09-100215City of Federal Way Mechanical
Community Development Services Permit #. 09-100215-00-ME
P.O. Box 9718
Federal Way, WA 98063 -9718 Inspection Request Line: 253 835 -3050
Ph: (253) 835 -2607 Fax: (253) 835 -2609 p q
Project Name: LARSEN
Project Address: 33402 4TH CT SW Parcel Number: 729805 0410
Project Description: Replace 2 gas water heaters
Owner
Applican
Contractor
DONALD & DEBORAH LARSEN
NAIDA KHAN
WASHINGTON ENERGY SERVICES CO
33402 4TH CT SW
NORTHWEST PERMIT INC
(GENERAL)
FEDERAL WAY 98023
1345 GULF RD
WASHIES9710B (9/2/09)
POINT ROBERTS WA 98281
2800 THORNDYKE AVE W
SEATTLE WA 98199
Mechanical Valuation .................... ........................1900.00 Is this an Online or O.T.C. application? ................. Yes
..................... 2
I hereby certify that the above inform,
the occupancy and the use will be in
Owner or agent:
and the City of Federal Way.
Date: / —/G -d f
FINAUa 6/9' OP9
. ,''PHIS CARD IS TWE MAIN ON -SITE
CITY OF Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835 -3050
PERMIT #: 09- 100215 -00 -ME
Owner: DONALD & DEBORAH LARSEN
Address: 33402 4TH CT SW
FEDERAL WAY, WA 98023 -6194
This card is part of your required inspection documents. 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 Approved to release test Approved
By Date By Date By "�/ t� Date
FILE
For inspector reference only
❑ Rough Electrical O FINAL'- Electrical
Approved Approved
By Date By Date