23-100034Mechanical
City of Federal Way E
Permit #:23-100034-00-ME
Community Development Dept.
33325 8th Ave S
Federal Way, WA 98003 Inspection Request Line: (253) 835-3050
Ph: (253) 835-2607 Fax: (253) 835-2609 FIL
Project Name: GREGOIRE
Project Address: 30724 21ST AVE SW Parcel Number: 941269 0010
Project Description: REPLACING EXISTING GAS FURNACE AND TSTAT
Owner
Applicant
Contractor
CHRISTOPHER & ANGELICA GREGOIRE
SUSAN DUNHAMBLACK HILLS INC
BLACK HILLS INC (GENERAL)
30724 21ST AVE SW
1003 85TH AVE SE UNIT A
BLACKH1066JL (7/19/23)
FEDERAL WAY WA 98023
OLYMPIA WA 98501
1003 85TH AVE SE UNIT A
OLYMPIA WA 98501-5706
Additional Permit Information
Mechanical Work Valuation?.......... ........................ 6000 Is this an Online or O.T.C. application?.................. Yes
Mechanical Fixtures
Furnaces . 1
PERMIT EXPIRES Monday, 3 July, 2023
Permit Issued on Wednesday, January 4, 2023
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
ONEINE of Federal Way.
Owner or agent: Date:
THIS CARD IS TO REMAIN ON -SITE
CITY°F Construction Inspection Record
Federal Way INSPECTION REQUESTS: (253) 835-3050
PERMIT #: 23 100034 00 Address: 30724 21ST AVE SW
Project: CHRISTOPHER & ANGELICA GRE FEDERAL WAY WA 98023-7801
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)
Q
Gas Piping (4125)
0
Final -
Mechanical (4065)
Approved
Approved to release test
Approved
By
Date
By
Date
By
_J� O
Date
Rough Electrical
❑
Final Electrical
Right of Way
Approved
Approved
I
Approved
By
Date
By
Date
By
Date