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City of Federal Way • •
Community & Econ. Dev. Services Permit #: 15 -105134 -00 -ME
33325 8th Ave S
W
Federal Way, WA 98003 FILE
Inspection Request Line: 253
Ph: (253) 835-2607 Fax: (253) 835-2609 p q � ) 835-3050
Project Name: VOOLICH
Project Address: 33941 28TH PL SW
Project Description: Relocation of the gas meter
Parcel Number: 010920 0720
Owner
Ap lip cant
Contractor
PETER L VOOLICH
COREY ALEXANDER
INFRASOURCE SERVICES LLC
MARCELLA A VOOLICH
INFRASOURCE SERVICES LLC
INFRASL871C2 (2/22/17)
33941 28TH PL SW
13330 STONE AVE N
14103 STEWART RD
FEDERAL WAY WA 98023
SEATTLE WA 98133
SUMNER WA 98390
Additional Permit Information
Is this an Online or O.T.C. application?.................Yes
Mechanical Fixtures
Gas Piping ...................................... 1
PERMIT EXPIRES Tuesday, April 5, 2016
Permit Issued on Thursday, October 8, 2015
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:
CITY OF ✓'
Federal Way
PERMIT #:
Project:
THIS CARD IS TOAIN ON-SITE
Construction In ection Record
INSPECTION REQUE TS: (253) 835-3050
15 -105134 -00 -ME Address: 33941 28TH PL SW
PETER L VOOLICH FEDERAL WAY, WA 98023-7716
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.
E] Mechanical Rough -in (4165)Gas
Piping (4125)
Final - Mechanical (4065)
Approved
Approved to release test
Approved
By Date
By f)A-, Date L a -1 l S–
By P/,{ Date ► e - ( - ( �—
Rough Electrical
Approved
EJFinal
Electrical
Approved
Right of Way
Approved
By
Date
By
Date
By
Date
