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City of Federftl Way Mechanical Permit #: 05 - 102807-°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
Project Name: BROWN
Project Address: 28812 8TH 3 put 5 Parcel Number: 515292 0240
Project Description: Replace gas hot water tank.
Owner Applicant Contractor
Stephen M Brown Sr. &Paula Y Brown Sr. FAST WATER HEATER COMPANY FAST WATER HEATER COMPANY
28812 8TH AVE S 12601 132ND AVE NE 12601 132ND AVE NE
FEDERAL WAY WA KIRKLAND WA 98034 KIRKLAND WA 98034
98003-3701 (425)814-8381
Mechanical Valuation 1257 Over the Counter Permit. Yes
PERMIT EXPIRES December 24,2005.
Permit issued on June 27,2005
I hereby certify that the above information is correct and that the construction on thegTMENT
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. JUN 15 2005
See Application
Owner or agent: Date:
f
THIS CARD IS TO REMAIN ON-SITE
•
CITY OF Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 05-102807-00-ME
Owner: STEPHEN M BROWN SR.
Address: 28812 8TH AVE S
FEDERAL WAY, WA 98003-3701
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 C (J Date zr cvir/
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PROPERTY IN ORMA •N -
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• PROJECT INFORMATION '
TYPE 01-'PERHIT tl UUU1,DING PLUM.P.Itic. XM1i:C..11ANIC•AAS,
fl DEMOLITION n ELF.f_) ICA1 r) ENGINtERINCi f' E'if7r, Pf:I't'I'NTlrt►: Sy'.Tr'','.
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Reni ve/Replace Gas Watcr Heater
PROJECT NAME!Nome eJ R,r'rrrir•.':of OOwner'0110!l cL'rt,* - 0 000. ________ ... __ -•.--.. . _ .. _. ..... .. - . _
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PROPERTY NArAp (
OWNER BROWN. STEPHEN ; (2531529-0295
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FAST WATER HEATER COMPANY _ 1 (425)814-3124
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DISCLA1111ER/SIGNATUR BLOCK
..,..•J eaar•e-try under pend ty of Perjury that the information fatrtiehed by me 13 tree and curroCC CO the hest of my knaudrdye, un.,fe,rY1 -r. (h.,' r ;
am authorised by the owner of the alone promisee to perform the work for uoi.ich the permit Applircatfo,l r. made. /fr.r•thrr• ogre., to '•„!,(
harmless they City of Federal Way tis Co any Claim(including costa, expenses. and attorneys'fres incurred in the inew•llignf,,,n and dr/.n•c rt
surh claim) which may be mode by any person, including Lise teneters(gnetl, audit ect ayuinrt the Gity or Pear,4,1 10,V. b,.r „•.!n „r •r r . ,: •'••
jemcees out of 11,4 reliance of the city, Including lea officers and cnlptOycel, hpon ti• accuracy of the i,ta.r twirl Aupptir,t(, t(1r. ,•111 ni .r 1,,,r, ,.,
, rhes application.
? NAME/111• .E •-'� - -•'`- .ter 'r.= _..P/ , Sr PATE 06/14/2005
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1 FOR OFFICE USE ONLY
1., NEW ::ADDITION It ALTERATION I, REPAIR t'TENANT IMPRUVLMI:Nl
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ZONING DESIGNATION CIIA'(OE OF USE:? r• Yr!; NO
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