15-106564f ;
A qL Mechanical
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Communiy&Econ. Federal
Serv`ices Permit #: 15 -106564 -00 -ME
FILE
33325 8th Ave S
Federal way, WA 98003 Inspection Request Line. 253 8
Ph: (253) 835-2607 Fax: (253) 835-2609 p q ( ) 35-3050
Project Name: RAY
Project Address: 33405 28TH PL SW
Project Description: Gas fireplace 'insert with piping
Parcel Number: 010060 0790
Owner
Apl2lican
Contractor
GISLENE RAY
NORTHWEST PERMIT/ WESCO
WASHINGTON ENERGY SERVICES CO
33405 28TH PL SW
1345 W GULF RD
(GENERAL)
FEDERAL WAY WA 98023-2744
POINT ROBERTS WA 98281
WASHIES85INS (9/7/17)
3909 196TH ST SW
LYNNWOOD WA 98036
Additional Permit Information
Mechanical Work Valuation?.................................5377 Is this an Online or O.T.C. application? ................. Yes
Mechanical Fixtures
Fireplace Inserts ............................. 1 Gas Piping ...................................... 1
PERMIT EXPIRES Tuesday, June 28, 2016
Permit Issued on Thursday, December 31, 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
nd t e CiN Im deral Way.
Owner or agent: KI Date:
N
Federal Way
PERMIT #: 15 -106564 -00 -ME
Project: GISLENE RAY
.THIS WARD IS TO .MAIN ON -SITS;
Construction Ingrection Record
INSPECTION REQUE TS: (253) 835-3050
Address: 33405 28TH PL SW
FEDERAL WAY, WA 98023-2744
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.
El
Mechanical Rough -in (4165)
Gas Piping (4125)Final
Final Electrical
Approved
- Mechanical (4065)
1:1Approved
Approved
By
Approved to release test
Approved
By
Date
By
L, Date ` Y1 -t
By
-Date
El
Rough Electrical
Approved
Final Electrical
Approved
1:1Approved
Right of Way—�^
By
Date
By
Date
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Date