09-103862 Mechanical
City of Federal FILE
Community Development Services Permit #: 09-103862-00-ME
P.O.Box 9718
Federal Way,WA 98063-9718 Inspection Request Line: 253 835-3050
Ph.(253)835-2607 Fax (253)835-2609 P q
Project Name: KORBUSZEWSKI
Project Address: 30230 4TH AVE S Parcel Number: 064310 0030
Project Description: Replace 60,000 BTU Gas Furnace
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Owner Applicant Contractor
GRACE.KORBUSZEWSKI LORI REYNOLDS GENESEE FUEL&HEATNG CO INC
30230 4TH AVE S GENESEE FUEL&HEATING CO INC (GENERAL)
FEDERAL WAY WA 98003-4042 17371 BEACH DR NE GENESFH37006(9/18/11)
LAKE FOREST PARK WA 98155 PO BOX 18206
SEATTLE WA 98118
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Mechanical Valuation 2700.00 Is this an Online or O.T.C.applications Yes
Mechanical Fiur
Furnaces ; 1
PERMIT EXPIRES Saturday, April 3, 2010
permit Issued on Monday, October 5,2009
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.
Owner or agent: OlkNL.I(4 (�Date: X/
7IIV/UV I o/Ic o?
' , THIS CARD IS T EMAIN ON-SITE ,
CITY OF '' �„ Construction I ection Record
Federal Way F E INSPECTION REQUE TS: (253) 835-3050
PERMIT #: 09-103862-00-ME Address: 30230 4TH AVE S
Owner: GRACE KORBUSZEWSKI FEDERAL WAY, WA 98003-4042
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) 0 Gas Piping(4125) El Final-Mechanical(4065)
Approved Approved to release test Approved
By Date By Date By !I `ate /05
ff
Rough Electrical Final Electrical Right of Way
Approved Approved Approved
By Date By Date By Date