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94-102346 • CITY OF FEDERAL WAY �AT T T% A TTrt A T T )T`T1 /STPERMIT NO: BLD94-0964 33530 First Way South 1V11J', tilt 1 X.11 r IJIXIVII I ISSUED: 12/14/94 Federal Way, WA 98003 Building Inspection Requests 661-4140 BY: KLC 661-4000 EXPIRES: 06/12/95 ADDRESS:29426 9TH PL S NO. : 515180-0100 PROJECT DESCRIPTION:HVAC - ADDING GAS PIPING (75'), FURNACE TO 100,000 BTU, GAS HMT, 6 GAS LOGS OWNER CONTRACTOR LENDER CAROL PAYNE NORTHWEST WATER HEATER 29426 9TH PL S 8201 DURANGO ST SW EDERAL NAY WA 98003 TACOMA WA 98499 984-6404 NORTHWHIO3R2 FUEL TYPES.:GAS ? FANS • 0 BOILERS/COMPRESSORS FEES: GAS PIPING.: 75 ft HOOD • 0 0-3 HP • 0 MEC PRAT ISSUANCE... $ 20.00 FURN<100K..: 1 DUCT WORK • 0 3-15 HP • 0 MEC APPLIANCE FEES.: $ 26.00 GAS HNT • 1 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...: 1 > 10,000 CFM: 0 UNDERGROUND.: 0 TOTAL FEES $ 46.00 111, the mater supply syste■ contain a Pressure Reduction Device or Check valve? () Yes () No (If 'Yes' then plater expansion tank is required on Hot Nater Tank) Inspection Record Water Line OK _ Mechanical Inspection Notes: GAS PIPING OK — Date By PERMITS EXPIRE 180 DAYS AFTER SUANCE IF NO WORK IS STARTED. RESIDENTIAL AND GRADING PERMITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE. I CERTIFY THAT T. FOfMATIO 'NISED BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CI Y OF F RERAL NAY REQUIREMENTS WILL BE MET. 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I ® 1--- --13 Federal Way, WA 98003 BuY /— /�96 (/�v ` APPLICATION FOR MECHANICAL PERMIT � I .J I S/i IOC.% - 0L� > PARCEL /I• Single Family � Multi-Family � Commercial El SITE LOCATION: 0,091_ Tenant/Owner: l4' ; 1-)a — Phona: Address/City/State/Zip: c '/©L In f--) <.: d //ca,/, )(J-1,/e) Nature of work: 'AV✓I -Pd‘6/� 2-1 0(16 f ` -'wProject Valuation: $1-J/2 '� t/ APPLICANT: / Name: At( ( 1 4 t l - titian, ' i � ( // Address/City/St/Zip: -----S1)2,- r Contact Person: IJ hr (-- 4 ) Phone -17 A)q/ Fax: (0'(4c_ MECHANICAL CONTRACTOR:J ��i� Company Name: A-1IA) L!lll a (/ ��14i4e-i7 Address/City/St/Zip: r��Y andyko ttak q,çyj / Contact Person: Phone:(47 7 -G170hj Fax: State L & I Contractor Registration #: `-100F! L i-41 ia. 122_ Exp. Date:12/72/`" (Card must be presented) MECHANICAL UNIT COUNT: Fuel Type (gas/other) Gas Dryer Air Handling < = 10,000cfm Fuel Tanks: Length of gas piping '7k) / Range Air Handling > = 10,000cfm Above Ground Furn <100K BTU's L Gas Log Unit Heater Underground Furn >100K BTU's Fans t Boiler BTU/H Miscellaneous Gas Hwt J Hood Boiler BTU/H Other Cony Burner Duct Work A/C TONS Other BBQ's Wood SSoves A/C TONS � s#�flf C � > � < ...»...>=>z...» DISCLAIMER: I certify under penalty of perjury that the information furnished by me is true and correct to the beat of my knowledge and further that I am authorized by the owner of the above premises to perform the work for which permitapplication is made. I further agree to save harmless the City of Federal Way as to any claim(including costs,expenses and attorneys'fees incurred in investigation and defense of such claim),which may be made by any person,including the undersigned,and filed 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: �_ Y',h?14S Date: /2/: q61