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CITY OF FEDERAL. WAY
PERMIT NO: MEC96-0047
33 530 F i r-s t Way South M k::, �:::� ,,.,�IP`°'''� 1.1 :�N�: M,; :;�'..' N.., ! „� :.: t. ' ;: :: ,:M,,. ISSUED: 03/12/96
Federal Way , WA 98003 Building Inspection Requests 661--4140 BY: FC
661--4000 EXPIRES : 03/06/97
ADDRESS:32619 39TH PL SW
NO. : 873195-0050
PROJECT DESCRIPTION: install fireplace insert.
= OWNER ._...__.___.____aS=====a_.. _..._____ __ __,_.__ .:=_ = CONTRACTOR =_=, - _.. ----------=•-. LENDER ----
NW WATERHEATER !
2800 THORNDYKE
SEATTLE WA 98199
x:: CONTRACTORS, PLEASE USE LOCATION CODE 1732 WHEN REPORTING SALES TAX FOR PROJECTS WITHIN THE CITY OF FEDERAL WAY. TAX RATE : 8.25 XXX
PROJECT VALUATION 1500 FEES:
FUEL TYPES.:? ? FANS • 0 BOILERS/COMPRESSORS ' Mechanical Permit* $ 42.00
GAS PIPING.: 0 ft HOOD • 0 0-3 HP • 0 MEC PRMT ISSUANCE... $ 20.00
FURN<100K..: 0 DUCT WORK • 0 3-15 HP • 0
GAS HWT • 0 WOOD STOVES...: 1 15-30 HP • 0
CONV BURNER: 0 FURN>100K • 0 30-50 HP....: 0
BBO • 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 CEM: 0 UNDERGROUND.: 0 TOTAL FEES $ 62.00
-_
required on Hott Water
Does the water supply system contain a Pressure Reduction Device or Check valve? O Yes O No (If "Yes" then water expansion tank is re TankTank)
Inspection Record Water Line OK Mechanical Inspection Notes:
GAS PIPING OK ____....._.._.__ Date .._.___.- ByAde
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE If NO WORK IS.STAWDD.. �- A . ADING PE' ITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE..
I CERTIFY THE INFORMATION FURNISHED BY ME IS T.. AND CO!' !>711.4,7—ST iF MY KNOWLEDGE 'ND THE APPLY .E CITY OF FEDER WAY REQUIREMENTS WILL BE MET.
OWNER OR AGENT / __._.... DATE a_
400
FILE COPY
...4VCity of Federal Way
CITY OF r-- 33530 First Way South
•______ F-- .-E3 .1-KFit.._ Federal Way, WA 98003
(206)661-4000
WAY
APPLICA TION FOR MECHANICAL PERMIT
Q f �Ec goo - �o y�
PARCEL it' -i.-5 ( c h o�� Th (f Single Family P Multi-Family 0
Commercial 0
SITE LOCATION:
Tenant/Owner: H) Lk-- 3 11.\Li f\• Phone: Q D-c- c J S9
lit
Address/City/State/Zip: 3 Z(019J�� `-- f9L sio r60-kA ( l(,z---3
Nature of work: t�\":5 ]ALL 1 El (--L-:::- tC-t [NSt?--) Project Valuation: $ J--± -----
APPLICANT: Q
Name: :V4'\ 1 1\ T
Address/City/St/Zip: ZO e- fMf 1� l S0 I� > I . S f} (�(b
Contact Person: *-- -01---:-F A N\1 O uP Phone: ' ��169. - X 7 r 32?--V2 7.-,
� Fax:
MECHANICAL CONTRACTOR: ''ff
Company Name: i\',vv IA\T1T�ie--FL lT -ie—
Address/City/St/Zip: Z(4.06 IHUA 10 .1- -E-1"N- e I7
Contact Person: (')C`D Y F A��n-1.5) Phone: 7_ 10 -Y c-Fax: --- z9-Y2-7-7--
State
9- 1 2-7State L & I Contractor Registration #: 4O,-,..7H/,tial /P' 0<-- -- 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 • 4à '-
y.
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 me 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. I further a. to save •-rmless t • of .eral Way as to any claim(including costs,expenses and attorneys'fees
incurred in investigation and defense of such claim),which may be made• any person,incl .•k• _...;,i signed,a •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, •n the accurac�/ •• ".n supplied to he City as a part of this application.
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Owner/Agent: _ -�— - - Date:: (��