15-106301 • J � .,00 Mechanical
City of FeWay Permit 15 106301 M E
Community&Econ.on.D #:
ev.Services •
33325 8th Ave S
Federal Way,WA 98003
Ph:(253)835-2607 Fax:(253)835-2609FILE
Inspection Request Line: (253)835-3050
Project Name: NIELSEN
Project Address: 319 S 306TH PL Parcel Number: 232970 0370
Project Description: replace gas furnace
Owner Applicant Contractor
DWIGHT NIELSEN SUSAN DUNHAM BLACK HILLS INC(GENERAL)
319 S 306TH PL BLACK HILLS INC BLACKHI066JL(7/19/17)
FEDERAL WAY WA 98003 1003 85TH AVE SE UNIT A 1003 851E AVE SE UNIT A
OLYMPIA WA 98501 OLYMPIA WA 98501-5706
Additional Permit information
Mechanical Work Valuation? 4000.00 Is this an Online or O.T.C.application? Yes
Mechanical Fixtures
Furnaces 1
PERMIT EXPIRES Saturday, June 11, 2016
Permit Issued on Monday, December 14, 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: Date:
THIS,CARD IS TO IN ON-SITE
Federal WayOF Construction In Vection Record
INSPECTION REQUE TS: (253)835-3050
PERMIT#: 15-106301-00-ME Address: 319 S 306TH PL
Project: DWIGHT NIELSEN FEDERAL WAY, WA 98003-4056
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) 'El Final-Mechanical(4065)
Approved Approved to release test Approved
By Date By Date
Ir---c
y \ Date �'z// '7 /S
tom=
Rough ElectricalEl Final Electrical Right of Way
Approved Approved Approved
By Date By Date By Date