16-105751City of Federal Way
Community Development Dept.
33325 8th Ave S
Federal Way, WA 98003
Ph: (253) 835 -2607 Fax (253) 835 -2609
Project Name: BASSETT
FILE
Project Address: 4120 SW 322ND ST
Project Description: relocation of the gas meter
Mechanical
Permit #:16- 105751 -00 -ME
Inspection Request Line: (253) 835 -3050
Parcel Number: 873196 0430
Owner
Applicant
Contractor
BYRON F BASSETT
COREY ALEXANDERINFRASOURCE
INFRASOURCE SERVICES LLC
4120 S 322ND ST
SERVICES LLC
INFRASL871C2 (2W17)
FEDERAL WAY WA 98023 -2417
13330 STONE AVE N
14103 STEWART RD
SEATTLE WA 98133
S
SUMMER WA 98390
Additional Permit Information
Mechanical Work Valuation ? .................................. 1000 Is this an Online or O.T.C. application ?.................. Yes
Gas Pipe Outlets
PERMIT EXPIRES Monday, 5 June, 2017
Permit Issued on Wednesday, December 7, 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 Ci Federal Way.
Owner or agent: Date:
N'o NaL
THIS CARD IS TO REMAIN ON -SITE r
Cmer Construction Inspection Record
Fecleral Way INSPECTION REQUESTS: (253) 835 -3050
PERMIT #: 16105751 00 Address: 4120 SW 322ND ST
Project: BYRON F BASSETT FEDERAL WAY WA 98023 -2417
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 Rough -in (4165)
0
Gas Piping (4125)
Final Electrical
Final - Mechanical (4065)
Right of Way
Approved
Approved
Approved to release test
Approved
Approved
BY
Date
By
Date
By
Q Date
Rough Electrical
0
Final Electrical
Right of Way
Approved
Approved
Approved
By
Date
By
Date
By
Date