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TAX RATE : 8.25 *** ¢_ --- _ ------- _. -- ...... - .. -. FUEL TYPES.:GAS ? FANS • 0 BOILERS/COMPRESSORS I 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.* $ 6.50 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 I GAS DRYER..: 0 AIR HANDLING UNITS FUEL TANKS I RANGE • 0 <:10,000 CFM: 0 ABOVE GROUND: 0 GAS LOGS...: 1 > 10,000 CFM:• 0 UNDERGROUND.: 0 I TOTAL FEES $ 26.50 I 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: I 4 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. OWNER OR AGENT DATE /l ( '_ - FILE COPY EN1 BY;DEPT, OF COMMUNITY DEV; 3- 3-95 i d:35 ; CITY OF FEDERAL WAY-4 / 953709C6;ii 2 cITV of City of Federal Way Lo - g�� ` 33530 First Way South %9Fri_. Federal Way, WA 98003 RECEIVED , V V (206)661-4000 APPLICATION FOR MECHANICAL PERMIT NOV 0 61995 (-V/L(u - (d clq �`- 6 3. 7 ;:fTB OF BUILDING WAY BUILDING DEPT. PARCEL Single Family tf---- Multi-Family ❑ Commercial ❑ SITE LOCATION: C --- A -----) Tenant/Owner: WI 171ZZ 64/V 3 :,r...1.1 I Th -1 �'0 ) !'hens: � �� Address/City/State/Zip: 7 a-"( j I Nature of work: - Project Valuation: 8 APPLICANT: Name: C -., J11 LV CaPn2,1-ni6,*_, .6.-- Address/City/St/Zip: • O 1 0 a I (6 G/ (j 'IO ' Contact Person: —.L.6-C---6(t--. ( T{4, �? )---/(22°Phone: ? Fax: _ _ - 61 MECHANICAL CONTRACTOR: Company Name: _ ?� ._1 (� i}1 "�CCr-�i r Address/City/St/Zip; L(L 17 o m4 1 ( l- Iv — / /1,-33 Contact Person: j, Phone: f 2`3 " (PRQ?Q O Fax: f State L & I Contractor Registration #: -Z- ( 0 3) 3L- L (Card mutt be presented) Exp. Date:`�' MECHANICAL UNIT COUNT: �' sa/ottltlr' Goa Dr or r Handgn [ 10 O:�cfm " „_ Il r Fubi tar.fca: _ f Qae PIE Range Air Handling > = 10,000cfm +`�'^ (100K BTUs Gas Lo F,bo.o Gr;- r >i00K BTU's Unit Heater tdery Fans Boiler BTU/h • B.,r _ -----._.�_--- Boller ,��.. BTU/ti C e Duct Work r ----_ —'r_ TONS ,., A/C 'sc 1F ; to < .r• .;y,;;•' t; its" :41!y:Siler rum.-1'•Feciwy the(the lnfetrnehan fvmlefteel by me le true and Wrack to the boat of my 3tnewlad0a and favv,ire' r., .-�sa•!a ct-',..- •'v work lo• -'•.�OerTit call r. -��` cls maltr*Noh le meat. I further wet to am harmioee trio City of hderat Way es to any claim lord utttddien : `'a: •ane .. -r._c, ) may be mad*by - c costa,axs••ir. ,,,: ^ •e • , . , -c It areeen and any icemen.a including the ondoralprtadt end filled a ri o cart accuracythe Information of tNe tied.:r CITY OF EO BUILDING DIVISION ‘sN),\) Fry- 33530 1ST WAY SOUTH ■ • ' FEDERAL WAY, WA 98003 66 1 -4000 R R E CTI O N NOTICE CO ADDRESS: / `� yr l AP ,_. PERMIT #: (✓� J�J f v�� VIOLATIONS OF CITY AND/OR STATE LAWS ARE LISTED BELOW: 3z r&f2E Alepz..44 ✓' s crSSw2c IZ;S �_�p , etc 7S /fi(-1. / )s ).9-C c_4=7"f.)rd Mt7 7 /,s .D 645 7,;/7 - c s 7 C Co Ai c_fi2 , J recc;r b Al 'Tr n YOU ARE HEREBY NOTIFIED THAT NO MORE WORK SHALL BE APPROVED UPON THESE PREMISES UNTIL THE ABOVE VIOLATIONS ARE CORRECTED. WHEN CORRECTIONS HAVE BEEN MADE, CALL 661 -4140 FOR RE-INSPECTION. 7�/ J iLsc DATE INSPECTOR FOR BUILDING DEPARTMENT DO NOT REMOVE THIS NOTICE