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CITY OF FEDERAL WAY 4 p .. PERMIT NO: BLD95-0932
33530 'F i rs t Way South 1'''�' �;�:,:, ,�,,. ,,,��i i�''�'�li l�"''1. ��.,. fi��.� ''"�)1 L P E.I'�''��.M► .. ,,,�.,. ISSUED: 11/16/95
Federal Way, WA 98003 Building Inspection Requests 661.-41.40 BY: FC
661-4000 EXPIRES: 05/14/96 .
ADDRESS: 2516 SW 323RD ST
NO. : 873180-0410
PROJECT DESCRIPTION:gas to gas furnace
r= OWNER --•-•- ---- - - T CONTRACTOR --------------- --T- LENDER ----
NW WATER HEATER 1 NORTHWEST WATER HEATER
2800 THORNDIKE AVE WEST i 8201 DURANGO ST SW
SEATTLE WA 98199 I TACOMA WA 98499 1
3 984-6404
1 NORTHWH103R2
----------- -_ _ _ _--------------- = __________--1=====__..... -- --==---- .-_ -.-
S** CONTRACTORS, PLEASE USE LOCATION CODE 1732 WHEN REPORTING SALES TAX FOR PROJECTS WITHIN THE CITY OF FEDERAL WAY. TAX RATE = 8.25 *t*
FUEL TYPES.:GAS ? FANS • 0 BOILERS/COMPRESSORS . T 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
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
=------------- ::__--._... -- --------- --- -.. ...•---_:: .-:ate::-=-__--_-__-_-_____ . _ ______::_---."
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
.._ -- -•--- .__..c= t_. ____ J
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF WO WORK ISARTED. •ios D GRADI ' PE' ITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE.
�r
I CERTIFY THE INFORMATION FURNISHED BY ME IS TRUE A D CO" /,./ ., OF MY KNONL:l• AND THE APPLICABLE CITY OF FEDERAL WAY RE IREMENTS HILL BE MET.
OWNER OR AGENT .. ___ DATE _(171
t-- /' /
0
.
FILE COPY
City of Federal Way
CITY OF r- 33530 First Way South
_ • a �� Federal Way, WA 98003
WRY
(206)661 4000 ci 3
APPLICATION FOR MECHANICAL PERMIT pitp g')
PARCEL it• ? 33 I`36U //â Single Family 0 Multi-Family 0 Commercial 0
SITE LOCATION: ��j 1��` '
Tenant/Owner: J I »--- f " �R11i ► _ / /\v Phone:S3 V - Cl (di)
Address/City/State/Zip: --2-5-11 Slidi 3 1 r 5-i- r K I 6186-2-3
Nature of work: / )/ALfi-11-alk-- -- Project Valuation: $ 7/ -( .....2._--
APPLICANT:
Name: \\1),..) Teem 1 7 P// ---
Address/City/St/Zip: ✓J — MAD () a K) S i I 6 - z
Contact Person: ('Ev-rr- 4( 0( 9 Phone: )-8 .-'10 ct +(Fax: ,)'?- -7
MECHANICAL CONTRAT01 1WES WATER NEATER. INC.
Company Name: ' .? THORNDIKE AVE. WEST
SEATTLE, WA 98199
Address/City/St/Zip: ' � SPhone: �� � 9K �F .Contact Person: Côti i1,C� dt
j- --
State L & I Contractor Registration #: k • r1 A c-- Exp. Date: / Z ct (
(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 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
DISCLAIMER: I certify under penalty of perjury that the information fur . • •y me t /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 m-• . further agree to.�• e harmle:: • •'ty of Federal Way as to any claim(including coats,expenses and attorneys'fees
incurred in investigation and defense of such claim),which . be made by any .1 •'•.the unde signed,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 e •loyees,upon t� inf• ation a •plied to the City as a part of this application.
/..__-_-
g^
Owner/Agent: / Date 1