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92-102232 9�-ib aa3a - CITY OF FEDERAL WAY M E C H A N I C A L P E R M I T PEFifV11T' NO.: BY�D92�2 557 33530 First Way South BUILDING INSPECTION - 661-4140 ISSUED: 12/1?/92 . Federal Way, WA 98003 BY: �I,E 661-4000 SlTE ADDRESS: 1258 �T� 300TIi PL PARCEL NO.: 515320-0175 PROJECT DESCRIPTION: INSTAY�L GAS HOT WATElt HEP�TAEYt & WALL ZJNIT ONNER CONTRACTOR LENDER ROBERT BYLSMA 1258 S4i 300TH PL FEDERAI NAY NA 98023 927-9290 FUEL TYPES.:GAS FANS..........: 0 BOIIERS/COMPRESSORS FEES: GAS PIPING.: 0 ft HOOD..........: 0 0-3 HP......: 0 MEC PRMT ISSUANCE... S 20.00 FURN<100K..: 0 DUCT WORK.....: 0 3-15 HP.....: 0 MEC APPLIANCE FEES.* f 13.00 GAS H41T....: 1 410oD STOVES...: 0 15-30 HP....: 0 CONV BURNER: 0 FURN>100K.....: 0 30-50 HP....: 0 BBO........: 0 MISC..........: 1 5+ HP.......: 0 GAS ORYER..: 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 t 33.00 INSPECTION RECORD Water Line OK Mechanical Inspection Notes: --.5 PIPING OKl-iS- 5�3 GLiN Date �i���3 By Gu� ALL PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS STARTED. I CERTIFY THAT THE INFORMATION FURNISHED BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY REQUIREMENTS WILL BE MET. � I �-/�-�% 2_ OWNER OR AGENT � �'v2 'j,(.�L;• � DATE C. bld mech 07/01/92 �L ��j . � t�������A� � 22/15/92 14e34 20�47202?7 0�2 P�rmit �_�'Z. ���.r ���J�� CiTY Q� FEDERAL WAY . BUILi�IN� P�CRMIT APPLICA'�IQN -- ploee0 Prinf•— f30X 1 TENAN"�NAME� � nwNER �.� SlTE LOCA710N Own�ER'S AD E'�� .L��? �_. 0 U �- �CITY � ��. .�_ pHONE 90 '— QESCRIBE JaB �.��{,uarr uu,•t ,�..���. — 7HE PROPEATY IS QVy�N�D S . SING!�JNIARRfE� � pARTNERSHI�,�.. COqPORATlON -- dOX 2 CONTRAC'�GR`S NAP�IE � ��t_ �--�- .�.. GONTRAGT(�R'5 REG.� J I IJ � CarA MUST�s preser,ted t'ONTRA(;7ClR'S 110URE�� �,0_ 4b��l. ,��1i�i:wt. . rJ t;iTY�iy�_._�PHONE�;7��'-FO�i pf ExPlRATIDN��iTE _l1--_�3. . . =.. _. _ _ — — �� — i�nv�REA�cHA�rE��e,27.a�a�r��,r�NG r c��EFIN�TI4NS OF GENER�iL CONTRACTORS AN�SPECIALTY CONTRAC7oRS ANo CHAPTER 1$.Q7.11C�'NHICH PROHIBIT� ISSU�NG f ERMITS �i(lTHOUT PR00�OF REGISTRATION. _ _ k3JX 3 C(7NTACT PERSDN �_Ki-.,�'K. 1 4 r! . . PNQNE_�___�`7.�—�� BOX 4 SEWER DISTRICT _ _1NA�'EF DISTRiCT � BOX 5 E�TIMATEQ PROJECT C4ST .. . EXISTIdvG 9UlLDING VALUATION � ' BOX 8 PROPERTY TAY ACCOUNT NUMBER. . l-�i�C>�C� � 7�'`. __ LE��A�, G't�GRIPTION � " E�r ncccs�ary, picase�i�Dmit a separate p�ge wiTh ihe �egal desuip#�on.) " K.C. Pl�t Rc�:or'tfiny �/ . Bt1X 7 Bl11LpING SQUAflE F�aTAGE: (�xistingtProposed} iST FLpOR _/_ _ 2N0 FLODR �_ 3RD FLt�QR_ .__I : eASEMEh1T_ ._1 �ECK ._�—., GARAGE �/ aox e t ) SlNGI� FAMiLY ( ? NEW��NS�RI�C'fION t ) MiJLTI�f�MIL.�t (NQ. �1F U�JfTS = _ . } ( j �X�STING STRUC7'URF ( ) C�MMER�,IA�,fl�V�liSTr�1AL T07,4L AAEA pF PRQpE�TY - -- ._��j� BOK 9 PLUMBfNG FiXTURES ',including raugh.ins} MECHANiCAL APPLIAN�ES— BASIC�E�� N0. _Wl1TERCL05E1'S GAS pIPING, FEET $ _ . _�LiATHTUBS NQ. Fl1RNaCE, E�EG.. _GAS. � � _ _SHOWERS �. GAS HD7 WttT'ER HEATEH � —. I.AVATORIEs _. ._cnNVERs�o(V BURNER � �INKS BQl�Efi, SIZE �BTU � bISHV+IASH�uS ��IR t1ANULiNG lliVl?'S � � _ELEC7HIl; HU7 WATEF HEATEA �„�..FiEAT PUMPS, SIZE__ � ^ _. _LAUNUKr wASHER OiJ7LET �.UNiT H�ATFR� � — �1.1kIN.1L.'a _Aili L'OOLIN� UN1l�, SIZE_. �, _ " _. _—dRlNKiNG FOUn1TAIhS GOMMER�;IAL HQOD � � —SUM►�s,5PRINKLEft VACULh+ BnEAKEFIS _j_ OTHER 'i1�r4•rS t�A..;l UMr'C � _ bRA1N� . � $ -- --QTf'=R-- . �- - - - - - .__ TCTAL FIXI IdRL� " . � .— . . -- $ — --- � �,,,,_ 'TOT�i(, MEGHqNIGAL FEE $ _ t c�RT(fY UNUEFi PENALTY[}F PEP,�URY?HAT TH�INFORM,1Ti0N FL�ANISHED BY htE IS TRllE AtJD CQRR�GT Ta TH�BEST OF F1Y KNdWLEDGE ANG FURTHEH�tl�iT I Ah�AUTH�}RIZF�J$Y TH�QWNER OF TkE ABGVE pREMIS�S TO PERFORM THE WORK�OR WN1CH PERMITAPPLICA71pN IS f�1ADE E FUHTH�H r�uR�E T��SAV�HAFiMLES:THE L�rYOF FECERALway AgTpqNY CLAiM(en�c�u�iNc cosz�,E}{P�NSES,AND AT7dRNEY5' FEES INGURR�p iN INV�STlC;A il(}N AND U�FENSE OF SUCH ClA1M),WHlGH h��tY BE MAbE BY A�Y PERSON,INCLUDI�iG TtlE UNDERSIGNED, AND F(L�D A(iF�lf;5T TH�UlTY OF'FE�7ER�'ll WAY,8UT ONiY WHERE SUCH CLAlM ARiSE�OUT qF 7HE R�LIAtVGE OF THE Cl7Y,INCLUDINQ IT5 �JFFtCER,�Aflp EMFL YEES, lif'ON T E ACCURACY OF THF INFORMATIDN SIIPPLIEd'�Q TH€ �ITY AS A PART OF THIS APPUCATION. � - OWNERIAGEtdT: ��7��--'u.-�c.t_�.-� _ DATE' 1 Z �/S`�l�-- ,��;o.o�. :.�,