16-101194,.._. _.
Numbing
City of Federal way
CommuniPermit #: 16 -101194 -00 -PL
ty &Econ. Dev. Services
33325 8th Ave S
Federal Way, WA 98003 FILE
Ph: (253) 835-2607 Fax: (253) 835-2609 Inspection Request Line: (253) 8355-3050
Project Name: LEISY
Project Address: 30234 25TH AVE SW Parcel Number: 893760 0030
Project Description: Replace 50 gal electric water heater
Owner
ARRlican
Contractor
RICHARD A LEISY
NORTHWEST PERMIT/ WESCO
PACIFIC AIR SYSTEMS (GENERAL)
JACKLYN R LEISY
1345 W GULF RD
PACIFAS093KA (9/8/17)
30234 25TH AVE SW
POINT ROBERTS WA 98281
12811 PACIFIC HWY SW
FEDERAL WAY WA
LAKEWOOD WA 98499
'98023
Plumbing Fixtures
Water Heaters ................................. 1
PERMIT EXPIRES Monday, September 5, 2016
Permit Issued on Wednesday, March 9, 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 City of FeAml Way.
Owner or agent:Date:
CITY OF VAh
Federal Way
PERMIT #:
Project:
TMS CARD IS TO MAIN ON-SITE r .
Construction In ection Record
INSPECTION REQ TS: (253) 835-3050
16 -101194 -00 -PL Address: 30234 25TH AVE SW
RICHARD A LEISY FEDERAL WAY, WA 98023-2316
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.
Final - Plumbing (4075)
Approved
B� Date_
Plumbing Groundwork (4190)
Rough Plumbing (4230)as
Final Electrical
Piping (4125)
Approved to cover
By
Approved
Approved to release test
By
Date
By
Date
By
Date
Final - Plumbing (4075)
Approved
B� Date_
Rough Electrical
Approved
1:1Approved
Final Electrical
Right of Way
Approved
By
Date
By
Date
By
Date