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94-101505 qy . �a �50� ��i i i l,ti_. i"G��il"i—IL 'a�eF��i� ����.L�����L �L��.1�1�1� �♦ .. .. . .. ..,35.?,O First Wa� SOuth ����`��� �; :,;..j���; Fecieral Way, WA 980c?3 uu�Idirig I�spection Re�uests S6i-414Q EY: FC 561-4000 '-Y!�IRES: ��21�?4/45 r_„ AQDRESS:3Q828 2QTFi �VE S NO. : Q53700-0616 PR�JECT DESCRI PTZON:HVAC — IHSTALL 6AS fURMACE. � 014NER --- -- �-- — CO�TRAC?UR —�— — LENUER RAY ALLEN =;� 0�?9ER IS COkTRACTDR xxi 30828 — 20TH AVE S � FEDERAL bOAY �A 98003 941-0687 � �„�„�'� .'�„ � �, �� � ` �3,�,�� . ' {�m 'i ..4���n«i. � ,��6 h'T�.. • _"_' fUEi TYPE5.:6AS ? FAl9S ��„.� ' ; 0 ��I �R";"C�a1�SSt1RS�`�'�`� � "��� ° F '"� SAS PIPIN6.. 14 ft HOOD,.....�: 4 �� � 3 '�" ,�,��P �. � . ��� � �'�,� �"> � �' � � ° ��"� �ft; A�`1' ;SUANCf... t 20.00 � µ�, FUftt4<100�..: 1 DUC�` �I�'�K. �����,�w�'�� a� 3-1N h€�«.�,'�,;�;,� �� �,e: � ' � ;. � , :��� F PLI� -�"E FEES,* � 13.00 6AS N40T�-•..: 0 � !s��, �';YES ,- '���. ��. ;�� 1�30 �..��� <����; , � �.a ,._ . �. , . �. d _ COMY BURNER: 0 F('�1>i^aK�.. .��:Q�° ��^ _" ��. �� �-��s ��-- � � BBQ........: 0 MI'�C...,.. ...,. �� s� �;"., . � ,,� tt ' , ��u� ���� � �� 6RS D�YER,.: 0 AIR NR�7L�ti6 t1kIi� �' �'�EC `A�1�S_..�...__.._ �� � ; �� RAN6E......: 0 �.-��,QJfl �F#I: �!, ' '�GYE GRGU�{�: 0 <, ". � ° 6AS L06S...: 0 > 10,i��'fl: J�CcR6R0UND.: 0 TOTAL FEES $ 33.00 z Does the Mater supply syste� contain a Pressure Reductinn Device or Check valve? O Yes (} �o (If 'Yes' then rate� expansion tank is required on Not �ater Tank) Inspection Record 1later Line OK l9echanical Inspection Notes: 6AS PIPIN6 OK Date By PERMITS EXPIRE i80 DRYS RFTER ISS�R�dCE IF NO idORK IS START�C. RESi(1ENTI6�l. AND 6RRDI�d6 PFRMITS EXPIR� QWE Y�RR A�TER DATE OF I55UANCE. I CERTIfY TNAT THE :Y ; , :., „ _, _t ,. P�r � . . s3�:, � ,=!" .__ - - �� :�"'. ;'" '� ', - ..•*.' - -_ _8�+. iG�1Y REAUFRFg.u'� bOIlt �� '�:". � �,_ �� _ g�--� -9 � .. � � � FIL�COPY 3�S300F�FsDEWa� �outh MEC�[ANICAL PERMIT ��������a: a�,o�;�41� Federal Way, WH 9£3003 E�t�ilr�ing Irtispection Rec�uests bE>1-4140 BY: FC 6b1-4000 EXPIRES: 02/04/95 ADDRESS:30$2f3 20TH AVE S =� � NO. : 053740-O�lb " ,S"r � PROJ�C7 DESCRIPTION:�HAC - iNSTALI 6qS fURNACE. � �r- ;:F R COMTRAC 10R LE!!D"�R ��LLfN *=ti ONiifR I5 CQMTRACTOR =__ � '� - 2qTN AYE S P,A! MAY MA 98003 Y41-368J ���� ���4�,"�r �.R ri �'� A� ���� :�T�"�' �`� �r _>�, . . �., u.a`�a �iid����_'m��'�� .. _-_ __ FUEI T�PfS.:6AS ? fAMS ,�� � 0 ��Ii�ERS�t`i�C�1C�`� ��� F�' 6AS PIPIMS.. !�1 ft IIOOD ...:� 0 �. 0-3 �i4 , .' �'�a�'�'�� ����� �� �'��� ������ �"������ ���. ��� � ,dfANCE... � 20.00 FURM<140R... i p�`��.e�,�� � ��� ���� ��� .. a�� �`� __ � ���,��r�� �� ���� �� � f�EES.Y S 13.d0 m��. ��� ���'' . 6AS fltlT....: b �yST�'Y+�S <,� � � � 15-:.�� i�.._.t� � ��.:� ..�m=� ' ` ��� ���`' CONY BiiRNER: 4 �� R1�p414.,� « ��0" � �i�.�� s x � , , � � BB�......... 