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CITY 335300F FEDERAL WAY Firstt Way South MECHANICAL 1 1 PFRMIT NO:ISSUED: 06/03/9401
Federal Way, WA 98003 Building Inspection Requests 661-4140 BY: FC
661-4000 EXPIRES: 11/30/94
ADDRESS:826 S 326TH ST
NO. : 326070-1040
PROJECT DESCRIPTION:HVAC - INSTALL GAS FURNACE
OWNER CONTRACTOR LENDER
LEWIS AMERICAN HEATING SERVICES INC.
41r
826 S 326TH ST 7503 PORTLAND AVE STE.#B
FEDERAL NAY WA 98003 '4C0"A »A 48404
581-5505 'i39-1702
AMERIHS083M5
i
FUEL TYPES.:6AS ? FANS • 0 BC EF J O PRL,SOR; -,.
GAS PIPING.: 0 ft HOOD
0-3 iaP..... 6 ?: C PRATISSUANCE... $ 20.00
FURN(IOOK..: 1 DUCT WORK : 0 3-15 HP - 0 rCtPPLI,A'"E ''EFL a $ 10.00
GAS HAT - 0 .0O' STOVEc...: 0 15-30 ;,° ()
CONY BURNER: 0 FURR>100K • C 30-50 tiP....: 0
BBQ • 0 MISC... 0 3+ ;=P ' 0
GAS DRYER..: 0 AIR HANDLING UNITS ;UE'_ `ANK:, -
RANGE • 0 (:10,000 CFM: 0 ABOVE GROUND: 0
GAS LOGS...: .0 > 10,000 CFA: 0 UNDERGROUND.: 0
TOTAL FEES S 30.00
• _Does the water supply system contain a Pressure Reduction Device or Check valve? () Yes () No (If 'Yes' then eater expansion tank is required on Hot Water Tank)
Inspection Record Water Line OK Mechanical Inspection Notes:
GAS PIPING OK Date By
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS STARTED. RESIDENTIAL AND GRADING PERMITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE.
I CERTIFY THAT THE INF NATION FURNISED BY N RUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FERERAL NAY REQUIREMENTS WILL BE MET.
' OWNER OR AGENT 'I/ DATEC/13/g
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CITY OF FEDERAL WAY MECHANICAL PERMIT PERMIT NO:
06/03/9401
33530 First Way South
Federal Way, WA 98003 Building ln=pection Requests 661-4140 BY : FC
661-4000 EXPIRES: 11/30/94
ADDRESS:826 S 326TH ST
NO. : 326070-1040
PROJECT DESCRIPTION:NYAC - INSTALL GAS FURNACE
ONNER . . _ — _ _ _ �._......_ _, _ _ CONTRACTOR ---____—___.....__=—..—_-__ . -. — - LINDER ..._._� _u_ �... _ r ....------r,�� a
LEWIS AMERICAN HEATING SERVICES INC.
41[
826 5 326TH ST1503 PORTLAND AYF STE.Ih
FEDERAL NAY NA 98003 TACOMA NA 98404
581-5505
AY „AA" `
._.._. _. - -rte-- _ __ ���_.. ._.__ _._ ..
FUEL TYPES.:GA: ? FAN; : 0 I /C �� � r�ypi�r � � �'�
GAS PIPING.: 0 ft HO�r,.°***,......" •.0 1 0-3:HP, , , -414:i:1494111::": SSUANCE... $ 20.00
FURN(100K..: 1 i�3iMNMNi ' T NO 1
7;!1
GAS NMT • 0 , 1 �4. m r 4 , Edo ...z.: 0. a . � , 3 10.00
�:� ti P E FEES..
CONY BURNER: 0
88D - 0 MI '
GAS DRYER..: 0
RANGE • 0 < o', ABOVE GROUND: 0
GAS LOGS...: 0 > 10,011 N: 0 UNDERGROUND.: 0
TOTAL FEES $ 30.00
Does the eater supply system contain a Pressure Reduction Device or Check valve?"—T) Yes () No (If 'Yes' then water expansion tank is required on Hot later Tank)
Inspection Record Water Line OK ___ ___..._ Mechanical Inspection Notes:
GAS PIPING OKLcS$IH�n/_co Datr = 'l y
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS STARTED. RESIDENTIAL AND GRADING PERMITS EXPIRE ORE YEAR AFTEE DATE OF ISSUANCE.
