HomeMy WebLinkAbout20614 LOIS LN_BLD1259_2026 RESIDENTIAL PLUMBING
PERMIT APPLICATION
ING�� Department of Community & Economic Development
City of Arlington• 18204 59th Ave NE • Arlington, WA 98223 • Phone (360) 403-3551
THIS APPLICATION IS TO BE USED WHEN APPLYING FOR NEW PLUMBING INSTALLATION FOR
EXISTING RESIDENCES. PLEASE FILL OUT ALL PAGES OF THIS APPLICATION AND INCLUDE ALL
INFORMATION.
Project Address.20614 LOIS LANE
Project Description.REMOVE & REPLACE 1 GAS WATER HEATER
Owner: CRAWFORD, MICHAEL
20614 LOIS LANE Address: City-AR State:WA Zip Code: 98223
Phone: 425-344-9802 Email: NONE@EMAIL.COM
Applicant:JACCI DANIELS
Address: PO BOX 59208 City:RENTON State:WA Zip Code: 98058
Phone. 800-978-8588 Email: WAWAHVAC@GMAIL.COM
CONTRACTOR INFORMATION
Contractor Name:WASHINGTON WATER HEATERS
Address:PO BOX 59208 City:RENTON StateWA Zip Code:98058
License Number:WASHII*9800P Expiration.09/17/18
Phone:800-978-8588 Email.WAWAHVAC@GMAIL.COM
STAFF USE ONLY
Permit #: Accepted by: Date
REV 2015 Page 1 of 2
RESIDENTIAL PLUMBING
PERMIT APPLICATION
ING�� Department of Community & Economic Development
City of Arlington• 18204 59th Ave NE • Arlington, WA 98223 • Phone (360) 403-3551
Plumbing Section (check all that apply)
(Check all that apply and indicate the number of fixtures proposed)
❑ Bath/Shower Combo (4.0) x ❑ Sink (1.5) x
❑ Shower (2.0) x ❑ Lavatory (1 .0) x
❑ Clothes Washer (4.0) x ❑ Water Closet (2.5) x
❑ Dishwasher (1 .5) x Q Water Heater x 1
❑ Hose Bibb (2.5) x
Water Heater Model #
❑ Other (list) x 40T10-40NG
Proposed Water Piping Size: N/A
Proposed Piping Material: N/A
Proposed DWV Material: N/A
Proposed DWV Size: N/A
• All hose bibs required to be equipped with Atmospheric Vacuum Breakers per ASSE 1019
• All water supplies at 80psi or greater shall have Pressure Reducing Valves (PRV)
• Cross-Connection-Control may be required
��E(�� C�°� o�n�
Applicant Signature: Date: 12/15/2016
1 hereby certify that the above information is correct and that the construction, installation for the above mentioned
property will be in accordance with the applicable laws of the City of Arlington and the State of Washington.
REV 2015 Page 2 of 2
c' ITY OF ARLI NGTON
238 N.OLYMPIC AVE.-ARLINOTON,WA,98223
PHONE.;.(360)40,3-3551
Ad 20614.Ws I,m ne
Parcel#;OOtiT5341040i200 yet valuatign:0,00
MR)MICA A
n W-6M
N" O Namc.Wd0mgttn Water 146-Mers Name:VvAztNUT QN NVAT ER 4EATERS INC
Addrem,20.614 WIS LAND. Addrm PO Box 59208 Addrdss:PU Box 34208
CkY,State ZEp:ARLMTON,WA 98223 'cil� siate z
011y,State Zip:Renton,WA:98018 %)VA 9405$
Phone:OW978-8598 MOM:(800)97S.8588 eXT;
Name: Nam:WASHINGTON WATER HgATURS INC
Addrciis: Afters:PO Box 59208
City.State,Zip: State,Zip:Refit0a.WA 08058
Phone:
LIC#: UNP: LIC N.
