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CITY OF FEDERAL WAY PERMIT NO: ME 96 00 4
;''...�;:.a,; 1.,„ ,,,,r '�� ., .. � �'"''r N.,.., ,,." ',',;:..a...,,, ''�' :.,. °y�... R ISSUED: 02/22/96 3
33530 Firs t: Way South !1�I
Federal Way, WA 9500:3 Building Inspection Requests 661-4140 BY: FC2
661-4000 EXPIRES: 02/15/97
ADDRESS : 3727 SW 3a-35 rt-1 CT
NO . : 109961 -0410
PROJECT DESCRIPTION:ELECTRIC TO GAS CHANGE OUT...FURNACE, HWT, PIPING, FUTURE
F, OWNER =-::_:_- __. __ ..__-_-_-----..___-. -- CONTRACTOR • •----- .._-..-
�- � LENDER -----� -•----- -- 1
JAMES WHISENNUNT
GEO-DYNAMICS COMPANY
3727 SW 335TH CT 505 F ST SE I
FEDERAL WAY WA 98023 AUBURN WA 98002 1
1
874-1516 735-0700 1
GEODYC*1760N 1
__.____ -.---_-._.-__ __-_.___..---.-...-._..-___--_._...--_-_. -_.,..__W__..._._.. l -_._ .____..____-__ ___._I
*** CONTRACTORS, PLEASE USE LOCATION CODE 1732 WHEN REPORTING SALES TAX FOR PROJECTS WITHIN THE CITY OF FEDERAL WAY. TAX RATE = 8.25 ***
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PROJECT VALUATION 2800 I FEES:
FUEL TYPES.:GAS ? FANS • 0 BOILERS/COMPRESSORS Mechanical Permit* $ 54.00
GAS PIPING.: 86 ft HOOD • 0 0-3 HP • 0 MEC PRMT ISSUANCE... $ 20.00
FURN<100K..: 1 DUCT WORK • 0 3-15 HP • 0
GAS HWT • 1 WOOD STOVES...: 0 15-30 HP • 0
CONV BURNER: 0 FURN>100K • 0 30-50 HP • 0
BBO • 0 MISC • 0 5+ HP • 0 1
GAS DRYER..: 0 AIR HANDLING UNITS FUEL TANKS
RANGE • 0 <:10.000 CFM: 0 ABOVE GROUND: 0
1 GAS LOGS...: 0 > 10,000 CFM: 0 UNDERGROUND.: 0 TOTAL FEES $ 74.00
... _'_--_._--.--_.------...----....--..-.-_...-.- .._._.. _ __ __ _. _... -.
( Does the water supply system contain a Pressure Reduction Device or Check valve? () Yes () 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 ....__..._.
_.. ______________ ...... .. ___ -_--_-, _. S. _ _ —�
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS STARTED. RESIDENTIAL AND GRADING PERMITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE.
I CERTIFY THE INFORMAT ON FURNISHED BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY REQUIREMENTS WILL BE MET.
OWNER OR AGENT ,2.4c.--,,.., /1/{../174..1
DATE 62a__.-.._���____.-.._.
FILE COPY
IF
City of Federal Way
CITY OF F 33530 First Way South
•
I��------�
C _ E Federal Way, WA 98003
1206)661-4000 0
W
APPLICATION FOR MECHANICAL PERMIT
t
PARCEL it Single Family `7, Multi-Family 0 Commercial 0
SITE LOCATION: /
Tenant/Owner: `J el c ti. ; b.,/A 'S Vii( Ar. n f 7//=/5/6,
Phone:
Address/City/State/Zip:
,. `7a2 7 si%) , -� 57f'/ (7—
Nature of work: a. - le, i' 1 n C F_ d Gr e '� e. e`'f 8 r to,t 4 101/U�. et 0Project Valuation: $
APPLICANT:
Name: ijc-6,c.' .. Acy i?Cr vk-, i'c-S
Addres/City/ t/Zip: B F S te. , , r h
Contact Person: h SO .,, //-S Phone: 733 c' ?49c1 Fax:7- j —D<B/
MECHANICAL CONTRACTOR:
Company Name: OE'0 — 1.,9 i)C+ >y, ,'C - .
Address/City/St/Zip: 567'5— F S '. S
c
Contact Person: �� `"'' Phone: Fax:
State L & I Contractor Registration #: Iy�C) o �` e /2 6 "'� Exp. Date: J
(Card must be presented)
MECHANICAL UNIT COUNT:
Fuel Type (gas/other) c is S Gas Dryer Air Handling < = 10,000cfm Fuel Tanks:
Length of gas piping / Range ✓ Air Handling > = 10,000cfm Above Ground
Furn <100K BTU's 1/ Gas Log Unit Heater Underground
Furn >100K BTU's Fans Boiler BTU/H Miscellaneous
Gas Hwt t. Hood Boiler BTU/H Other
Cony Burner Duct Work A/C TONS Other
BBQ's
Wood Stoves
_ A/C
TONS
Yi3EEU it ion >> ><< »<>>»»
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
I
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,including its officers and employees,upon the accuracy of the information supplied to the City as a part of this application.
J'3 r
Owner/Agent• (--- t—�� �'�� Date: / ! '"� '