15-103680 3 Mechanical
City of Federal Way • • 4 ..4410
Community a Econ.oev.Services Permit #: 15-103680-00-ME
33325 8th Ave S
Federal Way,WA 98003
Inspection Request Line:
Ph:(253)835-2607 Fax:(253)835-2609 P Q (253)835-3050
Project Name: NIELSEN RILE
Project Address: 2809 SW 347TH ST Parcel Number: 502946 0060
Project Description: Install air conditioner
Owner Applicant Contractor
RONALD SCOTT NIELSEN SUSAN DUNHAM BLACK HILLS INC(GENERAL)
KELLY NIELSEN BLACK HILLS INC BLACKHI066JL(7/19/17)
2809 SW 347TH ST 1003 85TH AVE SE UNIT A 1003 85T1I AVE SE UNIT A
FEDERAL WAY WA OLYMPIA WA 98501 OLYMPIA WA 98501-5706
98023
Additional Permit Information
Is this an Online or O.T.C.application? Yes
Mechanical Fixtures
Compressors/Heat Pumps 1
PERMIT EXPIRES Saturday, January 23, 2016
Permit Issued on Monday,July 27, 2015
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 Washington
Federal Way.Owner or agent: N 1__1d1fF
Date:
FINALED
THIS CARD IS TO ON-SITE
A r . , 40.
CITY OF Construction Ins ection Record
Federal Way INSPECTION REQ TS: (253)835-3050
PERMIT#: 15-103680-00-ME Address: 2809 SW 347TH ST
Project: RONALD SCOTT NIELSEN FEDERAL WAY, WA 98023-3038
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-Mechanical(4065)
Approved Approved to release test Approved
By Date By Date S Date, 2f�/�i
0 Rough Electrical Final Electrical El Right of Way
Approved Approved Approved
By Date By Date By Date