11-104841City of Federal Way
Community & Econ. Dev. Services
33325 8th Ave S
Federal Way, WA 98003
Ph: (253) 835-2607 Fax: (253) 835-2609
� FILE''
Mechanical
Permit #: 11 -104841 -00 -ME
Inspection Request Line: (253) 835-3050
Project Name: CHURSKY ag3�
Project Address: 32517 52ND PL SW Parcel Number: 189830 0130
Project Description: REPLACE GAS FURNACE
Owner
Applicant
Contractor
TONY & DONNA CHURSKY
PACIFIC AIR SYSTEMS
PACIFIC AIR SYSTEMS
32517 52ND PL SW
12811 PACIFIC HWY SW
PACIFAS093KA (9/8/13)
FEDERAL WAY WA 98023-1933
LAKEWOOD WA 98499
12811 PACIFIC HWY S
LAKEWOOD WA 98499
Mechanical Valuation............................................5082.00
Furnaces......................................... 1
Is this an Online or O.T.C. application?.................Yes
PERMIT EXPIRES Monday, June 4, 2012
Permit Issued on Wednesday, December 7, 2011
I hereby certify that the above information is correct and that the cg&0ruction on the above described property and
the occupancy and the use will be in accordance with the land regulations of the State of Washington
and the Ci of
Owner or agent: Date:
V.
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151001(s,
CITY OF THIS CARD IS TO REMAIN ON-SITE
-•�
M Construction Iection Record
Federal Way • INSPECTION REQ TS: (253) 835-3050
PERMIT #: 11 -104841 -00 -MEQ Address: 32517 52ND PL SW
Project: TONY & DONNA CHURSKY FEDERAL WAY, WA 980234933
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.
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FILE
Mechanical Rough -in (4165)Gas
Rough Electrical
Approved
Piping (4125)
Final - Mechanical (4065)
Approved
Right of Way
Approved
Approved to release test
By
Approved
By
Date
By
Date
B
Dates�_-
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FILE
Rough Electrical
Approved
Final Electrical
Approved
Right of Way
Approved
By
Date
By
Date
By
Date