16-101808Project Name: WEISS
Project Address: 35213 5TH AVE SW
Project Description: Replace gas furnace
0
Mechanical
Permit #: 16 -101808 -00 -ME
Inspection Request Line: (253) 835-3050
Parcel Number: 066231 0330
Ownr
ARplicant
City of Federal Way
Community &Econ. ev. Services
GARY JOSEPH WEISS
33325 8th Ave S
FILE
Federal Way, WA 98003
BLACK HILLS INC
Ph: (253) 835-2607 Fax: (253) 835-2609
35213 5TH AVE SW
Project Name: WEISS
Project Address: 35213 5TH AVE SW
Project Description: Replace gas furnace
0
Mechanical
Permit #: 16 -101808 -00 -ME
Inspection Request Line: (253) 835-3050
Parcel Number: 066231 0330
Ownr
ARplicant
Contractor
GARY JOSEPH WEISS
SUSAN DUNHAM
BLACK HILLS INC (GENERAL)
CANDACE ANN WEISS
BLACK HILLS INC
BLACKIE066JL (7/19/17)
35213 5TH AVE SW
1003 85TH AVE SE UNIT A
1003 85TH AVE SE UNIT A
FEDERAL WAY WA 98023
OLYMPIA WA 98501
OLYMPIA WA 98501-5706
Additional Permit Information.
Mechanical Work Valuation?.................................5501 Is this an Online or O.T.C. application? ................. Yes
Mechanical ,Fixtures
Furnaces ......................................... 1
PERMIT EXPIRES Monday, October 10, 2016
Permit Issued on Wednesday, April 13, 2016
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 Ci of Federal Way.
Owner or agent:1. Date: N.111111111111V a
pINAloEo
CITY "&1-
Federal Way
PERMIT #:
Project:
THIS CARD IS TO MAIN ON-SITE
Construction In ection Record
INSPECTION REQUE TS: (253) 835-3050
16 -101808 -00 -ME Address: 35213 5TH AVE SW
GARY JOSEPH WEISS FEDERAL WAY, WA 98023-8122
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 Rough Electrical Final Electrical Right of Way
Approved Approved Approved
By Date By Date By Date
Mechanical Rough -in (4165)Gas
Piping (4125)
Final - Mechanical (4065)
Approved
Approved to release test
Approved
By
Date
By
Date
By
V4 Date it I sol ( Io
0 Rough Electrical Final Electrical Right of Way
Approved Approved Approved
By Date By Date By Date