16-104252Project Name: PERRAULT
Project Address: 30636 4TH PL S
Project Description: replace gas furnace
- -- Mechanical
Permit #: 16- 104252 -00 -ME
Inspection Request Line: (253) 835 -3050
Parcel Number: 241330 0720
Owner
Ap licant
City of Federal Way
RONALD PERRAULT
Community & Econ. Dev. Services
F
33325 8th Ave S
� �
Federal Way, WA 98003
L
Ph: (253) 835 -2607 Fax: (253) 835 -2609
1003 85TH AVE SE UNIT A
Project Name: PERRAULT
Project Address: 30636 4TH PL S
Project Description: replace gas furnace
- -- Mechanical
Permit #: 16- 104252 -00 -ME
Inspection Request Line: (253) 835 -3050
Parcel Number: 241330 0720
Owner
Ap licant
Contractor
RONALD PERRAULT
SUSAN DUNHAM
BLACK HILLS INC (GENERAL)
30636 4TH PL S
BLACK HILLS INC
BLACKHI066JL (7/19/1.7)
FEDERAL WAY WA 980034043
1003 85TH AVE SE UNIT A
1003 85TH AVE SE UNIT A
OLYMPIA WA 98501
OLYMPIA WA 98501 -5706
Additional Permit Information
Mechanical Work Valuation ? ..... ...........................2455
Furnaces .......... ............................... 1
Is this an Online or O.T.C. application ? .................Yes
Mechanical Fixtures
PERMIT EXPIRES Saturday, February 26, 2017
Permit Issued on Monday, August 29, 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: Date:
ONLINE
IRNAtED
MY of � Mr
Federal Way
PERMIT #:
THIS CARD IS TO REMAIN ON -SITE
Construction Inspection Record
INSPECTION REQ TS: (253) 835 -3VA
16- 104252 -00 -ME Address: 30636 4TH PL S
Project: RONALD PERRAULT FEDERAL WAY, WA 98003 -4043
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 (41
as aping (1
Mechanical
Approved
Approved to release test
pproved
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By
Date
By
Date
7
Rough Electrical
Approved
Final Electrical
Approved
Right of Way —"
Approved
By
Date
By
Date
By
Date