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CITY OF FEDERAL WAY PERMIT NO: MEC96-0112
33530 First Way South Fill 1"; k:;,::/1101 11.„M!, C VI L. °'t r,. ,. 1” ISSUED: 09/17/96
Federal Way, WA 98003 Building Inspection Requests 661-4140 BY : KLC
661-4000 EXPIRES : 09/11/97
ADDRESS: 3217 SW 323RD SF
NO. : 873190--0920
PROJECT DESCRI PT ION:HVAC - CHANGEOUT GAS FURNACE.
F OWNER =-- __ _.____........_ .: --r CONTRACTOR __.___.._.. 1- LENDER -- 1
3 SANDY ROBB f WESTERN FURNACES INC. i 3
3217 SW 323RD ST ( P.O. BOX 11145 (
FEDERAL WAY WA 98023 3' 2901 SOUTH TACOMA WAY i
3' TACOMA WA 98411
759-7169 ( 206-474-8401 3, 3
I ; WESTEF*053Q2 ; 3
it: CONTRACTORS, PLEASE USE LOCATION CODE 1732 WHEN REPORTING SALES TAX FOR PROJECTS WITHIN THE CITY OF FEDERAL WAY. TAX RATE : 8.25 Uxs
------
1 PROJECT VALUATION 1745 l FEES:
FUEL TYPES.:GAS ? FANS • 0 BOILERS/COMPRESSORS MEC PRMT ISSUANCE... $ 20.00
GAS PIPING.: 0 ft HOOD • 0 0-3 HP • 0 Mechanical Permit* $ 48.00
FURN<100K..: 1 DUCT WORK • 0 3-15 HP • 0
GAS HWT • 0 WOOD STOVES...: 0 15-30 HP • 0 4
CONV BURNER: 0 FURN>100K • 0 30-50 HP....: 0
BBQ • 0 MISC • 0 5+ HP • 0 1
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 1 TOTAL FEES $ 68.00
---- -- -- ------------------ ------ -- ----- ___.. .. -.. _.. ---- -- __
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) 3
Inspection Record Water Line OK _________ Mechanical Inspection Notes:
GAS PIPING OK ___._.._.......__. Date By ....____..
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 INFORMATION 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 _.. __.__._._..._.._._...._ _ DATE .(i11:44 .(1__........
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FILE COPY
City of Federal Way
CITY OF f--- 33530 First Way South
d
•
• Federal Way, WA 98003 m EC° 1_ DI 12
, ` � (206)661-4000
V V APPLICATION FOR MECHANICAL PERMIT
PARCEL 3' 0 - Single Family Multi-Family ❑ Commercial ❑
SITE LOCATION:
Tenant/Owner: s An CC r;
J �� _a C;We( AT-Ty phone.-1-5-q— `7 1 (;,,
Address/City/State/Zip: 32-'1 -St � 32,T r`k
Nature of work: _ Zn� .1 l I cane. `) 'klf'I'are Project Valuation: $ I rl4'
MTmoso eoi .
-- ce._ f .
APPLICANT: l
Name: L ('`��F t"1(-) �i(r r\ac
Address/City/St/Zip: Pv t_ O9C ( I t 4S ) "FRC OmA Q8LOGI.- oras
Contact Person: 611 I hOmrt4 Phone: Lli7E,` b� ) Fax: `I - 3 1 ( `rk
MECHANICAL CONTRACTOR:
Company Name: WESTERN FURNACES, INC.
Address/City/St/Zip: P.O. BOX 11145. TACOMA. WA. 98411
Contact Person: KATHY STEVENS Phone: 474-8401 Fax: 4737149
State L & I Contractor Registration #: WESTEF*372ND Exp. Date: 12/31/94
(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 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
RBQ's
Wood Stoves
TONS
DISCLAIMER: I certify under penalty of perjury that the information furnished by me is true and correct to the bast 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,including its officers and employees,upon the accuracy of the information supplied to the City as a part of this application.Owner/Agent: i;�akIn ) Date: ' //'-3 /9 ?