21-101462City of Federal Way
Community Development Dept.
33325 8th Ave 5
Federal Way, WA 98003
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Ph: (253) 835-2607 Fax: (253) 835-2609
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Project Name: GOURAS
Project Address: 36118 2ND AVE S
Project Description: replace gas furnace
Electrical
Permit #:21-101462-00-EL
Inspection Request Line: (253) 835-3050
Parcel Number: 113780 0390
Owner
Applicant
Contractor
MARK S GOURAS
TONI BOWMANKLIEMANN BROTHERS
KLIEMANN BROTHERS HTG & A/C INC
36118 2ND AVE S
HTG & A/C INC
(ELECTRICAL 01)
FEDERAL WAY WA 98003-8624
4703 116TH ST E
KLIEMBH83800 (9/20/21
TACOMA WA 98446
4703 116TH ST E
TACOMA WA 98446
Additional Permit Information
Is this an Online or O.T.C. application? .................. Yes
Electrical Fixtures
Thermostat I
PERMIT EXPIRES Wednesday, 13 April, 2022
Permit Issued on Tuesday, April 13, 2021
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
,aingtan nd Ci tFederal Way.
NN E Date
Owner or agent:_
THIS CARD IS TO REMAIN ON -SITE
C$TVQF Construction Inspection Record
Federal Way INSPECTION REQUKSTS: (253) 835-3050
PERMIT #: 21 101462 00 Address: 36118 2ND AVE S
Project: ELVIRA P GOURAS FEDERAL WAY WA 98003-8624
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.
❑ UFER Ground (4295) ❑ Ditch cover (4030) Slab/Concrete Floor (4255)
Approved Approved Approved to place concrete
By Date By Date By Date
❑
Pool Bonding (4195)
❑
Temporary Power (4275)
❑
Service (4235)
Approved
Approved
Approved
By
Date
By
Date
By
Date
❑
❑
Feeders/Sub-panels (4045)
t
Rough Electrical (4225)
Ceiling Cover (4020)
Approved
Approved
Approved
By
Date
By
Date
By
Date
❑
Final - Electrical (4055)
��pru•:�i! l
By
Date
❑
Rough Electrical
Final Electrical
❑
Right of Way
Approved
Approved
Approved
By
Date
By
Date
By
Date