09-105039 a.
1111 • Mechanical
City of Federal Way
Community Development Services Permit #: 09-105039-00-ME
P.O.Box 9718
Federal Way,WA 98063-9718
Ph:(253)835-2607 Fax (253)835-2609 Inspection Request Line: (253)835-3050
Project Name: GROTEFEND
Project Address: 195 SW 366TH ST Parcel Number: 113960 0310
Project Description: Replace gas 60k btu furnace
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Owner ApplicantContractor
MARK G GROTEFEND CYNDAL MILLHOLLIN WASHINGTON ENERGY SERVICES CO
195 SW 366TH ST NORTHWEST PERMIT INC/WASHINGTON (GENERAL)
FEDERAL WAY WA 98023-7372 ENERGY SERVICES WASHIES9710B(9/2/11)
1345 W GULF RD 2800 THORNDYKE AVE W
POINT ROBERTS WA 98281 SEATTLE WA 98199
Mechanical Valuation 5813.70 Is this an Online or O.T.C.application? Yes
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Furnaces 1
PERMIT EXPIRES Monday, June 28, 2010
Permit Issued on Wednesday, December 30, 2009
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 Cif Federal Way.
Owner or agent: N Ll N L Date: 1/114'/I3C/4112q
nktAtig> ite0()
THIS CARD IST MAIN ON-SITE
111114
CITY OF Construction I ection Record
Federal Way INSPECTION REQU TS: (253)835-3050
PERMIT#: 09-105039-00-ME Address: 195 SW 366TH ST
Owner: MARK G GROTEFEND FEDERAL WAY, WA 98023-7377
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) ❑ Final-Mechanical(4065)
Approved Approved to release test Approved
By Date By Date By Date ,�r` /e.
ID Rough Electrical Final Electrical CI Right of Way
Approved Approved Approved
By Date By Date By Date