13-105150 • • `
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Electrical
City of Federalay
Community&Econ.Dev.Services Permit #: 13-105150-00-E L
33325 8th Ave S FILE
Federal Way,WA 98003 Request Ins ection
Ph:(253)835-2607 Fax:(253)835-2609 p q est Line: (253)835-3050
Project Name: COFFEE
Project Address: 1918 SW 330TH ST Parcel Number. 010455 0730
Project Description: Thermostat for gas furnace install
Owner Applicant Contractor
PAUL COFFEE SUSAN DUNHAM BLACK HILLS INC(ELECTRICAL)
LESLEY COFFEE BLACK HILLS INC BLACKHI919DL(3/15/15)
1918 SW 330TH ST 1003 85TH AVE SE UNIT A 1003 85TH AVE SE UNIT A
FEDERAL WAY WA OLYMPIA WA 98501 OLYMPIA WA 98501-5706
98023-5462
Additional Permit information
Is this an Online or O.T.C.application9 Yes Is Use Educational or Institutional? No
Electrical Fixtures
Thermostat 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: ONLINE Date:
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1 t �
• THIS CARD IS TO IN ON-SITE
CITY OF 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.
❑ Mechanical Rough-in(4165) ❑ Gas Piping(4125) 0 Final- echanical(4065)
Approved Approved to release test Approved
By Date By Date �- Date /
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0 Rough Electrical Final Electrical Right of Way
Approved Approved Approved
By Date By Date By Date