01-100062 4/.--I
• •
City of Federt!Way
Community Development Services Mechanical Permit #:01 - 100062 - 00 - ME
33530 1st Way S
Federal Way,WA 98003-6210 Inspection request line: 253.661.4140
• Ph:253.661.4000 Fax:253.661.4129
(3:30pm cut-off for next day inspections)
Project Name: KOTCHKOE
Project Address: 918 SW 360TH 5t Parcel Number: 440561 0170
Project Description: MECH-Replace gas hot water heater in existing single family residence
Owner Applicant Contractor
Jack A Kotchkoe NETCLERK,INC FAST WATER HEATER COMPANY
918 SW 360TH ST 880 DUBUQUE AVE S FAST WATER HEATER COMPANY
FEDERAL WAY WA SAN FRANCISCO CA 94080 12601 132ND AVE NE
98023-7259 (425)814-8381
Mechanical Valuation 449 Over the Counter Permit Yes
PERMIT EXPIRES July 4,2001,IF NO WORK IS STARTED.
Permit issued on January 5,2001
I hereby certify that the above information is correct and that the construction on the above described property and
the occupancy and the use will be in accordance with the laws,rules and regulations of the State of Washington and
the City of Federal Way.
Owner or agent: - _ /—S —U I
, _ � � Date:
2\ 22 (.0
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BUILDING DIVISION
` 33530 FIRST WAY SOUTH
l��t.. FEDERAL WAY,WA 98003
(253)661-4000
Fax(253)661-4129
APPLICATION FOR MECHANICAL PERMIT
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Federal Way Business License Number: �/
MEC(9Ir I XPW-
PARCEL#4405610170 Single Family 2 Multi-Family ❑ Commercial ID
SITE LOCATION
Tenant/Owner Jack Kotchkoe Phone 2539526309
Address/City/State/Zip 918 SW 360TH ST Federal Way WA 98023
Nature of Work Remove/Replace gas water Heater Project Valuation:$449.00
APPLICANT
Name
NetClerk Inc
Address/City/State/Zip 720 Dubuque Ave South San Francisco ST 94080
Contact Person Phone Fax
MECHANICAL CONTRACTOR
Company Name Fast Water Heaters Company
Address/City/State/Zip 12601 132nd Ave. N.E. Kirkland WP 98034
Contact Person Phone Fax
State L&I Contractor Registration# FASTWHCO52DF Exp.Date 02/16/2001
(card must be presented)
MECHANICAL UNIT COUNT
Fuel Type(gas/other) Gas Dryer Air Handling<= 10,000 cfm Fuel Tanks:
Length of gas piping Range Air Handling>= 10,000 cfm Above Ground
Furn< 100K BTUs Gas Log Unit Heater Underground
Furn> 100K BTUs Fans Boiler BTU/H Miscellaneous
Gas Hwt 1 Hood Boiler BTU/H Other <Descr>
Cony Burner Duct Work A/C TONS Other <Descr>
BBQ's Wood Stoves A/C TONS Total Unit Count
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 this application is made.I further agree to save harmless the City of Federal Way as to any claim
(including costs,expenses,and attorney's 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 Federal Way but only where such claim arises out of reliance of the city,including its officers and employees,upon the accuracy of the
information supplied to the city as a part of this application.
Owner/Agent Date: 12/26/2000
MECH.APP
REVISED I/7/99
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