94-102229 CITY FEDERAL WAY
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MIT NO 33530OFirst Way South MECHANICAL PERMIT PER ISSUED: 11/23/9408
Federal Way, WA 98003 Building Inspection Requests 661-4140 BY: FC
661-4000 EXPIRES: 05/22/95
ADDRESS:767 SW 337TH ST
NO. : 729804-0260
PROJECT DESCRIPTION:HVAC - INSTALL FURNACE
OWNERli[
- CONTRACTOR - LENDER
RANDALL NOZAWA NORTHWEST WATER HEATER
767 SW 337TH ST 8201 DURANGO ST SW
FEDERAL WAY WA 98023 TACOMA WA 98499
984-6404
NORTHWH103R2
FUEL TYPES.:GAS ? FANS • 0 BOILERS/COMPRESSORS FEES:
GAS PIPING.: 0 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.* $ 10.00
GAS HNT • 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 $ 30.00
Does the water supply system contain a Pressure Reduction Device or Check valve? () Yes () No (If 'Yes' then water 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 T1 :FORM,TION F R ISED BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FERERAL WAY REQUIREMENTS WILL BE MET.
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City of Federal Way RECEIVED
CITY OF / ""'"' , 33530 First Way South •
----_,_-__-_-__ TETDETKFIL._0Federal Way, WA 98003 NOV 1 81994 7
(206)661-4000
WirrY CITY OF FEDERAL VVAY
APPLICATION FOR MECHANICAL PERMIT BUILDING DEPT.
/�
RNLI-n(05
PARCEL itiZ 6i lv 1 bLU 6 - O '
Single Family* Multi-Family 0 Commercial 0
SITE LOCATION: i l`lCV-I
Tenant/Owner: SFJ Ad di ( Phone:
Address/City/State/Zip• it,// 4fd..VJ ,0()1)
I
Nature of work:CA C L ` ✓/G/ .9..•-. Project Valuation: Pty ) c "---
APPLICANT:
Name: -- ucc Clr
Address/City/St/Zip: -"ng/ E' If Y1z --' j qJ/
Contact Person: Phoner3 1�(P ( Fax: l (31P- 1-5
MECHANICAL CONTRACTOR: ..p,-I{�,I / 1
Company Name: \IA(0J:: 41q 'e 1'
Address/City/St/Zip: -% V l I 1crrd-110--- SP404--0--e Ci) ` '9
Contact Person: PhoneFZ 2 1 LUXJ Fax:
State L & I Contractor Registration #: \-\(-vf► VII l����--L Exp. Date: l
.27-72/- 4
(Card must be presented)
MECHANICAL UNIT COUNT:
Fuel Type (gas/other) Gas Dryer Air Handling < = 10,000cfm Fuel Tanks:
Length of gas piping Range Air Handling > = 10,000cfm Above Ground
Furn <100K BTU's Gas Log Unit Heater Underground
Furn >100K BTU's Fans Boiler BTU/H Miscellaneous
Gas Hwt Hood Boiler BTU/H Other
Cony Burner Duct Work A/C TONS Other
BB4's
Wo
9dS Stoves s
A/C
TONS >T #at tliY>(rtfit»'';>»»a «
DISCLAIMER: 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 Federay Way but only where such claim arises
out of the reliance of the City,incl •ing its officers employees,upon the accuracy of the information supplied to the City as a part of this application.
Owner/Agent: `�0 L�� Date: l
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