12-101396 w
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Community&Econ.ral De�Services Permit #: 12-101396-00-ME
33325 8th Ave S FILE
Federal Way,WA 98003 Inspection Request Line: 253
Ph:(253)835-2607 Fax:(253)835-2609 p Q � )835-3050
Project Name: CORTEZ
Project Address: 28632 21ST AVE S Parcel Number: 422200 0070
Project Description: GAS TO GAS FURNACE REPLACEMENT
Owner Applicant Contractor
DAVID CORTEZ WESCO NORTHWEST PERMIT WASHINGTON ENERGY SERVICES CO
BEVERLY L CORTEZ NORTHWEST PERMIT/WESCO (GENERAL)
28632 21ST AVE S 1345 W GULF RD WASHIES971OB(9/2/13)
FEDERAL WAY WA POINT ROBERTS WA 98281 28.00 THORNDYKE AVE W
98003 SEATTLE WA 98199
Additional Permit Information
Mechanical Valuation 3885.91 Is this an Online or O.T.C.application? Yes
Mechanical Fixtures
Furnaces 1
PERMIT EXPIRES Tuesday, September 25, 2012
Permit Issued on Thursday, March 29, 2012
•
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: Date:
Fu9ML 4/
, THIS CARD IS TO MAIN ON-SITE f
CITY a • Construction I ection Record
Federal Way INSPECTION REQUE TS: (253)835-3050
PERMIT#: 12-101396-00-ME Address: 28632 21ST AVE S
Project: DAVID CORTEZ FEDERAL WAY, WA 98003-3339
Scheduled inspections may be failed if this card is not on-site. DO NOT LOSE THIS CARD. Inspections are listed as close to sequential order as
possible(read left to right,top to bottom). Please schedule inspections as appropriate. Work must not be covered until it is approved. Check with your
inspector if you are unsure about any of the inspections or the inspection sequence. On-going inspections are logged on the back of this card.
-0 Mechanical Rough-in(4165) -❑ Gas Piping(4125) ❑ Final-Mechanical(4065)
Approved Approved to release test �/ Approved
By Date By Date By /�i,// Date /,Z_
0 Rough Electrical Final Electrical Right of Way
Approved Approved Approved
By Date By Date By Date