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CITY 335300F FirsttERAL WAY Way South MECHANICAL P EI�:M I T PERMIT
ISSUED: 01/25/9569
Federal Way, WA 98003 Building Inspection Requests 661-4140 BY: FC
661-4000 EXPIRES: 07/24/95
ADDRESS:29324 7TH PL S
NO . : 515270-0120
PROJECT DESCRIPTION:PLUMBING ONLY. INSTALL (1) ELECTRIC WATER HEATER.
7OWNER CONTRACTOR •-- -- --„— LENDER
JACKIE HYDE GEORGE BRAZIL 24 HR SERVICE
29324 - 7TH PL S 11063 PACIFIC HWY S
FEDERAL NAY NA 98003 TUKWILA NA 98168
839-4549 451-4800
IGEORG82081J1
FUEL TYPES.:? ? FANS • 0 BOILERS/COMPRESSORS FEES-
GAS PIPING.: 0 ft HOOD • 0 0-3 HP - 0 PLM PRMT ISSUANCE.. $ 20.00
FURN(100K..: 0 DUCT WORK • 0 3-15 HP • 0 PLUMBING FIXT....93x $ 7.00
GAS HNT - 0 WOOD STOVES...: 0 15-30 HP.,..: 0
4IJ
CONY BURNER: 0 FURN100K 0 30-50 HP....: 0
BBQ • 0 MISC • 9 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 $ 21.00
Does the mater supply system contain a Pressure Reduction Device or Check valve? () Yes () No (If 'Yes' then coater expansion tank is required on Hot Water Tank)
Inspection Record Water Line OK Mechanical Inspection Notes:
GAS PIPING OK Date By
PERMITS EXPIRE 180 !'YS AFTER ISSUANCE IF NO WORK IS STARTED. RESIDENTIAL AND GRADING PERMITS EXPIRE ONE YE R 6.;1E DATE OF ISSUANCE.
I CERTIFY THAT THI ORMATION FU D BY N TRUE AND CORRECT TO THE BEST OF MY KW:rLEDGE AND THE APPLI BLE C' Y OF FERERAL WAY REQUIREMENTS WILL BE MET.
OWNER OR AGENT DATE
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CITY OF he 33530 First Way South
I �n -F • Federal Way, WA 98003 III 'bu 5---oc)(0
(206)661=4000 t'
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A PPL/CA TION FOR Q PERMIT
PARCEL f/• J15a J` � - C120 Single Family Multi-Family 0 Commercial fl
SITE LOCATION:
Tenant/Owner: NJ a_c� CC Phone: -3, ( -
Address/City/State/Zip: L C( - _"1 r PI ' c).
Nature of work: dL�.C`(1„�t„ elI�-C- t. \\A---L�i Y re.f, i/ Project Valuation: $ r\tC-�
APPLICANT:
Name:
Address/City/St/Zip:
Contact Person: Phone: Fax:
MECHANICAL CONTRACTOR: .
Company Name: (--/e L'LAi(' Ofi,1. 1 I
Address/City/St/Zip:
Contact Person: Phone: Fax: (
State L & I Contractor Registration /rt: Exp. Date: `C 1f
(t/q.
(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 c.: - Fans Boiler BTU/H Miscellaneous
G 'I�AA" t tf Hood Boiler BTU/H Other
—
Cony Burner Duct Work A/C TONS Other
'> » 3ik>»
BBQ's WoolStoves _ A/O TONS �'stat•':triit:�aiit�>'<>:r'::>:�<==':..................
DISCLAIMER: I certify under penalty of perjury that the information furnished by me Is true end 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 f .ree to save hermlaa the City of Federal Way esto any claim Gnduding costs,expenses and attorneys'fees
incurred in investigation and defense of such claim),which may be made• person,Indundersigned,Including the uersigned,and filed against the City of Federay Way but only where such claim arises
out of the reliance of the uding Its officers and ample ,,�.-, ,up. curacy of the information supplied to the City as a part of this application.
Owner/Agent: Date: q'Zi/ 67C