95-100780 4'
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CITY OF FEDERAL WAY MECHANICAL PERMIT PERMSSUED: 04/20/9596
33530 First Way South
Federal Way, WA 98003 Building Inspection Requests 661 -4140 BY: FC
661-4000 EXPIRES: 10/17/95
ADDRESS: 31712 7TH AVE S
NO. : 794160-0380
PROJECT DESCRIPTION:MECH - ADD FIREPLACE INSERT
0 r OWNER GREGORY VICARS NORTHWEST RWATER HEATER I LENDER
31712 7TH AVE S 8201 DURANGO ST SW
FEDERAL WAY WA 98023 TACOMA WA 98499
941-3722 984-6404
NORTHWH103R2
FUEL TYPES.:? ? FANS • 0 BOILERS/COMPRESSORS FEES:
GAS PIPING.: C 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.* $ 6.50
GAS NWT • 0 WOOD STOVES...: 0 15-30 HP • 0
CONY BURNER: 0 FURN>100K 0 30-50 HP • 0
BBQ . 0 MISC • 1 5+ HP • 0
GAS DRYER..: 0 AIR HANDLING UNITS FUEL TANKS
49 RANGE • 0 <=10,000 CFM: 0 ABOVE GROUND: 0
GAS LOGS...: 0 > 10,000 CFM: 0 UNDERGROUND.: 0
TOTAL FEES $ 26.50
Does the water supply ?,vstem 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 AFT1R ISSUAN IF NO WORK I TARTED. RESIDENTIAL AND GRADING PERMITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE.
11
I CERTIFY THE INFORMATION F .'NISHED B ME IS TRUE AN ORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY 0 FEDERAL WAY UIREMENTS WILL BE MET.
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City of Federal WayRECEIVED
CITY OF ' '- 11010 33530 First Way South
• _ Federal Way, WA 98003 APR 2 01995
(206)661-4000
Wid=r CITY OF FEDERAL WAY
APPLICATION FOR MECHANICAL PERMIT BUILDING DEPT,
�r 131.,D q5-- 029 Co
PARCEL it• T )�" �' C-�c-= 5 S( " �= ‘"1/4 Single Family Multi-Family 0 Commercial 0
SITE LOCATION:
Tenant/Owner: (-- ' c; a'c2- Phone:
S c--L k 2 Z--
-Tir
Address/City/State/Zip: t -A ' R R-7 � '-k--
e
Nature of work: \ F>>- d2Ic. -- ^tee'-.e-\c Project Valuation: $
t
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\N-N. 44+2_
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APPLICANT:
Name: f\-11 • :...-). Pe....,- s.,l
•Address/City/St/Zip: 2 1 Ati�1 --'-i-% J- ,.J-e-: `--1, t t L
Contact Person: __J,-.,.._.,-1 �--Q- \C �-so L--- Le--S Phone: IZ2 - l`r- Fax: `'.1---.4"-.1--- ----
MECHANICAL
.14t -�
MECHANICAL CONTRACTOR:
Company Name: 1� ms's �"-�G -r �c-
Address/City/St/Zip: ",'`� -� ^ ��--ti c Y--�� = r>c- ?( 14 i
Contact Person: \-•••__\) e---,, ,_k___ VLA,•�&-e Phone: .- .1. 1.. - k Ct. I Fax: �.--2- `l- ..-"----le
--l'�
State L & I Contractor Registration #: "•�i1T-AA‘_:•-i ,‘,--k \' S Als.Z Exp. Date: \24 ti-4-11----
(Card
,c(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 J' S 1,NC lV-
Cony Burner Duct Work A/C TONS Other
;:zc `<>>;;»:»:><: < ;`BBQ's Wood Stoves A1C TONSTn#al#3nft Csunf>3d?ziz[ ; ' `"
DISCLAIMER: I certify under penalty of perjury that the information furnished by ma 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 permi application is made. I further agree '•save harmless the City of Federal Way se to any claim(including costs,expenses and attorneys fees
incurred in investigation and defense of such cl -m),which may be made-y any per • including the undersigned,and filed against the City of Federay Way but only where such claim arises
out of the reliance of the City,inc.! ing its offi and employees,up• he accurac of the information supplied to the City as a part of this application.
C 1 Owner/Agent: Date: � \3\.,/ 1 \