I CERTIFY THAT THE INFU.RMATIOM FURNISED BY N' RUE. AND CORRECT TO THE BEST ETF MY KNONI.FDGE AND THE APPLICABLE CITY OF FERERAL MAY RIOUIRE:MENTS WILL 6E NET
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FIELD COPY 6,1 to
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CITY OF FEDERAL WAY
BUILDING PERMIT APPLICATION
-Please Prin!--
600 1 TENANT NAME,
OWNER — SITE LOCATION
OWNER'S ADDRESS _ L, •��ca� _,Sf CITY /4ci`-. Z. i .PHONE S&j F-;---,s--as--
DESCRIBE
,S 5-DESCRIBE JOB13U_S :,1' _6-4- /4.___s.._ va j2/'2)t4 _ _
_ THE PROPERTY IS OWNED BY: SINGLE/MARRIED_.)( -__�___,PARTNERSHIP._ - CORpORATICN __ �_
sex 2 CONTRACTOR'S NAME�C JI.I2kc�A►z) -- J-EJ) flfls C ,ce-reL CON'TRACTOR'S REG. # ti��ltl, s'=
19-1)&- f_iCard MUST bs prISVild/�jis
CONTRACTOR'S ADORESS- t�,% - � CITY 9(- L22 L PHONE �icl -/_2C' :i.-.
EXPIRATION DATE - S - '24/�/ .
-OR
I HAVE READ CHAPTER 19,27.010 RELATING TO DEFINITION(OF GENERAL CONTRACTORG AND SPECIALTY CONTRACTORS AND
CHAPTER 19,27,110 WHICH PROHIBITS ISSUING PERMITS WITHOUT PROOF OF REGISTRATION.
BOX 3_CONTACT PERSON ( f -�/i1' C=,f) eft)
PHONE 4 � f.
BOX 4 SEWER DISTRICT WATER DISTRICT —_.
—'
ROY 5 ESTIMATED PROJECT COST . _~- J
EXISTING BUILDING VALUATION -
. BOX 8 PROPERTY TAX ACCOUNT NUMBER -2 ..-
LEGAL
_LEGAL DESCRIPTION - r ..,._ - _- - .. . - _ ..,.
(U necessary, please sUtP11It B Separate pagr with me legal aeixc!IptIon.)
_ K.G. Neat Rficordllg# — _. — _ .. __
BOX 7 BUILDING SQUARE FOO CAGE: (ExIetlrA/Proposad) 1ST FLOOR_ -J -. 2ND FLOOR .r._J
3RD FLOOR I. ___
BASEMENTJ_._�_. DECK L._. GARAGE _J.
BOX 8 ( ) SINGLE FAMILY ( ) NEW CONSTRUCTION
( ) MULTIFAMILY (NO, OF UNITS . _ ,.._) ( ) EXISTING STRUCTURE
( ) COMMERCIAL/INDUSTRIAL �_y_ TOTAL AREA of PROPERTY SO FT
BOX S PLUMBING FIXTURES(i cludIng rough-ins) MECHANICAL APPLIANCES- BASIC FEE
NO. :.___WATI=RCLOSET9 GAG PIPING, FEET_.7. — $
___BATHTUBS NO._._../FURNACE, ELEC._.. . _GAG— - to
$HDWEAS GAS HOT WATER HEATER $ ____L___
_LAVATORIES CONVERSION BURNER $ -
__,�_ _SINES _BOILER, SIZE __- ,, BTU S
_DISHWASHERS _ AIR HANDLING UNI rS $
. _ ,. . ELECTRIC HOT WATER HEATER , - _HEAT PUMPS, SIZE $ .___-_f---
LAUNDRY WASHER OUTLET _UNIT HEATERS $ -.
__URINALS , - . AIR GUDLINO UNITS, SIZE�- _--_ $
DRINKING FOUNTAINS __ —COMMERCIAL HOOU S ��..-. ...
.SUMPS, SPRINKLER VACUUM BREAKERS _—EITHER $ _
IMAMS ..__._ . _ _ .._ - . - $ —
OTHER _ _ - - __.. - $ _�_,..-._._
_____MAI,FIXTURES -.--. $
TOTAL MECHANICAL FEE _ $
I CERTIFY UNDER PENALTY OF PERJURY THAT THE INFORMATION FURNISHED BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE
ANC FURTHER THAT IAM AUTHORIZED BY THE OWNER OF THE ABOVE PREMISES TO PERFORM THE wont(FOR WHICH PERMIT APPLICATION IS
MADE.I FURTHER AGREE TUSAVE HARMLESS THE CI TY OF FEDERAL WAY AS TO ANY CLAIM(INCLUDING COSTS,EXPENSES,AND ATTORNEYS'
FEES INCURRED IN INVESTIGATION AND DEFENSE of SUCH CLAIM),WHICH MAY EE MADE BY ANY PERSON,INCLUDING THE UNDERSIGNED,
AND FILED AGAINST THE CITY OF FEDERAL WAY,RUT ONLY WHERE SUCH CLAIM ARISES OUT OF THE RELIANCE OF THE CITY,INCLUDING ITS
OFFICERS AND EMPLLYEEES, UPON THE ACCURACY OF THE INFORMATION SUPPLIED TO THE CITY AS A PART of THIS APPLICATION.
WN AOENT: I4S:.6Z`z4. `/F- >r -7r.- . L1ATE: . _ �.- T. _
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