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Community&Econ.Dof Federale.Services Permit #: 15-103564- -M E
33325 8th Ave S FILE
Federal Way,WA 98003
Inspection Request
Ph:(253)835-2607 Fax:(253)835-2609 Line: (253)$ 5-3050
Project Name: BOURGEOIS
Project Address: 1312 S 291ST PL Parcel Number: 516 10 0100
Project Description: RELOCATION OF THE GAS METER
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Owner Applicant Contractor
ROBERT J BOURGEOIS COREY ALEXANDER INFRASOURCE SERVICES LLC
DONNA K BOURGEOISINFRA SOURCE SERVICES LLC INFRASL871C2(2/22/17)
1312 S 291ST PL 13330 STONE AVE N 14103 STEWART RD
FEDERAL WAY WA 98003-3777 SEATTLE WA 98133 SUMNER WA 98390
Additional Permit Information
Is this an Online or O.T.C.application? Yes
Mechanical Fixtures
Gas Piping 1
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PERMIT EXPIRES Monday, January 18, 2016
Permit Issued on Wednesday, July 22, 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 Washing n
and the City of Federal Way.
Owner or agent: ONLINE
Date:
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• ConstructionTHIS CARD IS TO
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AIN ON-SITE
CITY OF ' Inspection Record
Federal Way INSPECTION REQUESTS: (253)835-3050
PERMIT#: 15-103564-00-ME Address: 1312 S 291ST PL
Project: ROBERT J BOURGEOIS FEDERAL WAY, WA 98003-3777
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) ❑ Gas Piping(4125) 0 Final-Mechanical(4065)
Approved Approved to release test Approved
By C _ : Date c4 Date 8—2.c..,(� Byct t,<�` - Date G _ 1
Rough ElectricalEl Final Electrical Right of Way
Approved Approved Approved
By Date By Date By Date
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