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01-103912City of Federal Way Community Development Services 33530 1st Way S Federal Way, WA 98003-6210 Ph:253.661.4000 Fax:253.661.4129 Project Name: NORDEEN Plumbing Permit #:01 - 103912 - 00 - PL Inspection request line: 253.835.3050 Project Address: 2123 SW 346TH `+ Parcel Number: 011470 0280 Project Description: PLUMBING - Remove and replace electric hot water heater in existing residence. Owner John A & Peggy A Nordeen 32638 194TH AVE SE KENT WA 98042-9733 Applicant ABC WATER HEATERS & PLUMBING 1702 A 128TH ST SW EVERETT WA 98204 Contractor ABC WATER HEATERS & PLUMBING 1702 A 128TH ST SW EVERETT WA 99204 (425) 514-0406 Plumbing Fixtures Description Quanti Descri tion Quantit Des cri tion Quantit Water Heaters 1 PERMIT EXPIRES April 6, 2002, IF NO WORK IS STARTED. Permit issued on October 8, 2001 I hereby certify that the above information is correct and that the construction on the above described property and the occupancy and the use will be in accordance with the laws, rules and regulations of the State of Washington and the City of Federal Way. Owner or agent: f V� Date: fdy 101 OCT-08-01 09:09 FROM-NORTHWEST-CASSIMAR 206-374-0834 T-382 P-01/03 F-337 "r�CFFJVI�/D CONSTRUCTION PERMIT APPLICATION APPLICATION NUMBER._-1L t. ILL OCT — — APPLI A ION N 8ER--- _ .— _ — — — �I�rui=�:: "•The fQllgWin9w 0pn - Pleads print (in ink) or type•" Please note: Ele-etrical, Fire Prevention Systems a d Engineering permits may require a separate application. ,.,. �•a r SITE ADDRESS: 2123 SW 346TH ST ASSESSOR'S TAX/PARCEI_ #. 0114 rOO280 LEGAL DESCRIPTION OF SUBJECT PROPERTY (ATTACH SEPARATE DESCRIPTION IF LENGTHY): r • e r • M TYPE OF PROJECT (This application): ❑ BUILDING jaP ❑ MECHANICAL ❑ DEMOLITION ❑ ELECTRICAL UERING❑FIRE PREVENTION SYSTEM PROJECT DESCRIPTION (Provide detailed description)' Remove and replace electric water heater. PROJECT NAM I 1 ■ PEOPLE INFORMATION PROPERTY OW NER: CONTRACTOR' APPLICANT' NAME: .Krohn Nordeen MAILING ADDRESS (STREET ADDRESS, CITY, 32638 194th AVE SE NAME: ABC Water Heaters & Plumbing NAILING ADDRESS (STREET ADDRESS, CITY OF FEDERAL WAY BUSINESS LICENSE 20-01-103772-00-BL Of card ragUlr�G DIAME: DAYTIME PHONE: 2536316334 WA 98042 DAYTIME PHONE: 4255140406 rE, ZIP): EVENING PHONE: rats Wi 98204 ER; FAX NUMBER: 4255140369 EXPIRATION AATI DAyrimEyP14ONE: 8883301777 MAILING ADDRESS (STREET ADDRESS, CITY, STATE, ZIP): EVENING PHONE: 720 Dubuque Ave South San Francisco CA 94080 6606240400 PELATIONSHIP TO PROJECT: FAX NUMBER: ❑ ARCHITECT LITtENANT ❑OTHER(DESCRIBE),. 8778466888 n CONTACT PERSON FOR TRES PROTECT: ❑ PROPERTY OWNER ❑ APPLICANT WCONTRACTOIJ customerservice cpne[cierK DETAILED BUILDING INFORMATION EXISTING USIE: EXISTING BUILDING ASSESSED/APPRAISED VALUATION $ PROPOSED USE: I pROPOSED VAWATZON FOR IMPROVEMENTS: $ 500.00 SPRINKLED BUILDING? ❑ YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED:❑YES ❑ NO WATER SERVICE PROVIDE R: ❑ LAKEHAVEN ❑ HIGHLINE ❑TACOMA ❑ PRIVATE (WELL) SEWER SERVICE PROVIDER: 13 LAKEHAVEN UHIGHLINE Q PRIVATE (SEPTIC) Hg0_7/6 OCT-08-01 09:09 FROM-NORTHWEST-CASSIMAR 206-374-0834 *NNW REST DENTIAL CONSTRLI T-382 P.02/03 F-337 NUMBER OF BEDROOMS ESTIMATED SELLING PRICE: Indicate number of each type of fixture MECHANICAL AIR HANDLING UNITS) EVAPORATIVE COOLER(S)GAS LOG(S) REFRIG. SYSTEM(S) BBQ(S) FAN(S) __ HOOD(S) WOODSTOVE(S) 130ILER(S) FIREPLACE INSERTS) RANGE(S) MISC_ ( ) COMPRESSOR(S) FURNACE(S) HEAT SOURCE: ❑ ELECTRIC ❑ G AS DUCT(S) GAS PI PE OUTLET(S) PLUMBING BATHTUB(5) LAVATORY($) DISHWASHER(S) RAIN WATER SYS. DRINKING FOUNTAIN(S) SHOWER(S) GAS PIPE OUTLETIS) $INK(S) INITFRf_1:PTnR(5) SUMP(S) -URINAL(S) 1 WATER HEATER(S) VACUUM BREAKER(S) ❑ ELECTRIC p GAS WASH MACHINE OUTLET WATER CLOSET($) -- MI SC. (,a ')TSCt ATMER/SIGNATURE BLC 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 worst for which the permit application is made, I further agree to hold harmless the City of Federal Way as to any claim (including costs, expenses, and attorneys' fee incurred in the investigation and defense of- such cialm), which may be made by any person, including the undersigned, and filed against the City of Federal Way, but onlywhere such claim arises out of the reliance of the city, including its officers and employees. upon the accuracy of the information supplied to the city as as pact oft Es application. Cr6 NAME/TITLE; Scott Waterbury V_qAy__N ey ATE:10�2Cg1 ❑ PROPERLY OWNER ❑ APPLICANT © CONTTiAIUV M FOR OFFICE USE OINLY: ❑ NEW J ADDITION © ALTERATION 0 REPAIR ❑ TENANTIMPROVIEMENT CENSUSODDE: I LOTSIZE: ZONM DESIGNA1 WN: I BUILDING SHELLONLY? ❑ YIES ❑ fD OOMP PLAN DESIG-NATION BASIC PLAN? ❑ YES LNO sECRdN TOW M9QP RANGE NEW ADDRESSR1EWIRED? YES ❑ NO PLATTED LOT? ❑YES [ KJ CH A'iANT OF L15E'? AYES