11-102245 City of Federal Way Mechanical
Community Development Services Permit #: 11 -102245-00-ME
P.O.Box 971841)1F I L
Federal Way,WA 98063-9718
Ph:(253)835-2607 Fax:(253)835-2609 Inspection Request Line: (253)835-3050
Project Name: DOMZALSKI
Project Address: 33016 MILITARY RD S Parcel Number: 152104 9137
Project Description: ELECTRIC FURNACE AND HEAT PUMP INSTALL
,
Owner Applicant Contractor
R&D DOMZALSKI KATIE DEPERSIO PUYALLUP HEATING&A/C(GENERAL)
33016 MILITARY RD S PUYALLUP HEATING&A/C PUYALHA984KC(6/22/12)
FEDERAL WAY WA 98001 130 15TH ST SE 130 15TH ST SE
PUYALLUP WA 98372 PUYALLUP WA 98372
•
Mechanical Valuation 7600 Is this an Online or O.T.C.application? Yes
¢"
Air Handling Units 1 Air Conditioners-Stand Alone Un 1
PERMIT EXPIRES Sunday, December 4, 2011
Permit Issued on Tuesday, June 7, 2011
I hereby certify that the above information is correct and that the construction on the above described property and
the occupancy and the use win be in accordance with the laws, rules and regulations of the State of Washington
and the Ci of Federal Way.
Owner or agent: ONI01141 Date: i
/0
0141/s4tel)
i /54i
r Ark THIS CARD IS TO REMAIN ON-SITE
CITY OF S - Construction Iiliection Record
Federal Way INSPECTION REQUE TS: (253)835-3050
PERMIT#: 11-102245-00-ME Address: 33016 MILITARY RD S
Project: R & D DOMZALSKI FEDERAL WAY, WA 98001-9636
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.
El Mechanical Rough-in(4165) 0 Gas Piping(4125) -0 Final-Mechanical(4065)
Approved Approved to release test Approved
By Date By Date By CM() Date 7 S"--//
FILE
0 Rough Electrical Final Electrical ® Right of Way
Approved Approved Approved
By Date By Date By Date