20-103739 Mechanical
City of Federal Way Permit #:20-103739-00-ME
Community Development Dept.
33325 8th Ave S FILE
Federal Way,WA 98003 Inspection Request Line: (253)835-3050
Ph:(253)835-2607 Fax:(253)835-2609
Project Name: NIELSEN
Project Address: 2809 SW 347TH ST Parcel Number:502946 0060
Project Description: replace natural gas furnace •
Owner Applicant Contractor
RONALD SCOTT NIELSEN SUSAN DUNHAMBLACK HILLS INC BLACK HILLS INC(GEN 01)
2809 SW 347TH ST 1003 85TH AVE SE UNIT A BLACKHI066JL(7/19/21)
FEDERAL WAY WA OLYMPIA WA 98501 1003 85TH AVE SE UNIT A
98023
OLYMPIA WA 98501-5706
Additional Permit Information
Mechanical Work Valuation9 5070 Is this an Online or O.T.C.application? Yes
%4`iie, ?_:.. .wM. _. 'sA ,, .5,r.v> >,.., _ _' _E. Alt, WV":1'
Furnaces 1
PERMIT EXPIRES Sunday,28 March,2021
Permit Issued on Tuesday,September 29,2020
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
OiH. 1tt4Eeth1.
al Way.
Owner or agent: Date:
4014 THIS CARD IS TO REMAIN ON-SITE
`"vodConstruction Inspection Record
Feeral Way INSPECTION REQUESTS:(253)835-3050
PERMIT#: 20 103739 00 - Address: 2809 SW 347TH ST
Project: KELLY NIELSEN FEDERAL WAY WA 98023-3038
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) „® Phial-Mechanical-:(4065) '
Approved Approved to release test Approved
`By Date By Date .�By A Date `u(l a`�0
•
I
El Rough Electrical 0 Final Electrical 0 Right of Way
Approved Approved Approved
By Date By Date By Date