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94-102191 . ' � g y.iaa►gl 33530oFirs�t�Way south ME C I CAL P EI�:M I T �ERISSUED: B1/18/g492 Federal Way, WA 98003 6uilding Inspection Requests 661-4140 BY: KLC 661-4000 EXPIRES: 05/17j95 ADDRESS:29910 21ST RVE S �10. : 798320-0040 PROJECT DESCRIPTION�HYAC - ADDIM6 6AS FURNACE (80,000 BTU) � OMMER CONTRACTOR LENOER JOSEPH BURR010 MESTERM FURNACES IMC. 29910 21ST AVE S0. P,O. BOX 11145 FEDERAL MAY MA 98003 2901 SOUTH TACOMA l�AY TACONA pA 48411 941-0191 246-474-8401 pESTEFx372R0 FUEL TYPES.:6AS 6AS FANS..........: 4 BOILERS�COHPRESSORS ,_ , �,. x� ,., �FEES: 6AS PIPIN6.: 0 ft HODD..........: 0 0-3 HP......: 0 ��� �'"�`� MEC PRMT�ISSUANCE... S 20.40 �.`� .. ;�,:.� .. � FURM<100K..: 1 DUCT �OORK,..... 0 3-15 HP.....: 0 ��� �� � �� ��� � 19EC APPIIAMCE FEES.i S 10.00 6AS HNT....: 0 q00D STOVES...: 0 � 15-30 HP....: 0 ��'�"°� CDNY BURNER: 0 FURN>100K,....; 0 30-54 HA....: 0 " �t BBQ......... 0 MISC.._........ 0 5+ HP.,..,... 0 F> 6AS DRYER..: Q AIR HANDLIN6 UNITS FUEL TA14KS--------- RAM6E......: 0 <=10,000 CfM: 0 ABOVE 6ROUND: 0 GAS L06S...: 0 > 10,000 CFM: 0 UNDERGROUKD.: 0 TOTAL fEES : 30.04 ' Does the Mater supply syste� contain a Pressure Reduction Device or Check valve? () Yes () No (If 'Yes' then rater expansion tank is required on Hot Mater Tank) Inspection Record �Eater Line OK Mechanical Inspection Notes: 6AS PIPIN6 OK Date By i PERMITS EXPIRE 180 DAYS AFTER ISSUANCE If MO OR IS STAR �'/ IDEMTIAL AND 6RADIN6 PERMITS EXPIRE ONE 1fEAR AFTER DATE OF ISSUANCE. I CERTIFY THAT TNE INFORMATI NISED B E IS A CT TD THE BEST Of MY KNOMLED6E AND TNE APPLICABLE TY F FER�►tAL �AY REQUIREMENTS MILL BE MET. OWNER OR AGENT ------ - ---------------------- --------------------- DATE __�/_/8 _�a -�=—- ----- FILE C�OPY City of Federai Way { CITY OF G 33530 First Way South h \-��� ___� _ E� Federal Way, WA 98003 �C��� �J 15 � � (2061661-4000 `���Y APPL/CA T/ON FOR MECHAN/CAL PERM/T PARCEL�•�d��-'%�--�-� � C'�'�'�` ��'�' Single Family � Multi-Family ❑ Commercial ❑ SITE LOCATION: Tenant/Owner: �;�'�=� �- �-�'������ Phone: ���'� "C%1�/�l Address/City/State2ip: �--�`1 1l('� - "�_I c�-t, i�E�: �.r =ft. 1.�.: 4u. 'e.., i�r��{-� d��t. `i�'�`�'3 Nature of work: - `-���-�-� �'4-�i`-�-- x��� �� aCc.c�,�u�' k- Project Valuation: S � APPLICANT: Name: Address/City/St2ip: Contact Person: Phone: Fax: MECHANICAL CONTRACTOR: Company Name: �STERN F[JRNACES. INC. Address/City/St2ip: P-O. BO% 11145. TA OMA, WA. 98411 Contact Person: -�� STEv�S Phone: 474-8401 Fax: 4737149 State L & I Contractor Registration #: - �STEF*372N0 Exp. Date: 12/31/94 (Card must be presented) MECHANICAL UNIT COUNT: Fuel Type (gas/other) ,;i Gas Dryer Air Handling < = 10,000cfm Fuel Tanks: length of gas piping Ranga Air Handlin > = 10,OOOcfm Above Grourni Fum <100K BTU's �j�C.'' UC��� Gas Log Unit Heater Underground Furn >100K BTU's Fans Boiler BTU/H Miscellaneous Gas Hwt Hood Boiler BTU/H Other Conv Burner Duct Work A/C TONS Other DISCLAIMER: I certify under perulty of perjury[hat the info�metion furrwahed by me is true�M conect to the beat of my knowledpe and furttxt th�t I�m authorized by tFa ow�er of the abova premises to perfo�m the work for whieh permit�pplie�tlon is made. I further pree to s�va h�rmlea the City of Federal Way a to any elaim lindudirq ewu,expane�wd�ttorneys'fees incurred in i�vestipation a�d deferne of sueh cl�iml,which may be made by�ny penon,i�cludirq the uideniQned,�nd filod apunst the City of fedaay Way but oNy whera such G�im arises out of Ihe reli�nee of tM City,i�eludirp its ofticen arx!employee�,upon tM accu/�cy of the intwm�tion�upplied to the City u a part of this�pplicstio�. Owner/Agent: �������Q'z ' �'���`'���a�' Date: II� ll���-- ��-U� ��v.