01-101946 ofFed
City uz tyDevvellopment Services eWay
Community Development Mechanical Permit #:01 - 101946 - 00 - ME
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: STOUT ixo
Project Address: 33023 28TH'SW Parcel Number: 894530 0100
Project Description: MEC-Change out gas furnace&hot water tank,add air conditioner
Owner Applicant Contractor
Robert W Stout NONE ALL WAYS AIR CONTROL INC
33023 28TH AVE SW 1515 S CENTER ST
FEDERAL WAY WA TACOMA WA 98409
98023-2709 NONE (253)383-7718
(/rw) /et P —Z ff-ti/ 5'5
Mechanical Valuation 6125 Over the Counter Permit Yes
Mechanical Fixtures
'' DeSCription �Qiian#Na; e CnptlonF ' Quantity a escripf on Quantitvl
Air Handling Units 1 Furnaces 1
PERMIT EXPIRES November 12,2001,IF NO WORK IS STARTED.
Permit issued on May 16,2001
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: ,�/� � .Q_ Date: 57/Cr/0
(C7
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City of Federal Way
33530 First Way South
Federal Way, WA 98003-6210 J
x a- (253)661-4000 MEC d>l - d /y1lp
APPLICATION FOR MECHANICAL PERMIT
PARCEL#•s944S 80 0,9
BUl�utwG DLPT. Single Family pi Multi-Family 0 Commercial
•
SITE LOCATION: R8► ' 5 ouf
Tenant/Owner: Phone: 253)(eLe 1-(s6Z�j
Address/City/State/Zip: 3073 Z$1 3L . FeL�.co t (-Jay, 9&)z1
Nature of work: r ivy0 SctS Q.s o.kal. .t1-104- t.,361F" Project Valuation: $ 6.I 'ZS no
AM r Ccanj k error.
APPLICANT:
Name:
Address/City/St/Zip:
Contact Person: Phone: Fax:
MECHANICAL CONTRACTOR:
Company Name: 111- Qys PkVe. LO d1�cb
Address/City/St/Zip: l5(S S. CQ>44e,c- , kac-030v)., 9
Contact Person: Phone: (ZSR)38)-77 i Fax: 05 -7710
State L & I Contractor Registration #: A'LLJ ARC--0`l 1C3 Exp. Date: 5146 /266Z—
(Card
2662(Card must be presented)
MECHANICAL UNIT COUNT:
Fuel Tvoeother) Gas Dryer Air Handlina < = 10.000cfm Fuel Tanks:
Lenath of aas oioina Ranee , Air Handlina > = 10.000cfm Above Ground
Furn <100K BTU's I Li cKbha Gas Loa Unit Heater Underaround
Furn >100K BTU's Fans Boiler BTU/11 Miscellaneous
Gas Hwt 1 Hood Boiler BTU/H Other
Cony Burner Duct Work A/C t.5
TONS ,,9.S1le(.. .............,.
'
-BBn'' Wood Stoves Ali TONS N ��� ,�
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 applladn Is made. I further agree to save harmless the City of Federal Way as to any claim(including 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 and employees,upon the accuracy of the information supplied to the City es a part of this application.
Owner/Agent: ! �+i r•' Date: S7l6/c (