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CITY OF FEDERAL WAY pu �h , „ PERMIT NO: BLD95-1029
33530 F i rst Way South ''' �::;,.: :�,: .,, „�i .,1,�1,. �. ,. 'I'll II,..,,, a:;;;a ;;N:..11,1^''. '� .,, ... ... ISSUED: 12/12/95
Federal Way, WA 98003 Building Inspection Requests 661 -'4140 BY: FC2
661-.4000 EXPIRES: 06/09/96
. ADDRESS:2428 S 300TH ST
NO., : 768220-0260
PROJECT DESCRIPTION:ONE FURNACE < 100K BTU
r- OWNER . ___ - __.. 1 CONTRACTOR _.._.._ -- --_ --- -- -.--.- --. .- LENDER -.----- ---- ----9
HARRIS SECKEL 1 NORTHWEST WATER HEATER
2428 S 300TH ST 1 8201 DURANGO ST SW
FEDERAL WAY WA 98003 1 TACOMA WA 98499
1 1 1
946-2938 l 984-6404
I
NORTHWH103R2
_.___.________. _._---...__._.._t-------_-_. z-_- -. _ ----- 1 __..____. _I
*** CONTRACTORS, PLEASE USE LOCATION CODE 1732 WHEN REPORTING SALES TAX FOR PROJECTS WITHIN THE CITY OF FEDERAL WAY. TAX RATE = 8.25 ***
.FUEL TYPES.:GAS ? FANS • 0 BOILERS/COMPRESSORS FEES:
GAS PIPING.: 0 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.* $ 10.00
GAS HWT • 0 WOOD STOVES...: 0 15-30 HP • 0
CONV BURNER: 0 FURN>100K • 0 30-50 HP • 0
880 • 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:
"s ffi
GAS PIPING OK Date --__.__-- By
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS,STA TED. RESID,EN.7 !+'ADING P HITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE.
I CERTIFY THE INFORMATION FURNISHED BY ME IS TRUE-MND CORRECT : I /i M' KNOWLF E AND THE APPLICABLE CITY OF FEDERAL WAY REQUIREMENTS WILL BE MET.
—
OWNER OR AGENT . _ _ DATE7 f � ��
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FILE COPY
City of Federal Way
CITY OF = 33530 First Way South
_ Federal Way, WA 98003
```\ (206)661-4000
V V FFy
APPLICATION FOR4g�HEA�ICA�L PERMIT
7 (-1D c _)----/
PARCEL it• —14-A.=,)-``"')'C)O . .-(D 0 SinDECatip 5 Multi-Family [1 Commercial o
CITY OF FEDERAL WAY
SITE LOCATION:f f� BUILDING DEPT.
Tenant/Owner: 1i �Q S e C L Phone: CI`-t(C Ct J
Address/City/State/Zip: ?,4 --- 061---L-"-
` d 61 -)i 1-I- P 1I'-' A`1 cnO0
Nature of work: /A Sr4t L PUji` / ,4 C.-- Project Valuation: $ �� - -S---
APPLICANT:
Name: /\1 liki P I 'v\ i t
agog MAD/564 5r /( I 1 4 l?
Address/City/St/Zip: /� l,,,1-.7-7
Contact Person: Cf2Pf /4,'IJo L() Phone. .2R -;763---w 5% x: .3 �` 7`� "�
4
MECHANICAL CONTRACTOR:
Company Name: /7/A) 4A-Ti✓ fi 4Tc=> f .
8cO 777/61e 4p '(pc cEA- '? 1
Address/City/St/Zip: � //
Contact Person: 6j E.---r" ,n o Lo Phone: ' /631\---, � q, Fax: 13:--)9,13:--)9, `4�, . 1
State L & I Contractor Registration #: 46 STC/ 4 V/7 `G 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 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 by and co o 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 furthe ree to save ar• - the Cit ederal Way as to any claim(including costs,expenses and attorneys'fees
incurred in investigation and defense of such claim),which may be mad y any person,in- • ::•the •ersig 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, on the accuracy • 'on suppli-• to the City as a part of this application.
Z
Owner/Agent: i Date: /
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