10-104121 City of Federal Way • • Mechanical
Community Development Services FILEPermit #: 10-104121-00-ME
P.O.Box 9718
Federal Way,WA 98063-9718 Inspection Request Line:
Ph:(253)835-2607 Fax (253)835-2609 p q (253)835-3050
Project Name: CZUK a g O1 Y
Project Address: 813 SW 354TH ST Parcel Number: 066231 0810
Project Description: Replace existing gas furnace with a new 95%efficient gas furnace
Owner Applicant Contractor
MITCHELL F&MARY H CZUK TABATHA KLIEMANN KLIEMANN BROTHERS HTG&A/C INC
813 SW 354TH ST KLIEMANN BROS KLIEMBH02IBT(1/27/12)
FEDERAL WAY WA 98023-8124 4703 116TH ST E 4703 116TH ST E
TACOMA WA 98446 TACOMA WA 98446
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Mechanical Valuation 5232.77 Is this an Online or O.T.C.application' Yes
Furnaces 1
PERMIT EXPIRES Monday, March 28, 2011
Permit Issued on Wednesday,September 29, 2010
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
0 NL�d the 'ty of Federal Way.
MC 41 tee/t
Owner or agent: Date:
-C.—Q-10 11/Z3./10
• an....._4_61/4 • THIS CARD IS TO AIN ON-SITE .
CITY OF Construction Ins ction Record
Federal Way INSPECTION REQU TS: (253) 835-3050
PERMIT#: 10-104121-00-ME Address: 813 SW 354TH ST
Owner: MITCHELL F & MARY H CZUK FEDERAL WAY, WA 98023-8124
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 By 0.4‘t,..,„_3
__ Date 1 J —a.'3-)
FILE
CI Rough Electrical Final Electrical Right of Way
Approved Approved Approved
By Date By Date By Date