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21-102321
Electrical City of Federal Way Community Development Dept. 33325 8th Ave S Federal Way, WA 98003 = L E Ph: (253) 835-2607 Fax: (253) 835-2609 Project Name: HALL Project Address: 28019 20TH AVE S Permit #:21-102321-00-EL Inspection Request Line: (253) 835-3050 Parcel Number: 422231 0520 Project Description: INSTALLING NEW AIR CONDITIONER REPLACING GAS FURNACE Owner A�p�plicant Contractor DANIEL HALL SUSAN DUNHAMBLACK HILLS INC BLACK HILLS INC (ELECTRICAL) 28019 20TH AVE S 1003 85TH AVE SE UNIT A BLACKH1919DL (3/15/23) FEDERAL WAY WA 98003-3200 OLYMPIA WA 98501 1003 85TH AVE SE'UNIT A OLYMPIA WA 98501-5706 Additional Permit Information Is this an Online or O.T.C. application? .................. Yes Electrical Fixtures Circuits - Residential 1 Thermostat 1 PERMIT EXPIRES Thursday,16 June, 2022 Permit Issued on Wednesday, June 16, 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 Washington and the City of Federal Way. Owner or agent: ii KDate: r f'/PVA"/ THIS CARD IS TO REMAIN ON -SITE A�' CITY OF Construction Inspection Record Federal Way INSPECTION REQUKTS: (253) 835-3050 PERMIT #: 21 102321 00 Address: 28019 20TH AVE S Project: LORI ANNE HALL FEDERAL WAY WA 98003-3200 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 UFER Ground (4295) Ditch cover (4030) El Slab/Concrete Floor (4255) Approved Approved Approved to place concrete By Date By Date By Date ® Pool Bonding (4195) 0 Temporary Power (4275) © Service (4235) Approved Approved Approved By Date By Date By Date Q Feeders/Sub-panels (4045) ® Rough Electrical (4225) Approved Approved By Date JiBy 101 Final - Electrical (4055) Approved By Date L p9V-o' Date 0 Ceiling Cover (4020) Approved By Date Rough Electrical Final Electrical Right of Way Approved Approved Approved By Date By Date By Date