0 � �� ��. �� � ��� ti�� 6AS GRYER..: Q AI��`�llf�„�N��N T 'i � �� ����:d ' NAM6E....... 4 <�1���f10 Cf��,'� �lBO�b�: � �' 6AS Lq6S.... O > i0.��: UI�ER6ROUi�.: 4 __ , , TOTAL iEFS � 33.90 a • Does tha Mater supply syste� contain : Prsssure Reduction Gevicc or Ci�eck valve? () Yes {) Mo �tf 'Yes' then aater expansioo tank is required oa Not Mater Tank) Inspection �ecord Mater liae t�( �__--__ Mechanical Inspectian Motes: _,_____---.�,�__�__..�.�__�._.____..._..____ 6A5 PIPIN6 0����� � Dat���� 8y��_ G. Y�. PfRM1T5 EXPIRE 180 DArS AfTER ISSUANCf 1F NQ MDRf� 1S STARIED. RESIDENTIAI AIID 6RADIN6 PEIMiITS fllPIRE E�Mf �EAR piTER DAtE Oi ISSilR110E. I CERTIFT 1HAT T1iE [NFURMAIIQN FURMISED BY NE IS iRUE AMD CURRECT TO THE Bf.ST QF MT KI�IILE.l3�E AiN? iHE AP�LICABiE CItY Of F£R�RAI_ I�AY REOUTR[MF�TS Mti4 Rf N�T. /'"'� �_. / �.��'� � � � � ;.-�c O�NER DR ++GENT ��--, ,li.'�.� � -�=. �_ ------..... .__ _ ; ��� � FIELD COP'Y �i���� �r' l � City of Federal Way /� �� /;�_�`^ I� cirroF G 33530 First Way South I� `�/ c.Y� _ � _ � Federal Way, WA 98003 (2061661-4000 �1�� APPL/CA T/ON FOR MECHAN/CAL PERM/T PARCEL �• ���� �'� � � Single Family �� Multi-Family ❑ Commercial o SITE LOCATION: Tenant/Owner: -��'� �����V� Phone: ���—���`�� Address/City/State/Zip:-�E��:��� -- ��-��/-�i•=". �CJ, �-G_(l=1'.�i-E (.s�/�c,s _ G�ii�/,� ��G�_� . Nature of wo�k: �/vS�`t-L- ���'� ��'-�ti''�-� Project Valuation: 5 �7�9�• �x� APPLICANT: Name: ��� �"f�-��---6`-�� Address/City/St/Zip: �D�_;,�-� `��i -� t��"=..Sc:i- , ��'��): L�i/-{��� L(../�'�l� !D UfJ � Contact Person: �'� `"�'-�—�-� Phone: ! y����' � � Fax: � MECHANICAL CONTRACTOR: �1���� � � �,`� �� �,ti,� �' � Company Name: Address/City/St2ip: Contact Person: Phone: Fax: State L & I Contractor Registration #: Exp. Date: (Card must be presented) MECHANICAL UNIT COUNT: Fuel Type (gas/other) Gas Dr er Air Handling < = 10,OOOcfm Fuel Tanks: Length of gas piping � �`j Range Air Handling > = 10,OOOcfm Above Ground Furn <100K BTU's � Gas Log Unit Heater Underground Furn >100K BTU's Fans Boiler BTU/H Miscellaneous Gas Hwt Hood Boiler BTU/H Other Conv Burner Duct Work A/C TONS Other DISCLAIMER: 1 ce�tify under penalty of perjury that the information furniaFxd by me is true and eorreet to the beat of my knowledpe�nd furtha that I�m authorized by the owner of the above premises to pe�form the work for wMch permit applieation is made. I further prx to�ave h�rmlas the City of Fedaral W�y�a to�ny el�im(ineludinp eosts,expene�and attorneyi fees incurred i�investiQation and deferue of tueh el�im),which may be made by any person,includinp the urdenipned,and filed pairot the City of Feder�yW�y but only where such elaim erises out of the reliance of the City,includirq its officers�rd employees,upon the accuracy of the infwm�tion�upplied to the City p�p�rt of this�pplie�tion. , � Owner/Agent: � �� � �` Date: �� `�� ��