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95-100433 It 9S-)0 0 X3 CITY OF FEDERAL WAY M E C H A N I C A L P E R M I T PERMIT NO: BLD95 02/24/9550 33530 First Way South Federal Way, WA 98003 Building Inspection Requests 661-4140 BY: FC 661-4000 EXPIRES: 08/23/95 ADDRESS:28843 7TH AVE S NO. : 515292-0080 PROJECT DESCRIPTION:MECHANICAL - ADD (2) GAS HWT OWNER — CONTRACTOR — LENDER el DONNA LEWIS GEORGE BRAZIL 24 HR SERVICE 28843 7TH AVE S 11063 PACIFIC HWY S FEDERAL WAY WA 98003 TUKWILA WA 98168 839-1108 451-4800 GEORGB2081J1 FUEL TYPES.:GAS ? FANS • 0 BOILERS/COMPRESSORS FEES: 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 MEC APPLIANCE FEES.$ $ 13.00 GAS HWT • 2 WOOD STOVES...: 0 15-30 HP • 0 CONY BURNER: 0 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 $ 33.00 Does 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 AYS FTER ISSUA. . IF NO WO S STARTED. RESIDENTIAL AND GRADING PERMITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE. I CERTIFY THE INFOR ATIO FURNISHE E IST E NID RECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY REQUIREMENTS WILL BE MET. OWNER OR AGENT - 1 DATE 2-1 'U 616 16 . f I, FILE COPY MIT NO: BLD95-01 CITY FE WAY F RAL 335300E i rstEWay South MECHAN ! CAL PERM I ! PER ISSUED: 02/24/9550 Feder&l Way , WA 98003 Building Inspection Requests 661-4140 BY: FC 661-4000 EXPIRES: 08/23/95 ADDRESS: 28843 7TH AVE S NO. : 515292-0080 PROJECT DESCRIPTION:MECHANICAL - ADD (2) GAS HMT = OWNFR _�._.-_-_- -.._ __ _ ...R_ . _- --- ---- CONTRACTOR LENDER �_. , �_,.._ _.__. __ __„ , ..� y_ - ---- GEORGE . . y _ ...._. .. _. r- -w-.. ._.M Wit._ :Q_s s �.�_.__ DONNA LEWIS GEORGE BRAZIL 24 HR SERVICE e28843 TTH AVE S 11063 PACIFIC HWY S l FEDERAL WAY WA 98003 TUKWILA MA 98168 839-1108 `' .. . _.., _.. . - ...__.-_•.._..._.. ..-r,.:.m .....y..,.�....v.----.-_.. z........-..,...—.--sem-1. ..»......_,a.x........J..a......:am:....... • FUEL 1�PES.:$AS ? FANS > 0 , .` `�, FEES: GAS PIPING.: 0 ft HOOD �� 0 - HP rte. r ISSUANCE... 8 20.00 FURNclOOK..: 0 ► 5 �� A IANCE FEES.' 8 13.00 CONYGAS HBURNER: 0 . D'� r � 30 � �� w �. . . � ,� � � . , 880 • 0 C. 50 + M GAS DRYER..: 0 �A w I � ; RANGE • 0 < i i �«'AB' .ROUND: GAS LOGS...: 0 > 10, $t ,Af4: UNDERGROUND.: 0 TOTAL FEES 8 33.00 _- .. = Does the eater supply system contain a Pressure Reduction Device1ot C,heck/ralve? () Yes () No (11 "Yes' then eater expansion tank is required on Hot Water Tank) i / 1' Ili- Inspect - Inspection Record Water Line OK . Mechanical nspa�tton j 1otes: GAS PIPING OK Date 4ay ---_ ._.— .- ..-,-, __ Z:r ...... _.-... _ PERMITS EXPIRE 180 DAYS AFTER ISSUANCE _IF NO WORK IS STARTED. RESIDENTIAL AND GRADING PERMITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE. I CERTIFY THE INFORMATION FURNISHED BY ME IS TRUE AND CORRECT TO THE REST OF MY KNOWLEDGE AND THE APPLICABLE CITY' OF FEDERAL/ WAY REQUIREMENTt WT11 Af MTT. FIELD COPY L.ity vi rt:uuidi vvdy CITYor- < 33530 First Way South l �� • Federal Way, WA 98003 11\)/ )/>(711"*) . (2061661 4000 t APPLICATION FOR MECHANICAL PERMIT ._0 (5 O 15LDq5 PARCEL 11• 515-,7qa - . 0c80 Single Family © , Multi-Family 0 Commercial 0 SITE LOCATION: • Tenant/Owner: De_=t,) JI LEL'` Phony 839- )(CH Address/City/State/Zip- 2-(_)fl +N Avt� j • Nature of work: I, ''S`jD ;, �AS w CA ktjers (2-ea— Project Valuation: $ 62" SJ APPLICANT: Name: De,t\.)/•\) L.L.--,---L.....)$s Address/City/St/Zip: 85,e5t THri p`vE Contact Person: Phone: 835'^ l 1o8 Fax: MECHANICAL CONTRACTOR: Company Name: G -c>`2Ctr—- A2-1L Zi ' — SGRvILE Address/City/St/Zip: L(0�� 1 Ac_; Ic:-_ 11')sf 5 • 5 ---c-cLc Contact Person: C'30E A t'3'7$2 ,D`\ Phone:(,610 7GT—06‘;1— Fax: State L & I Contractor Registration #: Exp. Date: (Card must be presented) MECHANICAL UNIT COUNT: Fuel Type (gas/other) i, .,'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 BBQ'. 4 Wood Stoves A/C TONS h�`:>z:>:; :'>#3:�;>::.�#> > > >�?3>» aN:z»> >?z><>= ntnk:�fll t",aur�e 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 agree to save harmless the City of Federal.Way as to any claim Oncluding costs,expenses and attorneys'fees incurred in investigation and defense of such claim',which may be made by any person,including the undersigned,and filed against the City of Federay Way but only where such claim arises out of the reliance of the City,including Its officers andemployees, upon c*racy of the information supplied to the City as a part of this application. Owner/Agent: G6 Date: /� / I