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CITY OF FEDERAL WAY PERMIT NO: BLD95-0852
Way '" ;;;;;,.'T.�,",. �,.,, P1141,.. '�,.,....14�u'i�, .. �.. � ..�'�; 1�'°'� .,,�,. T ISSUED: 10/19/95
33530 First South
Federal Way, WA 98003 Building Inspection Requests 661-4140 BY: ND
661-4000 EXPIRES: 04/16/96
ADDRESS:1715 S 324TH PL
NO. : 250120-0090
PROJECT DESCRIPTION:REPLACING EXISTING GAS HTG
f= OWNER _ _____ =v= CONTRACTOR =--_
GLEN PATCHEN T WESTERN FURNACES INC.
1715 S 324TH PL 3 P.O. BOX 11145
FEDERAL WAY WA 98003 2901 SOUTH TACOMA WAY
TACOMA WA 98411
838-2620 206-474-8401
WESTEF*372ND
*** CONTRACTORS, PLEASE USE LOCATION CODE 1732 WHEN REPORTING SALES TAX FOR PROJECTS WITHIN THE CITY OF FEDERAL WAY. TAX RATE = 8.25 ***
. r �
FUEL TYPES.:GAS ? FANS • 0 BOILERS/COMPRESSORS FEES:
j GAS PIPING.: 0 ft HOOD • 0 0-3 HP • 2 MEC PRMT ISSUANCE... $ 20.00
FURN<100K..: 2 DUCT WORK • 0 3-15 HP • 0 MEC APPLIANCE FEES.* $ 38.00
GAS NWT • 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
i RANGE • 0 <:10,000 CFM: 0 ABOVE GROUND: 0 3
GAS LOGS...: 0 > 10,000 CFM: 0 UNDERGROUND.: 0
TOTAL FEES $ 58.00
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) 3
Inspection Record Water Line OK Mechanical Inspection Notes:
GAS PIPING OK DateBy
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 NY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY REQUIREMENTS WILL BE MET.
OWNER OR AGENT DATE
FILE COPY
93-/C) 2„) - Q J 3 t - COMMtxvinECEIVED BY
City of of Federal Way
CITY OF , 33530 First Way South DEVELOPMENT• DEPARTMENT`
_ Federal Way, WA 98003 •
W� (206)661-4000 OCT 1 7 J
APPLICATION FOR MECHANICAL PERM/T
�D 9's - 02o2
PARCEL #• ..3196-0) ‘Q b 009c) - G 1 Single Family ❑ Multi-Family 0 Commercial,t
SITE LOCATION: fJ
Tenant/Owner: %Y T AkC\e-q, Phone: Zz3 D'722-
Address/City/State/Zip. I "715 k.50 32 4 I
1
Nature of work: \6p 1 00 C 'CP 3f i 0 S C, s ht Project Valuation: $(09 4 O
1,) .
APPLICANT: ct
Name: 'W`E'STe.rid Ar t,',Fk C_E. -i-
Address/City/St/Zip: P n eD-x1 11 qs- I i ACM A (,.JA Q1 S 40c1
Contact Person: Phone: DC` 44) '�`'�( Fax:
MECHANICAL CONTRACTOR:
Company Name: WESTERN FURNACES, INC.
Address/City/St/Zip: P.O. BOX 11145, TACOMA, WA. 98411
Contact Person: KATEL_STEVENS Phone: 474-8401 Fax: 4737149
State L & I Contractor Registration #: WESTEF*372N0 Exp. Date: 12/31/94
(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
i�l' "' Furn <100K BTU's ..:L. 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 L, IAS TONS , / Other
BBQ's
Woodt
S Dues S
A/C TONS .� Y�" Ttasn> 4.=i'>> ? s<
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: �.• k'. �� `'ZIn. '1L'�V144. Date: l U b / ! 7