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CITY
335300FirstF DEWay South RAL WAY M E C H A N I C A L P E R M I T PERISSUED: 01 /18/9582
Federal Way, WA 98003 Building Inspection Requests 661-4140 BY: FC
661 -4000 EXPIRES: 07/17/95
ADDRESS: 3922 SW 337TH ST
NO. : 921151-0570
PROJECT DESCRIPTION:HVAC - INSTALL GAS FURNACE AND WATER HEATER
OWNER — CONTRACTOR -- LENDER
KENT SPRAGUE NORTHWEST WATER HEATER
if
3922 SW 337TH ST 8201 DURANGO ST SW
FEDERAL WAY WA 98023 TACOMA WA 98499
838-4532 984-6404
NORTHWH103R2
1
FUEL TYPES.:GAS ? FANS • 0 BOILERS/COMPRESSORS FEES:
GAS PIPING.: 0 ft HOOD • 0 0-3 HP • 0 MEC PRMT ISSUANCE... $ 20.00
FURN<100K..: 1 DUCT WORK • 0 3-15 HP • 0 MEC APPLIANCE FEES.; $ 16.50
GAS HWT • 1 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 $ 36.50
S
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
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS STARTED. RESIDENTIAL AND GRADING PERMITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE.
4 CERTIFY THAT THE INFOR . ION FURNISED BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FERERAL WAY REQUIREMENTS WILL BE MET.
OWNER OR AGENT F� -Ker'. __
� - SATE 9S'
V
FILE COPY
11., ,.... .
City of Federal Way •
c)TY ar= 33530 First Way South
6{Dgq—
E OS'2
Federal Way, WA 98003
WFrY (206)661-4000
APPLICATION FOR MECHANICAL PERMIT
PARCEL #• $11' / 15 J (:)� 2 6 Single Family to Multi-Family o Commercial o
SITE LOCATION: t
J
Tenant/Owner: p M ! �JL �1� Phone: 2 8 LI 3r ,
"
Address/City/StatEjZip: — . . - . _ _ • --
v. --Ot.. ri , ' )Ci `1
Nature o, ..ork: - — . � A ��-��.. _ �,---1 tip. ,Project \ • --:.-inn: $ ._
APPLIi- 1-*
Name: kt 1A--vLL'�._Y� LA ,
Address/City/St/Zi 1"I V t " ( ��1\ L ki P,----' 9` / 69 e-
Contact Person: rIk-'V\-0,---- Phone: rL't�• � � �`
� Fax: 1 7 "�97
P
MECHANICAL CONTRACTOR: f
Company Name: r J_kk AA1A--k-,z'-) R4oac*.,L,I.
Address/City/St/Zip. 4.01 C j, tc�(-'� et -N1t -4 9 gy(4, r
Contact Person: — Phone: au cr--'90 0 Fax: f q 710
State L & I Contractor Registration #: C8 6til\ ? Al C7 Exp. Date: ! 1
(Card must be presented)
MECHANICAL UNIT COUNT:
Fuel Type (gas/other) N ('., _ Gas Dryer Air Handling < = 10,000cfm Fuel Tanks:
Length of gas piping .. - Range Air Handling > = 10,000cfm Above Ground
Furn <100K BTU's g.,),Ol.)(,) Gas Log Unit Heater Underground
Furn >100K BTU's Fans Boiler BTU/H Miscellaneous
Gas Hwt / Hood Boiler BTU/H Other
Cony Burner Duct Work A/C TONS Other
BBQ's Wood StovesA/ TONS _Tota .! g ; g;; ' ;>»>>
DISCLAIMER: I certify under penalty of perjury that the information furnished by me is true and correct to the bat of my knowledge and further that I GT authorized by the owner r the above
premises to perform five work for which permit application is made. I further agree to save harmless the City of Federal Way a to any claim(including costs,expenses and attorneys'fees
incurred in investigation, ,gefsrrs of such claim),which may be made by any person,including theundersigned,and filed agarnet the City of Federay Way but only where such claim arises
out of the reliance of the Ity,including its officers and employ on the accuracy of the information supplied to the City aa a part of this application.
I ��
Owner/AgentN2//i\--ALODate: ��
I