16-105277City of Federal Way
Applicant
Community Development Dept.
LIUDMYLA EVANS
33325 8th Ave S
FILE
Federal Way, WA 98003
922 SW 313TH CT
Ph: (253) 835 -2607 Fax: (253) 835-2609
FEDERAL WAY WA 98023
Project Name: DAWSON
Project Address: 843 SW 312TH ST
Project Description: Gas piping to home.
Mechanical
t A
Permit # :16- 105277 =00 -ME
Inspection Request Line: (253) 835 -3050
Parcel Number: 072104 9246
Owner
Applicant
Contractor
LIUDMYLA EVANS
LIUDMYLA EVANS
OWNER IS CONTRACTOR
922 SW 313TH CT
922 SW 313TH CT
FEDERAL WAY WA 98023
FEDERAL WAY WA 98023
Additional Permit Information
Mechanical Work Valuation? ... ............................... 500 Is this an Online or O.T.C. application ?.................. Yes
j�
Gas Piping
PERMIT EXPIRES Monday, l May 2017
Permit Issued on Wednesday, November 2, 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: 00% Date:
U IN L I IN r.
THIS CARD IS TO REMAIN ON -SITE
Federal W Construction Inspection Record
INSPECTION REQUESTS: (253) 835 -3050
PERMIT #: 16105277 00 Address: 843 SW 312TH ST
Project: ROGER DAWSON FEDERAL WAY WA
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)-Z.o
Q Final - Mechanical (4065)
Approved
Approved to release test P5 Z
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Approved
By Date
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By Av-J Date % t tit//&
Rough Electrical
0
Final Electrical
Right of Way
Approved
Approved
Approved
By
Date
By
Date
By
Date