16-105154Mechanical
City of Federal way Permit #:16- 105154 -00 -ME
C 35MAveS Dept. FILE
33325 8th Ave S
Federal Way, WA 98003 Inspection Request Line: (253) 835 -3050
Ph: (253) 835 -2607 Fax: (253) 835 -2609
Project Name: JACKSON --
Project Address: 32420 12TH AVE SW Parcel Number: 926494 0070
Project Description: Remove & replace 1 gas water heater
Owner
Applicant
Contractor
STEVEN D JACKSON
JACCI DANIELSWASHINGTON WATER
WASHINGTON WATER HEATERS INC
32420 12TH AVE SW
HEATERS INC
WAS1111'980OP (9/17/18)
FEDERAL WAY WA 98023 -4914
1800 RICHARDS RD SUITE A
1800 RICHARDS RD SUITE A
BELLEVUE WA 98005
BELLEVUE WA 98005
Additional Permit Information
Mechanical Work Valuation .................................. 1380 Is this an Online or O.T.C. application ?.................. Yes
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PERMIT EXPIRES Sunday, 23 April, 2017
Permit Issued on Tuesday, October 25, 2016
I hereby certify that the above information is correct and that the construction on the above described property
and the occupancy and the use will be in accordance with the laws, rules and regulations of the State of
Washington and the City of Federal Way.
Owner or agent: n J\ f f Date:
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4& crrV OR
Federal Way
PERMIT #: 16105154 00
THIS CARD IS TO REMAIN ON -SITE
Construction Inspection Record
INSPECTION REQUESTS: (253) 835 -3050
Address: 3242012TH AVE SW
,_, . -•
Project: ROBYN L JACKSON FEDERAL WAY WA 98023 -4914
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.
El Mechanical Rough -in (4165)
El Gas Piping (4125)
Final - Mechanical (4065)
Approved
Approved to release test
Approved
By Date
By Date
By � *J Date ,t b. "t..
El
Rough Electrical
Final Electrical
Right of Wa y
Approved
Approved
Approved
By
Date
By
Date
By
Date