19-100991City of Federal Way
Community Development Dept.
33325 8th Ave S
Federal Way, WA 98003
Ph: (253) 835-2607 Fax: (253) 835-2609
FILE
Project Name: KEIZER
Project Address: 27748 23RD AVE S
Project Description: GAS HOT WATER TANK REPLACEMENT
Plumbing
Permit #:19 -100991 -00 -PL
Inspection Request Line: (253) 835-3050
Parcel Number: 757561 0120
Owner
Applicant
Contractor
CHRISTY KEIZER
RACHAEL AILSHIEPACIFIC HEATING &
PACIFIC AIR SYSTEMS (GENERAL)
27748 23RD AVE S
COOLING
PACIFAS093KA (9/8/19)
FEDERAL WAY WA 98003
8607 DURANGO ST SW
12811 PACIFIC HWY SW
\
LAKEWOOD WA 98499
LAKEWOOD WA 98499
Water Heaters 1
PERMIT EXPIRES Saturday, 31 August, 2019
Permit Issued on Monday, March 4, 2019
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
e City of Federal Way.
Owner or agent: OqcilgNE Date:
.. THIS- CARD IS TO REMAIN ON-SITE
Federal Way Construction Inspection Record
INSPECTION REQUESTS: (253) 835-3050
PERMIT #: 1910099100 Address: 27748 23RD AVE S
Project: KEVIN KEIZER FEDERAL WAY WA 98003-6936
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
Plumbing Groundwork (4190)
0
Rough Plumbing (4230)
El
Final - Plumbing (4075)
Approved to cover
1By
Approved
Approved
By
Date
113y
Date .., t. —
By
Date ato
Rough Electrical
Final Electrical
Right of Way
Approved
Approved
113y
Approved
By
Date
By
Date
Date