05-103639 1
City of Federal Way Mechanical Permit #: 05 - 103639 - 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) 835-305C
• Project Name: TRAVIS y
Project Address: 4222 SW 325TH Cj I Parcel Number: 873201 0130
Project Description: Remove/replace gas water heater
Owner Applicant Contractor
Hugh L Travis &Shem L Travis FAST WATER HEATER COMPANY FAST WATER HEATER COMPANY
4222 SW 325TH ST 12601 132ND AVE NE 12601 132ND AVE NE
FEDERAL WAY WA KIRKLAND WA 98034 KIRKLAND WA 98034
98023-2456 (425)814-8381
Mechanical Valuation . 993 Over the Counter Permit ....... Yes
PERMIT EXPIRES January 23,2006.
Permit issued on July 27,2005
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: SeeApplication Date: "7 -01- 1 ` 0J
THIS CARD IS TO REMAIN ON-SITE •
CITY OF Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 05-103639-00-ME
Owner: HUGH L TRAVIS
Address: 4222 SW 325TH ST
FEDERAL WAY, WA 98023-2456
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) ❑ Gas Piping(4125) 0 Final-Mechanical(4065)
Approved Approved to release test Approved
By Date By Date By G, ti Dates
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PR.OPI Jtt9 INFORMATION
:;rTF- A-ODflF`:S .4222 SW 325 ST,..FEDERAL WAY,.WA-98023 ... ,.... .„...... stilz,r/UNIT s .....
87320101-30 LOT 317f.
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AISC.LAIMER/31.ONPTUR]Z BLOCK
r.....�. f yuaderfltnouy of perjury ---- - -- _ - - - -- ---- � -- - ;:-- -_..,-�••----••=-� .,,-..—_�-•,..,_
__.ti that the Infor'ma'tion furnitdord hp me!s IT re and correct to eh*best of My knowledge, and further, that 11
one auth,,rlxrt.! 1,y the vl,rner of the abrae premises to p.+rfowm the work far ,t+;lic/t the permit astp(icadolt kr mode. 1/.r1her agree to hold !
h,xv,nteas .P,r City of Federal Way ts•s to any atoim(including costs, expenses. ca d tettornelis'fees incurred in the (norstlyatlou and defense O•/ I
i such char:rib which may ire lnt.iJ4 by ony person, including the undersigned,arll'(ilia a.g t1nst the City of Federal Way,but(Hale rohkre such claim
1 art set out of the retearb>r of the rir,v,tn,'lv(Cinrf tt.$officers and employees, upon I 11 UICLfrrney of the lrrfO,'nlnilorr s„1>ptted tY the rity res 0 port of I
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I EZELATTONSUIP TO PROJECT I„I OvAlrr r,• Anent X C.71)ntrae.'ttx: Atchil<ect. :=; C1}h,.:-'
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' ZUNIn1: DESIGNATION CHANGE OP USE? r,YES •• NO •
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