21-101535City of Federal Way
Community Development Dept,
33325 8th Ave S
Federal Way, WA 98003
Ph: (253) 835-2607 Fax: (253) 835-2609
Project Name: WILKERMALSTEAD
Project Address: 29707 4TH AVE SW
Project Description: Natural gas piping
Mechanical
FILFPermit #:21-101535-00-ME
Inspection Request Line: (253) 835-3050
Parcel Number: 720510 0040
Owner
Applicant
Contractor
COREY WILKER
COREY WILKER
OWNER
29707 4TH AVE SW
29707 4TH AVE SW
OWNER
FEDERAL WAY WA 98023
FEDERAL WAY WA 98023
Additional Permit Information
Mechanical Work Valuation? ................................. 500 ` Q^- Hs an Online or O.T.C. application?.................. Yes
ica I Fixtures
Gas Logs 2 Ga� 1 Ranges
MF MPXPIRES Saturday, 16 Octob , 2
qkrmit Issued on Monday, April 19, 2(1
I hereby certify that the above information is correct and that the ca truct1W on the above described property
and the occupancf the use will be in accordance with the rules and regulations of the State of
Washington and the City of Fec}� ay-
Owner or agent: ` +�i it i� C1 Date.
4
CITY OF
Federal Way
PERMIT #:
Project:
THIS CARD IS TO REMAIN ON -SITE
Construction Inspection Record
INSPECTION REQUESTS: (253) 835-3050
21 101535 00 Address: 29707 4TH AVE SW
ELISSA WALSTEAD FEDERAL WAY WA 98023-3512
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.
❑
Mechanical Rough -in (4165)
❑ Gas Piping (4125)
❑
Final - Mechanical (4065)
Approved
VI-C A�_ajvpravcd to release test
Approved
By
Date
By Date ty • D. 2
By
Date
Rough Electrical
Final Electrical
Right of Way
Approved
Approved
Approved
By
Date
By
Date
By
Date