10-105082 Mechanical
City of Federal Way •
1111 Community Development Services EPermit #: 1 0-105082-00-M E
P.O.Box 9718 I L
Request Line:
Federal Way,WA 98063-9718 (253)835-3050
Ph:(253)835-2607 Fax:(253)835-2609 Inspection
Project Name: FAY v9$�Qi
Project Address: 32812 12TH AVE SW Parcel Number: 926494 1010
Project Description: GAS FURNACE CHANGE OUT
Owner Applicant Contractor
MICHAEL W FAY SHANNON BUCKINGHAM EMERALD AIRE INC(GENERAL)
MAUREEN K FAY EMERALD AIRE INC EMERAAI055BL(04/01/11)
32812 12TH AVE SW 5108 D ST NW 5108"D"ST NW
FEDERAL WAY WA 98023-5203 AUBURN WA 98001 AUBURN WA 98001
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Mechanical Valuation 3639 Is this an Online or O.T.C.application? Yes
411 4v.
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Ducting - 1 Furnaces 1
PERMIT EXPIRES Sunday, June 5, 2011
Permit Issued on Tuesday, December 7, 2010
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: Date: 21 71'/(0
P1N&W tv/,c/ D
THIS CARD IS TO MAIN ON-SITE r. ,
CnYOF 0 Construction Ins ction Record
Federal Way INSPECTION REQU TS: (253) 835-3050
PERMIT#: 10-105082-00-ME Address: 32812 12TH AVE SW
Project: MICHAEL W FAY FEDERAL WAY, WA 98023-5203
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) ❑ Gas Piping(4125) ❑ Final-Mechanical(4065)
Approved Approved to release test �� Approved
By Date By Date By c "/ Date/ZAolo
❑ Rough Electrical Final Electrical Right of Way
Approved Approved Approved
By Date By Date By Date