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33530CITY OF FEDERAL WAY Firstt Way South MECHANICAL P EF;M I T PERMIT NO:ISSUED: 09/02/9351
Federal Way, WA 98003 Building Inspection Requests 661-4140 BY: FC
661-4000 EXPIRES: 03/01/94
ADDRESS:32033 11TH AVE SW
NO. : 926493-0860
PROJECT DESCRIPTION:HVAC - INSTALL GAS FURNACE, HOT MATER HEATER, & PIPING.
=OWNER —CONTRACTOR — LENDER
DENNIS KNUST NORTHWEST MATER HEATER
32033 - 11TH AVE SN 8201 DURANGO ST SN
Fill MAY WA 98023 TACOMA, NA NA 98499
874-2736 984-6404
NORTHMH103R2
FUEL TYPES.:GAS FANS - 0 BOILERS/COMPRESSORS FEES:
GAS PIPING.: 55 ft HOOD • 0 0-3 HP • 0 NEC PRMT ISSUANCE... $ 20.00
FURN<100K..: 1 DUCT MORK • 0 3-15 HP • 0 NEC APPLIANCE FEES.* $ 19.50
GAS HNT • 1 MOOD STOVES...: 0 15-30 HP • 0
CONY 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 CFN: 0 ABOVE GROUND: 0
GAS LOGS...: 0 > 10,000 CFM: 0 UNDERGROUND.: 0
TOTAL FEES $ 39.50
4
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 INFORMATION FURNISED BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FERERAL MAY REQUIREMENTS WILL BE MET.
OWNER OR AGENT —_______ _� ��C DATE _% '
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CITY OF FEDERAL WAY �W�� \ 'A(FU�
BUILDING PERMIT APPLICATION rcU
—Please Print—
BOX 1 TENANT NAME:
OWNER kL )YuJi �) lLiU)-h SITE LOCATION 3 c33 I t lav
OWNER'S ADDRESS 1, t J S CITY w CIA+PHONE Ssq i-1- a rt3(4%
DESCRIBE JOB 1(1 ACL q(1 ', u..(tsoXIC ( Local \ (
THE PROPERTY IS OWNED BY: SINGLE/MARRIED Y. PARTNERSHIP CORPORATION
BOX 2 CONTRACTOR'S NAME Ni.,.) l a)Q Lft 1.0 U Il CONTRACTOR'S REG. # NoRT I41,0 1n 3RD
_ Card MUST be presented
CONTRACTOR'S ADDRESS O Q RO, nc)c) SL`"CITY ( PHONE q?`{'(.CLIC y
EXPIRATION DATE la(aa ci 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 J1\ LS��� Q L/uL, PHONE qSLI
BOX 4 SEWER DISTRICT WATER DISTRICT
BOX 5 ESTIMATED PROJECT COST ICO EXISTING BUILDING VALUATION
BOX 6 PROPERTY TAX ACCOUNT NUMBER ciaSLi q 1 C%(TC
LEGAL DESCRIPTION
(If necessary, please submit a separate page with the legal description.)
K.C. Plat Recording #
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
( ) COMMERCIAUINDUSTRIAL TOTAL AREA OF PROPERTY SQ FT
BOX 9 PLUMBING FIXTURES (including rough-ins) MECHANICAL APPLIANCES — BASIC FEE$
NO. WATERCLOSETS GAS PIPING, FEET `),_.' ' $
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 EMPLOYEES, UPON THE ACCURACY OF THE INFORMATION SUPPLIED TO THE CITY AS A PART OF THIS APPLICATION.
OWNER/AGENT: ( .QJ�SI_Q ( DATE: DIU 03
ANP-008 3/90