24-100949CITY OF FEDERAL WAY
Federay Mechanical Permit MyBui iId'rid�eVrrtt-.-corn
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Permit Information
Permit Number
24-100949-00-M E Issued Date
314/2024
Expiration Date
3/5/2025
Job Address
28615 21 ST AVE S Fee Paid
$314.74
FEDERAL WAY, 98003 Order Confirmation
1288436
Floor
Related Permit #
Suite
Application ID
1452009
Contact Information
Contact Name
Katrina Simonson co,traow
Green City HTG & A/C INC
Phone Number
(206) 227-6616
Property Owner
Feh O Johnson LNILicense #
GREENCH866B2
Address
28615 21 ST AVE S FEDERAL WAY, Phone#
(206) 227-6616
WA city Bus. License #
603 363 739
Property Owner Phone
(253) 374-5520 Tenant Name
Job Description
A (Single Family Residential) ( Alteration) project involving ( Single Family Dwelling, 1 Water Heater - Gas 60 Gallons or
more, 1 Ductless Heat Pump)
laundry room, attic and backyard
Conditions - Post Permit on site. Do not cover until inspected.
If the appliance is fuel buming, install a carbon monoxide alarm outside each sleeping area and on each level
of the dwelling unit prior to the final inspection.
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:
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.
I
Applicant: Katrina Simonson Z41-
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eder ay CITY OF FEDERAL WAY M BuildingPermitxom
Mechanical Permit
Permit Information
Permit Number
24-100949-00-ME
Issued Dale
3/4/2024
Job Address
28615 21ST AVE S
Expiration Date
3/5/2025
Fee Paid
$314.74
FEDERAL WAY, 98003
Order Confirmation
1288436
Floor
Related Pennh $
suite
Application ID
1452009
Inspections
Inspection IVR Inspector Date Inspection
IVR Inspector Date
Mechanical Rough In 4165
Gas Piping 4125
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.
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