95-100193 0/5- /o003
k CITY OF FEDERAL WAY M E C H A N I 'A I. P ERM I T PERMIT NO: BLD95
03/22/9557
33530 First Way South
Federal Way, WA 98003 Building Inspection Requests 661-4140 BY: FC
661-4000 EXPIRES: 09/18/95
ADDRESS: 31360 12TH PL S
NO. : 787520-0230
PROJECT DESCRIPTION:HVAC - CHANGE OIL TO GAS (ADD 25FT PIPING, FURNACR TO 100,000 BTU, $ HT)
OWNER ._____ .__._.____. .._.w_.. _...._ __.._. ...____ ___....____ CONTRACTOR _
MICHAEL ROUCHARD ROSSOE ENERGY SYSTEMS INC
31360 12TH PLS 9367 RAINIER AVE S
FEDERAL WAY WA 98003 SEATTLE WA 98118
824-3334 400 ' !!1,----
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FUEL TYPES.:GAS ? FANS......****4-. 0 BOI + EFS:
GAS PIPING.: 25 ft HOOD .
`��� 0 0 'HP � � � - ,��d���� � �r�� ������ � °P •`� � 1SSUANCE.. $ 20.00
FURN<140K..: 1 DUCT 'S ! 2- H 1 i s: ANCE FEES. 19.50
a
GAS HMT 1 Mil STOV S.r 15-30 = 1 ? Ya .
CONY BURNER0 % Q , '',,.,0:' ► 01"50
BBQ 0 1 n M$ H�� n 0'-'' 'p
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GAS DRYER..: 0 Al - , T h O L
RANGE • 0 < 0 80 ROUND:
GAS LOGS...: 0 > 10,. .„ : UNDERGROUND.: C
TOTAL FEES $ 39.50
Does the water supply system contain a Pressure Reduction Device or Check valve? () Yes () No 1t 'Yes' then water expansion tank is required on Hot Water Tank)
inspection Record Water Line OK Mechanical Inspection Notes:
GAS PIPING OK,z./6/c/ te _ By
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORE IS STARTED. RESIDENTIAL AND GRADING PERMITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE.•
I CERTIFY THE INFORMATION FURN,$H D BY M IS TRUE AND COR Cl T4 BEST OF! KNOWLED.E AND THE APPLICABLE CITY OF FEDERAL WAY REQUIREMENTS WILL BE MET.
FIELD COPY