03-102887a
City of Federal Way
Community Development Services
33530 1 st Way S
Federal Way, WA 98003-6210
Ph: 253.661.4000 Fax: 253.661.4129
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Plumbing Permit #:03 - 102887 - 00 - PL
Inspection request line: 253.835.3050
Project Name: LALONDE
Project Address: 32703 17TH SW Parcel Number: 010453 0350
Project Description: Remove and replace gas water heater
Owner
Applicant
Contractor
Rex D Lalonde & Jacquelien V Lalonde
FAST WATER HEATER COMPANY
FAST WATER HEATER COMPANY
32703 17TH AVE SW
12601 132ND AVE NE
12601 132ND AVE NE
FEDERAL WAY WA
KIRKLAND WA 98034
KIRKLAND WA 98034
98023-5411
(425)814-8381
Mechanical Valuation..........................................339 Over the Counter Permit ...................................... Yes
Plumbing Fixtures
PERMIT EXPIRES January 11, 2004.
Permit issued on July 15, 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: Date: -? / / 5 /Q
ee APplic$tio,"
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PERMIT EXPIRES January 11, 2004.
Permit issued on July 15, 2003
I hereby certify that the above information is correct and that the construction on the above described property and
the occupancy and the use will be in accordance with the laws, rules and regulations of the State of Washington and
the City of Federal Way.
Owner or agent: Date: -? / / 5 /Q
ee APplic$tio,"
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coM�nUNi RECEIVED By CONSTRUCTION PERMITAPPLICATION
OF TYDEVELOPNIENTDEPAPT —N! �itICAI.
TON NUMBER*
Federal W JUL 10 200 �uca ON NUMBER:PPLICN NUMBER -
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**The folkwAng is required information – Please pint (in ink) or type** 018572
Pleim note: Electrical, Fire Prevention Systems rind Engineering permits may require a separate application.
PROPERTY INFORMATION
SITE ADDRESS: 32703 17 AVE SW, FEDERAL WAY, WA 98023 ASSESSORS TA1t/PARCEL #: 0104530350
LEGAL DESCRIPTION OF SUR)ECT PROPERTY (ATTACH SEPARATE DESCRIPTION IF LENGTHY) -
PROJECT INFORMATION
TYPE OF PROJECT (This application): o BUILDING cX PI.UM10ING c MECHANICAL a DEMOLITION
a ELECTRICAL o ENGINEERING ri FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description), Remove/Replace Electric Water Heater
PROJECT NAME:
PR03ECT INFORMATION
PROPERTY OWNER:
A
APPLICANT:
MANE: CM; EI" - F"Dw:
LALONDE, REX & JACKIE ((253)V8-4004
r 11it+FteA3J1aRM (SME7 ADORE` . CM. SUTE. ZIP1:
32703 17 AVE SW FEDERAL WAY, WA 98023
E FAST WATER HEATER COMPANY
WnME P ]'
((425)14-3124-
NAIi[M . At -(SWCT ADM5 CM, STATE. Z11`) .
EVEKW #+F1OW
12601 132ND AVE NE KIRKLAND, WA 98034
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CrtY OF ftbM WAY BUSIBEZ LXZKSE �
VAX
87 _ 000047 00
(425 )814-9516
CONS rOkS IRIEWM ION NIMMA.
EXMUMN VAM
Caen it CIA ) FASTWHC052DF w.. � � � �
02/16/2065 +�
n ARCHITECT . o TENANT 0 OTHER ( D MBE). I (
CONTACT PERSON FOR THIS PRO31!CT- o PROPER'L'Y OWNER o APPLICANT CONTRACTOR �
PR03ECT INFORMATION
EXLSMG USE: EXISIING BUILDING ASSESSED/APPRAISED VALUATION
PROPOSED USE: PROPOSED VAWAM FOR. IMPROVEMENTS., � $339.00
SPRIT+ KLERED BUILDING? o YES n NO FIRE SUPPRESSION SYSTEM PROPOSEDJREQUIRED., ri YES a NO
WATER SERVICE PROVIDER.- o LAKEHAVEN n 1410HUNE o TACOMA ❑ PRIVATE (WELL)
SEWER SERVICE PROVIDER., o L+AKEHAVEN a HIGRUNE a PRIVATE (SEPTIC)
*'ANEW RESIDENTIALCONSMUC;TIONONLY**
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SELLING PNCE:
PROJECT FLOOR AREAS
AIR HANDLING UNIT(S)
BBQ{
BOLER(S)
COMPRESSOR(S)
OUCl`(S)
BATHTUBS)
DISHWASHER(S)
DRINKING FOUNTAIK(S)
GAS PIPE OUTLET(S)
INTERCEPTOR(S)
FIXTURES
Indus number of each ty of ffxture
MECHAtNICAL.
EVM$ORATI;VE COOLERS) GAS, LOGS) REFRIG. SYSTFM(S)
FAN(S) Hi' OD(S) WOODSTOVt (S)
FIREPLACE INSERT(S) RANGE(S) MISS:..
FURNACE(S)
GAS PIPE *UTLET(S) HEAT SOURCE. E3 ELECTRIC 0 GAS
PLUMBING
LAVATORY(S) URINAL(S) 1 WATER HEATER(5)
RAIN WATER SYS. VACUUM BREAKER(S) ELECTRIC t.i GAS
SHOWER(S) WASH MACHINE OUTLET
SINK(S) WATER CLOSET(S) MISC. ( _)
SUMP(S)
]iSCLATMERfSIGNATURE ALC
I am" cruder p emaity of perjury that the Information furnished by me Is true and c orr*ct be the best of my kedge, and
furdw, duet I arm authorized by the owner of the above premises to perform the work for which the permit application is r e&. t
furttw agree to hold harmless tare Cky of Viral Way as to any clap (including costs, expenses, and attorneys' fees incurred in the
Investigation and defense of such, claim), which may be maw by any person, IndudJnq the undersigned, and filed agahva the City of
Viral Way, but or0y "we such claim arises out of the reliance of the city, including Its officers and employes, upon the accuracy
of the Information supplied to the city as a part of this application.
NAMEjTIiLE; , Permit Mpr DATE... 07/08/2003
COWAArTY WA10PWNT SERVICES # 33530 MST WAY SOM • PO BOX 9718 • FWVtAL WAY, WA 9W63-9718. 253661-4M • FAX: 253.661-4129