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93-103217 23-1x31)7 CITY 335300FirsF ttEWay South RAL WAY MECHANICAL P ERM I T PERMIT ISSUED:NO: 112/21/9365 Federal Way, WA 98003 Building Inspection Requests 661-4140 BY: FC 661-4000 EXPIRES: 06/19/94 ADDRESS:3018 SW 339TH ST NO. : 873216-0140 PROJECT DESCRIPTION:HVAC INSTALL GAS FURNACE & PIPING OWNER -- CONTRACTOR -- LENDER BRAD WHITMAN CITY SHEET METAL 4202 AUBURN NAY N 18 AUBURN NA 98002 852-2174 CITYSM*173JA FUEL TYPES.:GAS FANS • 0 BOILERS/COMPRESSORS FEES: GAS PIPING.: 25 ft HOOD • 0 0-3 HP . 0 MEC PRMT ISSUANCE... $ 20.00 FURN<100K..: 1 DUCT WORK • 0 3-15 HP • 0 NEC APPLIANCE FEES.* $ 13.00 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...: 0 > 10,000 CFM: 0 UNDERGROUND.: 0 TOTAL FEES $ 33.00 lies 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 1 PERMITS EXPIRE 180 .. ;ITER ISSUANCE IF NO WO'K IS STARTED. RESIDENTIAL AND GRADING PERMITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE. I CERTIFY THAT 'E INF M;. ID URNISED BY . IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FERERAL NAY REQUIREMENTS WILL BE MET. 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BOX _ CONTACT PERSON ie,ivk e 0 A.v ���y L� w\ (CT St�cc_C•mc--Q-d- _ PHONE <s5-2 -2 t-1,--iBOX 4 SEWER DISTRICT ` WATER DISTRICT BOX 5 ESTIMATED PROJECT COST EXISTING BUILDING VALUATION BOX 6 PROPERTY TAX ACCOUNT NUMBER 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 ( ) COMMERCIAL/INDUSTRIAL TOTAL AREA OF PROPERTY SQ FT ' BOX 9 PLUMBING FIXTURES (including rough-ins) MECHANICAL APPLIANCES — BASIC FEE $ NO. WATERCLOSETS GAS PIPING, FEET ' $ BATHTUBS NO. t 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 A RACY OF THE INFORMATION SUPPLIED TO THE CITY AS A PART OF THIS APPLICATION. ', OWNER/AGENT:( /19,,--,-7DATE: /Z z( - 13