10-103938 1114 Meenanical
City of Federal Way
Community Development Services Permit #: 10-103938-00-M E
P.O.Box 9718
Federal Way,WA 98063-9718 253ues
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Ins tion Request Line:
Ph:(253)835-2607 Fax (253)835-2609 p q ( )835-3050
Project Name: BUSSMEIR 8 a$�
Project Address: 32305 10TH PL S Parcel Number: 150240 0450
Project Description: Install a New 955 Efficient Gas Furnace
Owner Applicant Contractor
PHILLIP ALLAN BUSSMEIR TABATHA KLIEMANN KLIEMANN BROTHERS HTG&A/C IN
32305 10TH PL S KLIEMANN BROS KLIEMBH021BT(1/27/12)
FEDERAL WAY WA 4703 116TH ST E 4703 116TH ST E
98003-5968 TACOMA WA 98446 TACOMA WA 98446
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Mechanical Valuation 3216.71 Is this an Online or O.T.C.application Yes
Furnaces. 1
PERMIT EXPIRES Tuesday, March 15, 2011
Permit Issued on Thursday, September 16, 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
andthe City of Federal Way.
Owner or agent: 40/V /-// l Date: 7//,/
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THIS CARD IS T ` EMAIN ON-SITE
CITY OF . `""" Construction Ipection Record
Federal Way INSPECTION REQUESTS: (253)835-3050
PERMIT#: 10-103938-00-ME Address: 32305 10TH PL S
Owner: PHILLIP ALLAN BUSSMEIR FEDERAL WAY, WA 98003-5968
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.
❑ Mechanical Rough-in (4165) ❑ Gas Piping(4125) ❑ Final-Mechanical(4065)
Approved Approved to release test Approved
By Date By Date By Date / 71//x+
•
0 Rough ElectricalEl Final Electrical Right of Way
Approved Approved Approved
By Date By Date By Date