16-105947 0.14 4
Mechanical
City of Federal way Permit #:16-105947-00-ME
Community Development Dept.
33325 8th Ave S
Federal Way,WA 98003 FILE Inspection Request Line: (253)835-3050
Ph:(253)835-2607 Fax:(253)835-2609 q
Project Name: MORTENSON
Project Address: 32810 23RD AVE SW Parcel Number:894510 0300
Project Description: Replace gas furnace
Owner Applicant Contractor
TIMOTHY M MORTENSON SUSAN DUNHAMBLACK HILLS INC BLACK HILLS INC(GENERAL)
32810 23RD AVE SW 1003 85TH AVE SE UNIT A BLACKHI066JL(7/19/17)
FEDERAL WAY WA OLYMPIA WA 98501
98023 1003 85TH AVE SE UNIT A
OLYMPIA WA 98501-5706
Additional Permit Information
Mechanical Work Valuation? 4194 Is this an Online or O.T.C.application? Yes
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Furnaces 1
PERMIT EXPIRES Wednesday,14 June,2017
Permit Issued on Friday,December 16,2016
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
Washin ton and the Ci of Federal Way.
Owner or agent: Lirq Li. Date:
poiatt
' THIS CARD IS TO REMAIN ON-SITE
CITY OF Construction Inspection Record
Federal Way INSPECTION REQUESTS:(253)835-3050
PERMIT#: 16 105947 00 Address: 32810 23RD AVE SW
Project: TIMOTHY M MORTENSON FEDERAL WAY WA 98023-2806
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) Gas Piping(4125) El Final-Mechanical(4065)
Approved Approved to release test Approved
.By Date „By Date * By , Date 4 J/5117
0 Rough Electrical ❑ Final Electrical 0 Right of Way
Approved Approved Approved
By Date By Date By Date