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.CITY OF FEDERAL. WAY � „„ u° � ,,. f� u,, .,,,,,,. PERMIT NO: MEC96--0026
33.5 30 First Way South M l;';,,,lt,,,.. 11 Pi r` '„u,,. d�,;,.��.i °''il ,..,.. !�,.,,�P E�;;,.�. '"`` .,.i►,,. ISSUED: 02/08/96
Federal Way, WA 98003 Building Inspection Requests 661-4140 BY: FC2
661--4000 EXPIRES: 02/01/97
ADDRESS:2711 SW 321ST PL-
NO. : 873180-0770
PROJECT DESCRIPTION:HVAC - INSTALL ONE GAS FURNACE
v= OWNER -....__ .._... --- ___.....-_L.. CONTRACTOR - =-_-==_=_.-------=---• :- LENDER -,___.-..
I MIKE SCALES NORTHWEST WATER HEATER 1
2711 SW 321ST PL 8201 DURANGO ST SW
FEDERAL WAY WA 98023 TACOMA WA 98499
952-8112 984-6404
NORTHWH103R2 I B
*** CONTRACTORS, PLEASE USE LOCATION CODE 1732 WHEN REPORTING SALES TAX FOR PROJECTS WITHIN THE CITY OF FEDERAL WAY. TAX RATE : 8.25 ***
PROJECT VALUATION 537 FEES:
FUEL TYPES.:GAS ? FANS • 0 BOILERS/COMPRESSORS Mechanical Permit* $ 24.00
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
GAS LOGS...: 0 > 10,000 CFM: 0 UNDERGROUND.: 0 j TOTAL FEES $ 44.00
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 _
i-__-__ __- :: .- = __ _ ----- •-------
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WOR STAR RES IAL AND .'•' : PERMITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE.
I CERTIFY THE INFORMATION FURNISHED BY ME IS I E AND,QO RECT /(E ., 1 'KEDGE AND THE APPLICABLE CITY OF FE RAL WAY REQUIREMENTS WILL BE MET.
OWNER OR AGENT _._..._.. -C
.,,,DATE 48' _._
FILE COPY
City of Federal Way
CITY OFr'. .%. 0 33530 First Way South
Federal Way, WA 9800EC
qtc
, Z
1--. 4,
(206)661-4000
\ % 0
C .IPPL/CAT/ON FOR MECHANICAL PERMIT
Fe aDEPS.
PARCEL # 1011-41 « i 6 Single Family-0/ Multi-Family ❑ Commercial 0
SITE LOCATION: 711 t K� D A Lc5
Tenant/Owner: 1-1 , 3D---.1s pi, Er,-��fl� Phone: � -7'.- \ \7..
Address/City/State/Zip: 2.-A t Vu 3a� P F"() IAick q (D,)`3
Nature of work: l N\� A t-u,reA(tC,� Project Valuation: $
APPLICANT:
Name: .;-.
Address/City/St/Zip: ,0 .- MAD ,.. 0 A.) '-- --51- 1 C: \ 3 A \4 `
- . - -5„:? t, ‘-'\1-r r-
Contact Person: T ,ale Phone: c--).--5 c::)--(V7C� � �a
w(rtT Folg ,i1/50gX1A)G
MECHANICAL CONTRACTORWA-1- 4
::-I 1
Company Name: -A_ tA\ N Al < )l A I C.-
Address/City/St/Zip: � nQ T1�6K \
_ 1 CC
� eA �.,A l ,)l 77
Contact Person: (` (- C% Fr /W N° Phone: `� Cr-\" Vnq (Flax: --2-)a6-)- cia-/-7--
State L & I Contractor Registration #: (--' rz, 1- it i `4 I Th 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 1 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 lit tl:fJriit>girtiiri < ::>:'»iidi:>::<>:>::::<::::::
DISCLAIMER: I certify under penalty of perjury that the information furnished by me is trte-art-Eo rr ect t• • vtowdge 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-o savg.Atarml--• - ' t • ederal Way to any claim)including costs,expenses and attorneys'fees
incurred in investigation and defense of such claim),which may be made by perso .`ncl . igned,and file against the City of Federay Way but only where such claim arises
out of the reliance of the City,including its officers and employees,upon accuracf o -':;/�' n•a plied to the ity as a part of this application.
• ) 6)
-2 G,
Owner/Agent: / Date: