16-101915 r r'
11111 Plumbing
City of Federal Way .{{.�
Community&Econ.Dev.Services Permit #: 16-101915-00-PL
33325 8th Ave S
Federal Way,WA 98003 Inspection Request Line: (253)
Ph:(253)835-2607 Fax:(253)835-2609 FILEp q835-3050
Project Name: JENSEN
Project Address: 30623 3RD AVE S Parcel Number: 232970 0170
Project Description: REPLACE ELECTRIC WATER HEATER
Owner Applicant Contractor
GARY JENSEN CYNDAL MILLHOLLJN PACIFIC AIR SYSTEMS(GENERAL)
DENISE JENSEN NORTHWEST PERMIT/WESCO PACIFAS093KA(9/8/17)
26625 SE OLD BLACK NUGGET RD 1345 W GULF RD 12811 PACIFIC HWY SW
ISSAQUAH,WA 98029 POINT ROBERTS WA 98281 LAKEWOOD WA 98499
Plumbing Fixtures
Water Heaters 1
PERMIT EXPIRES Tuesday, October 18, 2016
Permit Issued on Thursday, April 21, 2016
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: (DNLII\IE. Date:
TAt HIS CARD IS TO IN ON-SITE
CITY OF Construction Ins ection Record
Federal Way INSPECTION REQU TS: (253)835-3050
PERMIT#: 16-101915-00-PL Address: 30623 3RD AVE S
Project: GARY JENSEN FEDERAL WAY, WA 98003-4057
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 Plumbing Groundwork(4190) 0 Rough Plumbing(4230) El Gas Piping(4125)
Approved to cover Approved Approved to release test
By Date By 0._5., Date g`S2._Q_1 ` `BBy Date
❑ Final-Plumbing(4075)
Approved
By t. vst.,,.‘ Date t,-.Za..,t�
•
El Rough Electrical Final Electrical1:1 Right of Way
Approved Approved Approved
By Date By Date By Date