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07/28/94 05 W.N.6 TFiCOMA EXEC. WING 473-8415 002
City of Federal Way •RE(�L
011-v OF Federal_"'____ 33530 First Way 3ouih vC'VL D ‘
�' f C1� ..� m 2 0)001-4OAO Qt73 C
' f JUC Z s 1994 R
APPLICATION FOR MECHANICAL PERMIT Ty OF FE
BUILDI$G pRE ►NAy
PARCEL£ 715',.,!2-- E Single Family Multi-Family El Commercial 0
QLD qL/- 5 'e/
SITE LOCATION:.--, _
9L/ /`
,..Q
Tenant/0 Wrier: —
(7) r cry? .—�
Address/City/State/'Zip: '-Thj :{, _ 1'.( /
A
?
Nature of work: ' 7!. ' '. l ` b.' ! •
y_.1_
C ei`` . Project Valuation: S__
APPLICANT:
r`
Name: S�
Address/CityfSUZi : l �� a ��' '7 y 'L G t ;jl'iG -ti i f� �cff�,ii
Contact Person; " ilk rt 40, Phone: C. t : Fax:
MECHANICAL CONTRACTOR:
Company Name:
Addrass/City/St/Zip .
Contact Person; Phone; _ Fax;
State L & I Contractor Registration #: 3r 2_ ti, i=xp, Date:
(Cord tv.8t ba praaentod!
MECHANICAL UNIT COUNT:
^t lel Typa (gaalatharj Gas Dryer Air handling < .= 10.000cfm Nei Tank*:
Len In DI gda piping l nye Alr Hondltng '- es 10f000ofnt Abovo Ground _.
Furn L1o0K ell's CreB Log Univ Heater Undar.round f
Furn >100K BTU's Font Boiler arJ/H MiscolltIvsous
t
,Gag Hwt I Wad Boiler BTU other..
1,Ctbnv Sumter Duct Work EBMIIIMIIIaIIIIII Qthor
31£4LAIMIER: I C4!tlly Urge pendty AI paltry that the laia,marlan:vrotabb by rya!a tut atd correct 10 the War of qty know:41:14e we Aetna,that I am•tehetu•d by 04 Owner of the above
presnfaat to peroetb the Wnfa for mot",payroll yogyamovao 4 moot. :rfrrrar agree tc sera narrnte•t the A:tr of f airr•t Wei e•t.er'v.i.im 211.,1.N t...t... -...O.nc 144a4n4V4'rrr*
Warred ih trr i ic'Non and darer**el Ertel c4str t.which may es reed'*Sty'try D*NO/f,ifltlodlrti the undraigoad,e d rhea.',epetrtet the City of Rederey Way but*My whets arch daim arise•
out of the reliMt*Of the City,Ittohditl3 Rt WC**Ind ampiayee-e,teeert the'swot'?at the irthrtnetlen supplied to the Clty e••art rf this appliaatien.
Owner/Agent: ...-.—_—....r. Dato+ -