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CITY OF FEDERAL WAY !I�,�M ,l IC 1I PERMIT NO: BLD95-0776
33530 First Way South HA N It (.11"... '1",'11 PERMIT
ISSUED: 09/26/95
Federal Way, WA 98003 Building Inspection Requests 661-4140 BY: FC2
661-4000 EXPIRES : 03/24/96
ADDRESS: 34633 8TH AVE SW
NO. : 132173-0830
PROJECT DESCRIPTION:install 20' gas pipe.
r OWNER .::__= T CONTRACTOR ________ _ _-= ----_=_=-= LENDER --- ----_______ =
GEORGE BRAIN I GEDDES CONSTRUCTION
34633 8TH AVE SWPO BOX 876
FEDERAL WAY WA 98023 BLACK DIAMOND WA 98010
011
838-5575 1 350-1870
I 1 GEDDEC*060M6 1
=1= ____ ---- -- __4
xxx CONTRACTORS, PLEASE USE LOCATION CODE 1732 WHEN REPORTING SALES TAX FOR PROJECTS WITHIN THE CITY OF FEDERAL WAY. TAX RATE = 8.25 ***
ez__...-_.... _._ -
FUEL TYPES.:GAS ? FANS • 0 BOILERS/COMPRESSORS FEES:
GAS PIPING.: 20 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.* $ 3.00
GAS HWT • 0 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
i TOTAL FEES $ 23.00
I-. - ___ ___-_c=-= .. •• -- I _-__=_-_ .. _.---. _
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.
I CERTIFY THE INFORMATION FURNISHED BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY REQUIREMENTS WILL BE MET.
S
. DATE 9 26. <1
OWNER OR AGENT 4 =
FILE COPY
City of Federal Way •
CITvoF �- 33530 First Way South RECEIVED t
® 1 ---1=.r.‹Fit-- Federal Way, WA 98003
1206)661-4000 SEP 2 6 1995
WFilV
APPLICATION FOR MECHANICAL PERMIT Frivi-41 flg, 077(e
PARCEL &•‘.3 ."\---1;) oq 'c)` Single Family E Multi-Family 0 Commercial E
SITE LOCATION:
Tenant/Owner: Go r' AO 71'a; r1 Phone: ,38-.—_‘37S-7S---
Address/City/State/Zip:
3g' —37S 7S,
Address/City/State/Zip: 3 Y 6 33 S'fti ,4Ue S LJ i---- (, t.ti ,_
Nature of work: A-PD ZD` tri S 6,, n . Project Valuation: $ I/(('%
APPLICANT:
Name:
Address/City/St/Zip:
Contact Person: Phone: Fax:
MECHANICAL CONTRACTOR:
Company Name: (-t-dr1 c= Co S1 r^ctc -1-,c7)-1
Address/City/St/Zip: I C' 13 oX 76. 67e-- --/' p a_d-,ay)a CO C4 9g-e)40
Contact Person: F0 Cc-c(-1. f'`, Phone: 3;c, ..-/t 7C' Fax:(36;0, *<:V -- C379
State L & I Contractor Registration #: 6 f' DD 67 C - ö CO /116 Exp. Date: 7-26-: %6-
(Card
^ •C'—%6-
(Card must be presented)
MECHANICAL UNIT COUNT:
Fuel Type (gas/other) Gas Dryer Air Handling < = 10,000cfm Fuel Tanks:
Length of gas piping 7[' ' 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
y
Cony Burner Duct Work A/C TONS Other
...................................................................
....................................................................
BBQ's Wood Stoves A/C TONSToEziE fJnit.Caurii ....::'.'::::.:.....:.
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: 2la,-- Date: 9'--2C--- (/)5