17-102077 Electrical
City of Federal Way Permit #:17-102077-00-EL
Community Development Dept.
33325 8th Ave S
Federal Way,WA 98003 � ' Inspection Request Line: (253)835-3050
Ph:(253)835-2607 Fax:(253)835-2609
Project Name: BORNICKE
Project Address: 32732 30TH AVE SW Parcel Number:951090 0670
Project Description: Electric circuit for heat pump and furnace.
Owner Applicant Contractor
JOHN A JR BORNICKE BEN WARDBLACK LION HEATING&A/C BLACK LION HEATING&A/C LLC
32732 30TH AVE SW LLC (ELECTRICAL)
FEDERAL WAY,WA 98023 11001 118TH PL NE BLACKLH841L4 (6/24/18)
KIRKLAND WA 98033 13209 NE 126TH PL
KIRKLAND WA 98034
Additional Permit Information
Is this an Online or O.T.C.application? Yes
Circuits-Residential 1
PERMIT EXPIRES Wednesday,9 May,2018
Permit Issued on Tuesday,May 9,2017
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:
THIS CARD IS TO REMAIN ON-SITE i
"��' 4A Construction Inspection Record
Federal Way INSPECTION REQUESTS: (253)835-3050
PERMIT#: 17 102077 00 Address: 32732 30TH AVE SW
Project: TIFFANY BORNICKE FEDERAL WAY WA 98023-2718
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.
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