92-102199 3 -It. ai 99
CITY OF FEDERAL WAY IVI E C H A N I CA L PERMIT PERMIT NO.: BLD92-2537
33530 First Way South BUILDING INSPECTION - 661-4140 ISSUED: 12/11/92
Federal Way, WA 98003 BY: FLF
661-4000
SITE ADDRESS: 31931 53RD AVE SW
PARCEL NO.: 189860-0100
PROJECT DESCRIPTION: INSTALL GAS CONVERSION BURNER/GAS HOT WATER HEATER/GAS PIPING
OWNER — CONTRACTOR -- LENDER
HERYLL LUCAS ARCO INSTALLATION, LTD.
1931 53RD AVE SW 1902 S.341ST PL. #9
FEDERAL WAY WA 98023 FEDERAL WAY WA 98003
838-3981 952-5433
ARCOIL*141LE
FUEL TYPES.:GAS FANS • 0 BOILERS/COMPRESSORS FEES:
GAS PIPING.: 35 ft HOOD • 0 0-3 HP • 0 MEC PRMT ISSUANCE... $ 20.00
FURN<100K..: 0 DUCT WORK • 0 3-15 HP • 0 MEC APPLIANCE FEES.* $ 15.00
GAS HWT • 1 WOOD STOVES...: 0 15-30 HP • 0
CONV BURNER: 1 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 TOTAL FEES $ 35.00
• INSPECTION RECORD
Water Line OK Mechanical Inspection Notes:
GAS PIPING OK Date By
ALL P I” EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS STARTED.
I CERTIFY THAT THE INFORMATION F ISHED BY�IE IS TRU AND 'O /RRE 0 THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY REQUIREMENTS WILL BE MET.
,- 7 r 9OWNER OR AGENT i ,„orDATE ( 7 / /
/
bld_mech 07/01/92 -- (
CITY OF FEDERAL WAY MECHANICAL PERMIT PERMIT NO.: BLD92 -2 53 7
33530 First Way South BUILDING INSPECTION = 661-4140 ISSUED: 12/11/92
Federal Way, WA 98003 BY: FLF
661-4000
S!".. E ADDRESS: 31931 53RD AVE SW
PARCEL NO.: 1898600100
PROJECT DESCRIPTION: INSTALL GAS CONVERSION BURNER/GAS HOT WATER HEATER/GAS PIPING
OWNER CONTRACTOR -- LENDER
CHERYLL LUCAS ARCO INSTALLATION, LTD.
31931 53RD AVE SW 1902 5.341ST PL. #9
FEDERAL WAY WA 98023 FEDERAL WAY WA 98003
981 952-5433
ARCOIL*141LE
1
FU TYPES.:GAS FANS • 0 BOILERS/COMPRESSORS 1 FEES:
GAS PIPING.: 35 ft HOOD • 0 0-3 HP • 0 MEC PRMT ISSUANCE... $ 20.00
FURN<100K..: 0 DUCT WORK • 0 3-15 HP • 0 MEC APPLIANCE FEES.* S 15.00
GAS HWT • 1 WOOD STOVES...: 0 15-30 HP • 0
CONV BURNER: 1 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 TOTAL FEES $ 35.00
INSPECTION RECORD
,ter Line OK Mechanical Inspection Notes:
OS PIPING OK ' `,5_ 4/36(5/ Date 2-5-9.3 By(--
_
y
ALL PERM! EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS STARTED.
I CERTIFY THAT THE INFORMATION ' : ISI. ?'.BY M UE AN CO ECT T• BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY REQUIREMENTS WILL BE MET,
OWNER OR AGENT �' /- u / DATE ( L( ( / G,
;Ad 07/01/92
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