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CITY OF FEDERAL WAY PERMIT NO: BLD95-0891
33530 First Way South I�'"��' :,.. M�.„,,.. H el ti 1::M�;..,,.it"'1i 0,,.,... f'.""' ft ill.,;E'. ...1.... ISSUED: 11/02/95
Federal Way, WA 98003 Building Inspection Requests 661-4140 BY: FC
661-4000 EXPIRES: 04/30/96
ADDRESS: 32624 35TH AVE SW
NO. : 951090-0070
PROJECT DESCRIPTION:install new furnace
FAWNER -—— •• _ -- _=___--•----_T= CONTRACTOR _--^
- - LENDER ••-------
MARY LOU MCDONALD ` NORTHWEST WATER HEATER ..
32624 35TH AVE SW 8201 DURANGO ST SW
FEDERAL WAY WA 98023 1 TACOMA WA 98499
984-6404
{ NORTHWH103R2 i
2_.. _ -' --------..-_- 1
*** CONTRACTORS, PLEASE USE LOCATION CODE 1732 WHEN REPORTING SALES TAX FOR PROJECTS WITHIN THE CITY OF FEDERAL WAY. TAX RATE = 8.25 ***
F---- .__._. ==..-- ____.. __.:„.-- =- -_. :; _ -J_ __ ___...- ......._._.... _ y
FUEL TYPES.:GAS ? FANS • 0 BOILERS/COMPRESSORS FEES:
GAS PIPING.: 0 ft HOOD • 0 0-3 HP • 0 1 MEC PRMT ISSUANCE... $ 20.00
FURN<100K..: 1 DUCT WORK • 0 3-15 HP • 0 ) MEC APPLIANCE FEES.* $ 10.00
GAS HWT • 0 WOOD STOVES...: 0 15-30 HP • 0
i 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 $ 30.00
---_ - ---- __-- ------------ -- ----- ---- __. . - _ ---__:-:__..-----_=_...-..-__-. -- ------ -' ------
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 B
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE If NO WOR S STARTED NTIAL AND .'•DING PERMITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE.
I CERTIFY THE INFORMATION FURNISHED BY NE IS 'PIE AND COR" HE BEST OF y !KEDGE AND THE APPLICABLE ITY OdIEDEilf WAY-REQUIREMENTS WILL BE MET.
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OWNER OR AGENT .___._. DATE
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CI TY OF F E KRAL WAY PERMIT NO: BLD95-0891
335'30 First Way South /1 C C lin tkt 31: C el if_ 1.-*C Iik 11 I T ISSUED: 11/02/95
Federal Way, WA 98003 fluilding in,-- ,e( Kion Re.quecAc7, 661 -4140 BY: FC
661 -4000 EXPIRES: 04/30/96
ADDRESS:32624 35TH AVE SW
NO. : 951090-0070
PROJECT DECRIPTION:installneufurnace
IMARY LOU MCDONALD I NORTHWESI WATER HEATER
32624 35TH AVE SW 8201 DURANGO SI SW
I FEDERAL WAY WA 98023 TACOMA WA 98499
I
984-6404
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*3* CONIRACLOS, NCO USE VICA11011 OS Lin HO HEIONIING SALfS TAX FOR PROJECTS OHM ME CITY Of FEDERAL WAY. lAX RATE : 8.75 **t
, 1 FUEL TYPES.:GAS ? FANS ' - . !°' - ',- 17-;-- FEES:
GAS PIPING.: 0 ft HOOD ** ' •
FURN(100K..: 1 DUCT RORX,400,,,,,44„4.... 41-191). 1- Q- „ .,7,1 ' 4000 . E FEES.* t 10.00
GAS NWT • 0 woo-sioUtiviRit 7,,0 ,, 45-*Hp 4;.„--E--ti------e-------k---
ili, 0 ,1.0 $'4',x1 "'''-!<fr-'.--- -.).'-• - 'Ir- <
CONV BURNER: 0 to i;,, X kri nvIk, :',...f-..., 5,--E----ii...--,-.--- ...—.,,..?,—,...?,e,0*Acp .i4oksomr, ,,,t,„ ,,4 ir„!, ' ,..._;.::: 7:
. .. . IlY..... -V
BBQ • 0 M .., .. . .. -- f- ',44-•-: ,-# ,,..\*'
, ', 4.111111111P,
