09-103590 -ce3 ( '
Mechanical
City of Federal Way
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Community Development Services Permit #: 09-103590-00-M E
P.O.Box 9718 1 Lim IL
Federal Way,WA 98063-9718 inspection Request Line: (253) 835-3050
Ph:(253)835-2607 Fax (253)835-2609 p q
Project Name: BRUSSEAU
Project Address: 30513 4TH AVE S Parcel Number: 232960 0310
Project Description: Replace gas 40 gallon hot water heater
Owner Applicant Contractor
CHARLES BRUSSEAU CYNDAL MILLHOLLIN WASHINGTON ENERGY SERVICES CO
30513 4TH AVE S NORTHWEST PERMIT INC/WASHINGTON (GENERAL)
FEDERAL WAY WA 98003-4066 ENERGY SERVICES WASHIES9710B(9/2/11)
1345 W GULF RD 2800 THORNDYKE AVE W
POINT ROBERTS WA 98281 SEATTLE WA 98199
Additional Permit Information
Mechanical Valuation 750.00 Is this an Online or O I application Yes
Mechanical Fixtures
I lot Water looks 1
PERMIT EXPIRES Wednesday, March 17, 2010
Permit Issued on Friday, September 18, 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 regulatons of the State of Washington
and the City of Federal Way.
Owner or agent: ON if,pe gate:
r:1 - d
10/15/ "
- • '"THIS CARD IS TO REMAIN ON-SITE
Construction Lection Record
Federal Way INSPECTION REQUESTS: (253) 835-3050
PERMIT#: 09-103590-00-ME Address: 30513 4TH AVE S
Owner: CHARLES BRUSSEAU FEDERAL WAY, WA 98003-4066
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 lett 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) Gas Piping (4125) El Final- Mechanical (4065)
Approved Approved to release test Approved
By Date By Date By � Date/v,
Rough ElectricalCI Final Electrical Right of Way
Approved Approved Approved
By Date By Date By Date