�, ��� O" City of Federal Way ����O� v '��� CITY OF � 33530 First Way South n __ � _ E� Federal Way, WA 98003 Q.S 'J�� ``\\ � (2061661-4000 � V V � APPL/CA T/ON FOR MECHAN/CAL PERMIT ����� � r C �,��� PARCEL �• � i � ��-� " U��'v"�� Single Family � Multi-Family ❑ Commercial ❑ SITE LOCATION: Tenant/Owner: `��-- ��-��L�' Phone: �f�" ��v�� 1 Address/City/State/Zip: �-i`l l C? � "?-!a� -(�..�.�.. `�>c�. �'�-�.�u E� �'i�''Z��i-, dl'2L. Gl��'v� Nature of work: ��� ��-� ��^ Project Valuation: S ���`f"• �� � APPLICANT: Name: Address/City/St2ip: Contact Person: Phone: Fax: MECHANICAL CONTRACTOR: Company Name: WESTERN F[JRNACES, INC. Address/City/St2ip: ---�.0. BO% 11145. TACOMA. WA. 98411 _ Contact Person: �T� S��S Phone: 474-8401 Fax: 4737149 State L & I Contractor Registration #: �STEF*372N0 Exp. Date: 12/31/94 (Card must be presented) MECHANICAL UNIT COUNT: Fuel Type (gas/other) Gas Dryer Air Handling < = 10,OOOcfm Fuel Tanks: Length of gas piping � - y� Range Air Handlin > = 10,OOOcfm 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 Conv Burner Duct Work A/C TONS Other DISCLAIMER: I eertif under r�'�� � y penalty of perjury thst the information furnished 6y me is true�nd co�rect to the best of my knowledpe�nd further that I am authorized by the owne�of the above premises to pmfo.m tha wwk for wMeh permit�ppliution is mada. I further�pree to s�ve h�rmle»+he�iry of Fedara{V1i�y p to�ny cl�im(ineludinp ewa,expen�and attorneys'fees ineurred in invaatipation and deferue of sueh claiml,which m�y be mWe by any penon,includirq the uiWenipned,uW filad p�irat the City of Federay W�y but only where such elum arius out of the reli�nce of tM City,inGuditq ib offieen�nd employees,upon the�ecur�cy of[he infwm�tion wppliad to the City r�p�rt of thit appliution. } � Owner/Agent: li��-�Y�''�"- �'-t``t-�`�"�.-�ta� Date: ��--��`�}`�- `���1 �zS. �9 MOO Q13Id /)\)) t\ . �" 138 38 MN S11131131118038ON 18013813 10 A1YJ(318U)l1dd@ 30! OWN 390318081 AN JO 1538 3N! 01 !338803 (W J101 SI 31148 03S111801 NOI1V14103N1 301 1011 A1I1833 I n, '3311V1SSI 10 31V0 8313V 881A 380 38IdX3 S111183d 98IOVd9 08V 18118301538 'O3ldV11 SI '113 "ON 31 338VOSSI 13138 SAd9 081 38IdX3 S1I11838 _.,�...._ _ �� I _ (9_sz.ire•?7 AI/7 --9,/i/r4/9 A07/ — Mr' aliqy 1,,,Pi©`98I8I8 SV9 :semi uoil..40sul 1e4cuet4341 -_.-_ 10 autl /01e8 pi0508 uatl:radsul (Tull rales pH uo partnbar sl 30e3 uoisaedxa rales mil .saA. !1) OW () sad, () IOWA Taag3 JO 2 !A9O uoil?npa8 ainssar,+ a uteluoa aaxsAM Aiddns Jam awl saop OO'Ol: $ 5333 18101 0 :'010089830881 ,0 N.3 !0`0I 0 ...5901 SV9 0 (!88089 3AO88 14z ; l' .401..> 0 - 391488 °•, S 1 I 8IU 0 • `83AdO SV9 l 1 I "b �; ky w 0 • MO 1� o :83883!8 MO) ., ) .) -, . , 0 . INH Si) 00'01 $ s 3 r, 1 ..4ma I :-100I>118111 00'0Z $ •''3311V81SSI . , t " 11 0 :181dId SV9 8 SNU3 SIJ SV9:'S3dil 13(13 .4.4,311,Ji II� 1004D-90Z0Z ¶ 1610- 116 Ii886 1 -AVB 880M. H18MOS 1062 10086 VN AVN 1883033 SPIT! 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