19-102749 • A
City of Federal Way FILE #:19-102749-00-MEMechanical
Permit
Community Development Dept.
33325 8th Ave S
Federal Way,WA 98003 Inspection Request Line: (253)835-3050
Ph:(253)835-2607 Fax(253)835-2609
Project Name: FRY-SPRAY
Project Address: 30023 6TH AVE SW Parcel Number:039600 0060
Project Description: a/c
Owner Applicant Contractor
CYNTHIA FRY-SPRAY BEN WARDBLACK LION HEATING&A/C BLACK LION HEATING&A/C LLC
30023 6TH AVE SW LLC (GENERAL)
FEDERAL WAY WA 98023-3520 11001 118TH PL NE BLACKLH873QQ(11/18/19)
KIRKLAND WA 98033 11001 118TH PL NE
KIRKLAND WA 98208
Additional Permit Information
Mechanical Work Valuation9 4500 Is this an Online or O.T.C.application9 Yes
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Air Conditioners-Stand Alont 1
PERMIT EXPIRES Saturday,7 December,2019
Permit Issued on Monday,June 10,2019
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
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O rL...nI r f Federal Way.
Owner or agent: Date:
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THIS CARD IS TO REMAIN ON-SITE
Federal Wa Construction Inspection Record
y INSPECTION REQUESTS: (253)835-3050
PERMIT#: 19 102749 00 Address: 30023 6TH AVE SW
Project: CYNTHIA L FRY-SPRAY FEDERAL WAY WA 98023-3520
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) 0 Gas Piping(4125) 0 Final-Mechanical(4065)
Approved Approved to release test Approved L` q
By Date By Date 1k By �, Date 6 7'/ /
0 Rough Electrical 0 Final Electrical Right of Way
Approved Approved Approved
By Date By Date By Date