17-105663 r . •
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City of Federal Way Permit #:17-105663-00-ME
Community Development Dept.
FILE
33325 8th Ave S
Federal Way,WA 98003 Inspection Request Line: (253)835-3050
Ph:(253)835-2607 Fax(253)835-2609
Project Name: DICKERSON
Project Address: 29641 11TH PL S Parcel Number:515160 0346
Project Description: Replace Gas Furnace
Owner Applicant Contractor
DEANNA DICKERSON CYNDAL MILLHOLLINNORTHWEST PACIFIC AIR SYSTEMS(GENERAL)
29641 11TH PL S PERMIT PACIFAS093KA(9/8/19)
FEDERAL WAY WA 98003 1345 W GULF RD
POINT ROBERTS WA 98281 12811 PACIFIC HWY SW
LAKEWOOD WA 98499
Additional Permit Information
Mechanical Work Valuation? 6222 Is this an Online or O.T.C.application? Yes
Furnaces 1
PERMIT EXPIRES Saturday,26 May,2018
Permit Issued on Monday,November 27,2017
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: 011\4 1..I N E Date:
. . .
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THIS CARD IS TO REMAIN ON-SITE
��� Construction Inspection Record
F@C1el a!Way INSPECTION REQUESTS:(253)835-3050
PERMIT#: 17 105663 00 Address: 29641 11TH PL S
Project: GREGORY 0 DICKERSON FEDERAL WAY WA 98003-3727
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) El Gas Piping(4125) 0 Final-Mechanical(4065)
Approved Approved to release test Approved
By Date By Date .',By O; r� Date rQ✓ f(1
0 Rough Electrical 0 Final Electrical ❑ Right of Way
Approved Approved Approved
By Date By Date By Date