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CITY
335300Firstt Way South F FEDERAL WAY M E C H A N I CA L P E R M I T PERISSUED: 111 /05/9301
Federal Way, WA 98003 Building Inspection Requests 661 -4140 BY: FC
661 -4000 EXPIRES: 05/04/94
ADDRESS: 702 SW 298TH PL
NO. : 201970-0090
PROJECT DESCRIPTION:HVAC - INSTALL WOOD STOVE
OWNER — CONTRACTOR — LENDER
JERRY CHASE PACIFIC ENERGY SUPPLY INC
ifil
102 SW 298TH PL P.O. BOX 2144
FEDERAL WAY WA 98023 6920 - 22ND ST W./TACOMA
GIG HARBOR WA 98335
941-5213 565-4594
PACIFESO71KQ
FUEL TYPES.:WOD FANS • 0 BOILERS/COMPRESSORS FEES:
GAS PIPING.: 0 ft HOOD • 0 0-3 HP • 0 MEC PRMT ISSUANCE... $ 20.00
FURN<100K..: 0 DUCT WORK • 0 3-15 HP • 0 MEC APPLIANCE FEES.* $ 6.50
GAS HWT • 0 WOOD STOVES...: 1 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 $ 26.50
•es 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
PERMITS EXPIRE 180 DAYS . , R ISSUANCE IF NO WORK IS STARTED. RESIDENTIAL AND GRADING PERMITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE.
I CERTIFY THAT THE I ION FURNIS 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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CITY OF FEDERAL WAY
BUILDING PERMIT APPLICATION
•--Please Print�-
60X 1 TENANT N �--�� __
OX AME: :. A5
OWNER '' :-_- • SITE OCATION
OWNER'S ADDRESS __L. _ D2 S _ i ITY_ ' PHONE_- -�`^
DESCRIBE JOB
THE PROPERTY IS OWNED BY: SiNGLE/MARRi ®_ PARTNERSHIP _CORPORATION
SOX 2 CONTRACTOR'S NAME . f- eCONTRACTOR'S REG_# ! '7,E;'IV-
CONTRACTOR'S ADDRESS rP Zd 4 5/. Card MUST be prawn%
EXPIRATION DATE _151_9_4_ CITY -772 DOA.rzl, U�l� PHUNE �j'�
-OR
I HAVE READ CHAPTER 18.27.010 RELATING TO DEFINITIONS OF GENERAL CONTRACTORS AND SPECIALTY CONTRACTORS AND
CHAPTER 18.27110 WHICH PROHIBITS ISSUING PERMITS WITHOUT PROOF OF REGISTRATION.
34)X 3 CONTACT PERSON -._-� - - --
_ - - — . PIIONE,
30X 4 SEWER DISTRICT __ WATER DISTRICT _
i0X 5 ESTIMATED PROJECT COST EXISTIND BUILDING VALUATION — ��
3070 6 PROPERTY TAX ACCOUNT NUMBER_____________- �-
LEGAL DESCRIPTION
(If necessary, please submit a separate page with the Iega1 description_) -`
K.D. Fiat Recording 0 -
;OX 7 BUILDING SQUARE FOOTAGE:. (Existing/Proposed) 1ST- FLOOR_:,-,_ , 2ND FLOOR ��
_
3RD FLOOR___._J� BASEMENT -
-__/ DECK_ I-_ GARAGE. • y • -
OX 8 (vi SINGLE FAMILY L. ) NEW CONSTRUCTION
(. ) MULTIFAMILY(NO.OF UNITS = _ ) ( ) EXISTING STRUCTURE
( ) COMMERCIAVINL)USTRIAL TOTAL AREA OF PROPERTY _ _ -
SQ Fr
OX 9 PLUMBING FIXTURES(Inciading rough-ins) MECHANICAL APPLIANCES-• BASIC FEE S- . -
-NO.__ WATE+RCLOSETS • GAS PIPING, FEET.
BATHTUBS NO,.l FURNACE ELECGASS �'r
SHOWERS - -• - . TER- _ S ----
LAVATORIES _ L I GAS HOT WATER HEATER-- `- S--__.
-- • - _SINKS --��CONVERS')ON BURNER - - --- 5-- -. -
�_ DISHWASHERS1N)(S BOILER.SIZE` BTU $
_;.,.ELECTRIC HOT HEATER � AIR HANDLING UNITS .-_- S---_.T....
ELECTRIC HOT WATERR OUTLET Y HEAT PUMPS.SIZE -LAUNDRY - �- 1NIT HEATERS $
URI- - AIR COOLING UNITS, SIZE - -• - S•—
_..______,.DRINKING FOUNTAINS -••- .,_COMMERCIAL HOOD
__SUMPS,SPRINKLER VACUUM BREAKERS _
-OTHER S --
DRAINS -. . . _ — $
-_ - '_OTHER • _ - _ — S -
,TOTAL FtX-i ORES - _ - $‘
TOTAL MECHANICAL FEE - $ -+���
ERTIFY UNDER PENALTY OF PERJURY THAT THE INFORMATION FURNISHED BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE
O FURTHER THAT IAM AUTHORIZED BY THE OWNER OF THE ABOVE PREMISES TO PERFORM THE WORK FOR WHICH PERM ITAPPLLCATIONIS
,OE.I FURTHER AGREE TOSAVE HARMLESSTHE CITY OF FEDERAL WAY AS TO ANY CLAIM(INCLUDING COSTS,EXPENSES,AND ATTORNEYS'
eS INCURRED IN INVESTIGATI1 •, 1 DEFENSE OF SUCH Cs-fit. ),WHICH MAY BE MADE BY ANY PERSON,
INCLUDING THE D FILED AGAINST THE • •I"WAY • •• ''HE•. SUCH CLAIM ARISES OUT OF THE RELIANCE OF THE CITY,UNDERSIGNED.
NCLUD NG ITS
-ICERS AND.EMPLOY •S. . uF TH - .•MATION SUPPLIED TO THE ITT AS A PART Jr
T OF THIS APPLICATION.
t��R/AGENT: "f!L0f,✓'"�1r-! /
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