05-105001 •
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• City of Federal Way Mechanical Permit #: 05 - 105001 - 00 - MI
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
Project Name: ADKINS 9\
•
Project Address: 32215 11TH/SW Parcel Number: 926493 0730
Project Description: Remove and Replace Gas Water Heater.
Owner Applicant Contractor
Larry H Adkins &JanetR Adkins FAST WATER HEATER COMPANY FAST WATER HEATER COMPANY
32215 11TH PL SW 12601 132ND AVE NE 12601 132ND AVE NE
FEDERAL WAY WA KIRKLAND WA 98034 KIRKLAND WA 98034
98023-5558 (425)814-8381
Mechanical Valuation 1387 Over the Counter Permit Yes
CONDITIONS:
This parcel is located within a Wellhead Protection Area(Capture Zone 5)and must comply with FWCC,Chapter 22,
Article XIV"Critical Areas" and fill out a Hazardous Materials Inventory Statement,if applicable.
PERMIT EXPIRES April 3,2006.
Permit issued on October 5,2005
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 and
the City of Federal Way. •
Owner or agent: Sic Application Date: k 0— S�
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THIS CARD IS TO REMAIN ON-SITE -
,��n OF Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 05-105001-00-ME
Owner: LARRY H ADKINS
Address: 32215 11TH PL SW
FEDERAL WAY, WA 98023-5558
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� ( Date /U ,/ c
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TYPE Of- PERMIT %; BuiLDING ',..,, PLUM SSINci X MECTiAllECAL
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PROJECT DmSeMPTION (Pfifl,141f,'(it il.li‘Nel,4•13crrpftnii of meek inctuaol opt Ihruwirm!war?)
Remove/Replace Gas Water Heater
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PROJECT NAME(tiwn...'.±1 biuntio..:•;fil (*WWI'Lu r.1 Name) _....... __ .... _ ,.. „ .._..,......---....„„.„,.--
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l/WNER ADKINS.LARRY 1.(253)874'8613
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322151.1 PL_SW . .._ .FEDEtAJL.16/A.Y,WA_.98023
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FAST WATER IIEATER COMPANY (4251814-3124
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DETAILED)311ILDING INFORliTATION
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Ex isTING USI:- ..•• -- PROP 3SED USE _ - -
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• a.:. DISCLAIMER/iSICiIKATEREDLO CR
I certify under Jrenntt}/of•peri.tr;; thtt=)i4 in/ormat#un/garnished by erre In telt. and correct to the best of ray knowledge, att.!Autiter, !hest I
ant a4t7to,14ect by the owner of the aborts premises to perform the work or whs_h theapplication further agree to hold
J permit a fiearrnn !s made, 1
harentess the City of rederat 'Way c,x to racy ektfnl(including corm• expenses, am: !attorneys'fees incurred in the investigation and defense of
atreh elolal, which rrr,:y be made 14y. itrry(wrsoit, (Attuning the undersigned,raid fir.d aya#rtst the C.`Uy of r-eder .l Way,frit wiry where such rkrlrrr i
dr is.•s oast of tate rrIiurt,•r of tlerraj, 04011.014 mg Us Officers and r•rnftt,Yvees, upon the accuracy of the trtformation.suppllyd to the city us a port of 1
thll appiicatron
NAME/TITLE - . -,:rr' f:•-_%`. , �.. - • *Permit Mar I)kTI 09/26/2Q0_5_
RELATIONSHIP TO PI -RIF-CT 11 t'i;,'r,t X, Ct:litrat•los.. •' :.1clii4<A,t :: (>;h••,
FOR OFFICE USE°Lil,"tr'
NEW . '
r, • Ain/1'1ION t$ALTERATION t, REPAIR t•TENANT IMPROVEMENT
LIUILOING SHELL ONLY
? ,',VIV.:� NO BASIC PLAN?
ci TES •' NO
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NEW A)Df11•tiff mE (IIIII-7t? . }'! :, 1, NO UP/SI PA/SUI? 1.YS-s t. NO i
DRNI.O PSRMIT RF UIRED? (_ 1(1:;.51_.._.—.NO,.
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