GW. DRYER..: 0 AIR 1 S L - ef-• '4'64• •
RANGE • 0 <10, 1 . • •E ND•• 0 , -0
GAS LOGS...: 0 N 10,M h 0 , DERG'e ND.: 0
1 TOTAL FEES $ 30.00
wr.c.,,,,ru m..,==.2,1or,mo.n.. Ima,m—,,,,,,,,,xm,,,,,, m.,.,,,..r .=1 ., .cur
Does the water supply system contain a Pressure Reduction Device or Check valve? () Yes (1 No (If 'Yes" then water expansion tank is required on Hot Water Tank)
Inspection Record Water Line OK Mechanical Inspection Notes:
GAS PIPIN1, OK 1,-, P-0).)-% //V)
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2-6-55- 17-49/11 ' .,, --- /
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PINNIES EXPIRE 180 DAYS *ICH ISSUAKE IF NO NIXTIVIS STANTE , IMIIIAt AND DI% PIRNIIS EXPIRE OWE YEAR At IER DATE Of IsSUAlkf.
I CERTIFY THE INFORMATION FURNISHED BY ML IS TIE AND COH Cr IRE NEST Of EDGE AND 1111 APPEPTAITEEi TY pi-fillty* Nfittl-OUIREMENIs WILL IN NEL
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OWNER OR AGENT i /
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FIELD COPY ii e"
City of Federal Way t '
CITY OF at'"'"'""'-_ 33530 First Way South
-_ •' 1--- 7-10 ..._liZPII__.
Federal Way, WA 98003(206)661-4000 r
>/•' 1P1- r ®x'97/ .
APPLICATION FOR MECHANICAL PERMIT / 0 f-D
tPARCEL ii• q 1 6 61 00 l; 6
Single Family/0 Multi-Family 0 Commercial 0
SITE LOCATION:
Tenant/Owner: Al A g ( 66 G
t1U.1 AL . Phone: ��_� � I4 ��
Address/City/State/Zip: ) Le 3-`1- - 3 cTH-' A\.)._) LQ -( * , `( zpi --
Nature of work: )l'L S TPIL-L r 114 /4 C - 1
Project Valuation: $
•
APPLICANT:
Name: i'..' I N, 19-- --2(2_01 1 •
Address/City/St/Zip: � / 1c) I STGA- - C
Contact Person: (f) MJF f(\i/�o (..,Li Phone: S f(nRC- - (flax: G 'V
d-7F---
MECHANICAL CONTRACTOR:
,� Aio r{WEST WATER HEATER, INC.
Company Name: )'Ff 2800 TMORNDIKE AVE. WEST -
Address/City/St/Zip: SfATTI.E, WA 98199 �gj — t G (A)
Contact Person: Cc-) r-7-c-) ti "K-2-/c(4/ f) Phone: "/ (:G3V 7-1 ax: --3.-- -/--)---r-State L & I Contractor Registration #: C' �(�T(-}JAI((1Y ) --�_
(Card must be presented) Exp. Date:
MECHANICAL UNIT COUNT:
Fuel Type (gas/other) Gas Dryer Air Handling < = 10,000cfm Fuel Tanks:
Length of gas piping Range Air Handling > 10000cfm
= ,
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 O s Wood Stave, A/C TONS
otal#Jett Count
—
DISCLAIMER: I certify under penalty of perjury
that the inform: •n furnished by mw 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 ade. I further esu t••City of Federal Way as to any claim(includingcosts,ex
incurred in investigation and defense of such claim),which aybe made �Irso ra expenses where attorneys'uhlamfees
"—rsy •f lading the •ersigned,edt the filed against aut the City of Fedmay Way but only such claim arises
out of the reliance of the City,including its officers and e,ployees, �u y •f t informatio supplied to City as a part of this application.
Owner/Agent: _/ — 10
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