09-1019993
Mechanical
City of Federal Way ,{,�
Community Development Services r D ermit #: 09- 101999 -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: JACKSON FILE Project Address: 803 S 317TH ST Parcel Number: 858800 0335
Project Description: vent bathroom fan and kitchen rangehood to outside
Owner
Applicant
Contractor
DERICK & BRENDA JACKSON
LARRY KEMPH
LARRY'S REPAIR
803 S 317TH ST
LARRY'S REPAIR
LARRYR*081BS (1/08/11)
FEDERAL WAY WA 98003 -5391
4320 196TH ST SW PMB B612
4320 196TH ST SW
LYNNWOOD WA 98036
LYNNWOOD WA 98036
Mechanical Valuation ................ ............................750
........................... f.. 2
PEA #" EXPIRES
I hereby city that'ath above Form,
the occupancy'a dl" -fie use w4ile in
Owner or agent:
Is this an Online or O.T.C. application ? .................Yes
rday, November 28,
and the City of Federal Way.
ils of thdilRate MWafflUNJO
Date:
SINALED
THIS CARD IS TO MAIN ON -SITE -
CITY of Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835 -3050
PERMIT #: 09- 101999 -00 -ME
Owner: DERICK & BRENDA JACKSON
Address: 803 S 317TH ST
FEDERAL WAY, WA 98003 -5332
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 CA
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 Date , (O
For inspector reference only
❑ Rough Electrical ❑ FINAL - Electrical
Approved Approved
By Date By . Date