93-101786 CITY OF FEDERAL WAY MECHANICAL
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CITY First y South A L PE R IVI I T
3353
Federal Way, WA 98003 BUILDING INSPECTION 661-4140 : O3 C7 /
PERMIT NO.: BLD93-07
661-4000ISSUED:
07/22/!
SITE ADDRESS: 34915 23RD AVE SW BY: F(
PARCEL NO.: 176110-0300
PROJECT DESCRIPTION: HVAC
- OWNER
DONNA DAVIS
CONTRACTOR -- _
34915 23RD AVE. SW NORTHWEST WATER HEATER
FEDERAL WAY WA 98023 8201 DURST GO
WA ST HE LENDER
SW
TACOMA, WA WA 98499
838-6728
984-6404
NORTHWH103R2
IIIFf FUEL TYPES.:GAS ? FANS •
0
GAS PIPING.: 40 ft BOILERS/COMPRESSORS
� FURN<100K..: 1 HOOD..........: 0 0-3 HP......: - --
DUCT WORK • 03-15 0 FEES:
GAS NWT • 0 WOOD STOVES...: 0 15-30 HP.....; p
CONV BURNER: 0 HP....: p MEC PRMT ISSUANCE... $ 20.00
BBO TURN>100K.....: 0 30 50 HP....: MEC APPLIANCE FEES.*
0 MISC • 0 0 $ 13.00
GAS DRYER..: 0 AIR HANDLING UNITS EL TAP KS___ 0
RANGE • 0 FUEL TANKS.........LOGS...: 0 <=10,000 CFM: 0 ABOVE GROUND: 0
> 10,000 CFM: 0 UNDERGROUND.: 0
TOTAL FEES
$ 33.00
INSPECTION RECORD
IWater Line OK Mechanical Inspection Not
GAS PIPING OK es:
Date By
i
I CERTIFY THAT THE INFORMATION FURNISHED BY ME IS TRUE AND CORRECT TO THE BEST AFTER FMY KNOWLEDGE O WORK IS STARTED.
ND THE APPLICABLE CITY OF FEDERAL WAY REQUIREMENTS WILL BE MET.
OWNER OR AGENT I.
bld_mech 07/01/92 �x �`�
DATE ( -2 2- '9 -3
CITY ?P •
...
• FEDERAL WAY 0
BUILDING PRMIT APPLICATION
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ANT NAME:
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CITY OF FEDERAL WAY MECHANICAL PERMIT PERMIT NO.: BLD93-077
33530 First Way South BUILDING INSPECTION - 661-4140 ISSUED: 07/22/93-
Federal Way, WA 98003 BY: FC
661-4000
SITE ADDRESS: 34915 23RD AVE SW
PARCEL NO.: 176110®0300
PROJECT DESCRIPTION: HVAC
OWNER CONTRACTOR LENDER
DONNA DAVIS NORTHWEST WATER HEATER
34915 23RD AVE. SW 8201 DURANGO ST SW
FEDERAL WAY WA 98023 TACOMA, WA WA 98499
8-6728ill 984-6404
NORTHWH103R2
I
FUEL TYPES.:GAS ? FANS • 0 BOILERS/COMPRESSORS FEES:
GAS PIPING.: 40 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.* $ 13.00
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 TOTAL FEES $ 33.00
INSPECTION RECORD
Water Line OK Q Mechanical Inspection Notes:
�S PIPING OK rr,,2L S' APi, Date c)-- 7-93/44/BY
BY
ALL PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS STARTED.
I CERTIFY THAT THE INFORMATION FURNISHED BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY REQUIREMENTS WILL BE MET.
i
OWNER OR AGENT 1())/t<ez.. ...L.)/vD DATE 7-i2, -9..b
bld meth 07/01/92
CM
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