13-105149 •
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City of eraWADev98003l WaySePermit #: 13-105149-00-ME
ty ry
33325 8th Ave S FILE
&WyEcon,FedInspection Request Line: (253)835-3050
P (253)CommuniFederal835-2607 Fax:(253)83ices5-2609
Project Name: COFFEE �\0111.
Project Address: 1918 SW 330TH ST Parcel Number: 010455 0730
Project Description: Replace gas furnace
Owner Applicant Contractor
PAUL COFFEE SUSAN DUNHAM BLACK HILLS INC(GENERAL)
1918 SW 330TH ST BLACK HILLS INC BLACKHI066JL(7/19/15)
FEDERAL WAY WA 98023-5462 1003 85TH AVE SE UNIT A 1003 85TH AVE SE UNIT A
OLYMPIA WA 98501 OLYMPIA WA 98501-5706
Additional Permit Information
Is this an Online or O.T.C.application? Yes
Mechanical Fixtures
Furnaces 1
PERMIT EXPIRES Saturday, May 17, 2014
Permit Issued on Monday, November 18, 2013
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: ON
11 f F Date:
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• THIS CARD IS TO MAIN ON-SITE
'fes Construction In ection Record
Federal Way INSPECTION REQUE TS: (253)835-3050
PERMIT#: 13-105149-00-ME Address: 1918 SW 330TH ST
Project: PAUL COFFEE FEDERAL WAY, WA 98023-5462
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) El Gas Piping(4125) -0 Fi Mechanical(406 )
Approved Approved to release test Approved
By Date By Date B /` Date
❑ Rough Electrical El Final ElectricalEl Right of Way
Approved Approved Approved
By Date By Date By Date