94-101954 r 9y, /0l9g-V
CITY
335300Firstt Way South F FEDERAL WAY MECHANICAL PERMIT PER ISSUED:MIT NO: 10/14/9465
Federal Way, WA 98003 Building Inspection Requests 661-4140 BY: JTH
661-4000 EXPIRES: 04/12/95
ADDRESS:2521 S 286TH ST
NO. : 552900-0040
PROJECT DESCRIPTION:HVAC - INSTALL FURNACE AND 40' GAS PIPE.
=OWNER CONTRACTOR — LENDER
BILL ANDREASON NORTHWEST WATER HEATER
2521 S 286TH ST 8201 DURANGO ST SW
FEDERAL WAY NA 98003 TACOMA NA 98499
984-6404
NORTHWH103R2
FUEL TYPES.:GAS ? FANS • 0 BOILERS/COMPRESSORS FEES:
GAS PIPING.: 40 ft HOOD • 0 0-3 HP • 0 NEC PRMT ISSUANCE... $ 20.00
FURN<1OOK..: 1 DUCT WORK • 0 3-15 HP - 0 MEC APPLIANCE FEES.* $ 13.00
GAS HMT • 0 MOOD 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 $ 33.00
Does the rater supply system contain a Pressure Reduction Device or Check valve? () Yes () No (If 'Yes' then nater 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.
I CERTIFY THAT THE INFIRMATION FURNI E BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FERE L NAY REQUIREMENTS WILL BE MET.
,/
OWNER �R AGE _-- ! __-- Clei ____—_ DATE 67/14q
FILE COPY
0 City of Federal Way 111
CITY 0F en 33530 First Way South I))(bq .()7c
Federal Way, WA 98003
12001001=4090
N.s?"40> v
APPLICATION FOR MECHANICAL PERMIT
PARCEL '• - -- OD 0 -0 ... - 0.angle FamiL - Multi-Family 0 Commercial 0
SITE LOCATION: ,, ,/
•
Tenant/Owner: ( ( ��Y1UW Cf Phone:
Address/City/State/Zip - 1 • °' )I--i-1-1/1 \---. 'QCI{ ,./L, / q
Nature of work: ,/ _"� A) it, L�-•�.1.:- r AP 0 e Project Valuation: $ ( (0° 5-
APPLICANT:
r .i `. ,_
Address/City/St/Zip: -K( ' iY(A ,M c _ - oa - C'(<c I
Gantlet Person: --- -- ----Phone: 73=:);)--- S / 7 / Fax: 3-;)q— e
MECHANICAL CONTRACTOR:
Company Namei -_.. 0 _ _ _... ._.- _ J. '
/. _.
Address/City/StrZir.- AIN A . I •1. --....4^ ►..,�/, I G l.
Contact Person: ) ____ ' "I 7OO
c I •Phone: Fax:
Ste` & I Contractor Registration #: off`?-k- W�O._�.�'3 � ra/�.A�V
Exp. Date: -
Card must be presented)
MP VICAL ;6=1-4IT COUNT:
_ _.._,
1 Fuel Type 4Ea`'nt}terGas Dryer y_ _ Air Handling < = 10,000cfm Fuel Tanks:
Len.th of .as .i.in. Ran.e Air Handlin-- > = 10 000ofm Al- :e Ground
Furn <1r- '*U's MI Gas Lot Unit Heater Under.,round
Furn >1(.- i U's Fans Boiler BTU/H Miscellaneous
Gas Hwt Hood Boiler BTU(H Other
Con Bumf- .__ Du-thWork ___ __..--.rA/C_ . ______. "')NSA_ Other
W ...........
DISC, -tit: i certify under pc,tnlry of perjury that the information furnished by me is true an act to the best of my knowledge and further that I am authorized by the owner of the above
premixes to perform the won. :icr.;.emit application it made.. ?further agree to save hart, the,.:,of Federal Way as to any claim(including costs,expanses and attorneys'fees
incurred in Inure : tion and de. of s- _h claim),whicl. y be a by:,ty person,Incli ling vit.; Itidersigned,end flied against the t..ty of Federay Way brit Only who::ouch c3 !nn irises
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caliicfi ,t iM 1lit61-M016 h upplled id the City ail bili lei till ilppliuUori.
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