PERMIT TYPE: Residential Plumbing CODE YEAR: 2015
STORIES; CONST.TVFF:
DWELLINO IWTS; 1 OCC OROUP.
131jaDINGS:
(XC LOAD:
V• IM
AND IN DOINGTHF,Wo—IT'AtrMopur-D
%"TH CITY kN—D STATE S KCGU[ArIW C0N'.JjXfj-Cfj—()N
LAW
TR RhByl NO PERSON WILL BE ENRI_OY.rj)IN VIOL-kIJON OF TH9 LABOR CODE OFTHIESTATE()I'.WA819NOTON RELATNO TO
WORKMEN,s COMPENSATION 161SLrpANCIF.AND kCW 48.27,
TW5APPLICAXION IS NOT A PERMIT UNTIL SIGNED By THE BUILIANQ OPFICfAL OR HIS/HER DEPUTY AND ALL F13PS ARE PAJD.
IT 13 UNLAWFUL Teo US13 OR OCCUPY A BUILT)NO OR STRUCn-RL UNTIL A KNU JN3PECtj()N 14.AS 13EEN MADF AND APPROVAL OR
A CFWr'F'CATE Of OCCUPANCY HAS BEEN GRANT61). FEICI lifflitkCI ko.
RIM-bw r mg to ruction and WMIStructon materiati io the City ofAf 11 1 rc (1 On yout Salts tax return form
a J coded C' o rip n 031.01.
Signal to
Print Nanke Dmo kelcRaEd By
App-rov'edassu ifta Adliere to Whirlpool.Model Ig40T104ONG
Tlfls P, .---.--VORKNOTIZD-'rlll$MkMtTC6vEI(SW To 11 X.-.62
CONSTR ORK S r4),,je JON pItIVATE PPQ�r�LTY ONLY. ANy
KnONOW THE PUHLICf�24(CUR13,%Sjj)U.V�'ALY:S,DRIVEWAYS,MARQUEES,KIV)WILL REQU(ItE SEPARA'TF p.ERNCI 310N'
Deft 13mcription
12/1612)16 Plumbing Permit Bass Fee Fee Amount
Water Hatter 425,00
52&00
T*tW Due: $50.09
Totat F2y#Wzt.. $50.00
11HIRace Due: ".00
I-7
Vkhen talliag for so tospeefiao please leave the following informado":
Permit Numhtr,I'yPc Of Im.4pectitin being requested,and whether you prefer morning or afterm000
CITYOF
ARLINGTON
238 N. OLYMPIC AVE-ARLINGTON, WA. 98223
PHONE; (360)403-3551
BUILDING PERMIT
Address:20614 Lois Lane Permit#:1259
Parcel#:00875500001200 Valuation:0.00
OWNER APPLICANT CONTRACTOR
Name:CRAWFORD MICHAEL&MICHELLA Name:Washington Water Heaters Name:WASHINGTON WATER HEATERS INC
Address:20614 LOIS LANE Address:PO Box 59208 Address:PO Box 59208
City,State Zip:ARLINGTON,WA 98223 City,State Zip:Renton,WA 98058 City,State Zip:Renton,WA 98058
Phone: Phone:800-978-8588 Phone:(800)978-8588 EXT:
MECEIANICAL CONTRACTOR PLUMBING CONTRACTOR
Name: Name:WASHINGTON WATER HEATERS INC
Address: Address:PO Box 59208
City,State,Zip: City,State,Zip:Renton,WA 98058
Phone: Phone:
LIC#: EXP: LIC#: EXP:
JOB DESCRIPTION
PERMIT TYPE: Residential Plumbing CODE YEAR: 2015
STORIES: CONST.TYPE:
DWELLING UNITS: 1 OCC GROUP:
BUILDINGS: OCC LOAD:
PERMIT APPROVAL
I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUCTION AND IN DOING THE WORK AUTHORIZED
THEREBY;NO PERSON WILL BE EMPLOYED IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO
WORKMEN'S COMPENSATION INSURANCE AND RCW 18.27.
