15-103768 Mechanical
City of Federal Way C
Community&Econ.Dev.Services Permit : 5-103768-00-M E
33325 8th Ave SFILE
Federal Way,WA 98003 Inspection Request Line: (253)
Ph:(253)835-2607 Fax:(253)835-2609 p Q835-3050
Project Name: SIMPSON
Project Address: 28834 14TH CT S Parcel Number: 5162100520
Project Description: Relocation of gas meter
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Owner Applicant Contractor
BRIAN SIMPSON COREY ALEXANDER INFRASOURCE SERVICES LLC
TRICIA SIMPSON INFRASOURCE SERVICES LLC INFRASL871C2(2/22/17)
28834 14TH CTS 13330 STONE AVE N 14103 STEWART RD
FEDERAL WAY WA 98003-3774 SEATTLE WA 98133 SUMNER WA 98390
Additional Permit Information
Is this an Online or O.T.C.application? Yes
Mechanical Fixtures
Gas Pipe Outlets 1
PERMIT EXPIRES Saturday, January 30, 2016
Permit Issued on Monday,August 3, 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:
,40LINE
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THIS CARD IS TO IN ON-SITE
CITY OF 9 Construction In ection Record ..
Federal Way INSPECTION REQUE TS: (253)835-3050
PERMIT#: 15-103768-00-ME Address: 28834 14TH CT S
Project: BRIAN SIMPSON FEDERAL WAY, WA 98003-3774
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) CI Gas Piping(4125) 0 Final-Mechanical(4065)
Approved Approved to release test Approved
By DateBy < � Date By qti Date c( ( tt ) t�
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CI Rough ElectricalEl Final Electrical Right of Way
Approved Approved Approved
By Date By Date By Date