17-105573 r l
IFF
Mechanical
City of Federal Way Permit #:17-105573-00-ME
Community Development Dept.
33325 8th Ave S
Federal Way,WA 98003 FILEInspection Request Line: (253)835-3050
Ph:(253)835-2607 Fax:(253)835-2609
Project Name: NAUBERT
Project Address: 32724 19TH AVE SW Parcel Number:010455 0510
Project Description: Gas furnace replacement
Owner Applicant Contractor •
MICHAEL NAUBERT BEN WARDBLACK LION HEATING&A/C BLACK LION HEATING&A/C LLC
32724 19TH AVE SW LLC (GENERAL)
FEDERAL WAY WA 98023-6405 11001 118TH PL NE BLACKLH873QQ(11/18/19)
KIRKLAND WA 98033 15131 54TH AVE SE
EVERETT WA 98208
Additional Permit Information
Mechanical Work Valuation? 1500.00 Is this an Online or O.T.C.application? Yes
.�''��€�€�, (�€€f€ I€p� � €� � �`Sa€1�� s„�!;� r A. s'� � �1,���'��j.. �'�' j�' � F `'�r�.^°t^'��3��y3/��EE Y�,i✓'"'y ��� ��
,,,,,a_.1"� ,�, syr/...,,,,,�.. � € �,R{.n¢ .,,,,,�i-s,�-� ,,�,2 . ..�".,�. �✓ rr� � su,� ,. #sS,,; N,., ,' Eer,,.. ,��€E€€€ � �,. k t. r � -�'-;' .
Furnaces 1
PERMIT EXPIRES Tuesday, 15 May,2018
Permit Issued on Thursday,November 16,2017
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: 1"J L I NJ E Date:
Fr ti$
THIS CARD IS TO REMAIN ON-SITE
Fel Construction Inspection Record
INSPECTION REQUESTS:(253)835-3050
PERMIT#: 17 105573 00 Address: 32724 19TH AVE SW
Project: MICHAEL D NAUBERT FEDERAL WAY WA 98023-6405
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) 2❑ Gas Piping(4125) 3❑ Final-Mechanical(4065)
Approved Approved to release test Approved
.By Date �� ��
By Date By Date 11 2 II/
O Rough Electrical 0 Final Electrical ❑ Right of Way
Approved Approved Approved
By Date By Date By Date