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01-103938 City of Federal Way Community Development Services Mechanical Permit #:01 - 103938 - 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: TOEPKE Project Address: 1004 SW 296TH 5t Parcel Number: 119600 4740 Project Description: MECH-Oil to gas furnace changeout and associated gas piping for existing residence. Owner Applicant Contractor MARDY TOEPKE SUNSET AIR INC SUNSET AIR INC 1004 SW 296TH ST 5210 LACEY BLVD SE 5210 LACEY BLVD SE FEDERAL WAY WA 98023 LACEY WA 98503 LACEY WA 98503 (360)456-4956 / /z ' sS / i c Mechanical Valuation 3900 Over the Counter Permit Yes Mechanical Fixtures Description Quantity Description " Quantity] „ Description" Quantity Furnaces 1 Gas Piping 30 PERMIT EXPIRES April 8,2002,IF NO WORK IS STARTED. Permit issued on October 10,2001 I hereby certify that the aba information is correct and that the construction on the above described property and the occupancy and the e !ill b- -• . cordance wi the laws,rules and regulations of the State of Washington and the City of Fede . a . qp! %r Owner or agent l Date: 1� (0 /6 /d40/ P5 pi / COMMUNIAECEVE LOPMENT DEPARTMENT BUILDING DIVISION �� Fin 33530 First Way South N)N) �/ ®C T r Federal Way,WA 98003 !n ��g (253)6614000 Fax(253)661-4129 APPLICATION FOR MECHANICAL PERMIT Federal Way Business License number:i9C.,-C. ic ; --00 MEC ©j - (°313S• 'ff PARCEL# Single Family[,:( Multi-Family 0 Commercial 0 f('? 4O - tt776 SITE LOCATION tYlaedtI .-,� d30�53) - °3 Tenant/Owner ► pk Phont�_ Address/City/State/Zip 1(X)t 1 .9,1 to �r to 1 („64- 9 Nature of Work(-Al (;F}-S i21U4 c�% 'f OF yS �f PIN4 Project Valuation:$.-3-3C17) APPLICANT C- Name ` -f ec:'---4-ow too Address/City/St/Zip Contact Person Phone Fax MECHANICAL CONTRACTOR Company Name - t---0•-• 1 C-- Address/City/St/Zip --,91c, L F _y !ii i7- 3 Contact Person ten IC l ,l 1. C i/ f;k Phone(3&°)Li s(a Fax )/s(e• LOW) C) State L&I Contractor Registration# 'lrl ( I C1c 3 6-C-5::>7.- Exp.Date =>ti- (Card must be presented) MECHANICAL UNIT COUNT Fuel Type(gas/other) Gas Dryer Air Handling<=10,000cfin Fuel Tanks: Length of gas piping SO I Range Air Handling> 10,000cfin Above Ground Furn<100K BTU's I Gas Log Unit Heater Underground Furn>100KBTU's Fans Boiler BTU/H Miscellaneous Gas Hwt Hood Boiler BTU/H Other Cony Burner Duct Wait A/C TONS Other :au'a:'<" S';n;.3cSi,^.:::_::+++{::.•+y,:r�r.:•:,r�:�•:'r�.'.�.;{:'+Sds�w��:. ..:... ,�:.;;;:;f; :.x:;:;;: BBQ's Wood Stovec A/C TONS �:�'3'"t> t�3ii�:� >? :�: :: �?::•`::;•••:;:•:�::::•;t:>::<- 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 application is made.I further agree to save taintless the City of Federal Way as to any claim(including costs,expaues,and attorneys'fees incurred in investigation and defense of such claim),which may be made by any person,including the undersigned,and fled 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 as a part of this application. Owner/Agent NY)1 - 'c•-�--'rc Date 169/7 Ide®.Aee RevrseD 117/99