09-104127 Al ., 4.1, r 1
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City of Federal Way � ' L E Permit #: 09-104127-00-M E
Community Development Services
P.O.Box 9718
Federal Way,WA 98063-9718
Ph (253)835-2607 Fax:(253)835-2609 Inspection Request Line: (253)835-3050
Project Name: WEISSMAN
Project Address: 29844 11TH AVE SW Parcel Number: 195460 0120
Project Description: REPLACE GAS FURNACE; INSTALL GAS FIREPLACE INSERT
Owner Applicant Contractor
ADAM J WEISSMAN NAIDA KHAN WASHINGTON ENERGY SERVICES CO
29844 11TH AVE SW NORTHWEST PERMIT INC (GENERAL)
FEDERAL WAY WA 98023 1345 GULF RD WASHIES971OR(9/2/11)
POINT ROBERTS WA 98281 2800 TIIORNDYKE AVE W
SEATTLE WA 98199
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Mechanical Valuation 8920.50 Is this an Online or O.T.C.application') Yes
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Mechanical Fixtures
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Fireplace Inserts 1 Furnaces 1
PERMIT EXPIRES Monday, April 19, 2010
Permit Issued on Wednesday, October 21, 2009
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. 1O�
Owner or agent: 0 NL1141Date: I /Cji141
FIN idt#4
THIS CARD IS T MAIN ON-SITE -.
CITY OF �.,,�m. '
F I E Construction I ection Record
Federal Way INSPECTION REQUE TS: (253) 835-3050
PERMIT #: 09-104127-00-ME Address: 29844 11TH AVE SW
Owner: ADAM J WEISSMAN FEDERAL WAY, WA 98023-8210
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 (4165) 0 Gas Piping (4125) 0 Final-Mechanical(4065)
Approved Approved to release test Approved
By Date By Date By I -/ . Date /�j�'�f
❑ Rough Electrical Final Electrical Right of Way
Approved Approved Approved
By Date By Date By Date