09-102368Project Name: BEMILLER
Project Address: 2623 S 304TH ST
Project Description: Connect new gas meter to old pipe
. Mechanical
Perm #: 09-102368-00-ME
Inspection Request Line: (253) 835 -3050
Parcel Number: 092104 9073
Own r
Applicant
City of Federal Way
STEPHEN G BEMILLER
Community Development Services
P.O. Box 9718
Q%0
Federal Way, WA 98063 -9718
NORTHCREEK MECHANICAL
Ph: (253) 835 -2607 Fax: (253) 835 -2609
2623 S 304TH ST
Project Name: BEMILLER
Project Address: 2623 S 304TH ST
Project Description: Connect new gas meter to old pipe
. Mechanical
Perm #: 09-102368-00-ME
Inspection Request Line: (253) 835 -3050
Parcel Number: 092104 9073
Own r
Applicant
Contractor
STEPHEN G BEMILLER
MICHAEL LAUDERMILK
NORTHCREEK MECHANICAL
ELIZABETH R BEMILLER
NORTHCREEK MECHANICAL
NORTHM *931PE (10/5/09)
2623 S 304TH ST
18566 STONE AVE N
18566 STONE AVE N
FEDERAL WAY WA 98003 -4811
SHORELINE WA 98133
SHORELINE WA 98133
3 � " ni
Mechanical Valuation ................. ...........................1000
Gas
I hereby "'t
the occu
............................., .:
Owner or agent:
Is this an Online or O.T.C. application ? .................Yes
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THIS CARD IS T MAIN ON- SITE .. _
Cr" OF , THIS
I ection Record
Federal Way INSPECTION REQUE TS: (253) 835 -3050
PERMIT #: 09- 102368 -00 -ME Address: 2623 S 304TH ST
Owner: STEPHEN G BEMILLER FEDERAL WAY, WA 98003 -4811
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.
FILE
For inspector reference only
D Rough Electrical O FINAL - Electrical
Approved Approved
By Date By Date
Mechanical Rough -in (4165)
Gas Piping (4125)
Final - Mechanical (4065)
Approved
Approved to release test
Approved
By
Date
By
Date
By
Date��
FILE
For inspector reference only
D Rough Electrical O FINAL - Electrical
Approved Approved
By Date By Date