15-104593 Mecfiani-kal
Community&FederalDev.Way Permit #: 15-104593-00-ME
Community&Econ.DServices
33325 8th Ave S
Federal Way,WA 98003Ins ection Re uest Line: (253)835-3050
Ph:(253)835-2607 Fax:(253)835-2609 FILE p q
Project Name: HANCOCK
Project Address: 3815 SW 321ST ST Parcel Number: 873190 2450
Project Description: Replace furnace like for like
•
Owner, Applicant Contractor
DONNA J HANCOCK SUSAN DUNHAM BLACK HILLS INC(GENERAL)
3815 SW 321ST ST BLACK HILLS INC BLACKHI066JL(7/19/17)
FEDERAL WAY WA 98023-2454 1003 85TH AVE SE UNIT A 1003 85TH AVE SE UNIT A
OLYMPIA WA 98501 OLYMPIA WA 98501-5706
Additional Permit Information
Is this an Online or O.T.C.application Yes
•
Mechanical Fixtures
Furnaces 1
PERMIT EXPIRES Wednesday, March 9, 2016
Permit Issued on Friday, September 11, 2015
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: F'J
L_ I EJ E Date:
FINALED
T:rIIS CARD IS TO REMAIN ON-SITE
c ..
m(dr Construction. Inspection Record
Federal Way INSPECTION REQUESTS: (253)835-3050
PERMIT#: 15-104593-00-ME Address: 3815 SW 321ST ST
Project: DONNA J HANCOCK FEDERAL WAY, WA 98023-2454
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) El Gas Piping(4125) - 0 Final-Mechanical(4065)
Approved Approved to release test Approved
t
By Date By Date By V4 Date a I 1 t'1
D Rough Electrical Final Electrical Right of Way
Approved Approved Approved
By Date By Date By Date