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02-104723mimnunity Development Services Federal Way CoMechanical Permit #: 02 -104723 - 00 - ME � Community 33530 1st Way S Federal Way, WA 98003-6210 Ph: 253.661.4000 Fax: 253.661.4129 Inspection request line: 253.835.3050 Project Name: FOSBERG fl Project Address: 32507 10TA Parcel Number: 326070 0860 Project Description: HVAC - Replacing gas furnace and installing new gas water heater and associated gas pipe Owner Applicant Contractor Joseph K & Karen A Lorenz WASHINGTON ENERGY SERVICES CO WASHINGTON ENERGY SERVICES CO 32507 10TH PL S 2800 THORNDYKE AVE W 2800 THORNDYKE AVE W FEDERAL WAY WA SEATTLE WA 98199 SEATTLE WA 98199 98003-5940 1 (206)282-4700 Mechanical Valuation..........................................3200 Over the Counter Permit ...................................... Yes Mechanical Fixtures "",,,,,:0&0041,6614 MUNN Furnaces 1 Gas Piping 15 PERMIT EXPIRES April 22, 2003, IF NO WORK IS STARTED. Permit issued on October 24, 2002 I hereby certify that thWaboveinfo tion is co ect and that theconstruction on the above described property and the occupancy and the ordan with the rules and regulations of the State of Washington and the City of Federal Wa Owner or agent: Date: "71io following is required irrPoraration — Pisses print pre Ink) or type** Please note: Electrical, Fire Prevention SYman s and Engineering permits may require a separate application, PRUPrRTY INFORMATION SITE ADDRESS: 3250710th PL S ASSESSOR'S TAX/PARCEL #• 3 2 6 0 7 0 _ 0 8 6 0 LEGAL DESCRIPTION OF SUB3ECT PROPERTY (ATTACMi SEPARATE (DESCRIPTION IF LENGTHY): TYPE OF PRO3ECT (This appllcation): © BUILDING ❑ PLUMBING o MECHANICAL 0 DEMOLITION 0 ELECTRICAL p ENGINEERING ❑ FIRE PREVENTION SYSTEM PROJECT DESCRIPTION (Provide detailed desrnlpdo)n): RENEW PERMIT 01 -103992.00 -ME PROPERI'Y OWNER: CONTRA<:TOR: ■ PE0 r'1 E INE QRMATI0N KATHERINE FOSSERG aAYT ME PH ( 253 ) 951 80,28 MAILAVG ADDRE35 (STRk�1' AUARE55; LITY, STATE, ZR): 32507 10th PL S NAME: WESCO DA'CnMr PHONE: (206 ) 282 4760 MA]LWG ADDRESS (5TREFrADDRE55, CYrY STATE, up): E'V1;NING PHONE: 2800 THORNDYKE AVE W, SEATTLE WA 98199 ( ) CITY OF FEDEPAL WAV DUSINE3S LicENSE NUMDER: FAX NUMBER: — — CONTRACTOR'S REGISTRATION KADER: EXPIRATION DATE: (�� at cam required) W A S H I E S 9 9 0 C W 02 128 /2003 APPLICAPIT: NAMIZ: -- — KATHERINE FOSBERG s PHONE: ( 2 25353 ) 951 8028 MOJVG ADDRESS (5TREET ADDRESS; CMM, $TATE, ZIP): EVENING PHONE: 32507 10th PL S ( _ RELAmONSw TO PRD.IeCT; FAX mmw: o ARCHITECT 0 TENANT o OTHER ( DESCRIBE); { ) - C-NAiL AbDRESS CONTACT PERSON FOR THIS PROJWr: O PROPERTY OWNER o APPLICANT o CONTRACTOR EXISTING USE: 10167ING BUILDING ASSESSED/APPRAISED VALUATION � PROPOSED USE: PROPOSED VALUATION FOR IMPROVEMENTS: $ • SPRINKLERED BUILDING? o YEB o NO FIRE SUPPRESSION SYSMM PROPOSED/ REQUIRED; c YES o NO WAT[RSIffRVICE PROVIDER: © LAKEHAVEN n HIGHLINE 0 TACOMA a PRIVATE (WIILL) m SEWER Si-RVICE PROVIDER: ❑ LAKEHAVEN 0 HIGHLINE 13 PRIVATE (SEPTIC) `/ 10/24/2002 11:22 3609452091 NWPERMIT PAGE 03 *'ANEW RESIDENTIAL CONSTRUMON ONLY** or TOTAL: SELLING EXI51TN6 FT, PR POSED S Indicate number of each type of fixture MECHANICAL AIR WANDkING UNIT(s) gam$) EVAPORATIVE COOLERS) GA$ LOG(S) REFRIG. SYSTEM(S) BOIIER(S) _ COMPRESSOR(S) FAN(S) _., FIREPLACE INO1T(S) FURNACE(S) mOOD(s) RANGES) IAIoo WD'sTOVE(S) OO ] ( DUCT(S) GAS PIPE ouner(S) HEAT SOURCE: Q ELECTRIC 0 GAS PLUMBING BATHTUBS) DISHWASHM(S) LAVATORY(S) RAIN WATER SYS. URINAL(S)WATER VACUUM BREAI(ER(S) HEATER(S) CCEGTRIC MN1(ING FOUNTAIN(S) SHOWER(S) WASH MACHINE OUTLET Q � GAS GAT RCEPIPTORS)OUME-(S) _ - -- INTERCEPTOR(9) ^ WMISINK(S) � SUMPS) WATER CLOSET(s) MISC. (_ ) P Certify under penalty of Ie1ar1/ that the lnfarmation furm[shed 5Y rlta is Lrue and correct w the best of my knowledge, and further, that I am au harmless d by e i yyner of era the above promises to perform the Work for which the permit appii ation is made, I fttrtleer agree to hold hanTnless fire City of Federal yvay as to any claim precluding costs, e>pensea, Pod attorneys' fees incurred In the Irwestigation And defense of aK t claim), which may he made by any person, eluding the undersigned, and Sled against the City of Federal Way, but only where such dalm arises out of the reliance of the city, Including its officers and employees, Upon the accuracy of the infimmation Supplied the city as apart is application. NAME/TrTILE; OATE; 10/21/02 0 PROPERTY OWNER ri APPLICANT o CONTRAC=olt COMMUNITY DEVELOPMENT SERVICES. 3353o FBW7 WAY SOU7ry - PO 60%9718. FEDERAL WAY, WA 98063,9718. 253-651-9000. FAX- 753-602.4129