12-104509City of Federal Way
Community & Econ. Dev. Services
33325 8th Ave S
Federal Way, WA 98003
Ph: (253) 835-2607 Fax: (253) 835-2609
� FILE
Project Name: CIEREBIEJ
Project Address: 254 SW 297TH ST
0 Mechanical
Permit #: 12 -104509 -00 -ME
Inspection Request Line: (253) 835-3050
�'� 0*1
Parcel Number: 7205310060
Project Description: Replace existing furnace with new and in kind natural gas furnace
Owne
ApRlicant
Contractor
EDWARD CIEREBIEJ
EDWARD CIEREBIEJ
GRIFFIS HEATING INC (GENERAL)
MARY CIEREBIEJ
254 SW 297 ST
GRIFFHI088DZ (1/5/13)
PO BOX 23718
FEDERAL WAY WA 98023
402 E MAIN ST SUITE 130
FEDERAL WAY WA
AUBURN WA 98002
98093
Additional Permit Information
Mechanical Valuation............................................4072.18 Is this an Online or O.T.C. application? ................. Yes
Mechanical Fixtures
Furnaces .........................................
PERMIT EXPIRES Sunday, March 31, 2013
Permit Issued on Tuesday, October 2, 2012
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: -Aowifi� Date:
FWAU0 I 0/q/1Z
f
CITY OR
Federal Way
PERMIT #:
Project:
10 TM$ CARD IS TOfZ:
IN ON-SITE
Construction Intion Record
INSPECTION REQU(253) 835-3050
12 -104509 -00 -ME Address: 254 SW 297TH ST
EDWARD CIEREBIEJ FEDERAL WAY, WA 98023-3551
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.
0
Mechanical Rough -in (4165)
Gas Piping (4125)
Final Electrical
Approved
Final - Mechanical (4065)
Approved
By
Approved to release test
Approved
By
Date
By
Date
By
fe"r Date 1.9
EJ
Rough Electrical
Approved
Final Electrical
Approved
Right of Way
Approved
By
Date
By
Date
By
Date