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CITY OF FEDERAL WAY PERMIT NO: MEC96-0258
33530 First Way South tel r:w,,,,,: rii es vh .1: 4::::::lei o.,...,. ru c MI ..!;:. , "' ISSUED: 11/07/96
Federal Way , WA 98003 Building Inspection Requests 661-4140 BY: FC2
661-4000 EXPIRES: 11/01/97
ADDRESS : 35502 18TH AVE SW
NO. : 926975-0400
PROJECT DESCRIPTION:HVAC - GAS TO GAS FURNACE.
T i
TOWNER -- -- - CONTRACTOR ___.__::------ :M --:. : ___.__-___» _ LENDER --••----- �_::-_ ._____..__. ,: ,-�
RICHARD RAYMOND NORTHWEST WATER HEATER
35502 181H AVE SW 8201 DURANGO ST SW
FEDERAL WAY WA 98023 TACOMA WA 98499
874-1508 1 984-6404
INORTHWH103R2
*** CONTRACTORS, PLEASE USE LOCATION CODE 1732 WHEN REPORTING SALES TAX FOR PROJECTS WITHIN THE CITY OF FEDERAL WAY. TAX RATE = 8.25 ***
...____....__..._._...:e.- r. _________________________ ______ _..__...»....:x__... .._c:c:»»..._.._____..:aa-•-•-••
PROJECT VALUATION 1200 ! FEES:
FUEL TYPES.:GAS ? FANS • 0 BOILERS/COMPRESSORS MEC PRMT ISSUANCE... $ 20.00
GAS PIPING.: 2 ft HOOD • 0 0-3 HP • 0 3 Mechanical Permit* $ 36.00
FURN<100K..: 1 DUCT WORK • 0 3-15 HP • 0
GAS HWT • 0 WOOD STOVES...: 0 15-30 HP • 0
CONV BURNER: 0 FURN>100K • 0 30-50 HP • 0
BBQ • 0 MISC • 0 5+ HP • 0
GAS DRYER..: 0 AIR HANDLING UNITS FUEL TANKS
RANGE • 0 <:10,000 CFM: 0 ABOVE GROUND: 0
GAS LOGS...: 0 > 10,000 CFM: 0 UNDERGROUND.: 0 TOTAL FEES $ 56.00
------ _ __-•__.-...._ . ._ •• ------------ - -.. -• -------------------------------------------- ... •----"-------.....--_.. __...-•-•--_•-__•- •- "-`
Does the water supply system contain a Pressure Reduction Device or Check valve? O Yes O No (If "Yes" then water expansion tank is required on Hot Water Tank)
Inspection Record Water Line OK __________ Mechanical Inspection Notes: .-_.__.__ ___„__._• ____._.._._ ___._.__.__
GAS PIPING OK Date _..__._._._ BY
-..- pn----nreer _---.. .. - ---_..- _�
OillellP
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK ' START-'. 'T '1D7� ! GR• :TNG PINTS EXPIRE ONE YEAR AFTER DATE OF : CE.
I CERTIFY THE INFORMATION FURNISHED BY ME IS 'IE A 1 ERRE�0 ' • IF MY KNOWC�DG/ AND THE APPLICABLE Y 1 F i ' .L W ' RENTS WILL BE MET.
Y
OWNER OR AGENT _ ._._{__.... .. DATE 7 G
FILE COPY
` , City of Federal Way
CITY OF CE%V
4 Federal Way,
33530 First Way South, WA 98003 t
NWFT9Anv 0 7
6 (206)661-4000 MEC q(' - VtAP
G"Bu ,FE-oma' /CA TION FOR MECHANICAL PERMIT
PARCEL 1t• 9c2(09 L{',OC} Single Family Multi-Family 0 Commercial 0
SITE LOCATION:
Tenant/Owner: RLC&L, i+O,D / 6(\ Phone: 1�L
/� ,-- 1� I�O�
Address/City/State/Zip: a3S(1 3D-... — 1 4V 514 -,D--(AA, 1KI(
Nature of work: (-1' ( e... AC r Project Valuation: $ (2O3
APPLICANT: _
Name: �� �'
Address/City/St/Zip:
Contact Person: Phone: Fax:
MECHANICAL CONTRACTOR:
Company Name: A 1/V lifklAT ).* H- -1- 1'1 %
•Address/City/St/Zip: _ _"
Contact Person: bl/U Vk to(k'Se' Phone: ZSR- l7-1C 0 Fax:
State L & I Contractor Registration #: /LC (,NF( ICY R L Exp. Date:
(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 I Gas Log Unit Heater Underground
Furn >100K BTU's 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
TONSat f.lnff t <targe..........................:::::.:
DISCLAIMER: I certify under penalty of perjury that the information furnished by me is true and correct to the best of owledge 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 her Cit 7.4i ,ay as t• aim ncluding' costs,expenses and attorneys'fees
incurred in investigation and defense of such claim),which may be made by any person,i - .ing the u .' .•against the City f Federay Way but only where such claim arises
out of the reliance of the City,including its officers and employees,upon the accurac •f the informer!•. City as a part of t application.
ifs'
IF 6::::7) I
Owner/Agent: Illa Date:
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