THIS APPLICATION IS NOT A PERMIT UNTIL SIGNED BY THE BUILDING OFFICIAL OR HIS/HER DEPUTY AND ALL FEES ARE PAID.
IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR
A CERTIFICATE OF OCCUPANCY HAS BEEN GRANTED. IBC 110/IRC I I0.
SALES TAX NOTICE:Sales tax relating to construction and construction materials in the City of tq?z;
your sales tax return form
and coded City of Arlington#3101.
12.Ico. lb
Signature Print Name Date Released By Date
CONDITIONS
Approved as submitted. Adhere to Whirlpool Model #40TI0-40NG E.F. - .62
THIS PERMIT AUTHORIZS ONLY THE WORK NOTED.THIS PERMIT COVERS WORK TO BE DONE ON PRIVATE PROPERTY ONLY. ANY
CONSTRUCTION ON THE PUBLIC DOMAIN(CURBS,SIDEWALKS,DRIVEWAYS,MARQUEES,ETC.)WILL REQUIRE SEPARATE PERMISSION.
PERMIT FEES
Date Description Fee Amount
12/16/2016 Plumbing Permit Base Fee $25.00
12/16/2016 Water Heater $25.00
Total Due: $50.00
Total Payment: $50.00
Balance Due: $0.00
CALL FOR INSPECTIONS
BUILDING(360)403-3417
When calling for an inspection please leave the following information:
Permit Number,Type of Inspection being requested,and whether you prefer morning or afternoon
Shop Whirlpool 40-Gallon 10-Yeah Residential Taal Natural Gas Wat... http://www.lowes conVp 757281-135-4OT10-40N(-3
Your store:
Bellevue,WA
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Your Store: Bellevue,WA I ; i FREE
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Whirlpool 40-Gallon 10-Year I '
Residential Tall Natural Gas Water I
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Heater � 4,m••_,..»._.....,...
Truck.Delivery
Item#;7877r31 l Modm1*4010-4UNG
II ! I
$529.00 I !
I ' i
Parcel Shipping I
it
I ! Unavailable for This Order
Get 6%"Off Every Day or Special Financlnq** Sent by camera like UPS,
MirliII)LIM Purchase Required i Pedroc,USPS,atc. I i
w...................................................
:.:.....:.:..:_.:,,,.,.:,:.,,.,,..,.,..,a i
Whirlpool40-Gallon $529.00
10-Year Residential
Tali Natural Gas
Water Heater
6-Year Water $59,97 !
Heater Extended
Protection Plan
Farcbaok '
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600ylc�
Emall
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Description
40-Geeon 1[Year Residenbal Tall Natural Gas water Heater jC
I I;
•Whirlpool 6th Sense technology advanced Oucbonic gas control
•High-altitude certified from 0 tt to 10.100 tt I
R
•FVIR safety system protects your family from accidental ignition of flammable vapors I'
•Gongumer-friendly combination gas valve/thermostat with self-diagnostics E
•Push-button plloiAght igniter with view port for ease-of-lighting pilot without matches 4
•Factory Installed temperature and pressure relief valve
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{ specifications
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) 40 Vent Diameter(Inches) 9 t
•Tank.�epa.Gty......,a. ...............,.«,......................«..«.«,.,.,.••.•»• •,»•••.•.•.«_•. •.•••.•.•••.••_._••.•••....••...•._.•,»«...•,..,,.,.•«..•••_••••.•.•._.•.__,.•.••.•_•_._•.•.......•.•...•.•_••.._•_.,•,.••._• I
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Fuel Source „., Natuml "ENERGY STAR Qualitled,..1..,».,..•....'..^......_.,..».._....NOas
............�...
.........................». .,. ...«, ., 9
I Helght(Inches) gg Works with Ids No I
Wgter Connection Size in Insulation Thickness(Inches) 2 4
Clef......._...,..._..........._...._........._..--.._.._—........__ ._.»..._........_.
