12-103165 • 4110 Mechanical
City of Federal
vv
Comm unity&Econ.De Services Permit #: 12-103165-00-M E
33325 8th Ave S FILE
Federal way,WA 98003 Inspection Request Line: (253)835-3050
Ph:(253)835-2607 Fax:(253)835-2609 p q
Project Name: LEWIS a 1.161
Project Address: 32614 10TH PL SW Parcel Number: 926495 0530
Project Description: Gas line installation for new range
Owner Applicant Contractor
CHARLOTTE K LEWIS CHARLO 11E.LEWIS OWNER IS CONTRACTOR •
JUSTIN M LEWIS 32614 10TH PL SW
32614 10TH PL SW FEDERAL WAY WA 98023
FEDERAL WAY WA
98023
•
Additional Permit Information
Mechanical Valuation 491.67 Is this an Online or O.T.C.application? Yes
Mechanical Fixtures
Gas Piping 1 Ranges 1
PERMIT EXPIRES Sunday, January 6, 2013
Permit Issued on Tuesday, July 10, 2012
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: f4 L I Date:
1 Ni(atti•Eb) e/14/tZ
THIS CARD IS TO MAIN ON-SITE
CITY OF '
Construction In ection Record
Federal Way INSPECTION REQ TS: (253)835-3050
PERMIT#: 12-103165-00-ME Address: 32614 10TH PL SW
Project: CHARLOTTE K LEWIS FEDERAL WAY, WA 98023-4900
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.
0 Mechanical Rough-in(4165) 0 as Piping(4125) - 0 Final-Mechanical(4065) -
Approved Approved to release test Approved
By Date By Date By /=61— Date er-�!{�a..
El Rough Electrical Final Electrical Right of Way
Approved Approved Approved
By Date By Date By Date