94-102030 CITY
F FEDERAL
IT NO:
�335300Firstt Way Sout� MECHANICAL PERM I T PER ISSUED: 110/24/9418
Federal Way, WA 98003 Building Inspection Requests 661-4140 BY: FC
661-4000 EXPIRES: 04/22/95
ADDRESS:28601 27TH PL S
Y-1Oa030
NO. : 746690-0350
PROJECT DESCRIPTION:HVAC - ADDING GAS FURNACE < 100K BTU
OWNER — CONTRACTOR LENDER
IRIAE NEIGAL NORTHWEST MATER HEATER
28601 27TH PL. S. 8201 DURANGO ST SW
FEDERAL WAY MA 98003 TACOMA WA 98499
sr984-6404
NORTHWH103R2
FUEL TYPES.:GAS 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 HMT - 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...: 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 rater expansion tank is required on Hot Water Tank)
Inspection Record Mater Line OK Mechanical Inspection Notes:
GASalPIPING OK Date By
t
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 FUR ISED BY ME IS TRUE AND CORRECT TO THE BEST OF NY KNOWLEDGE AND THE APPLICABLE CITY OF F ERAL WAY REQUIREMENTS MILL BE MET.
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• City of Federal Way RECEIVED
CITY OF ,r 33530 First Way South
• _ Federal Way, WA 98003 OCT 2 4 1994
1-e_71731r<F11._ (206)661-4000
WiFr' ITY OF FEDERAL WAY
APPLICATION FOR MECHANICAL PERMIT BUILDMIG DEPT.
guxy-- a& 8
PARCEL ft• 7466900350-09 Single Family L Multi-Family ❑ Commercial D
SITE LOCATION:
Tenant/Owner: In-se 1\. iciel Phone:
Address/City/State/Zip: 28601 27th P1 S Federal Way 98003
Nature of work: Ii- tall furnace Project Valuation: $ 1430
APPLICANT:
Name: a1fft Grog
Address/City/St/Zip: 2802 E rrt-dism Seattle 98112
Contact Person: Ticalt Phone: 322-8191 Fax: 631-7056
MECHANICAL CONTRACTOR:
Company Name: NW Water Heater
Address/City/St/Zip: 2800 ranzrdyke Seattle 98119
Contact Person: Phone?82-4700 Fax:
State L & I Contractor Registration #: NORIHAH103R2 Exp. Date: 12/22/94
(Card must be presented)
MECHANICAL UNIT COUNT:
Fuel Type (gas/other) G Gas Dryer Air Handling < = 10,000cfm Fuel Tanks:
Length of gas piping Range Air Handling > = 10,000cfm Above Ground
Furn <100K BTU's 1 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
»» <>< ;>»>B Q's Wood Stoves A/C TONS <1ttn{ rif>Ca �it > <
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 ay.• made by any person,includi the undersigned,and filed against the City of Federay Way but only where such claim arises
out of the reliance of ther n udirlp its officers and empl•y -,upon the accuracy oft nformation supplied to the City as a part of this application. •-
Owner/Agent: ri. !. Date: il 41