Temperature and Pressure ReIIef Valve -Yes » Commer•• .Reeldentlal Residential
C3PN Recovery at 90 Degrees F(Gallons)•.,_,.,•.,_,•.,•4o.e4.•... ........«_.Input(I,..................._._.._.._..•».•,.:,••.•.,..••.•,••.•••,.••"..,,....,.•...••_._••.•.•..»•...»,_.
BTU Input(BTU) 40000
series wn
High AlbtudeModel Yee ..:: .••,....•,. ...••.•.•.« « «„« « • , _ •.,•...,.•,.,.,,,••..• ..«.•••.•.•..•._.••.,_•.•_,.••.•.,•_.•.»......,.,..,.•_.•.•_.•• I:
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I Fosot Insulation Yes •••.•.•••••..........•.• •••.•.....................•..•...........
Energy Factor O.fi2
PtlokReset Button Yee ._.._..............._........,....,..,_•...•__.•_..._._.»,..•.•,._....•__...-_._.•--,.•.................•..._....
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._,Light
,,....J.,,.nr;d.,aw Dimle (Inches) 19.75
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1 of 2 4/19/2016 1:05 PM
: .,.� CITY" ARLI NGTON
238 N.OLYMPI.0 AVE-ARLINGTON,WA.9$223
PHONE. (3160)403-3551
k .— ...:,.�..__�_.., .... __�� �t�+�-. r 'S �1L'L`.1u ',�.�7>;"�•'''4 "I'Tr,-_�{•���r,=
Address 211614 WS I,sue Permit#<I�5Y
Parcel J 410647550w i 244 V�luatjgn 0,00
� �t�'"i;'{1J1�.,•.; -. --• •, ».- 4�hla Jl'� :-��'�� :..�ti�j: �1y.N; ♦ �rV�liMAP,
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i NOMO CRr\W"P4)RZ)MfCHAEL&M1 C 14Ef,LA Name:tWttehington Water Tje6ters Name.W ASIDMOTON WATER NEATL'RS INC+
Address:2gbi.4l OIS LANE Address:PO Pox 59206 Address:P()Box 39 08
City:Stste.Zip:ARI tNDT0N,Wk 98223 City,State Zip:Renton,WA,98458 City,State Zfp;Ilenton,\VA 98058
Phone,
tttn j}�jyp(yPhone:804.978•8568 }��(� pbot`ty7d,(8880011)978.8598 eXT:
iNla 4Yt(i
Lr
Ne: tame.\VASHTtvC}TUN V\;\TBR iiEATIIR$ENC
Address: Address;PO Ilax 59208
City.State,Zip: City,Statt,Zip:Renton,OVA 99058
Phone: Phone'
LIC # GXP 1 If #
P1,RM17 TXP$: Residential Plumbing CODf,,YEAR: 20B
t ST"ORlFS; CONIST 'rYPr,,.
DWELLINO UMTS: 1 (x.0 t?ROZ1S>:
I Pl1U tIN05: OCC LOAD:
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I AGRCf TO COMPLY\PITH CITY AMD STATE LAWS RL`G LA PING oNSTItL3Cftt>N AND rn 1)t3iNG re&WORK AUTHORIZED
T}IURHY',NO PERSON WILL BE ENIPLOYl:D IN VIOLATION OF TH13 LABOR CODE(}V T14E ST'ATI~Oy W.,\SFIINGTON 11FLt#T NCr TO
WORKMEN'S COMPENSATION iNSURANCB AND RCW 18.27
THJS APPLIC N17ON 1S NOT A PUPU f UNTIL SIONEL)By THE BUILDING OPPIC(AL Ok Hi 5/KEK b.EFWT"Y AND ALL FI3L?5 ARE PAID-
IT IS UNU.AWFU'L TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL A F4N.•1,L)NSPECI`J0N HAS BEEN MADE ANY)APPROVAL OR
A CEWFIFTCAT'E OF WCIJPANCY HAS BBF,N GftANT6D. tBC I(4/1HC t l0.
