16-105878City of Federal Way
Community Development Dept.
33325 8th Ave S
Federal Way, WA 98003
Ph: (253) 835-2607 Fax: (253) 835 -2609
Project Name: MOSS
Project Address: 640 S 295TH PL
I I ,
r 11
Mechanical
FILEPermit #:16-105878 -00 -ME
Inspection Request Line. (253) 835 -3050
Project Description: Replace gas furnace like in kind with air conditioner installation
Parcel Number: 515210 0080
Owner
Applicant
Contractor
KURT FAIRBANKS HAGGARDT MOSS
DAVID BRADSHAWALL SEASONS INC
ALL SEASONS INC (GENERAL)
640 S 295TH PL
4851 S S 4851 S WASHINGTON ST ST
ALLSEI.03055 (12117/17)
FEDERAL WAY WA
TACOMA WA 98409
4851 S WASHINGTON ST
98003
TACOMA WA 98407
Additional Permit Information
Mechanical Work Valuation? ... ............................... 8000 Is this an Online or O.T.C. application ?.................. Yes
Compressors / Heat Pumps 1 Furnaces 1
PERMIT EXPIRES Monday, 12 June, 2017
Permit Issued on Wednesday, December 14, 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: NJ Date:
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Federal Way
PERMIT #: 16105878'00
Project: PATRICIA ANN MOSS
THIS CARD IS TO REMAIN ON -SITE
Construction Inspection Record
INSPECTION REQUESTS: (253) 835 -3050
Address: 640 S 295TH PL
FEDERAL WAY WA 98003 -3614
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)
Gas Piping (4125)
Final - Mechanical (4065)
Approved
Approved to release test
Approved
By Date
By Date
Bye Date ('V tom` 1IL
Rough Electrical
Approved
By Date
Right of Way
Final Electrical
Approved
Approved
By .
Date
By
Date