH - Replacing gas furnace and water heater Inspection request line: 253.835.3050 Parcel Number: 233690 0060 Owner Applicant Contractor B W & R Hungerford ROSSOE ENERGY SYSTEMS INC ROSSOE ENERGY SYSTEMS INC 618 SW 299TH PL 9367 RAINIER AVE S 9367 RAINIER AVE S FEDERAL WAY WA SEATTLE WA 98118 SEATTLE WA 98118 98023-3573 1 1 (206)725-7555 Mechanical Valuation..........................................3200 Over the Counter Permit...................................... Yes Mechanical Fixtures PERMIT EXPIRES June 11, 2003, IF NO WORK IS STARTED. Permit issued on December 13, 2002 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. Owner or agent: See A nnlienti;n i Date: �?i'13l a2 'C'r•°f G CONSTRUCTION PERMIT APPLICATION%Yt 7. RECEIVED BY PPLICATION NUMBER: VV FiY """"Nr ry DEVELOPMENT D YEXbON NUMBER: DEC 13 2002APPLICATION NUMBER: **The following is required inforinatiori —Please print (ih ink) or type** Please note: Electrical, Fire Prevention Systems and Engineering permits may require a separate application. PROPERTY INFORMATION SITE ADDRESS: u � Iii d� ASSESSOR'S TAX/PARCEL #:2-33 _690 - v 0 (j o LEGAL DESCRIPTION OF SUBJECT PROPERTY (ATTACH SEPARATE DESCRIPTION IF LENGTHY): PRO3ECTINFORMATION _/ TYPE OF PROJECT (This application): ❑ BUILDING ElPLUMBING l� MECHANICAL ❑ DEMOLITION Q ELtCT1ZICiAt ❑ ENGIINEERINGb FIRE PREVENTION SYSTEM PROJECT DESCRIPTION (Provide detailed description):.C. r PROJECT NAME: PROPERTY OWNER: CONTRACTOR: APPLICANT: ;PEOPLE INFORMATION . DAYTIME PHOE: ca53� ��� MAILING ADDRESS (STREET ADDRE S; CITY, STATE, ZIP): 1619 5 v\/ �►-ti �4 , Fa ( lt)y q go aa - 365-7 NAME: � /� (DAYTIME PHO E: I MAI NG ADDRESS( ET ADtR_ESS; CITY, 7E, EVENING PHONE: I CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER: ^ 4 ,, FAX NUMBER: -- CONTRACTOR'S REGISTRATION NUMBER: ©S s L EXPIRATION DATE: / O ;;�- (copy of card required) NAME: DAYTIME PHONE: MAILING ADDRESS (STREET ADDRESS; CITY, STATE, ZIP): EVENING PHONE: ( � I RELATIONSHIP TO PROJECT: FAX NUMBER: ❑ ARCHITECT ❑ TENANT ❑ OTHER ( DESCRIBE): - E-MAIL ADDRESS: CONTACT PERSON FOR THIS PROJECT: ❑ PROPERTY OWNER ElAPPLICANT ArCONTRACTOR DETAILED BUILDING INFORMATION EXISTING USE: `7f piY EXISTING BUILDING ASSESSED/APPRAISED VALUATION PROPOSED USE: PROPOSED VALUATION FOR IMPROVEMENTS: $ SPRINKLERED BUILDING? ❑ YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/ REQUIRED: ❑ YES ❑ NO WATER SERVICE PROVIDER: ❑ LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE (WELL) SEWER SERVICE PROVIDER: ❑ LAKEHAVEN 0 HIGHLINE 0 PRIVATE (SEPTIC) **NEW RESI,DENTIA� CO NUMBER OF BEDROOMS: ONLY** ESTIMATED SELLING PRICE: _ _ ■ PROTECT FLOOR AREAS FLOOR EXISTING SQ. FT. PROPOSED SQ. FT. TOTAL BASEMENT' FIRST SECOND THIRD FOURTH OTHER FLOORS (DESCRIBE) DECK GARAGE HOW MANY FLOORS? TOTAL:- Indicate number of each type of fixture MECHANICAL AIR HANDLING UNITS) EVAPORATIVE COOLER(S) GAS LOG(S) REFRIG. SYSTEM(S) BBQ(S) FAN(S) HOOD(S) WOODSTOVE(S) BOILERS) FIREPLACEINSERT(S) RANGE(S) MISE.( ) COMPRESSOR(S) FURNACE(S) DUCT(S) GAS PIPE OUTLET(S) HEAT SOURCE: ❑ ELECTRIC GAS PLUMBING BATHTUB(S) LAVATORY(S) URINAL(S) WATER HEATER(S) DISHWASHERS) RAINWATER SYS. VACUUM BREAKER(S) ❑ ELECTRIC ❑ GAS DRINKING FOUNTAIN(S) SHOWER(S) WASH MACHINE OUTLET GAS PIPE OUTLET(S) SINKS) WATER CLOSET(S) MISE. ( ) INTERCEPTOR(S) SUMP(S) w' I certify under penalty of perjury that the information furnished by me is true and correct to the best of my knowledge, and �rrther, that I am authorized by the owner of the above premises to perforin the work for which the permit application is made. I . rurther agree to hold harmless the City of Federal Way as to any claim (including costs, expenses, and attorneys' fees incurred in the ,vestigation and defense of such claim), which may be made by any person, including the undersigned, and filed against the City of -S6deral Way, but only where such claim arises out of the reliance of the city, including its officers and employees, upon the accuracy di` the information supplied to the city as a part of this application. iUME/TITLE: r ' DATE: ,;? CJ. PROPERTY OWNER ❑ APPLICANT ('CONTRACT -FOR OFFICE .USE ONLY: NEW;: ❑ADDITION ❑ ALTERATION 13 -REPAIR ❑ TENANT IMPROVEMENT CENSUSCODE: LOT SIZE: ZONING'DESIGNATION : BUILDING SHELL ONLY? ❑ YES ❑ NO -COMP PIAN DESIGNATION BASIC PLAN? ❑ YES ❑ NO SECTION TOWNSHIP RANGE NEW ADDRESS REQUIRED? ❑ YES ❑ NO PLATTED LOT? ❑ YES ❑ NO CHANGE OF USE? ❑ YES ❑ NO COMMUNITY DEVELOPMENT SERVICES - 33530 FIRST WAY SOUTH - PO BOX 9718 - FEDERAL WAY, WA 98063-9718 - 253-661-4000 - FAX: 253-6661-4129 W Ww.CitY0ffedefal WaV.00M