+3• ales txx r tmg 1P rUCt10n and crn+Struction rnawials in the City-of Ar rr [ ri; 'don y011t sales tac mm a d coded C v o in n 03141. rn Form/ ►)
Signet re Pent Name
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.. Ty,Ho
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i. l:
A P-Irot' as Subtxrltted ,A&ere to Whirlpool.Mode 194OTtO-4ONZ._E:.1:. .62 Y
T418 P9RM1 t AfflMORIZ3 MY THE WORK;•
CONSTIZU C7)NfNTWEM1iL1C.D(vAlDl(CURpTLD.T115 1?RMCf COVERS WORK TO 3GC(NpNPllvgTE PRU RTY.OBY.AN
YB9•Stl)LWALKS,DI1JVEWAYS,MARQUEES,ITI`C WILL REQUtkr--,SEPARATF PERWSSIO I
DescNptlon
12/1612010 Plumbing Pemilt Bate Fee Fee Amount
1211 6/2 0 1 6 Water Heater $25,00
$26 00
Totem Due: $s0.04
Totat Naymeot: $50.00
Balance.Due: St1.40
CALL POR 1NS.PEC`1'10NS
t3i U LUING 1 60j 4103-3017
When ealliag fbr ap Iampectlan plemp 11•AVt the following intormadoxt
PermitNumtkr,]'ype of Josptciinrt heing rcrturated,And whether you PrtPer tnorn149or a term000
i
CITY OF ARLINGTON
238 N. OLYMPIC AVE -ARLINGTON, WA. 98223
PHONE; (360)403-3551
BUILDING PERMIT
Address:20614 Lois Lane Permit#:1259
Parcel#:00875500001200 Valuation:0.00
OWNER APPLICANT CONTRACTOR
Name:CRAWFORD MICHAEL&MICHELLA Name:Washington Water Heaters Name:WASHINGTON WATER HEATERS INC
Address:20614 LOIS LANE Address:PO Box 59208 Address:PO Box 59208
City,State Zip:ARLINGTON,WA 98223 City,State Zip:Renton,WA 98058 City,State Zip:Renton,WA 98058
Phone: Phone:800-978-8588 Phone:(800)978-8588 EXT:
MECHANICAL CONTRACTOR PLUMBING CONTRACTOR
Name: Name:WASHINGTON WATER HEATERS INC
Address: Address:PO Box 59208
City,State,Zip: City,State,Zip:Renton,WA 98058
Phone: Phone:
LIC#: EXP: LIC#: EXP:
JOB DESCRIPTION
PERMIT TYPE: Residential Plumbing CODE YEAR: 2015
STORIES: CONST.TYPE:
DWELLING UNITS: 1 OCC GROUP:
BUILDINGS: OCC LOAD:
PERMIT APPROVAL
I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUCTION AND IN DOING THE WORK AUTHORIZED
THEREBY;NO PERSON WILL BE EMPLOYED IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO
WORKMEN'S COMPENSATION INSURANCE AND RCW 18.27.
THIS APPLICATION IS NOT A PERMIT UNTIL SIGNED BY THE BUILDING OFFICIAL OR HIS/HER DEPUTY AND ALL FEES ARE PAID.
IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR
A CERTIFICATE OF OCCUPANCY HAS BEEN GRANTED. IBC 110/IRC 110.
SALES TAX NOTICE:Sales tax relating to construction and construction materials in the City of Ar n t b rMB,
n your sales tax return form
and coded City of Arlington#3101.
12•I( ('0
Signature Print Name Date Released Date
CONDITIONS
Approved as submitted.Adhere to Whirlpool Model#40T10-40NG E.F. - .62
THIS PERMIT AUTHORIZS ONLY THE WORK NOTED.THIS PERMIT COVERS WORK TO BE DONE ON PRIVATE PROPERTY ONLY. ANY
CONSTRUCTION ON THE PUBLIC DOMAIN(CURBS,SIDEWALKS,DRIVEWAYS,MARQUEES,ETC.)WILL REQUIRE SEPARATE PERMISSION.
