14-100788City of Federal Way
Community & Econ. Dev. Services
33325 8th Ave S
Federal Way, WA 98003
Ph: (253) 835-2607 Fax: (253) 835-2609
Project Name: SHAFFER
Project Address: 30234 4TH PL SW
Project Description: Change out gas furnace
i Mechanical
fetinit #: 14 -100788 -00 -ME
® Inspection Request Line: (253) 835-3050
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Parcel Number: 327610 0140
Owner
Applican
Contractor
DAVID W SHAFFER
SUSAN DUNHAM
BLACK HILLS INC (GENERAL)
30234 4TH PL SW
BLACK HILLS INC
BLACKHI066JL (7/19/15)
FEDERAL WAY WA 98023
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 Tuesday, August 19, 2014
Permit Issued on Thursday, February 20, 2014
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
ahe Ci of Federal Way.
Owner or agent: 0-NU1Date:
THIS CARD IS TOMAIN ON-SITE
CITY OF Construction In ection Record
Federal Way INSPECTION REQUE TS: (253) 835-3050
PERMIT #: 14-100788-00-ME Address: 30234 4TH PL SW
Project: DAVID W SHAFFER FEDERAL WAY, WA 98023-3910
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)
Final - Mechanical (4065)
Approved
Final Electrical
Approved
Approved to release test
By
Approved
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Date
By
Date
By
" Date 3 3
Rough Electrical
Approved
Final Electrical
Approved
Right of Way
Approved
By
Date
By
Date
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Date