05-105933 r i :
- City of Federal Way t
Community Development Services Mechanical Permit #: 05 - 105933 - 00 - ME 4
P.O.Box 9718
Federal Way,WA 98063-9718
Ph:(253)835-7000 Fax (253)835-2609 Inspection request line: (253) 835-3050
Project Name: JAZBEC
Project Address: 31404 51ST/SW Parcel Number: 189870 0050
Project Description: Remove/replace GAS water heater
Owner Applicant Contractor
Richard W Jazbeck III &Stephanie A Jazbeck I FAST WATER HEATER COMPANY FAST WATER HEATER COMPANY
31404 51ST AVE SW 12601 132ND AVE NE 12601 132ND AVE NE
FEDERAL WAY WA KIRKLAND WA 98034 KIRKLAND WA 98034
98023-2025
(425)814-8381
Mechanical Valuation 1573 Over the Counter Permit Yes
PERMIT EXPIRES May 28,2006.
Permit issued on November 29,2005
I hereby certiiY,that the above information is correct and that the construction on the above describedproperty and
the occupancyand the use will be in accordance with the laws,rules and regulations of the State of Washington and
the City of Federal Way.
See .ic '
Owner or agent: a Date:.
1 THIS CARD IS TO REMAIN ON-SITE
,,CITY OF Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 05-105933-00-ME
Owner: RICHARD W JAZBECK III
Address: 31404 51ST AVE SW
FEDERAL WAY, WA 98023-2025
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) 0 Final-Mechanical (4065)
Approved Approved to release test Approved
By Date By Date By/0 �. Date I..9ors
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PROPERT 'INFORMATI‘..
SITE ADDRF-SS .31404 51 A VE.SW,.EEDERAL_WAY,...WA...98(123 .. . .... ......... si.wintuNr.r. i
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Remove/ReplaceGas Water Heater
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I cart(fy under penalty of perjury that the information furnished try me Is tru• and eerre.t t t rrn knowledge,e,
am rrttthocised 11y the owner' of the aboi.e premises to icer ar-rn Ile work: rJ ! ',111.1, (hat i I .
f for WIrr.1)" (he permit uirirlecufin+t is made. t frrrrher a•jr re 1v ),aI;I
harmless the (.'.(t7y of l"e[Ierctt Wily ns !n any C1,7llrn (i nclv,d{nrf eostt, expenses, ane- al SOrneyS'fees tractitreyl in the tnrwl iyat I,'o one( R eJ.'ns, of
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ine.h.tclin". its o eers and employees,� ,f1S /P.,t, Irfron (h, accuracy of'rlre lrlfurm a[inr4 auirir Jicti to fle.`11134„,n f.„.„, of
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h"AMt:/TITLE •,--_ r-.._.. ... '>_-_r .r',..,� 11/15
-- ,... .... Pel mit Mur DATE I•;I;;r;, r.,;, /2005
TI) PROJECT II ('T :.: t-r.,11c, ,r. r rl,r .
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Ril.,t't 11711
POR O'F'FICE USE ONLY
r NEW t:7 At")I:)ITI()N ALTERATI()N r.' NEPA TENANT Il1II'R(j\'L.MI:NT
! BUILDING SHELLONIY? rYiS r' NO • d r
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ZONING. 1>F'tiICrNATI<1N (:IIAK'.1, OF USE?
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NEW AIII)}ES,S' REQUIRED? u' YEI, r NC) 'UP/SF—PA/SI)?
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VI.A ITE I.) I.t)T' 5-$;y Nt) DEMO PERMIT Rl:t 1.IREI')?
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