10-104988 City of Federal Way •
Meclianital
Community Development Services FI L E Permit #: 10-104988-00-M E
Ph:(253) .O.
Federal 835-260WaPy,7BWAoxFax:9718(253)98063-9718 ection
835-2609 p a
Ins Request Line: 253 835-3050
Project Name: MILLER
Project Address: 1027 S 317TH ST Parcel Number: 358400 0310
Project Description: Gas to Gas Furnace Change Out
Owner Applicant Contractor
CAROLINE LOUISE MILLER SHANNON BUCKINGHAM EMERALD AIRE INC(GENERAL)
1027 S 317TH CT EMERALD AIRE INC EMERAAI055BL(04/01/11)
FEDERAL WAY WA 98003-5334 5108 D ST NW 5108"D"ST NW
AUBURN WA 98001 AUBURN WA 98001
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Mechanical Valuation 2485.00 Is this an Online or O.T.C.application? Yes
by ,`�v � as Ts ",>i `'� ` �y
Furnaces 1
PERMIT EXPIRES Sunday, May 29, 2011
Permit Issued on Tuesday, November 30, 2010
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. O ,O
Owner or agent: ONIO/NC
Date:
' 4 '/o
THIS CARD IS TO REMAIN ON-SITE
CITY OF i Construction InspeiRon Record
Federal Way INSPECTION REQUESTS: (253)835-3050
PERMIT#: 10-104988-00-ME Address: 1027 S 317TH ST
Project: CAROLINE LOUISE MILLER FEDERAL WAY, WA 98003-5334
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) 0 Final-Mechanical(4065)
Approved Approved to release test Approved '
By Date By Date By Csi Date lZ`�*1 1.
IL .
0 Rough Electrical Final Electrical Right of Way
Approved Approved Approved
By Date By Date By Date