96-104107 „
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1 - of FEDERAL. WAY South
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( t115Y30 F i rst Way , ),3 PI I:C Ill el 41 I . ,00 perproc:t.t._, k-,
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rde'deral Way, WA 9tiOL
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661-4000 E Y,PIRES: 1.1 /01 ,'
ADDRESS:
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Ss:3099 PAC
IFI 0 /q111„ HW',
2104- 9063
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................... EMERALD GAS 4,mm.”-Jr=rmo.n . , ,, v,
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30919 PAMIC HWY S 51A1(006nGARwEALS"H411.22LS AVE ID
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FEDERAL WAY NA 98003
514-1400952-8657
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FEES: .tt $ ,j8.00
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FURN<ioor..: 0 Imkri * .• -`....,., - - P.—•
GAS IINT • U ,, ov ' -o• p - AO'
(ONV BURNER: 0 ' . - ,,,' 7--$-^', 411111104r-
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GAS LOGS...: U 10,000 . . 0 ---;_illitUERGROUND.: 0
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I Does the nater supply system contain 3Pressure peduction- --------:-- --ei wilk I) Yes il No (It "Yes" fl er expansion tank is requircl on Hot Water tank)
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I Inspection Record Water line OK Nechar, , Ir-1,-,-rtion tlot;,c
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1 GAS PIPING OK
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t or ISSUANCE. ,
PIRNIIS EXPIRE in DAY shL y a
I CEIllIFY itik INFORIVIISIO:;14 ISS"D 0111: MIS/11:1111 AllOi StliWORRITEtPi 10JUL iiut
DAROtt ROI WAY 1:1 I IMAMS KILL OF At,.
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CITY OF FEDERAL WAY PERMIT NO: MEC96-0256
33530 First Way South 04 ir' :'k... o 1P fly i PIP.1!:!.. 'N.:; ii"i !1L.,„ Pi rim Ill;IPtip,,,ii'., T ISSUED: 11/07/96
Federal Way , WA 98003 Building Inspection Requests 661-4140 BY: FC2
661-4000 EXPIRES: 11/01/97
ADDRESS:30919 PACIFIC HWY S
NO. : 0€32104- 9063
PROJECT DESCRIPTION:MECHANICAL - (6) FURNACES TO 100K
F= OWNER _ ._._ .. _=. --...- ..- - -- CONTRACTOR -.. = - -
BOO HAN PLAZA II EMERALD GAS
30919 PACIFIC HWY S 1 5106 GREEN HILLS AVE NE
FEDERAL WAY WA 98003 TACOMA WA 98422
574-7400 1 952-8657
i9 1 EMERAG*066KL ! 1
*2* CONTRACTORS, PLEASE USE LOCATION CODE 1732 WHEN REPORTING SALES TAX FOR PROJECTS WITHIN THE CITY OF FEDERAL WAY. TAX RATE = 8.25 x=Y
K==-W:__ _ ____ _________.:______ _________ __________ .._..
PROJECT VALUATION 1300 1 FEES:
FUEL TYPES.:? ? FANS • 0 BOILERS/COMPRESSORS ( Mechanical Permit* $ 38.00
GAS PIPING.: 0 ft HOOD..........: 0 0-3 HP • 0 MEC PRMT ISSUANCE... $ 20.00
FURN<100K..: 6 DUCT WORK • 0 3-15 HP 0 1
GAS HWT • 0 WOOD STOVES...: 0 15-30 HP • 0
CONV BURNER: 0 FURN>100K • 0 30-50 HP • 0 .
BBO • 0 MIS[ • 0 5+ HP • 0 1
GAS DRYER..: 0 AIR HANDLING UNITS FUEL TANKS {
RANGE • 0 <:10,000 CFM: 0 ABOVE GROUND: 0 l
GAS LOGS...: 0 > 10,000 CFM: 0 UNDERGROUND.: 0 4 TOTAL FEES $ 58.00 {
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Does the water supply system contain a Pressure Reduction Device or Check valve? O Yes ..____..___.. -� .._..__y__....... -.._....._..._..____......___..____:• _.___-. �
() No (If "Yes" then water expansion tank is required on Hot Water Tank)
Inspection Record Water Line OK __________ Mechanical Inspection Notes:
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GAS PIPING OK _ Date .__.-. BY
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS STARTED. RESIDENTIAL AND GRADING PERMITS EXPIRE OWE YEAR AFTER DATE OF ISSUANCE.
I CERTIFY THE INFORMATION F ' SHED BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY REQUIREMENTS WILL BE MET.
17-/ X-----
OWNER OR AGENT ._ .. DATE 11 �` C.^...
FILE COPY
City of Federal Way
CITY OF �� 33530 First Way South E(,:��� p
-------_------- if--i ---1171 ETZFIll__ Federal Way, WA 98003 (t2-
s /99F MEC6 S(I
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APPLICATION FOR MECHAWI , . r
PARCELS Family le
9 ❑ Multi-Family 0 Commercial-
SITE LOCATION:
Tenant/Owner: Mcf- ..7-6- Phone:
j Address/City/State/Zip: / 1? (Y � 5,
' pNature of work: .....
Project Valuation:
APPLICANT:Name: //://9// 69 d
Address/City/St/Zip: c7676 4.-,._ , / / ,J(7f ,1v A//= 74(r /2 a
Contact Person: Phone: Fax:
MECHANICAL CONTRACTOR:/�
Company Name: ,1('—'7I/0 7:79 c
Address/City/St/Zip: cio b ftf,r f‘Ztra.S. 4(7,4,/ e
Contact Person: 69(1k- Phone: ( ',.)- v b�� Fax:
State L & I Contractor Registration #: 13/17-t4 ("b(7 ki. Exp. Date: c -/— ?
(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 0 6 Gas Log Unit Heater Underground
Furn >100K BTU's if Fans Boiler BTU/H Miscellaneous
Gas Hwt Hood Boiler BTU/H Other
Cony Burner Duct Work A/C TONS Other
BBQ's Wood Stoves A/C TONS
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DISCLAIMER: I certify under penalty of perjury that the information furnished by me is true and correct 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 permit application is made. I further agree to save harmless the City of Federal Way as to any claim;including costs,expenses and attorneys'fees
incurred in investigation and defense of such claim),which may be made by any person,including the undersigned,and filed against the City of Federay Way but only where such claim arises
•
out of the reliance of the City,includingZ#----
its fficers and employees,upon the accuracy of the information supplied to the City es a part of this application.
Owner/Agent: ay_ Date: 7(1.
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