PERMIT FEES
Date Description Fee Amount
12/16/2016 Plumbing Permit Base Fee $25.00
12/16/2016 Water Heater $25.00
Total Due: $50.00
Total Payment: $50 00
Balance Due: $0.00
CALL FOR INSPECTIONS
BUILDING(360)403-3417
When calling for an inspection please leave the following information:
Permit Number,Type of Inspection being requested,and whether you prefer morning or afternoon
i
��
��.
RESIDENTIAL PLUMBING
PERMIT APPLICATION
Department of Community & Economic Development
City of Arlington• 18204 59th Ave NE •Arlington,WA 98223• Phone(360) 403-3551
THIS APPLICATION IS TO BE USED WHEN APPLYING FOR NEW PLUMBING INSTALLATION FOR
EXISTING RESIDENCES. PLEASE FILL OUT ALL PAGES OF THIS APPLICATION AND INCLUDE ALL
INFORMATION.
Project Address:20614 LOIS LANE
Project Description-REMOVE & REPLACE 1 GAS WATER HEATER
Owner- CRAWFORD, MICHAEL
20614 LOIS LANE
Address: CityAR State:WA Zip Code: 98223
Phone: 425-344-9802 Email: NONE@EMAIL.COM
Applicant:JACCI DANIELS
Address:PO BOX 59208 City:RENTON State:WA Zip Code: 98058
Phone: 800-978-8588 Email: WAWAHVAC@GMAIL.COM
CONTRACTOR INFORMATION
Contractor Name:WASHINGTON WATER HEATERS
Address:PO BOX 59208 City�RENTON StateWA Zip Code:98058
License Number:WASHII*9800P Expiration 09/17/18
Phone:800-978-8588 Email:WAWAHVAC@GMAIL.COM
STAFF USE O
Permit#: I ?/�'" ! Accepted by Date arc 15 �,01e
REV 2015 Page 1 of 2
RESIDENTIAL PLUMBING
PERMIT APPLICATION
Department of Community & Economic Development
City of Arlington• 18204 59th Ave NE •Arlington,WA 98223• Phone(360) 403-3551
Plumbing Section (check all that apply)
(Check all that apply and indicate the number of fixtures proposed)
❑ Bath/Shower Combo (4.0) x ❑ Sink (1.5) x
GI Shower (2.0) x Lavatory (1.0) x
❑ Clothes Washer (4.0) x ❑ Water Closet (2.5) x
❑ Dishwasher (1:5) x pd Water Heater x 1
❑; Hose Bibb (2.5) x
Water Heater Model#
�1 Other(list) x 40T10-40NG
Proposed Water Piping Size: N/A
Proposed Piping Material: N/A
Proposed DWV Material:N/A
Proposed DWV Size: N/A
• All hose bibs required to be equipped with Atmospheric Vacuum Breakers per ASS 1019
• All water supplies at 80psi or greater shall have Pressure Reducing Valves (PRV)
• Cross-Connection Control may be required
Applicant Signature: - '" Date: 12/15/2016
1 hereby certify that the above information is correct and that the construction, installation for the above mentioned
property will be in accordance with the applicable laws of the City of Arlington and the State of Washington.
REV 2015 Page 2 of 2
Sloop Whirlpool 40-Gallon 10-Year Residentia ^ ,1 Natural.Gas Wat... http://www.' 's_emn/pd 757281-135-40T10-40NG_
YGIIr St4Y/7
Bellevue,WA
n
i Your Store: Bellevue,WA I FREE
Stara Pickup
Whirlpool 40-Gallon 10-Year
Residential Tall Natural Gas Water ; c
Heater
Lowe's Truck Delivery
Item#7S72al I Model*40T10.4oNG !!
