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CITY OF FEDERAL WAYx PERMIT NO: MEC96-0229
33530 Fi rst Way South IPK4ir"" 14.::::: i 11111 PO...TE ".:Il+'`''Yr IL, ir,ir;'il in IU, .37 1r" ISSUED: 09/30/96
Federal Way, WA 98003 Hui Wing Inspection Requests 661L--4140 BY: KLC
661-4000 EXPIRES: 09/24/97
ADDRESS: 2996O 4TH AVE S
NO. : 052104-9154
PROJECT DESCRIPTION:HVAC- 90 FEET OF GAS PIPE
CONTRACTOR ----- ---- - LENDER -=
- OWNER -- - •--_.__ � ..--------._____.... ..___-_.
HAROLD HARESTAD ( OWNER IS CONTRACTOR
29960 4TH AVE SO.
1
FEDERAL WAY WA 98003
839-6140
-_=_ - _:: _.. __ _ .._.. _.__.._._.__.-l.._.: ....: --_=_._-::.._......._._____-:-1-_- ....._..._..__::-m..-== _ _ _____.t__-. ..____ .-.A
*2* CONTRACTORS, PLEASE USE LOCATION CODE 1132 WHEN REPORTING SALES TAX FOR PROJECTS WITHIN THE CITY OF FEDERAL WAY. TAX RATE = 8.25 x=x
---..
PROJECT VALUATION 500 FEES:
FUEL TYPES.:GAS ? FANS • 0 BOILERS/COMPRESSORS MEC PRMT ISSUANCE... $ 20.00
GAS PIPING.: 90 ft HOOD • 0 0-3 HP,..,.,: 0 Mechanical Permit* $ 22.00
FURN<100K.,: 0 DUCT WORK • 0 3-15 HP • 0
GAS HWT • 0 WOOD STOVES...: 0 15-30 HP • 0
CONV BURNER: 0 FURN>100K • 0 30-50 HP • 0
BBO • 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 Ir TOTAL FEES $ 42.00
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
L. _.. ---------- ._._rt-..-_.--______,_ ._ -. ___....._ :_=_z_-._..._-_c_.,__..... .- --.__.._.. ..__..... ...:c:__._:_ ^_'�
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS STARTED. RESIDENTIAL AND GRADING PERMITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE.
I CERTIFY THE INFORMATION FU ISHED BY ME IS TRU AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY REQUIREMENTS WILL BE MET.
OWNER OR AGENT 9 " 70-- -__.. DATE 5Q;" Jr �‘
r
FILE COPY
t 'I.
City of Federal Way
CITY OF if"--" 33530 First Way South
® Federal Way, WA 98003 / A
\)\> F � (206)661-4000 MEC qb Q 22�
APPLICATION FOR MECHANICAL PERMIT
SSS-9- 10 L[ - 96-11
RECEIVED
PARCELSingle Family Er Multi-Family ❑
Commercial 0
SEP 3 0 1996
SITE LOCATION:
'/ Litt
BUiLDING DEPT.AY 2 d/ //
Tenant/Owner: ��� �u' ik"-r S �� Phone: Y✓ ( 7 6
Address/City/State/Zip: 2 q q ‘ ei /6 4, Scj / CXfg7U4 (e 7y'(/03
Nature of work: 't'5- ///7 ec. Project Valuation: $ s�cv
APPLICANT:: /
Name: 4"T r-t/'Gy / / #G7/4 5 /Q',
Address/City/St/Zip: 2 9 q id 7'/A 4-V.c S F /-_ " Z��
Contact Person: r q,---1 4/ I C 'Pt/'a/ Phone: ?.391/1( t a Fax:
MECHANICAL CONTRACTOR:
Company Name:
A.
Address/City/St/Zip:
Contact Person: Phone: Fax:
State L & I Contractor Registration #: Exp. Date:
(Card must be presented)
MECHANICAL UNIT COUNT:
Fuel Type (gas/other) Gas Dryer Air Handling < = 10,000cfm Fuel Tanks:
Length of gas piping 5'D/1— Range Air Handling > = 10,000cfm 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
Cony Burner Duct Work A/C TONS Other
BBQ's Wood Stoves
A/C
TON.S
monom
s>1'xt xt#3ntt ICgit('.................................
DISCLAIMER: I certify under penalty of perjury that the information furnished by me is true and correct to the best 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 costs,expenses and attorneys'fees
incurred in investigation and defense of a c 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 i officers and employees,upon t' accuracy of the information supplied to the City as a part of this application. rcii--c7-,‘
Owner/Agent: ' / -este._ Date: S