98-104594 —
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CITY OF FEDERAL WAY y' t'''',1.1.:.:
yy PERMIT NO: MEC98-0310
33530 F i rs t Way South i'w�'Il E'�.n:.(,::::.11g!,""''h II"',I1."l.1,. I.',�.:�4:;'1i M..". ;,,')!;;;;, `
Federal Way, WA 98003 Mechanical Inspection Requests 253- 661-4140 BY: FC2
253-661-4000 EXPIRES: 05/29/99
ADDRESS: 32126 4TH AVE SW
98- roe sgy
NO. : 926490--1310
PROJECT DESCRIPTION:G/G FURNACE CHANGEOUT
-
p= -- CONTRACTOR __._..._. ,- LENDER _____....
1 HELEN WARD NORTHWEST WTR HTR INC/DAVIS WH
32126 4TH AVE SW ( 2800 THORNDYKE AVE W
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FEDERAL WAY WA 98023 SEATTLE WA 98199
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253-838-2507 r (253)984-6404 800-292-4328
A NORTHWH1O3R2
Sts CONTRACTORS, PLEASE USE LOCATION CODE 1732 WHEN REPORTING SALES TAX FOR PROJECTS WITHIN THE CITY OF FEDERAL WAY. TAX RATE = 8.25 Sts
PROJECT VALUATION 2400 FEES:
FUEL TYPES.:GAS GAS FANS • 0 BOILERS/COMPRESSORS Mechanical Permit* $ 54.00
GAS PIPING.: 0 ft HOOD • 0 0-3 TON • 0 MEC PRMT ISSUANCE... $ 20.00
FURN<1O0K..: 1 DUCT WORK • 0 3-15 TON , 0
GAS NWT • 0 WOOD STOVES...: 0 15-30 TON...: 0
CONV BURNER: 0 FURN>10OK • 0 30-50 TON...: 0
BBQ • 0 MISC • 0 50+ TON • 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 $ 74.00
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: Mechanical Rough-in Date Gas Piping Date
MECHANICAL FINAL Date
=
PERMITS EXPIRE 180 DA S AFTER ISSUANCE IF NO WORK IS STARTED.
I CERTIFY THE INFOR • ON FUR SHED BY ME IS T U AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY REQUIREMENTS WILL BE MET.
OWNER OR AGENT I _ _____ _ /Y`C11- N0 DATE 1 • _L J
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City of Federal Way
CITY OF �-T — 33530 First Way Sou
•_ CFederal Way, WA 980%1� ♦ CEIVED
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(206)661-4000 v
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APPL ''i',' DEC p 11998
/CAT/ON FOR MECHA A r • P:! Ai r'Id'1 1998
/ C : I ill ,t r: ' OVAIt art OF FEDERAL.WAY
71 � 0/t7 � 0 BUILDING DEPT.YNHUOLC�ING EPS",
PARCEL # Family0
SingleMulti-Family 0 Commercial 0
. 67
SITE LOCATION: _ 2<s-73Tenant/Owner: -Re-'(GIA Phone:e..(
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Address/City/State/Zip: Il� 4 ,1l/,,J
Nature of work: 1�-�� \ �J It�QE? ?�Zi
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Project Valuation:
APPLICANT:
Name: _
Address/City/St/Zip:
Al\ C
Contact Person: Phone: "� ` 2,0t ax;
MECHANICAL CONTRACTOR:
Company Name: \Q aW ( k MT-t9Q__ .7--( --(�`C-ei ---_,_,
Address/City/St/Zip: 2� �0 (�C (2p`t'�,c Al. hi.
Contact Person: NA_ T Phone: 2_,R "i v0 Fax:
State L & I Contractor Registration #: N( b ► Exp. Date: _ t=f¢
(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
Cony Burner Duct Work A/C TONS Other
BBQ's Wood Stoves A/C TONS 'Ftai f3nift;aitn
DISCLAIMER: I certify under penalty of perjury that the information furnisJrcR"tune is true a •correct • 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. -(her agree to sa mle City•f Federal Way as to any claim(including costs,expenses and attorneys'fees
incurred in investigation and defense of such claim),which may ..made by any pers• ,in •irhe undersi ned,and filed against the City of Federay Way but only where such claim arises
out of the reliance of the City,including its officers and em••yees,upon{heacc a1 information sup died to the City as a part of this application.
NI
Owner/Agent: 4 - Date: `'I �'