10-104213City of Federal Way
Community Development Services
P.O. Box 9718
Federal Way, WA 98063-9718
Ph: (253) 835-2607 Fax: (253) 835-2609
Project Name: KIMURA
Project Address: 28713 13TH AVE S
Project Description: Gas Piping
TWehanical
Permit #: 10 -104213 -00 -ME
Inspection Request Line: (253) 835-3050
Parcel Number: 720300 0700
Ownr
Applicant
Contractor
KELLY AND AARON KIMURA
AARON KIMURA
O
28713 13TH AVE S
28713 13TH AVE S
28713 13TH AVE S
FEDERAL WAY WA 98003-3155
FEDERAL WAY WA 98003
FEDERAL WAY WA 98003
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Mechanical Valuation............................................2500 Is this an Online or O.T.C. application? ................. Yes
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THIS CARD IS TO REMAIN ON-SITE
CIiY OF Construction Inspection Record ` • '
Federal Way INSPECTION REQUESTS: (253) 835-3050
PERMIT #: 10 -104213 -00 -ME Address: 28713 13TH AVE S
Owner: KELLY AND AARON KIMURA FEDERAL WAY, WA 98003-3155
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 Electrical
Approved
Final - Mechanical (4065)
EjRight
Approved
By
Approved to release test
Approved
By
Date
By
Date/j/
By
Date
Rough Electrical
Approved
Final Electrical
Approved
EjRight
of Way
Approved
By
Date
By
Date
By
Date