21-101387City ofFederal
Community Development Dept.
FILF
Ave S
33325 8th Ave $
Federal Way, WA 98003
Ph: (253) 835-2607 Fax: (253) 835-2609
Project Name: WILSON
Project Address: 28443 15TH AVE S
Project Description: Replace gas furnace like in kind
Mechanical
Permit #:21-101387-00-ME
Inspection Request Line: (253) 835-3050
Parcel Number: 720300 0485
Owner .
Applicant
Contractor
EDWARD WILSON
SARAH '1 URNERGLENDALE HEATING &
GLENDALE HEATING & A/C (GENERAL
11833 12TH AVE S
A/C
01)
SEATTLE WA 98168-2133
12462 DES MOINES WAYS
GLENDHA053Q2 (11/2/21)
SEATTLE WA 98168-2266
12462 DES MOINES MEMORIAL DR
SEATTLE WA 98168-2266
Mcchwical Work Valuation?.........
Furnaces
Additional Permit Information
.......... 2500 is this an Online or O.T.C. application?
Mechanical Fixtures
I
PERMIT EXPIRES Tuesday, 5 October, 2021
Permit Issued on Thursday, April 8, 2021
Ycs
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 City of Federal Way.
Owner or agent: Date.
%.,/ I N1 L I I \J b-,
/ / roll
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CIrY OF
Federal Way
PERMIT #: 21 101387 00
THIS CARD IS TO REMAIN ON -SITE
Construction Inspection Record
INSPECTION REQUESTS: (253) 835-3050
Address: 28443 15TH AVE S
Project: VIRGILIE L WILSON FEDERAL WAY WA 98003-3159
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.
Mechanical Rough -in (4165)
❑
Gas Piping (4125)
❑
Final - Mechanical (4065)
Approved
Approved to release test
Approved
By
Date
By
Date
By
Date —/o !;z�
Rough Electrical
Final Electrical
Right of Way
Approved
Approved
Approved
By
Date
By
Date
131
Date