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24-100386Federal Way 5 7 3„-1 g it 07 10 CITY OF FEDERAL WAY Mechanical Permit My l�u i ld� �i:�� [naa_iT. corn Permit Information Permit Number 24-100386-00-ME issued Date 1/26/2024 Expiration Date 1 /26/2025 Job Address 4137 SW 322ND ST Fee Paid $314.74 FEDERAL WAY, 98023 Order Confirmation 1280361 Floor Related Permit # Suits Application to 1434219 Contact Information Contact Name Katrina Simonson Contractor Green City HTG & A/C INC Phone Number (206) 227-6616 Property owner Jack M Jr & Connie Segel LNILicense # GREENCH866132 Address 4137 SW 322ND ST FEDERAL WAY, Phone# (206) 227-6616 WA city Bus. License # 603 363 739 Property owner Phone 1 (253) 952-0164 Tenant Name Job Description A (Single Family Residential) ( New) project involving ( Single Family Dwelling, 1 Ductless Heat Pump) wall brackets to side of house Conditions - Post Permit on site. Do not cover until inspected. Plumbing contractor license laws are regulated by Chapter 18.106 RCW. Property owners who hire an unlicensed plumber may assume the risks and potential monetary liability for work performed by unlicensed plumbing contractors. For more information contact L&I Department of Licensing at 1-800-647-0982. Certification Statement - The applicant states: I certify that I am the owner of this property or the owner's authorized agent, including an appropriately licensed contractor. I have furnished true and correct information. I will comply with all provisions of law and ordinances governing this type of construction work, whether specific herein or not By submitting this application I give the jurisdiction permission to enter the property to perform inspections. I understand that failure to comply with the above may result in revocation of the permit. Applicant: Katrina Simonson Page 1 of 2 Feder way CITY OF FEDERAL WAY M BuildingPermit.com Mechanical Permit Permit Information Permit Number 24.-100386-00-ME Issued Date 1/26/2024 Job Address 4137 SW 322ND ST Expiration Date 1 /26/2025 Fee Paid $314.74 FEDERAL WAY, 98023 Order Confirmation 1280361 Floor Related Permit # Suite Application ID 1434219 Inspections Inspection IVR Inspector Date Inspection IVR Inspector Date Mechanical Rough In 4165 Gas Piping 4125 /j Final Mechanical 4065 Inspection Scheduling Go to www.MyBuildingPermit.com or call 253-835-3050. Inspection request cut-off time for next day inspections is 4:00 p.m. Page 2 of 2