05-100396 City of Federal Way Mechanical Permit #: 05 - 100396 - 00 - ME
Community Development Services
P.O.Box 9718
Federal Way,WA 98063-9718
Ph:(253)835-7000 Fax:(253)835-2609 • Inspection request line: (253) 835-3050
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Project Name: HAGEDORN
Project Address: 2716 SW 341ST' Parcel Number: 010921 0610
Project Description: Remove/replace gas water heater.
Owner Applicant Contractor
Daniel P Hagedorn &Aimmee B Hagedorn FAST WATER HEATER COMPANY FAST WATER HEATER COMPANY
2716 SW 341ST ST 12601 132ND AVE NE 12601 132ND AVE NE
FEDERAL WAY WA KIRKLAND WA 98034 KIRKLAND WA 98034
98023-7601 (425)814-8381
Mechanical Valuation 1275 Over the Counter Permit Yes
PERMIT EXPIRES August 2,2005.
Permit issued on February 3,2005
I hereby certify 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: ACL 4pplj `tanek Date:_Zf3/c
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THIS CARD IS TO REMAIN ON-SITE
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CITY OF A Community Development Inspection Record.
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT #: 05-100396-00-ME
Owner: DANIEL P HAGEDORN
Address: 2716 SW 341ST ST
FEDERAL WAY, WA 98023-7601
This card is part of your required inspection documents. 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) .
❑ Final-Mechanical(4065) ,
Approved Approved to release test Approved
By Date By Date B ' CA , Date R- 7- os
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APPLICATION
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PKOPERTY INFORMATI•
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FIRCO OCT INFORMATION ..
TYPE OF PERMIT '.., ItUILDIN<1 •., PustamiG X MEC..I'LANIC M.
i..1 DEM 0 LITION 6/ I;LECTR./( A) i..7; ENGINEERING i•I EWE PEI;VENTV)N I:A.../1..1
pp.c.r.,Eel' DEscRIPTIoN (Pr or,teie,114.1,111...4 f dov•rydion,of weft,:ini;:(y.ided on 1.1.t ..1!:•!..7.pi•!.Oill1)
Remove/Renlace Gas Water Heater
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PROJECT NAME(r4Jni..1 1.11 f4:/..;i44,0..NN CW 0411 nIFT LAS:MN n14) ..- * ""' ‘.- ...... . - . ...--..
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I-IAGEDORN.DAN & AIMEE 1 (253)661-3761 !
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, FAST WATER HEATER COMPANY { (425)814-3124
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� I .--tjJJ under ptnettty of perjury that the information furnished by mt Yts Ins..and rurrect to the best of nay knowledge, feu thee, eh.“ 11
i authorlde'ct Ly the ourncr of the about premises to perform the work foe w1..oh the permit (elaplira('io.4 is rnet.-10 I fre.titer agree to hob/ i
herrmlcai the cNttr of Federal Way ns to an clntrn ffnatudiny c'0.9ts. aeprnse 1, an4 attorneys'fees Incurred in the tnr'eitiya[nan and rle'tense of
t aur'h olrrrnaf, rohtch may he rnrade by any pers.an, Including the undersigned,and fibred again,t the Ctfy of fetitrarl Way, trent oral,.where A rich a biln.
I ofiees out of the rehunce of the city, fr.cliallrry tts offirrrs rt nrl omployrts, upon th.•accuracy of the tnfornuatian,[hepierd to the etty is 0 Iva I't of
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