$529.00 I
1 Perpel Shipping
Ugavailabfe for This Order
Get SOW Oft Every Day or Special Financing" i Sent by tamers Ilke UPS,
Minimum Purchase Required r Pedgy LISPS,atc, 11
Whirlpool40-Gallen $529.00
10-Year Residential
Tall Natural Gas
Water Heater ^'
6-Year Water $5B,B7
Heater Extended
Protection Plan
Facebook
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' Description _ .._ .. ......--•
40-Gallon 10-Year Residential Tall Natural Gas water Healer k
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i -Whlrlpool am sense technology advanced aloctropic gas control
•High-AWtude rerlllled Troth 0 It to 10.1 g8 R
-FVIR Befety system protects your family from otdclental ignition of llarnmable vapors
.Gor,sumer-friendly combination gas velvetthermostet with sell-dlagnoatics
•Push-button pilotlight igniter with view port for esae-ofgghvng pilot without matches
-Factory Installed temperature and pressure relief valve ,
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I
Specifications
Tank Capacity(Gallons) 40 Verd Diameter(inches) 3
Fa Size 3 Type B
Vent Type double €
Warranty i().Yearar }
..__ - -- ----_.._- -• - wall
ral
Fuel Source gas ENERGY STAR Oualltled No ~'
Helght(Inches) .. .•��.•,-•.-.,V.82.._~ Worka with Iris _ No.........,...
1nWter Connection Size -� 3/4 in Insulation Thickness(In01:0 2 !!
Temperature and Pressure Reller Vwkre --. yea - •CemmerclellResldentlal _�_..,....-- -. Residential
i - -- - BTU Input(BTU) 40000
{3PH Recovery at 90 Degrees F(Gallops) 46.44
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t Foam insulation Yes
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Pilot Light Window Yes Diameter(inches) _- 19.755 r
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l of 2 4/19/2016 1:05 FM
Permit#: 1259
Permit Date: 12/15/16
Permit Type: RESIDENTIAL PLUMBING
Project Name: Crawford
Applicant Name: Washington Water Heaters
Applicant Address: PO Box 59208
Applicant, City, State, Zip: Renton,WA 98058
Contact: Jacci Daniels
Phone: 800-978-8588
Email: wawahvac@gmail.com
Scope of Work: Replace Gas Water Heater
Valuation: 0.00
Square Feet: 0
Number of Stories: 0
Construction Type:
Occupancy Group:
ID Code:
Permit Issued: 12/16/2016
Permit Expires:
Form Permit Type:
Status: LASERFICHE
Assigned To: Kristin Foster
Property
Parcel# Address Legal Description Owner Name Owner Phone Zoning
CRAWFORD
00875500001200 20614 LOIS LN MICHAEL& Residence
Single Family
-Detached
MICHELLA
Contractors
Contractor Primary Contact Phone Address Contractor Type License License#
WASHINGTON WATER JACCI DANIELS (800)978-8588 PO Box 59208 CONSTRUCTION Labor&WASHII*9800P
HEATERS INC EXT: CONTRACTOR Industries
Fees
Fee Description Notes Amount
Plumbing Base Permit Fee $25.00
Water Heater(Tank) $25.00
Total $50.00
Attached Letters
Date Letter Description
12/16/2016 Building Permit
Payments
Date Paid By Description Payment Type Accepted By Amount
12/15/2016 JACCI DANIELS 62713949 cc $25.00
12/15/2016 JACCI DANIELS 62714036 cc $25.00
Outstanding Balance $0.00
Notes
Date Note Created By:
12/15/2016 Whirlpool model#40T10-40NG E.F.-.62 Kristin Foster
Uploaded Files
Date File Name
12/20/2016 2018752-1259 Issued Permit.pdf
12/15/2016 2012620-1259 Specs.pdf
12/15/2016 2012621-1259 Application.pdf