03-104328Project Name: SHELLEY
Project Address: 32123 1ST S SuiteA3 Parcel Number: 926502 0020
Project Description: Remove/replace ELECTRIC water heater
Owner
Applicant
Contractor
City of Federal Way
Community Development Services
FAST WATER HEATER COMPANY
Plumbing Permit #: 03 -104328 - 00 - PL
32123 1 STAVE S
33530 1st Way S
12601 132ND AVE NE
FEDERAL WAY WA
KIRKLAND WA 98034
Federal Way, WA 95003-6210
98003-5702
(425)814-8381
Ph: 253.661.4000 Fax: 253.661.4129
Inspection request line: 253.835.3050
Project Name: SHELLEY
Project Address: 32123 1ST S SuiteA3 Parcel Number: 926502 0020
Project Description: Remove/replace ELECTRIC water heater
Owner
Applicant
Contractor
SDGJ ASSOCIATES
FAST WATER HEATER COMPANY
FAST WATER HEATER COMPANY
32123 1 STAVE S
12601 132ND AVE NE
12601 132ND AVE NE
FEDERAL WAY WA
KIRKLAND WA 98034
KIRKLAND WA 98034
98003-5702
(425)814-8381
Plumbing Fixtures
Description Quanti Description Quanti Description Quantity
Water Heaters
PERMIT EXPIRES March 17, 2004.
Permit issuedon September 19, 2003
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 Applicatlon Date: qt o (ag,
Plumbing rough -in:
FINAL PLUMBING: 6 2
Date
Date
CONSTRUCTION PERMIT A'PPLIck-TION
CITY OF 6op4fFNBY - ' - -
-P
uCAnbN NUMBER: -1 ZV--�7X- OJ pt
Federal Way PPLICA ON NUMBER:
SEP P
NUMBER:
**The falto%ving Is required information - Please print (in ink) or type" 018982
Plewe note., Electrical, Fire Provefttion Systems and Engineering permits may require a separate application.
PROPERTY INFORMATION
SITE ADDRESS: 32123 1 AVE S #A3, FEDERAL WAY WA 98003ASSESSORS TAX/PARCEt #: 9265020020
LEGAL DESCRIPTION OF SUR)ECT PROPERTY (Anlpts XRATE DESCRIPTION IF LENGTHY):
PROJECT INFORMATION
TYPE OF PR03ECr (This application): o BWLDtNG XPLUMSING In MECHANICAL 0 DEMOLM014
n ELECTRICAL a ENGINEERING a FIRE PREVENTION SYSTEM
PRCXIECT DESCRIPTION (Provide detailed description): Remove/Replace Electric Water Heater
PROPERTY OWNER:, I`AME-'
Im,
SHELLEY, PETER ((253)38! -6272 -
MAILING ADDRESS WREET ADDRE55. CM. STATE-, ZIP): 1
32123 1 AVE S #A3 FEDERAL WAY, WA 98003
0T..q1-r=
ti
'FAST WATER HEATER COMPANY
oAnw ww;
((425)$14-3124-
011AIUNG AWRESS (STRECT AWKS'% CM, STATE. Zip),
VVINIM PHOW,
12601 132ND AVE NE KIRKLAND, WA 98034
MY OF PV*RAt WAY WJSVM% L]CEME WOMM
FM 14000.
87 - 000047 00
(425 ) 814-951.6
MkT*ACM" RECISTPATION "MIL,
Ea ES,"
FASTWHC052DF
—— — — — — — — — — —
10 2/16/2065
WILMADEQESS (SWET AWkM; CIFY.STAW, EmiNG PHNE-
MIMOW" TO P4*30M. FAX "SM:
a ARCHITECT' , 0 TENANT 0 OTHER DEkRISE)-. (
CONTACT PERSON FOR THIS PR03ECT: Cl PROPERTY OWNER a APPLICANT CONTRACTOR
1PRO3ECT INFORMATION
E USE,. EXISTV46 BUILDING ASSESSED/APPRAISED VALUATION
PROPOSED USE: PROPOSED VALUATION FOR. IMPROVEMENTS: $ $339.00
SPRINKLERED BUILDING? (7 YES a NO FIRE SUPPRESSION SYSTEM PRODOSED/REQUIRED: u M a NO
WATER SERVICE PROVIDER: o LAKEHAVEN n HIGHLINE 0 TACOMA 0 PRIVATE (WELL)
SEWER SERVICE PROVIDER; o LAMHAVEN 0 14IGHUNE Z3 PRIVATE (SEPTIC)
*'NEW RESIDENTIAL CONSTRUCTION ONLY**
NUMBER OF REt3RC 431+45: ESTIMATED SELLING PRICE:
DISCLAIMER /SIGNATURE ALC
I certify urWw penalty of perjury 1fhat the Information furnished by me is #rue and ton*& 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 the parrnit application Is made, I
further" agree to hold harrrrless the, City of Federal Way as to any claim (including costs, expertses, and attarneys' fees Incurred In the
Investigation and defense of such claim), which may be made by any person, including the undersigned, and filed agabtst the City of
Federal Way, but only where such claim arises out of the rellartce of the city, including its offices and employees, upon the accuracy
of the Information supplied to the city as a part of this application.
NAME/1' TU: �'' �'=-' r^"` , Permit Mgr E 09/17/2003
nPROPERTYOWNER O APPLICJiI+ T S CO14TRACTOR
1'1"Y DeVELOPMEW SERVICES • 33530 FIRST WAY SC5 MI — PO BOX 9718 • FERAL WAY, WA 98063-9718.253-+661- • FAX 2S3461-41 Z9
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