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33530CITY
0FirstF DEWay South RAL WAY MECHAN I C L P E R M I T PERMSSUED: 04/20/95T NO: 98
Federal Way, WA 98003 Building Inspection Requests 661 -4140 BY: FC
661-4000 EXPIRES: 10/17/95
ADDRESS: 5121 SW 326TH ST
NO. : 189830-0300
PROJECT DESCRIPTION:MECHANICAL - ADDING FIREPLACE INSERT & GAS PIPING
OWNER — CONTRACTOR -- LENDER
HENRY FITZGERALD NORTHWEST WATER HEATER
0[
5121 SW 326TH ST 8201 DURANGO ST SW
FEDERAL WAY WA 98023 TACOMA WA 98499
838-5984 984-6404
NORTHWH103R2
FUEL TYPES.:GAS ? FANS • 0 BOILERS/COMPRESSORS FEES:
GAS PIPING.: 99 ft HOOD • 0 0-3 HP • 0 MEC PRMT ISSUANCE... $ 20.00
FURN<100K..: 0 DUCT WORK • 0 3-15 HP • 0 MEC APPLIANCE FEES.* $ 9.50
GAS HWT • 0 WOOD STOVES...: 0 15-30 HP • 0
CONY 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...: 1 > 10,000 CFM: 0 UNDERGROUND.: 0
TOTAL FEES $ 29.50
1111
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 K Date By
PERMITS EXPIRE 180 DAYS TER ISSUA IF NO WORK IS STARTED. RESIDENTIAL AND GRADING PERMITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE.
: T: A : TIORMATbO
CERFY FURN HED ISRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CIT OF FEDERAL W Y REQUII MENTS WILL BE MET.
NT :ASE
FILE COPY
City of Federal Way RECEIVE
CITY OF ,-- 40 33530 Filie D
rst Way South
• _ FETE:JIM-KAI_ Federal Way, WA 98003 APR 2 01995/ (206)661-4000
WFr
CITY OF FEDERAL W •
APPLICATION FOR MECHANICAL PERMIT BUILDING DEPT A-
$&D15 - 4R 91
PARCEL 1t c61(." O 0 3 O i7 ` `-‘(- Single Family/ Multi-Family 0 Commercial 0
SITE LOCATION:
,( ci c <
Tenant/Owner: `A Q�^ l c� Phone: O
Address/City/State/Zip: S 1 /. \ S .1 L.c-1--/" ,S---k •
Nature of work: \ r k-9-IL, --S<�-•k Project Valuation: $ .-A.---;
,_k_.
`'
Vi -isc ,.(e_ ; '--- 4-,---‘ A1. -lc,,
K -E-• 0 S 1;,, ,-.
APPLICANT: k e" .-, "S i`Q` h 5
Name: °II, Ve_r ,..�,- -'-
Address/City/St/Zip: `K, 1 ti 6-„--,:i•V /~A---AI %,•., = 20.. �N,.y \ 1 L.
Contact Person: Ur-,- �-lie•-.0.,,..-L"\ Phone: -11- L `""L l Fax: 3 LL -`t Z ''1-4
MECHANICAL CONTRACTOR:
Company Name: \\_.) . f`-1-J 1 t z- V v -.-r--,-,c_ •
Address/City/St/Zip: E( )-� l,--, - >^S ' a--k---- '-v ? ii"\
Contact Person: `J`-) ”' 6,"C., V--"01/4,--) Phone: Z .8- l5, \ Fax: '2-'€.‘ ---4(1-71-'-A"
State L & I Contractor Registration #: VV 1t -" k.-._) a.A k 12 Z- Exp. Date:"-----4{;,,
(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 V_ /4 --1„s,„ ----‘s
Cony Burner Duct Work A/C TONS Other
..................................................... ..........
BBO's Wood Stoves A/C TONS `7 i;Fata3t it of rit>'.z'»» z> > <> z _
DISCLAIMER: I certify under penalty of perjury that the information furnished by me is true a 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 permitrappliceti is made. I further agr to save her less City of federal Way r to any claim Grtdu ding costs,exparuse,and attorneys'fees
incurred in investigation and defense of such �ml,whi may be made by any rson,i I ng the gned,and filed against the City of Federay Way but only whore such claim arias
out of the reliance of the City,including its offi a and am oyes*,upon the acc acy of t i format] supplied to the City a a part of this application.
Owner/Agent: ° Date: /fZ��`