04-105291 8 3
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City of Federal Way Plumbing Permit #: 04 - 105291 - 00 - PL
Community Development Services
P.O.Box 9718
Federal Way,WA 98063-9718
Ph:(253)835-7000 Fax:(253)835-2609 Inspection request line: (253) 835-3050
Project Name: CLELAND
Project Address: ,31.841 7 ,1.14 .W-_ • 9 j T' S ,344,0e; ,
��+�>s � �"� � hi pl Parcel Number: 856110 1910
Project Description: Remove and replace electric water heater
Owner Applicant Contractor
Rhonda L Cleland FAST WATER HEATER COMPANY FAST WATER HEATER COMPANY
1725 SW 318TH PL#B 12601 132ND AVE NE 12601 I32ND AVE NE
FEDERAL WAY WA KIRKLAND WA 98034 KIRKLAND WA 98034
98023-5115 (425)814-8381
Plumbing Fixtures
Description _ Quantity Description Quantity !; Description Quantity
Water Heaters 1 1
CONDITIONS:
This parcel is located within a Wellhead Protection Area(Capture Zone 5)and must comply with FWCC,Chapter 22,
Article XIV "Critical Areas" and fill out a Hazardous Materials Inventory Statement,if applicable.
PERMIT EXPIRES June 28,2005.
Permit issued on December 30,2004
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:
See Appl1cation Date: 01 — /
�5 �
,` THIS CARD IS TO REMAIN ON-SITE
Community Development Inspection Record
Federal Way
IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT #: 04-105291-00-PL
Owner: RHONDA L CLELAND
�
Address: �844 6-T w V E +w4htit 49 B /�7"_J-- V l 3/4,- /1Q/ -'‘5.89
FEDERAL WAY, WA 98023-5157
This card is part of your required inspection documents. 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.
❑ Plumbing Groundwork(4190) ❑ Rough Plumbing (4230) ❑ Gas Piping(4125)
Approved to cover Approved Approved to release test
By Date By Date By Date
❑ Final-Plumbing(4075)
Approved
BY f211
Date 2 6-- -ekr-
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I.AVNER CLELAND. RHONDA I (2531661-5570
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PROT.OSEI) USE _ !
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DCLER/SXONATURR.I1 BLOCK '
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I certify under penalty of fret/wry that the information furnished by nu to*me and correct to the best of rely knowledge, and further. Mat r
ant authorised by the atone, of the oboist•permits's to performs the worA or sel.Nil the e
het-nless the [" f e melt x inc erred is e. f e. t gation and r cr a hf
I fly of Realerol Way U2 tq troy rfrtfm(including coax, expenses, an(atttlrn ryt'pax )ncnrrad in the 1'n rVbtiynrinn and rfefcnte qt i
rut:h a t..on), wh[eh treaty be mn44 by any person, including the undcerfgned, and fi.ed agoinet the City of Fedrrrtt troy, but only inhere.srr;•h e.o-wt
arises oat of the re/iunce of the c1ty, intladiny its officers and onrployres, upon H e aecaracy of the infrtrrttatio.t supplied to the rir.y u.•a port sir
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this application.
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