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CITY OF FEDERAL WAY MECHANICAL PERMIT PERMIT NO.: BLD92-2511
33530 First Way South BUILDING INSPECTION - 661-4140 ISSUED: 12/28/92
Federal Way, WA 98003 BY: FLF
661-4000
SITE ADDRESS: 30220 10TH AVE S
PARCEL NO.: 515370-0100
PROJECT DESCRIPTION: HVAC
OWNER — CONTRACTOR -- LENDER
ROBERT LITTLEMOYER PUYALLUP GAS APPLIANCE INC.
30220 10TH AVE S P.O. BOX 95
FEDERAL WAY WA 98003 PUYALLUP WA 98371
848-1549
PUYALGA285R1
.TYPES.:GAS ? FANS • 0 BOILERS/COMPRESSORS FEES:
IPING.: 0 ft HOOD • 0 0-3 HP • 0 MEC PRMT ISSUANCE... $ 20.00
FURN<100K..: 0 DUCT WORK • 0 3-15 HP • 0 MEC APPLIANCE FEES.* $ 6.50
GAS HWT • 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...: 0 > 10,000 CFM: 0 UNDERGROUND.: 0 TOTAL FEES $ 26.50
INSPECTION RECORD
Water Line OK Mechanical Inspection Notes:
GAS PIPING OK -&-S i%/4,r/ 6' Date /6-5t-5 By 17
Ili
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.
OWNER OR AGENT if j//Y,Z / DATE/22�
bid mech 07/01/92 c
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CITY OF FEDERAL WAY
BUILDING PERMIT APPLICATION
— Please Print—
BOX 1 TENANT NAME: 14 {
OWNER K C.6E- 1):TTLJ: SITE LOCATION - 7 Z IO t` a-L
OWNER'S ADDRESS 3- UE. 5i CITY & U.'Prr' PHONE '39 4-1-
DESCRIBE
-FDESCRIBE JOB Crsi}`j coif- liJ(T&iR 1- YiTL-
THE PROPERTY IS OWNED BY: SINGLE/MARRIED ..'� PARTNERSHIP CORPORATION
BOX 2 CONTRACTOR'S NAME P kid LL(A 0 CSS h-PPL t\U I QL_ CONTRACTOR'S REG. #})Nt,e.kit=4 S> 4'1
q Card MUST be presented
CONTRACTOR'S ADDRESS P U- 60 X J 3 CITY �'V4-1 LUQ PHONE I- I GJ�I 9
EXPIRATION DATE 2-I/ '-5.3
— OR —
I HAVE READ CHAPTER 18.27.010 RELATING TO DEFINITIONS OF GENERAL CONTRACTORS AND SPECIALTY CONTRACTORS AND
CHAPTER 18.27.110 WHICH PROHIBITS ISSUING PERMITS WITHOUT PROOF OF REGISTRATION.
BOX 3 CONTACT PERSON J P1S PHONE C276 Sci /C
BOX 4 SEWER DISTRICT WATER DISTRICT
BOX 5 ESTIMATED PROJECT COST EXISTING BUILDING VALUATION
BOX 6 PROPERTY TAX ACCOUNT NUMBER
LEGAL DESCRIPTION
(If necessary, please submit a separate page with the legal description.)
K.C. Plat Recording # l`ir 3 20 "'O/QO? -CJS I
BOX 7 BUILDING SQUARE FOOTAGE: (Existing/Proposed) 1ST FLOOR / 2ND FLOOR /
3RD FLOOR / BASEMENT / DECK / GARAGE /
BOX 8 (\") SINGLE FAMILY ( ) NEW CONSTRUCTION
( ) MULTIFAMILY (NO. OF UNITS = ) ( ) EXISTING STRUCTURE
( ) COMMERCIAL/INDUSTRIAL TOTAL AREA OF PROPERTY SQ FT
BOX 9 PLUMBING FIXTURES (including rough-ins) MECHANICAL APPLIANCES — BASIC FEE $
NO. WATERCLOSETS GAS PIPING, FEET CN, $
BATHTUBS NO._ FURNACE, ELEC. GAS $
SHOWERS / GAS HOT.WATER HEATER $
LAVATORIES CONVERSION BURNER $
SINKS BOILER, SIZE BTU $
DISHWASHERS AIR HANDLING UNITS $
ELECTRIC HOT WATER HEATER HEAT PUMPS, SIZE $
LAUNDRY WASHER OUTLET UNIT HEATERS $
URINALS AIR COOLING UNITS, SIZE $
DRINKING FOUNTAINS COMMERCIAL HOOD $
SUMPS, SPRINKLER VACUUM BREAKERS _._ OTHER $
DRAINS _ $
OTHER $
TOTAL 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
AND FURTHER THAT I AM AUTHORIZED BY THE OWNER OF THE ABOVE PREMISES TO PERFORM THE WORK FOR WHICH PERMIT APPLICATION 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 FEDERAL WAY, BUT ONLY WHERE SUCH CLAIM ARISES OUT OF THE RELIANCE OF THE CITY, INCLUDING ITS
OFFICERS AND EMPL ES, UPON THE ACCURACY OF THE INFORMATION SUPPLIED TO THE CITY AS A PART OF THIS APPLICATION.
OWNER/AGENT: Gt4U' ,L ✓' �L•�w" DATE: 1 �Z ` 4--/ —
ANP-008 3/90