94-102360 99-)k)-361)
CITY OF FEDERAL WAY MECHANICAL PERIVIIT PER162/14/948`
33530 First Way South ISSUED:
Federal Way, WA 98003 Building Inspection Requests 661-4140 BY: KLC
661-4000 EXPIRES: 06/12/95
ADDRESS:620 S 317TH ST
NO. : 794160-0100
PROJECT DESCRIPTION:HVAC - INSTALL GAS LOGS & 60' GAS PIPE.
ONNER CONTRACTOR LENDER
JIMMIE LAMBERT NORTHNEST NATER HEATER
620 S 317TH ST 8201 DURANGO ST SN
,[RAL NAY NA 98003 TACOMA NA 98499
984-6404
NORTHNH103R2
FUEL TYPES.:GAS ? FANS - 0 BOILERS/COMPRESSORS I FEES:
GAS PIPING.: 60 ft HOOD • 0 0-3 HP • 0 MEC PRMT ISSUANCE... = 20.00
FURN<100K..: 0 DUCT NORK - 0 3-15 HP • 0 NEC APPLIANCE FEES.* $ 9.50
GAS HNT • 0 NOOD 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...: 1 > 10,000 CFM: 0 UNDERGROUND.: 0
TOTAL FEES $ 29.50
es the water supply system contain a Pressure Reduction Device or Check valve? () Yes () No (If 'Yes' then water expansion tank is required on Hot Nater Tank)
Inspection Record Nater Line OK Mechanical Inspection Notes:
GAS PIPING OK Date By
PERMITS EXPIRE 180 DAYS AFTER ISS ANE IF NO NORK IS STARTED. RESIDENTIAL AND GRADING PERMITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE.
I CERTIFY THAT JJIE_ ARM.i ON FU I D BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNONLEDGE AND THE APPLICA LE C TY OF FERERAL NAY REQUIREMENTS NILL BE MET.
OWNER 0AGENT V046,, DATE
FILE COPY
City of Federal Way
ciTy of r---- 33530 First Way South 1
6 Federal Way, WA 98003 ` ("bq CI _ 09 z 3
_____"---- [ETD (206)661-4000
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APPLICA TION FOR MECHANICAL PERMIT
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PARCEL CC�J(� O� '�
` Single Family Multi Family ❑ it
Commercial 0
SITE LOCATION: /
Tenant/Owner: `J/14YII/�`' `-'(n- rY/
Phone:
Address/City/State/Zip: 1-4-741) Se 2�7 tA-,/ 9&)O
Nature of work: ji-S1 O1,J Pil-,/rWd._ Project Valuation: $ �L'�
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APPLICANT:
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Name: t'� '4l P -1-
/�11
Address/City/St/Z�_ Q�v� � m� -a(�i'-
Z/4)- 9S/7Z-
Contact Person:
) et 6' Phone:3 gig/ Fax: (1 )-0 3
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MECHANICAL CONTRACTOR:
Company Name: Ail) ) 41-4-ei
Address/City/St/Zip: yY-11) L
, / ' / 19R19.
Contact Person: ( Phonet-a —`oa Fax:
State L & I Contractor Registration #: )L 0i(Il 4-k.-UG) 1l 1- - Exp. Date: `2
(Card must be presented) i
MECHANICAL UNIT COUNT:
Fuel Type (gas/other) el Gas Dryer Air Handling < = 10,000cfm • Fuel Tanks:
Length of gas piping (ft Range Air Handling > = 10,000cfm Above Ground
Furn <100K BTU's Gas Log i Unit Heater Underground
Furn >100K BTU's Fans Boiler BTU/H Miscellaneous
Gas Hwt Hood Boiler BTU/H Other
Coni Burner Duct Work A/C TONS Other
BBQ's WoQti Stoves A/C TONS *init>:>:;�>_ >:Y>>?::<:<»:>: i*mi: » i
Q al t.Jnt t*.Qtlfi�'
DISCLAIMER: I certify under penalty of perjury that the information furnished by me is true and correct to the beat 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 coats,expenses and attorneys'tees
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.
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Date: l /
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