16-104024City of Federal Way
Community & Econ. Dev. Services
33325 8th Ave S
Federal Way, WA 98003
Ph: (253) 835 -2607 Fax: (253) 835 -2609
Project Name: MARCISZ
Project Address: 322 S 301ST ST
Project Description: Relocation of the gas meter
Mechanical
Permit #: 16- 104024 -00 -ME
Inspection Request Line: (253) 835 -3050
Parcel Number- 692860 0500
Owner
AR licant
Contractor
ARKADIUSZ MARCISZ
COREY ALEXANDER
1NFRASOURCE SERVICES LLC
MONICA MARCISZ
INFRASOURCE SERVICES LLC
INFRASL871C2 (2122/17)
322 S 301ST ST
13330 STONE AVE N
14103 STEWART RD
FEDERAL WAY WA
SEATTLE WA 98133
SUMNER WA 98390
98003
Additional Permit Information
Mechanical Work Valuation ? ...... ...........................1000
Is this an Online or O.T.C. application ? ................. es
Mechanical Fixtures
Gas Pipe Outlets ............................. 1
PERMIT EXPIRES Tuesday, February 14, 2017
Permit Issued on Thursday, August 18, 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 h I I I K 1 Date:
UIN4L.1 I'M
F i'14RA
cnyoo V&
Federal Way
PERMIT #:
Project:
THIS CARD IS TO REMAIN ON -SITE
Construction Inspection Record
INSPECTION REQ TS: (253) 8353050
16- 104024 -00-ME Address: 322 S 301 ST ST
ARKADIUSZ MARCISZ FEDERAL WAY, WA 98003 -3633
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 oug in (4
as Piping
Final - Mechanical (4065)
Approved
Approved to release test
Approved
By Date
By Date
By ,rJ Date gl zql&
Rough Electrical
Approved
0
Final Electrical
Approved
Right of Way
Approved
By
Date
By
Date
By
Date