18-106034City of Federal Way
Community Development Dept.
33325 8th Ave S
Federal Way, WA 98003
Ph: (253) 835-2607 Fax: (253) 835-2609
Project Name: NERISON
Project Address: 30212 10TH AVE S
Project Description: Replace Furnace
FILE
Mechanical
Permit #:18 -106034 -00 -ME
Inspection Request Line: (253) 835-3050
Parcel Number: 515390 0210
Owner
Applicant
Contractor
LORNA NERISON
SUSAN DUNHAMBLACK HILLS INC
BLACK HILLS INC (GEN 01)
30212 10TH AVE S
1003 85TH AVE SE UNIT A
BLACKIR066JL (7/19/19)
FEDERAL WAY WA 98003-4103
OLYMPIA WA 98501
1003 85TH AVE SE UNIT A
OLYMPIA WA 98501-5706
Additional Permit Information
Mechanical Work Valuation? .................................. 5500 Is this an Online or O.T.C. application?.................. Yes
Furnaces 1
PERMIT EXPIRES Tuesday, 25 June, 2019
Permit Issued on Thursday, December 27, 2018
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 Federal Way.
Owner or agent: f � I Date:
Pi ✓ C -A-4
carr of
Federal Way
PERMIT #: 18106034 00
ThIS CARD IS TO REMAIN ON-SITE
Construction Inspection Record
INSPECTION REQUESTS: (253) 835-3050
Address: 3021210TH AVE S
Project: LORNA NERISON FEDERAL WAY WA 98003-4103
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)
Y❑
Gas Piping (4125)
Final - Mechanical (4065)
Approved
Approved to release test
LByYJ
Approved
By
Date
By
Date
Date 1 1-7 /1 T
Rough Electrical
❑
Final Electrical
Right of Way
Approved
Approved
Approved
By
Date
By
Date
By Date