94-102341 9 y-itsaa 9/
CITY 335300F FEDERAL WAY Firstt Way South MECHANICAL PERMI T PERMIT
ISSUED: 12/14/9460
Federal Way, WA 98003 Building Inspection Reauests 661-4140 BY: KLC
661-4000 EXPIRES: 06/12/95
ADDRESS:29512 9TH PL S
NO. : 515180-0060
PROJECT DESCRIPTION:HVAC - REPLACE FURNACE TO 100,000 BTU (GAS)
OWNER CONTRACTOR — LENDER - —
JAMES MURPHY NORTHWEST WATER HEATER
III!
29512 9TH PL S 8201 DURANGO ST SN
FEDERAL NAY NA 98003 TACOMA NA 98499
984-6404
NORTHWH103R2
FUEL TYPES.:GAS ? FANS • 0 BOILERS/COMPRESSORS FEES:
GAS PIPING.: 0 ft HOOD..... • 0 0-3 HP • 0 MEC PRMT ISSUANCE... $ 20.00
FURN<1001(..: 1 DUCT WORK • 0 3-15 HP 0 MEC APPLIANCE FEES.* t 10.00
GAS HNT • 0 WOOD STOVES...: 0 15-30 HP • 0
CONV BURNER: 0 FURN>100K 0 30-50 HP • 0
BBQ • 0 RISC • 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 CFR: 0 UNDERGROUND.: 0
TOTAL FEES $ 30.00
illiDoes 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 ISSUAN E IF NO WORK IS STARTED. RESIDENTIAL AND GRADING PERMITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE.
I CERTIFY . -44HE I NAT sN FURNI D BY RE I5 TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLIC LE ITY F FERERAL WAY REQUIREMENTS WILL BE MET.
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City of Federal Way
CITY OFr"----• 33530 First Way South
® E�r----
Federal Way, WA 98003
gLbq(�i_ /}q/"(�wic=f (206)661-4000 v �X
APPLICATION FOR MECHANICAL PERMIT
PARCEL it. -151a00060-n6 Single Family Multi-Family ❑ Commercial ❑
SITE LOCATION:
Tenant/Owner: Jamas Murphy Phone-:
Address/City/State/Zip: 29512 9th P1 S Federal Way 98003
Nature of work: install furnace Project Valuation: g 1834
APPLICANT:
Name: NW Permit
Address/City/St/Zip: 2802 E Madison Seattle 98112
Contact Person: Buffy Grow Phone: 322-8191 Fax: 631-6853
MECHANICAL CONTRACTOR:
Company Name: NW Water Heater
Address/City/St/Zip: 2800 Thorndvke Seattle 98119
Contact Person: Phone: 282-4700 Fax:
State L & I Contractor Registration #: NO RTHWH 103 R2 Exp. Date: 12/22/94
(Card must be presented)
MECHANICAL UNIT COUNT: `
Fuel Type (gas/other) (I 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
� s* s»m'[ »[»<'
BBC's Wood Stoves A/� TONS ;ataftif�rz�E[»..»< .. > > .:...
>
DISCLAIMER: I certify under penalty of penury that the information furnished by me is true end correct to the best of my knowledge end further that I am authorized by the owner of the above
premises to perform the work for whichit application Is made. I further agree to save harmless the City of Federal Way esto any claim(including costs,expenses and attorneys'fees
incurred in investigation and defense of s I 'm),which may be made by any person,including the undersigned,and filed against the City of Federay Way but only where such d im arises
out of the reliance of •- I y,' ••u ng its o and employees,upon the accuracy of the information supplied to the City se a part of this application. P?�!'
Owner/Agen , 4( /1�� IA �I Date:
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