20-104597 i �
� . �
Mechanical
City of Federal Way � ' .
ComrtmnityDevelopmentDept. ' � E Permit #.20-104597-00-ME
33325 8th Ave S
Federal Way,wn 9soo3 Inspection Request Lme: (253)835-3050
Ph:(253)835-2607 Fax:(253)835-2609
Project Name: DICKINSON
Project Address: 30248 2ND AVE S Parcel Number:339180 0270
Project Description: replace gas furnace
Owner Applicant Contractor
NAOMI DICKINSON SUSAN DUNHAMBLACK HILLS INC BLACK HILLS INC(GEN O1)
30248 2ND AVE S 1003 85TH AVE SE UN1T A BLACKHI066JL(7/19/21)
FEDERAL WAY WA 98003-4041 OLYMPIA WA 98501
1003 85TH AVE SE UN[T A
OLYMPIA WA 98501-5706
Additional Permit Information
Mechanical Work Valuation?..................................4889 Is this an Online or O.T.C.application?..................1'es
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Furnaces 1
PERMIT EXPIRES Wednesday, l9 May,2021
Permit Issued on Friday,November 20,2020
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, n�les and regulations of the State of
hi on���Federal Way.
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Owner or agent: Date:
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�,��a� -������ Construction Inspection Record
���Q�'�� ��� INSPECTI�N REQUESTS: (253) 83�-30�0
PERIVIIT #: ��— �Oy.s �j �_cx� �2� Address: 3oz Yg �� ��� ,S
Projecto ��G �,;��o�
Scheduled inspections may be failed if this card is not on-site. DO NOT LOSE THdS CARD. Inspections are listed as close to sequential order as possibie
(read left to riaht,top to bottom). Please schedule inspections as appropriate. W`ork must not be covered until it is approved. Check with your inspector if
vou are unsure about any of the inspections or the inspection sequence. On-goina inspections are logged on the back of this card.
Q Mechanical iZough-in (415�) 0 Gas Piping(4125) � �'ina!-Mechanical(406�)
Approved Approved to release test .4pproved
�y Date By Date BY�Gt�s Date � �� �/
� IZough Electrical � Finai Electrical � l�ight of VVay
Approved Approved Approved
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