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CITY OF FEDERAL WA" PERMIT NO: BL 95-06 0
33530 First Way South M 1E1, 1•1Ai tfil .I. L A L. P�.E".'..R M . .. I ISSUED: 08/29/95
Federal Way, WA 98003 Building Inspection Requests 661-4140 BY: FC
661-4000 EXPIRES: 02/25/96
ADDRESS : 32820 12TH AVE SW
NO. : 926494 -0990
PROJECT DESCRIPTION:mechanical - adding (1) 2-1/2 ton a/c unit
r OWNER _____________ _------_-_ _-____====-r= CONTRACTOR ____________________ = i LENDER -----__ _ _
JANETTE HARLEN ( NORTHWEST WATER HEATER
32820 12TH AVE SW ( 8201 DURANGO ST SW
FEDERAL WAY WA 98023 ( TACOMA WA 98499
952-2272 I 984-6404
1 NORTHWH103R2
- _- === . _ -. •- .._ _ -- --
*** CONTRACTORS, PLEASE USE LOCATION CODE 1732 WHEN REPORTING SALES TAX FOR PROJECTS WITHIN THE CITY OF FEDERAL WAY. TAX RATE : 8.25 ***
FUEL TYPES.:? ? FANS • 0 BOILERS/COMPRESSORS i FEES:
GAS PIPING.: 0 ft HOOD • 0 0-3 HP • 1 MEC PRMT ISSUANCE... $ 20.00
FURN<100K..: 0 DUCT WORK • 0 3-15 HP • 0 MEC APPLIANCE FEES.* $ 9.00
GAS NWT • 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 $ 29.00
( 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
i
PERMITS EXPIRE 180 DAYS AFTER Issumait NO WORK ' IDENTIAL AND G. DING PERMITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE.
I CERTIFY THE INFORMATION FLNtNIS, 0 BY ME IS TR,' 'o � CT TO T E BEST OF M NOWLEDGE AND THE APPLICABL ITY OF FEDERAL NAY REQUIREMENTS WILL BE MET.
OWNER OR AGENT ___.. — IFDATE L
_ ,r---i
City of Federal Way RECEIVED ►
CITY OF ,- 33530 First Way South
• Federal Way, WA 98003 AUG 2 9 1995 +
(206)661-4000
WFCITY
8U1LDING DEPT.
WAY
APPLICATION FOR MECHANICAL PERMIT
q40, 4
5J . fid
PARCEL tt• }x -� Lc Single Family Fl Multi-Family ❑ Commercial 0
SITE LOCATION:
I--
Tenant/Owner: :IA AI';�
k (7,412 r rrli' Phone: q .---)-..--;2---- -21-.2Address/City/State/Zip: ---� 'U i _� U S�1 F I' — (r,1 A 7/ C1 �)�2)
74CNature of work: S I / L 6nS 7c_ Project Valuation: $ 04
�l�
APPLICANT: —i—
Name: �(I' PE--,eivt
Address/City/St/Zip: c---- -SO fes– ��L�( � 1 �ST �� E64-- Z I1,Z
Contact Person: (' "C) -- /46\ZdLp -1,Phcee:As - - ' 4� 74 :ax: - 1 .-`-t,)'-i"
A.
•
MECHANICAL CONTRACTOR: F
NORTHWEST W4TF R HEATER, INC
Company Name: 2800 Tyo:AC,,(f AVE. WCST
Address/City/St/Zip: SEATTLE, WA 98199
Contact Person: , +e/ OLbPhone. Zi3S"-�l( •� cr( Flax: c , 4,2-T
State L & I Contractor Registration #: .l`(4)►P l/i1� ��1(k.":", -)---- 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 Gas Log Unit Heater Underground
Furn >100K BTU's Fans Boiler BTU/H Miscellaneous
Gas Hwt Hood Boiler BTU/H Other ` ,/ i '�.f�� ,4
Cony Burner Duct Work A/C TONS Other
BBQ's W
oodto
S vrs
A/C
TONS
DISCLAIMER: I certify under penalty of perjury that the informati•. rnished b-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• ade. I fur• -ave harmless the City of Federal Way as to any claim)including costs,expenses and attorneys'fees
incurred in investigation and defense of such claim),whit ay be made/any per-•n,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 .mployees,upo the occur: •f tdial ormation supplied to the City as a part of this application.
,p, 4,
Owner/Agent: / Date: —
/