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CITY OF FEDERAL WAYPERMIT NO: BLD95-0742
33530 Fi rst Way South !NI EC HON IN I C'el II._ P ER M I T ISSUED: 09/13/95
Federal Way, WA 98003 Building Inspection Requests 661-4140 BY: JTH
661-4000 EXPIRES: 03/11/96
ADDRESS:29505 21ST AVE S Unit: 11
NO. : 422291-0010
PROJECT DESCRIPTION:MECHANICAL - ADD (6) FANS
rr= OWNER ---- ---=----=====mmmmm== =z ==---•r- CONTRACTOR =___=__------ - = LENDER ==_=___===--====.. -._ __ _ I
LAURELWOOD GARDENS ill LARRY'S REPAIR
29505 21ST AVE S 514 N 103RD ST
1111
FEDERAL WAY WA 98023 SEATTLE WA 98133
487-0412
LARRYR*081BS
I - m s-scccs = m 1
*** CONTRACTORS, PLEASE USE LOCATION CODE 1732 WHEN REPORTING SALES TAX FOR PROJECTS WITHIN THE CITY OF FEDERAL NAY. TAX RATE = 8.25 ***
-_.z-m xssc ss_--^•-• ^c.___ -• _. _ .. ==-= . ....---=c
FUEL TYPES.:? ? FANS • 6 BOILERS/COMPRESSORS FEES:
GAS PIPING.: 0 ft HOOD • 0 0-3 HP • 0 MEC PRMT ISSUANCE... $ 20.00
FURN<100K..: 0 DUCT WORK • 0 3-15 HP • 0 MEC APPLIANCE FEES.* $ 27.00
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
TOTAL FEES $ 47.00
4111/__, z zc ========szzssszzs •' ==== zzz •• z_=sccc
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
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= z= a== z ri====c=e ======c z =====•• s eczzzszers=�
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 FURNISHED BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY/OF FE RAL MAY REQUIREMENTS WILL BE MET.
r
OWNER OR AGENT / �
DATE - � .6
RILE COPY
if City of Federal Way �^ ► ("" '""3
CITY OF
I �� 33530 First Way South
Federal Way, WA 98003 .� 9 �O� ai SAF/S
-------- ---____ F6/B_PCF11,__.
(206)661-4000
Wer,V
APPLICATION FOR MECHANICAL PERMIT
LJ Q / 34)15 _0i L47.,
PARCEL ti1 a a 1 1 -���/ 0 Single Family 9 Multi-Family Commercial 0
SITE LOCATION: 1(701 /
Tenant/Owner: r ' )) IC C ---- Phone:
Address/City/State/Zip: :J 5 11'i A ✓ `S
Nature of work: :c1/---7,-:-(--" 6-7 L, "",---) 5 Project Valuation: $
APPLICANT:
f
Name: [ /"i.,✓1/- S P _2 0_, _. -
Address/City/St/Zip: 4.7 4/ hl )C t �'--:, !1 /1 95-I �� Zj
Contact Person: /-,:='-7,"� / aa--,f..'7/7 Phone: 95-- ,—(2)(1/ 7-Fax: 5"'- --,--1
a MECHANICAL CONTRACTOR:
I Company Name: i`''...'"vr.y(5 12
R‘‘7,377 , ,-,...---
Address/City/St/Zip:
Contact Person: Lc' ."--.."\i /�r-' 1�N - k-f Phone: r? mese--//) ax: 5`z v �- ��
State L & I Contractor Registration #: Z c--3,f!�/ 7' ;- l--' f-5-) rte). S Exp. Date: /,'")-)D.. �95
(Card must be presented) /
MECHANICAL UNIT COUNT:
Fuel Type (gas/other) Gas Dryer Air Handling < = 10,000cfm Fuel Tanks:
Length of gas piping Range Air Handling > = 10,000cfm Above Ground
Furn <100K BTU's Gas Log Unit Heater Underground
Furn >100K BTU's Fans 6 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 TONS Tota)UtiifiCaur
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 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.
Owner/Agent: ' -T/y�� � Date: .i�� —_ �-j 9j_
• •