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01-102203 City of Federal Way Community Development Services Mechanical Permit #:01 - 102203 - 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: ANDERSON, , Project Address: 30221 5TH/S Parcel Number: 064310 0070 Project Description: MEC-Replace 85,000 BTU gas furnace.Revised 7/2/01 to include electric to gas water heater changeout w/25'gas piping. Owner Applicant Contractor Joan R Anderson NONE WASHINGTON ENERGY SERVICES CO 30221 5TH AVE S 2800 THORNDYKE AVE W FEDERAL WAY WA SEATTLE,WA 98003-4058 NONE (206)282-4700 Mechanical Valuation 2500 Over the Counter Permit Yes Mechanical Fixtures o es Pi tion : :1Q00,1* fQ. nti '""' ntl ;V Descri tion G2i�aiiti Furnaces 1 Gas Piping 25 W Q r /leel/ _ _ I PERMIT EXPIRES December 3,2001,IF NO WORK IS STARTED. Permit issued on June 6,2001 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.. v Owner or agent:t d Date: ` \ I1nnnn e CA0% h Vida 0 l< - (A-o / c VV ` JUN-04-01 10:01 FROM-NORTHWEST-CASSIMAR 206-374-0834 T-508 P.01/05 F-986 ' 4 YoIr _vv..... .......__. . -_ . --- lap--MIF1R- APPLICATION NUMBER: O i - L Q 2 ZO23, r 4,E i=r),- APPLICATION NUMBER: - APPLICATION NUMBER: - -.L: '.-..._,..'. r-. . �. - *' The following is required information-Please print(in Ink)or type** Please note: Electrical,Fire Prevention Systems and Engineering permits may require a separate application. • PROPERTY INFORMATION SITE ADDRESSC3IA :- I ✓ 6� 5 ASSESSOR'S TAX/PARCEL#: ODq 3 I u - 001 v • LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY): - _ . -. - - • PROJECT INFORMATION TYPE OF PROJECT(This application): 0 BUILDING 0 PLUMBINGECHANICAL 0 DEMOLITION 0 ELECTRICAL 0 ENGINEERINGFIRE PREVENTION SYSTEM • PROJECT DESCRIPTION:;Provide detailed description): -CV qIIS . ow ' PROJECT NAME: A5z5----r- ■. PEOPLE INFORMATION • . PROPERTY OWNER: NAME: ) p� Lj ��! / -�7 MAi11NG ADDR,Ess(STREET ADDRESS COY,STATE,ZIP): 41.� l CLQ 0 BAYTIME PHOf�f _ CONTRACTOR: Nero ) p�1�SC�T �• �`��/\ SVC . (d5/ 0 - wSUNG ADO mazer r •••-•-•; .STA ZIP): �:fl.l 4- 'X CO-' hi5Yn LLQ ,c� �1� c moo) 3-A,- tpPr QTY OF FEDERAL WAY BUSINESS U• • NUMBER: FAX NUMBER - - ( ) - aNGRA TOR'SROGISTRATBNINUMBER: -� O S; 44 � sc- °1 0 c. c) mr rile /oa APPLICANT: Jim; OAYfIMEPHONE; owns ( ), - M AILING ADDRESS(STREET ADDRESS:CITY,STATE,ZIP): EVENING PNONE ( ) • - R GATiON:SHIP TO PROJECT: FAX NUMINSO ❑ ARCHITECT 0 TENANT 0 OTHER(DESCRIBE): ( ) EMIL ADDRESS: CONTACT PERSON FOR.THIS PROJECT: 0 PROPERTY OWNER 0 APPLICANT )33ONTRACTOR IIIDETAILED BUILDING INFORMATION EXISTING USE: EXISTING BUILDING ASSESSED/APPRAISED VALUATION $ PROPOSED USE: PROPOSED VALUATION FOR IMPROVEMENTS: $ SPRINKLERED RUILDIHG? 0 YES 0 NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED:0 YES ❑ N( WATER SERVICE PROV[DER: ❑ LAKEHAVEN •❑ HIGHLINE 0 TACOMA 0 PRIVATE(WELL) SEWER SERVICE PROWDER: 0 LAKEHAVEN 0 HIGHLINE 0 PRIVATE(SEPTIC) V V V V V V V dblrl ANEW It 1DENTIAI.CONSTRUCTION ONLY**) • ' NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $ al PROJECT FLOOR AREAS • FLOCIR —^T EXISTING SQ.FT. PROPOSED SQ.FT. TOTAL 'BASEMENT FIRST SECOND • THIRD FOURTH OTHER FLOORS(DESCRIBE) DECK GARAGE HOW MANY FLOORS? TOTAL; - ■. FIXTURES Indicate number of each type of fixture MECHANICAL AIR HANDLING UNIT(S) EVAPORATIVE COOLERS) GAS LOG(S) REFRIG.SYSTEM(S) • 1113Q(S) — FAN(S) - HOOD(S) WOODSTOVE(S) , FIREPLACE INSERT(S) RANGE(S) MISC.( COMPRESSOR(s) r FURNACE(S) r bUCT(S) GAS PIPE OUTLET(S) HEAT SOURCE: 0 ELECTRIC iAS PLUMBING BATHTUB(S) LAVATORY(S) URINAL(S) WATER HEATER(S) ,DISHWASHER(S) RAIN WATER SYS. „ VACUUM BREAKER(S) ❑ ELECTRIC 0 GAS DRINKING FOUNTAIN(S) SHOWERS) WASH MACHINE OUTLET GAS PIPE OUTLET(S)LETS) SINK(S) WATER CLOSEr(S) MISC.( INTERCEPTOR(S) SUMP(S) ■ DISCLAIMER/SIGNATURE BLOCK 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 X am authorized by the owner of the above premises rjo perform the work for which the permit application Is made. I further agree to hold harmless the City of Federal Way as to any claim(including costs,expenses,and attorneys'fees Incurred in the Investigation and deferwe of such claim),which may be made by any person,including the undersigned,and filed against the City of Federal Way,but only%here 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 as a part of this application. - NAME/TIU : XQ. ( DLI rTh. (Ar DATE: 1-0114 10 I ❑ PROPERTY OWNER APPLICANT NTRACTOR I ;-c-1i. -, a �IC 1 c v .rry • T ,n, q 1 v ti ! ...a 7 5 IP,.��J��.�'yi� L� rl.i ` ,A •' I I� ��pp.�hh{„�ti r ,.I►,�.f'��t�� {r N�i����rL.►.tr` !P�{ f f h 't ..� JT v +r r k, L Y' �I F .Iyj Ag � ar �l_`1� rY• f f eIr r• 1pp ?rr57•1rrr��xLL:,�1wL:i y L�y.T—I J►aLL (yW1 _1r4; '4( rt -'IA1441liTAIF ," ; 1. I F;7111'.&1 �IrCr{.�l Fa7-4■�Ee�.rJ..) �L.;i.,A.�.„T.hyP..;►!..r,'.,+II',Ir1 w�IIIuyII�..EI�'+��ii li,„rILi�'�YI"71,��'fu7,■rF 3w`'�N.� r, Irh!i�,I OXIMUlkit1Y DEVB.IOPI NEPrT SERV1CM•33S30 FIRST WAY SOUTH•P.O.BOX 9718•iEO6rAL WAY,WA 98063-9718.25461.4000-FAX 253461-4129 I