92-102240 9.1- /0?.; Y6
CITY OF FEDERAL WAY IVI EC HAN I CAL PERMIT PERMIT NO.: BLD92-2563
33530 First Way South BUILDING INSPECTION - 661-4140 ISSUED: 12/21/92
Federal Way, WA 98003 BY: JJ
661-4000
SITE ADDRESS: 28023 22ND AVE S (C,; df""'" H"4567 o,� 4'' '''.-7- i‘) Sac K 5.41 ":1Z
41ar.z -
PARCEL NO.: 422230-0200
PROJECT DESCRIPTION: INSTALL GAS FURNACE
OWNER — CONTRACTOR LENDER
JUDY NAYLOR NORTHWEST WATER HEATER
28023 - 22ND AVE S 8201 DURANGO ST SW
FEDERAL WAY WA 98003 TACOMA, WA WA 98499
8118 984-6404
NORTHWH103R2
FUEL TYPES.:GAS FANS • 0 BOILERS/COMPRESSORS FEES:
GAS PIPING.: 0 ft HOOD • 0 0-3 HP • 0 MEC PRMT ISSUANCE... $ 20.00
FURN<100K..: 1 DUCT WORK • 0 3-15 HP • 0 MEC APPLIANCE FEES.* $ 10.00
GAS HWT • 0 WOOD STOVES...: 0 15-30 HP • 0
CONV BURNER: 0 FURN>100K • 0 30-50 HP • 0
BBQ • 0 MISC • 0 5+ HP • 0
GAS DRYER..: 0 AIR HANDLING UNITS FUEL TANKS
RANGE • 0 <=10,000 CFM: 0 ABOVE GROUND: 0
GAS LOGS...: 0 > 10,000 CFM: 0 UNDERGROUND.: 0 TOTA ,IrIX $ 30.00
/I V
INSPECTION RECORD �1
i
Water Line OK Mechanical Inspection Notes:
.S PIPING OK Date By0���
wik
10
ALL PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WO KI*444f
I CERTIFY THAT THE INFORMATION FURNISHED BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE A E APPLICABLE CITY OF FEDERAL WAY REQUIREMENTS WILL BE MET.
OWNER OR AGENT / /C40E. X(,L5A !� DATE /o7'p7) '7,).—
bld mech 07/01/92
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