16-105417Plumbing
City yDeeenl Way
velopment Dept.
Community De Permit #:16- 105417 -00 -PL
33325 8th Ave S ���
Federal Way, WA 98003 Inspection Request Line: (253) 835 -3050
Ph. (253) 835-2607 Fax (253) 8352809 V ~ ^
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Project Name: CIRCLE K
Project Address: 2535 S 320TH ST Parcel Number: 599970 0010
Project Description: Remove existing 25-50 gallon grease trap interceptor and replace with like for like
Owner
Applicant
Contractor
REGULATORY AFFAIRS
NORTHWEST CASCADE INC
NORTHWEST CASCADE INC
DEPARTMENTAPRO, LLC DBA UNITED
PO BOX 73399
NORTHCI148BG (10/1/17)
PACIFIC
17311 S MAIN ST
PUYALLUP WA 98373
PO BOX 73399
GARDENA CA 90248
PUYALLUP WA 98373
Other Plumbing Fixtures 1
CONDITIONS:
Manufacturer Specification Manual to be on -site at time of
PERMIT EXPIRES Tuesday, 9 May, 2017
Permit Issued on Thursdav, November 10, 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
Washin nand the City of Federal Way.
Owner or agent: u - Date:
Federal Way
THIS CARD IS TO REMAIN ON -SITE
Construction Inspection Record
INSPECTION REQUESTS: (253) 835 -3050
PERMIT #: 1610541700 Address: 2535 S 320TH ST
Project: REGULATORY AFFAIRS DEPARTD FEDERAL WAY WA 98003 -5443
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
Suer► 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.
0
Plumbing Groundwork (4190)
Q
Rough Plumbing (4230)
Q
Final - Plumbing (4075)
Approved to cover
Approved
Approved
By
Date
By
Date
By
Date
Rough Electrical
Final Electrical
Right of Way
Approved
Approved
Approved
By
Date
By
Date
By
Date
`► PERMIT AOPLICATION
CITY OF
Federal Way RECEIVED
PERMIT NUMBER( � _ O ! _ i 1 ✓ NOV TARGET DATE O Y 1 O 2Q16
SITE ADDRESS CITY
2 5-,5 5 3 Z S T
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CDS
PROJECT
$
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ASSEBS T ARC�L # 7c)
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TYPE OF PERMIT
❑ BUILDING 34LUMBING ❑ MECHANICAL ❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT
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1 t° /$ 7 ` �s 50 ra4
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PROJECT DESCRIPTION
Detailed description of work to
new 06 ZS S0 /e 'uG
be included on this permit only
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PROPERTY OWNER
MJULING ADDRESS
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E-MAIL
CONTRACTOR
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FAX
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/EXPIRATION
WA T T CONT CTOR' LICENSE #
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DATE
F I WA USI S LICENSE #
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NAME
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PRIMARY PHONE
MAILING ADDRESS
E -MAIL
APPLICANT
CITY
8TATE
ZIP
FAX
PROJECT CONTACT
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PRIMARY PH 2-9^
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E -MAIL
(The individual to receive and
respond to all correspondence
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FAX
concerning this application)
PROJECT FINANCING
NAME
❑ OWNER - FINANCED
When value is $5,000 or more
(RCW 19.27095)
MAILING ADDRESS, CITY, STATE, ZIP
PHONE
I certify under penalty of perjury that I am the property owner or authorized agent of the property owner. I certify that to the best
of my knowledge, the information submitted in support of this permit application is true and correct. I certify that I will comply with
all applicable City of Federal Way regulations pertaining to the work authorized by the issuance of a permit. I understand that the
issuance of this permit does not remove the owner's responsibility for compliance with local, state,
or federal laws regulating
construction or environmental laws.
I further agree to hold harmless the City of Federal Way as to any claim (including costs, expenses, and attorneys' fees incurred in
the investigation and defense of such claim), which may be made by any person, including the undersigned, and filed against the city,
but only where such claim arises out of the reliance of the city, including its officers and employees, upon the accuracy of the
information supplied to the city as a part of is application.
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SIGNATURE:
DATE
PRINT NAME:
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Bulletin #100 — February 22, 2016 Page I of 2 k:U-landouts\Permit Application