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CIT4 OF FEDERAL WAY PERMIT NO: MEC96-0011 33530 First Way South ���i':: , 't, ,. ti..,, p�!k'II�("°. ,..„ IL-- '''''�f l'''''''':A .N','a,,, .,i�' Ili' ..�:.. ,.ti ISSUED: 01/19/96 Federal Way, WA 98003 Building Inspection Requests 661-4140 BY: JTH 661-4000 EXPIRES: 01/12/97 ADDRESS: 31829 24TH AVE SW NO. : 193840-0460 PROJECT DESCRIPTION:HVAC-GAS FURNACE CHANGEOUT r- OWNER ------- ------- CONTRACTOR -.- . --:::_:��__....__..___•-_=__----�_..._.....----..:_— LENDER ...._..._ .. -.-=--___..___..._ •• _.__..__�:::w CARL MILLER WESTERN FURNACES INC. 31829 24TH AVE. SW P.O. BOX 11145 FEDERAL WAY WA 98023 2901 SOUTH TACOMA WAY TACOMA WA 98411 874-2387 206-474-8401 WESTEF*05302 _.. _-- ____. __ ____._._ __._.____-.- =__..--_- *** CONTRACTORS, PLEASE USE LOCATION CODE 1732 WHEN REPORTING SALES TAX FOR PROJECTS WITHIN THE CITY OF FEDERAL WAY. TAX RATE = 8.25 *** PROJECT VALUATION 1876 FEES: FUEL TYPES.:GAS ? FANS • 0 BOILERS/COMPRESSORS Mechanical Permit* $ 50.00 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 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 1 GAS LOGS...: 0 > 10,000 CFM: 0 UNDERGROUND.: 0 I TOTAL FEES $ 70.00 _------_-------__._..____.__ _..__-._-_-- -_ _ ..___.___._....-- - ------- .. -.___.._..= __-_._. ..__.____.___-.___._____. -.._� 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 IF NO WORK IS STARTED. RESIDENTIAL AND GRADING PERMITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE. I CERTIFY IHE 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 FILE COPY 960/6 gf.ac City of Federal Way clrr OF �-- 33530 First Way South RE Girgt,„ _.. • Eo Federal Way, WA 98003 (206)661 4000 6 • WFTY JAN 16199 APPLICA TION FOR MECHANICAL PERMITpF FEDERAL WAY ,// GI BUILDING DEPT. PARCEL #- / 9.5 �� ) ,d �Li. Single Family 0 Multi-Family ❑ Commercial 0 SITE LOCATION: Tenant/Owner: (I it r l Ht I ic-(- Phone: Sr-N.-J:3'57 Address/City/State/Zip: '‘. / k 2 c/ c. 4.. yh + Nature of work: 1 p kook ao ,tr r Bice Project Valuation: $ (.t)I & . ► rail ' (6 r nc.Ce V10 ciLet %Ubc O 02.9361 - APPLICANT: r Name: u � n .(„1(ncOPb Address/City/St/ZipTh 6c)( I( H'73---- i A C O rrr pp LS P c-A S.4 oci - i Contact Person: )GCII 7\AE\f`oCI`-"NC`'t'- Phone: i-S[ln 1-114i- i Fax: 41'). '1109 MECHANICAL CONTRACTOR: Company Name: WESTERN FURNACES, INC. Address/City/St/Zip: . P.O. BOX 11145, TACOMA, WA. 98411 Contact Person: KATHY STEVENS Phone: 474-8401 Fax: 4737149 State L & I Contractor Registration #: STEE*372ND -� Fin' 3&Z_, Exp. Date: 12/31/94 (Card must be presented) MECHANICAL UNIT COUNT: k I U Fuel Type (gas/other) { Gas Dryer 1 Air Handling < = 10,000cfm I Fuel Tanks: if 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 95QQ_ W as S ood S tov A/C TON `<TaFa> i DISCLAIMER: I certify under penalty of perjury that the information furnished by me is true and correct to the best of 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 further agree to save harmless the City of Federal Way as to any claim(including costa,expenses and attorneys'fees incurred in Investigation and defense of such daim),which may be made by any person,including the undersigned,and filed against the City of Federay Way but only where such daim arises out of the reliance of the City,including its officers and employees,upon the accuracy of the information supplied to the City as a part of this application. jik Owner/Agent: ' Date: