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01-101096 r City Federal Way Community Development Services Mechanical Permit #:01 - 101096 - 00 - ME Community 33530 1st Way S Federal Way,WA 98003-6210 Ph:253.661.4000 Fax:253.661.4129 Inspection request line: 253.835.3050 Project Name: ANDERSON Project Address: 1300 S 359TH 5-r Parcel Number: 292104 9089 Project Description: MEC-Replace oil furnace with gas furnace;install gas hot water tank.j„i\C1 J,)c ud plyt_c)) Owner Applicant Contractor Gregory M Anderson NETCLERK,INC ROSSOE ENERGY SYSTEMS INC 1300 S 359TH ST 880 DUBUQUE AVE S 9367 RAINIER AVE S FEDERAL WAY WA SAN FRANCISCO CA 94080 SEATTLE WA 98118 98003-7434 (206)725-7555 Mechanical Valuation 5800 Over the Counter Permit Yes Mechanical Fixtures Description Quantit" --Description Quantit, Description Quantity Furnaces I CiaS 1'1 _ to ( C PERMIT EXPIRES September 17,2001,IF NO WORK IS STARTED. Permit issued on March 21,2001 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 W Owner or agent: Date: 3-Z1-6 I BUILDING DIVISION ` a G 33530 FIRST WAY SOUTH' 4 l�©f?1 X.. FEDERAL WAY,WA 98003 (253)661-4000 • Fax(253)661-4129 APPLICATION FOR MECHANICAL PERMIT Federal Way Business License Number: MEC 6 ( - I0 (ORb PARCEL#292104908903 Single Family 2 Multi-Family ❑ Commercial 0 SITE LOCATION Tenant/Owner GREG ANDERSON Phone 2538151158 Address/City/State/Zip 1300 S 359TH ST Federal Way WA 98003 Nature of Work OIL TO GAS FURNACE CONVERSION AND NEW WTR HTR IN REL Project Valuation:$ 5800.00_________ APPLICANT Name NetClerk Inc Address/City/State/Zip 720 Dubuque Ave South San Francisco ST 94080 Contact Person Phone Fax MECHANICAL CONTRACTOR Company Name Rossoe Energy Systems Address/City/State/Zip PO Box 18259 Seattle WP 98118 Contact Person MICHELE Phone Fax State L&I Contractor Registration# rossoes1 01II Exp.Date 11/17/2_000_____ (card must be presented) MECHANICAL UNIT COUNT Fuel Type(gas/other) GAS Gas Dryer Air Handling<= 10,000 cfm Fuel Tanks: Length of gas piping 40' Range Air Handling>= 10,000 cfm Above Ground Furn< 100K BTUs 1 Gas Log Unit Heater Underground Furn> 100K BTUs Fans Boiler BTU/H Miscellaneous Gas Hwt 1 Hood Boiler BTU/H Other <Descr> Conv Burner Duct Work A/C TONS Other<Descr> BBQ's Wood Stoves A/C TONS t° 1 Cou 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: 02/15/2001 MECH.APP REVISED 1/7/99 ' , Aa s. ��a�' l c5 ,:f!;117:f::1'!: � L z"IM YFYs. aga s t ..: 31 AA, '"u ti`cc,. -.� A � ', € ..-.4 P ...... ,,el-1'[., € v u€ v % . _ .vim. .'`» d . '.