94-102333 99,/0a3k
CITY OF FEDERAL WAY
33530 First Way South MECHANICAL PERNIIT PERMIT 57
ISSUED: 12/08/94
Federal Way, WA 98003 Building Inspection Requests 661-4140 BY: FC
661-4000 EXPIRES: 06/06/95
ADDRESS:4O65 SW 337TH ST
NO. : 921152-0500
PROJECT DESCRIPTION:NECH - ADD GAS PIPING (15') AND GAS LOG
OWNER — CONTRACTOR — LENDER
BYRON WELTON
4065 SW 337TH ST.
FEDERAL WAY WA 98023
952-2642
FUEL TYPES.:GAS ? FANS......,...: 0 BOILERS/COMPRESSORS FEES:
GAS PIPING.: 15 ft HOOD • 0 0-3 HP - 0 MEC PRMT ISSUANCE... $ 20.00
FURN<100K.,: 0 DUCT WORK • 0 3-15 HP - 0 NEC APPLIANCE FEES.x $ 9.50
GAS NWT • 0 WOOD 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 CFM: 0 ABOVE GROUND: 0
GAS LOGS...: 1 ) 10,000 CFM: 0 UNDERGROUND.: 0
TOTAL FEES $ 29.50
41;
Does the water supply system contain a Pressure Reduction Device or Check valve? () Yes () No (If 'Yes' then mater 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 THE INFORMATION� FURNISED 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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OWNER OR AGENT � DATE / �_
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City of Federal Way RECEIVED
CITY of �— 33530 First Way South
0 (C Federal Way, WA 98003 •
(206)661-4000 DEC 0 81994
We=1- •
APPLICA TION FOR MECHANICAL PERMIT CITY OF FEDERAL WAY
�j Q evALDING DEPT.
ELtt•
q I ;J0VSingle
a to�1 -! —V 157-
PARC J Sin le Famil Multi Famil o
9 Y Y Commercial
SITE LOCATION:
Tenant/Owner: yGz�. � Phone: 95- 654-42
Address/City/State/Zip: - t:?
> _
Nature of work: as -��'� '�' 4. Project Valuation: $ , G'p
APPLICANT:
Name: „ SGZ.�s�le.
Address/City/St/Zip:
Contact Person: Phone: Fax:
MECHANICAL CONTRACTOR:
Company Name: G�itie/
Address/City/St/Zip:
Contact Person: Phone: Fax:
State L & I Contractor Registration #: Exp. Date:
(Card must be presented)
MECHANICAL UNIT COUNT:
Fuel Type (gas/other) R2r$' Gas Dryer Air Handling < = 10,000cfm Fuel Tanks:
Length of gas piping /S i 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
BBQ's _ Wood Stoves es A
t
v LC TONS .........................
DISCLAIMER: I certify under penalty of perjury that the information furnished by me is true end 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,including its officers and employees,upon the accuracy of the information supplied to the City as a part of this application.
Owner/Agent: ` �✓ `' Date:
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