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CITY OF FEDERAL WAY PERMIT NO: BLD95-0981
33.530 First Way South M t";.•�;°:. H Oil ill ::�;:: (:;.. 11111 f.."" 1E7 IR 141 :fl.—11,., ISSUED: 12/05/93
Federal Way , WA 98003 Building Inspection Requests 661-4140 BY: FC2
661-4000 EXPIRES: 06/02/96
ADDRESS:28233 27TH AVE S
NO . : 231240-0150
PROJECT DESCRIPTION:MECH - GAS PIPING (35"), FURNACE TO 100K BTU
-- -- _ CONTRACTOR - -- -• -- LENDER -----_=_-._-.__..___�
r= OWNER �r ..._ _ _,. _ _--- _ __..._.
DON WATTUM 1 NORTHWEST WATER HEATER ELEC.
28233 27TH AVE S I 2800 THORNDYKE AVE WEST
FEDERAL WAY WA 98003 1 SEATTLE WA 98199 1
839-30791
_ i NORTHWHO99JZ 1
-__.... _ ___ _--------=__ _ -- -- - _-1 ___ _ ... . _. 1 _. _x...---_..�_ -- ---- _.
*** CONTRACTORS, PLEASE USE LOCATION CODE 1732 WHEN REPORTING SALES TAX FOR PROJECTS WITHIN THE CITY OF FEDERAL MAY. TAX RATE = 8.25 i=i
FUEL TYPES.:? ? FANS • 0 BOILERS/COMPRESSORS j FEES:
GAS PIPING.: 35 ft HOOD..........: 0 0-3 HP • 0 MEC PRMT ISSUANCE... $ 20.00
FURN<100K..: 1 DUCT WORK • 0 3-15 HP • 0 MEC APPLIANCE FEES.* $ 13.00
GAS HWT • 0 WOOD STOVES...: 0 15-30 HP • 0
CONV BURNER: 0 FURN>100K • 0 30-50 HP • 0
BB0 • 0 MISC • 0 5+ HP • 0
GAS DRYER..: 0 AIR HANDLING UNITS FUEL TANKS
RANGE • 0 <:10,000 CFM: 0 ABOVE GROUND: 0 s'
GAS LOGS...: 0 > 10,000 CFM: 0 UNDERGROUND.: 0
TOTAL FEES $ 33.00
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 By
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IFWORK IS STAR�,V ;, • . + GRADING PERMITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE.
I CERTIFY THE INFORMATION FURNISHED!riff IS TRUE : '1 BEST OF Mi KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL NAY REQUIREMENTS WILL BE MET.
/' r--
OWNER OR AGENT (2---1-i „ (I' 1(
.___.---./__._.__...____ __.. __ DATE
FILE COPY
City of Federal Way j(10 1 5 _ D 1 Q''
CITY of �-- 33530 First Way South 1 0 `
® j J:JFederal Way, WA 98003
WFIFY (206)661-4000
��,�����D
APPLICATION FOR MECHANICAL PERMIT •
OEC 0 51995
PARCEL #• 3/12 410o/ C' Single Family, Multi-Family CITY OF FEIZottinvocial 0
BUILDING DEPT,
SITE LOCATION:
Tenant/Owner: �!2/ " G2/i `! c/.42 Phone: Pi?' 70 Z5
Address/City/State/Zip: -
c_
Nature of work:/,':A/CMZ ` �s(A'"ICC Project Valuation: $ /-)-0 .-
.------
APPLICANT:
r'
Name: ct�w_ i�� '.�.�I� /C
Address/City/St/ip: 6"'t-�_ ( 't7`�Di5f!l.4 ) r / o� fi:, '�
Contact Person: ' C ! l 4 � )% /) Phone: -12,Y�i&r ,/V/ Fax: 3_-?/ -s!)"7�
MECHANICAL CONTRACTOR:j,/ �
Company Name: 1l L /
' Aliq 7./<7/.'i 7e
Address/City/St/Zip: _ x,�Ipe,.,
,(/C o /7 c 5f -/ 2,I Y
Contact Person: 6 rl f/- /&'6!,e) Phone:e9 Y s---- :4,02'9' 1
State L & I Contractor Registration #: A/1),‘'r/-//0// /7 3- Exp• Date:
(Card must be presented)
MECHANICAL UNIT COUNT:
Fuel Type (gas/other) / Gas Dryer Air Handling < = 10,000cfm Fuel Tanks:
Length of gas piping •�S 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 furnished • •e 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. • r e harm) •- ' • Federal Way as to any claim(including costs,expenses and attorneys'fees
incurred in investigation and defense of such claim),which ma =-made br/•
41ing the undersig -•,and filed against the City of Federay Way but only where such claim arises
out of the reliance of the City, Of.
including its officers ander•oyees,y� •rmation suppli•• to the City as•pert of this application.
67/1.--
Owner/Agent: �_ Date: (2( )(