09-101004Mechanical
City of Federal Way Permit #: 09-101004-00-ME
Community Development Services
P.O. Box 9718 FILE Federal Way, F 98063 -9718 Inspection Request Line: (253) 835 -3050
Ph: 253 835 -2607 Fax: 253 835 -2609
c) c)
Project Name: BURNS
Project Address: .2221 S 284TH ST Parcel Number: 422220 0340
Project Description: Replace 90k gas furnace
Own r
Amlicant
Contractor
SALLY BURNS
NAIDA KHAN
WASHINGTON ENERGY SERVICES CO
2221 S 284TH ST
NORTHWEST PERMIT INC
(GENERAL)
FEDERAL WAY WA 98003 -3261
1345 GULF RD
WASHIES97IOB (9/2/09)
POINT ROBERTS WA 98281
2800 THORNDYKE AVE W
SEATTLE WA 98199
Mechanical Valuation .................... ........................2093.00
................................ I
RES
Is this an Online or O.T.C. application ? .................Yes
Seatember 1
I hereby certify that the above information is correct and that the construction of
the occupancy and the use will be in accordance with the laws, rules and regu
and the City of Federal Way.
Owner or agent: 0M LAU
above described property and
s of the State of Washington
Date: � n*
'rHIS'CARD IS TO MAIN ON -SITE
MY of kOMMullit'y Develop nt Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835 -3050
PERMIT #: 09- 101004 -00 -ME
Owner: SALLY BURNS FILE
Address: 2221 S 284TH ST
FEDERAL WAY, WA 98003 -3261
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 _;/ Date
/0
For
❑ Rough Electrical
Approved
By Date
reference
❑ FINAL - Electrical
Approved
By Date