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01-103166 City of Federal Way Community Development Services Mechanical Permit #:01 - 103166 - 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: FRAZIER Project Address: 31033 9TH It RV&5 Parcel Number: 081850 0140 Project Description: MEC-Extend gas line from garage to kitchen,approx,25'. Owner Applicant Contractor Margarete E Frazier PAT'S PLUMBING INC PATS PLUMBING INC 31033 9TH AVE S P.O.BOX 426,KENT WA 98035 P.O.BOX 426,KENT WA 98035 FEDERAL WAY WA 98003-4769 (253)854-4080 • Mechanical Valuation 2946 Over the Counter Permit Yes Mechanical Fixtures Description Quantity Description (Quantity Description 'Quantity Number of Gas Outlets 1 PERMIT EXPIRES February 9,2002,IF NO WORK IS STARTED. Permit issued on August 13,2001 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. J Owner or agent: -71Q44.4_ , it Date: �j /3/0/ 411/1/ - ate"f ate" RECEIVE® CONSTRUCTION PERMIT APPLICATION � � — APPLICATION NUMBER: ©I - / 03../ , - gs' AU* I 3 2°1111 APPLICATION NUMBER: - - GI fY k OF FEDERAL ewdAY APPLICATION NUMBER: - - **The folTNGrequirDEP . s information-Please print(in ink)or type** Please note: Electrical, Fire Prevention Systems and Engineering permits may require a separate application. ■ PROPERTY INFORMATION SITE ADDRESS/d 3 14-' 4. d 'e - ASSESSOR'S TAX/PARCEL #: - LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY): ,y . • PROTECT INFORMATION , - TYPE OF PROJECT(This application): ❑ BUILDING ❑ PLUMBING Igl,MECHANICAL ❑ DEMOLITION • •• ❑ ELECTRICAL ❑ ENGINEERING❑ FIRE PREVENTION SYSTEM PROJECT DESCRIPTION (Provide detailed description): J Li r. c( � S -Q r` rri T-' J‹,'ifich off PROJECT NAME: ■ PEOPLE INFORMATION PROPERTY OWNER: NAME: DAYTIME PHONE: IrY\C.t r c r -e`t- -� \ S -e-111 ( 3) 731 -5r MAILING ADORE (STREET ADDRESS;CITY,STATE,ZIP): ?l0 .& 3 q fig.. C`V .2 S Fez Qe-1^c{t WC{ CONTRACTOR: NAME: < 1!^` (`� ' in-, l` DAYTIME PHONE: N• y D SS(STREET AODRES ITY,STATE,ZIP (+c4( EVENING PHONE: \ �c. - CITY OF FEDERAL WAY BUSINESS UCENS UMBER: FAX NUMBE``"//R: ix CONTRACTOR'S REGISTRATION NUMBER. ` , 3_0 O \. EXPIRATION DATE: (copy of card required) / / APPLICANT: NAME: ` DAYTIME PHONE: R L MAIUI G ADDRESS(STREETDDRESS STATEE,ZIP): EVENING oE.' 1— " ( ) - RELATIONSHIP TO PROJECT: FAX NUMBER: ❑ ARCHITECT ❑ TENANT ❑ OTHER(DESCRIBE): ( ) - E-MAIL ADDRESS: CONTACT PERSON FOR THIS PROJECT: ❑ PROPERTY OWNER ❑ APPLICANT CONTRACTOR -- - ■ DETAILED BUILDING INFORMATION EXISTING USE: EXISTING BUILDING ASSESSED/APPRAISED VALUATION $t� q PROPOSED USE: PROPOSED VALUATION FOR IMPROVEMENTS: $O2 1 (b . 1 7 SPRINKLERED BUILDING? ❑ YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED: ❑ YES ❑ NO WATER SERVICE PROVIDER: ❑ LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE(WELL) SEWER SERVICE PROVIDER: 0 LAKEHAVEN 0 HIGHLINE 0 PRIVATE(SEPTIC) 0 **NEW RESIDENTIAL CONSTRUCTION ONLY** NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $ . : . ■ PROTECT FLOOR AREAS.. • _ FLOOR 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 COOLER(S) GAS LOG(S) REFRIG.SYSTEM(S) BBQ(S) FAN(S) HOOD(S) WOODSTOVE(S) BOILER(S) FIREPLACE INSERT(S) RANGE(S) MISC.( ) COMPRESSOR(S) ' / FURNACE(S) DUCT(S) V GAS PIPE OUTLET(S) HEAT SOURCE: ❑ ELECTRIC ❑ GAS PLUMBING BATHTUB(S) LAVATORY(S) URINAL(S) WATER HEATER(S) DISHWASHER(S) RAIN WATER SYS. VACUUM BREAKER(S) ❑ ELECTRIC ❑ GAS DRINKING FOUNTAIN(S) SHOWER(S) WASH MACHINE OUTLET GAS PIPE OUTLET(S) SINK(S) WATER CLOSET(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 I am authorized by the owner of the above premises to 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 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 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/TITLE: " DATE: ❑ PROPERTY OWNER APPLICANT ❑ CONTRACTOR 1 FOR OFFICE USE ONLY: ❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ TENANT IMPROVEMENT CENSUS CODE: LOT SIZE: ZONING DESIGNATION: BUILDING SHELL ONLY? ❑ YES ❑ NO COMP PLAN DESIGNATION BASIC PLAN? ❑ YES ❑ NO SECTION TOWNSHIP RANGE NEW ADDRESS REQUIRED? ❑ YES ❑ NO PLATTED LOT? 0 YES Cl NO CHANGE OF USE? ❑ YES 0 NO