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94-100383 g y, �o 03$3 33530OFirs�tLWay South MECHANICAL PEI�:MIT PERISSUED: 02/23/94�9 Federal Way, WA 98003 Building Inspection Requests 661-4i40 8Y: FLF 661-4000 EXPIRES: OS/22/94 ADDRESS:2210 S 284TH PL NO. : 422220-0270 PROJECT DESCRIPTION:HYAC - INSTALL 6AS FURNACE, HOT bIATER HEATER, 6 PIPIN6. OIOMER COMTRACTOR LENDER 6lE8DA FELITZ ARRO� STAR NEATIN6 2210 S 3$4TH ST 22510 - 19bTH ST E � ''EDERAL IdAY aA 98003 ORTIN6 �A 98360 834-2461 893-6596 ARROMSN04�7 FUEL TYPES.:6AS FANS..........: 0 BOILERS/COMPRESSORS FEES: 6AS AIPIN6.: 60 ft HOOD..........: 0 0-� NP......: 0 l9EC PRMT ISSUANCE... s 24.00 FURN<IOOK.,: 1 DUCT IOORK...._: 0 3-15 NP.,...: 0 � � -� � � � � � MEC APPLIl�CE FEES.� t 19,50 GAS NIdT....: 1 p00D STOYES.,.: 0 15-34 HP..,.: 0 � n�� �.�, ����� � , � � � ,., CONY BURNER: 0 FURN>100K....,: 4 30-5� HP...,: 0 a- p� � ��, x �� BBQ........: 0 P4ISC....,....,: '� 5+ NP....,..: 0 , , 6AS DRYER..: 0 AIR HANDLIN6 UNIT5 FUEL TAkKS--------- RAN6E......: 0 <=10,000 CFM: 0 ABOVE 6ROUtiD: D "�"�� '�" 6AS L06S...: 0 > 10,000 CFM: 0 UMDER6ROUkD.; 0 TOTAL FEES = 39.50 _oes the aater supply syste� contain a Pressure Reduction Device or Check valve? () Yes () No (If 'Yes' then aater expansion tank is required on Hot Mater Tank) Inspection Record �Oater Line OK Mechanical Inspection Notes: 6AS PIPIN6 0� Date By PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO MORK IS STARTED. RESIDENTIAL Ai1D 6RADIN6 PERMITS EXPIRE ONf YEAR AfTER DATE OF ISSUANCE. I CERTIFY THAT TNE IIEFORMATI N FURNISED BY M IS TRUE AIlD ORRECT TO THE BEST Of MY KNObOLED6E AND THE APPLICABLE CITY OF FERERAL �dAY REQUIREMENTS MILL BE MET. � OWNER OR AGEId' ------------------ ��------ -------- - ------------- DATE --------- - � FILE COPY �1d00 Q131� , G�� �� h �I �N�� � � '� J�. �__ . ' '�,,�r ,:�s�ie:t��G_:�s :i�► avdfut., �0 Al1� 3�18tl"JI1ddV 3N! �ttl 39a311�if� AM �G iS�B 3H1 01 la��U(3� 4�� 3t1�1 SI �il A8 tl3SIN�0! 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(O � ��� (0 � (0 .F"' (D h" (9 'V)' � tL � a 0 � � ''t/)> � a � C7 � � � � � LL � Z 0 C7 0 C7 0 V) 0 a � W' 0 LL'' 0 m � 'O � O � � Permit ## CITY OF FEDERAL WAY ; ' � j'�(, (� � - � � � - ' � BUILDING PERMIT APPLICATION ' �.�V ��t , —Piease Print— OX 1 ENANT NAME: OWNER z� SITE LOCATION OWNER'S ADDRESS �2-/� 5�• �'G�/ CITY�W�, w��✓ PHONE S.��'Z`/�I DESCRIBE JOB �n �tS 2Ct � w ci' THE PROPERTY IS OWNED BY: SINGLE/MARRIED X PARTNERSHIP CORPORATION OX 2 ONTRACTOR'S NAME (rbv�s aN .eq r CONTRACTOR'S REG. # a��S�ldqo[�� S OP/ ME Card MUST be presented CONTRACTOR'S ADDRESS � /L /�.�Cbfr�9 ZZS/�/y���_ CITY l��'f� G�� PHONE ��i_S " ��S%�' EXPIRATION DATE !( z7 � — OR — I HAVE READ CHAPTER 18.27.010 RELATING TO DEFINITIONS OF GENERAL CONTRACTORS AND SPECIALTY CONTRACTORS AND CHAPTER 18.27.110 WHICH PROHIBITS ISSUING PERMITS WITHOUT PROOF OF REGISTRAT�ON. OX 3 ONTACT PERSON ���vc SQ��rv�,-s.��� PHONE 89� � ���9 � BOX 4 SEWER DISTRICT WATER DISTRICT BOX 5 ESTIMATED PROJECT COST EXISTING BUILDING VALUATION �BOX 6 PROPERTY TAX ACCOUNT NUMBER �Z Z Z� C' -- U�Z�[7 �� LEGAL DESCRIPTION (If necessary, please submit a separate page with the legal description.) K.C. Plat Recording # BOX 7 BUILDING SQUARE FOOTAGE: (Existing/Proposed) 1ST FLOOR / 2ND FLOOR / 3RD FLOOR / BASEMENT / DECK / GARAGE / BOX 8��, SINGLE FAMILY O NEW CONSTRUCTION —' ( ) MULTIFAMILY (N0. OF UNITS = ) ( ) EXISTING STRUCTURE ( ) COMMERCIAL/INDUSTRIAL TOTAL AREA OF PROPERTY SQ FT BOX 9 PL�JMBING FIXTURES (including rough-ins) MECHANIC APPLIANCES— BASIC FEE$ z �= 0. WATERCLOSETS GAS PI�NG, FEET �D� $ �, BATHTUBS N0. FURNACE, ELEC. GAS � $ l� � `'' 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 $ OTHEFi $ TOTAL FIXTURES $ TOTAL MECHANICAL FEE $ 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 WORK FOR WHICH PERMIT APPLICATION IS MADE.I FURTHER AGREE TO SAVE HARMLESS THE CITY OF FEDERAL WAY AS TO ANY CLAIM(INCLUDING COSTS,EXPENSES,AND ATTORNEYS' FEES INCURRED IN INVESTIGATION AND DEFENSE OF SUCH CLAIM), WHICH MAY BE MADE BY ANY PERSON, INCLUDING THE UNDERSIGNED, AND FILED AGF�INST THE CITY OF FEDERAL WAY, BUT ONLY WHERE SUCH CLAIM ARISES OUT OF THE RELIANCE OF THE CITY, INCLUDING ITS OFFICERS AND EMPLOYEES, UPON THE AC URACY OF THE INFORMATION SUPPLIED TO THE CITY AS A PART OF THIS APPLICATION. n OWNER/AGENT: ��'�`"�--- l-���%`� DATE: � �� 9/ ANP-008 3/90