22-104092Mechanical
City of Federal Way Permit #:22-104092-00-ME
Community Development Dept.
33325 8th Ave S
Federal Way, WA 98003 L Inspection Request Line: (253) 835-3050
Ph: (253) 835-2607 Fax: (253) 835-2609
Project Name: FULLER
Project Address: 30420 28TH AVE SW Parcel Number: 416660 0646
Project Description: Installation of gas piping, hot water tank, furnace and cook stove.
Owner
Applicant
Contractor
DAVID FULLER
DAVID FULLER
OWNER IS CONTRACTOR
954 S KARL JOHAN AVE
954 S KARL JOHAN AVE
TACOMA WA 98465
TACOMA WA 98465
Additional Permit Information
Mechanical Work Valuation? .......... .........:..,..:...... 1 14000 Is this an Online or O.T.C. application?.................. Yes
Furnaces
a'l Chanical fixtures
1 Gas Pipe Outlets 3 Hot Water Tanks
PERMIT EXPIRES Monday, 6 March, 2023
Permit Issued on Wednesday, September 7, 2022
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 theCityof Federal Way.
Owner or agent: 1 [Date.
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THIS CARD IS TO REMAIN ON -SITE
CITY THIS
Inspection Record
Federal Way INSPECTION REQUESTS: (253) 835-3050
PERMIT #: 22 104092 00 Address: 30420 28TH AVE SW
Project: DAVID FULLER FEDERAL WAY WA 98023-2350
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.
t❑ Mechanical Rough -in (4165) z❑ Gas Piping (4125) 0 Final - Mechanical (4065)
Approved Approved to release wst Approved
By Date By Date qIK A By ) Date /%�i I
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Rough Electrical
Final Electrical
Right of Way
Approved
Approved
Approved
By
Date
By
Date
By
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