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CITY OF FEDERAL WAY IVI EC HAIL I CAL PERMIT PERMIT NO.: BLD92-2338
33530 First Way South BUILDING INSPECTION - 661-4140 ISSUED: 10/26/92
Federal Way, WA 98003 BY: FLF
661-4000
SITE ADDRESS: 2145 SW 338TH ST
PARCEL NO.: 330620-0160
PROJECT DESCRIPTION: HVAC - INSTALL GAS FURNACE
OWNER -- CONTRACTOR - — LENDER
MICHAEL POWELL ARCO INSTALLATION, LTD.
2145 SW 338TH ST 1902 S.341ST PL. 09
FEDERAL WAY WA 98023 FEDERAL WAY WA 98003
III952-5433
ARCOIL*141LE
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 HWT • 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
INSPECTION RECORD
lifter Line OK Mechanical InspectionctNotes:
GAS PIPING OK Date ii1R f SZ By /__
KiAtt *ILA
/ ALL PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS STARTED.
I CERTIFY THAT THE INFORMATION tF6RNISH A 6E00ME IS TRUE AND CORRECT TO THE BEO MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY REQUIREMENTS WILL BE MET.
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OWNER OR AGENT / I, / DATE i .._
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bld mech 07/01/92 • 1
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BY:ARCO pRCO I NSTALLNT I O 10-21-92 11. 14AP1 ,
JT INSTALLATIONS Permit #
16L.DCti - 2338 " ..
RECEIVED
92 CITY OF FEDERAL WAY APPLICATION
OCT 21 1992 PERMIT
NOW Print—
orry OE T
i TENANT NAME: SITE LOCATIO
OWNER a .1 CITY .. b PHONE
OWNER'S ADDRESS -. _ sal
DESCRIBE JOB ' • « ,PARTNERSHIP CORPORATION
THE PROPERTY IS OWNED BY: S NGLEIMARRIED CONTRACTOR'S REG, # 1 ' r 1$
ir Card MUST e. presented
2 CONTRACTOR'S NAME �0 � �,�� ��, �
11, --
_ ciTygderal__21.2a../____
CONTRACTOR'S ADDRESS
EXPIRATION DATE — OR--
I HAVE READ CHAPTER 18.27.010 RELATING TO DEFINITIONS
W THOUTRAL CONTRACTORS
NTF ACT REGRS AIONN SD PECIALTY CONTRACTORS AND
CHAPTER 18.27.110 W ICH PROHIBITS ISSUING PERMITS3 .- pHON `
X 3 CONTACT PERSON . is=
ix 4 SEWER DISTRICT WATER DISTRICT
IX 5 ESTIMATED PROJECT COST EXISTING BUILDING VALUATION
IX 6 PROPERTY TAX ACCOUNT NUMBER_11thc `' 01 ' 9 10
LEGAL DESCRIPTION —
(If necessary, please submit a separate page with the legal description.)
K.C. Plat Recording# . - - — - — -
OX 7 BUILDING SQUARE FOOTAGE: (Existing/Proposed) 1ST FLOOR,___ _..J- - — 2ND FLOOR J
3RD FLOOR JBASEMENT______-./ DECK___�J _ GARAGE I
OX 8 ()() SINGLE FAMILY ( ) NEW CONSTRUCTION
( ) MULTIFAMILY (NO. OF UNITS = ) ( ) EXISTING STRUCTURE
( ) COMMERCIAUINDUSTRIAL TOTAL AREA OF PROPERTY SO FT
OX 9 PLUMBING FIXTURES (Including rough-Ins) MECHANICAL APPLIANCES BASIC FEE$
NO.. WATERCLOSETS GAS PIPING, FEET _—b $
BATHTUBS N0,__1______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 $
CERTIFY UNDER PENALTY OF PERJURY THAT THE INFORMATION FURNISHED BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE
ND FURTHER THAT I AM AUTHORIZED BY THE OWNER OF THE ABOVE PREMISES TO PERFORM THE WORK FOR WHICH PERMIT APPLICATION IS
LADE.I FURTHER AGREE TO SAVE HARMLESS THE CITY OF FEDERAL WAY AS TO ANY CLAIM(INCLUDING COSTS,EXPENSES,AND ATTORNEYS'
EES INCURRED IN INVESTIGATION AND DEFENSE OF SUCH CLAIM), WHICH MAY BE MADE BY ANY PERSON, INCLUDING THE UNDERSIGNED,
ND FILED AGAINST THE CITY OF FEDERAL WAY,BUT ONLY WHERE SUCH CLAIM ARISES OUT OF THE RELIANCE OF THE CITY,INCLUDING ITS
:FICERS AND EMPLOYE S, UPON THE ACCURACY OF THE INFORMATION SUPPLIED TO THE CITY AS A PART OF THIS APPLICATION.
VNER/AGENT: A . X4I .0 II e0__:______ DATE: _