09-104734 . R � ,a <
' Mechanical
City of Federal Way � � �"� [�
CommuhityDevelopmentServices ,�'�-? � ''- � Permit #: 0�7-104734�0o-ME
P.O.Box 9718
Federal Way,WA 98063-9718
Ph:(253)835-2607 Fax:(253)835-2609 �Anw�� Inspection Request Line: (253)835-3050
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Project Name: BUTZERIN
Project Address: 28831 14TH CT S Parcel Number: 516210 0550
Project Description: Remove existing gas furnace install new 95%eff AMS Gas Furnace
Owner Applicant Contractor
ROBERT G&JODI S BUTZERIN VAUGHN MURPHIE NORTHWEST REFRIGERATION INC
28831 14TH CT S Vaughn Mechanical Inc dba Northwest (GENERAL)
FEDERAL WAY WA 98003-3774 Refrigeration NORTHRIOOOOJ(3/1/10)
5201 SW CAPITOL BLVD SUITE 201 5201 CAPITAL BLVD SUITE 201
TUMWATER WA 98501 TUMWATER WA 98501
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Mechanical Valuation............................................4955.00 Is this an Online or O.T.C.application?.................Yes
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Furnaces ...................................... 1 '
PERMIT EXPIRES Monday, May 31, 201'0
Permit Issued on Wednesday, December 2, 2009
I hereby certify that#he'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 regu�ations of the State of Washington
a and the City of Federal Way. ' � �
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Owner or agent: ����� ��� �� Date: �
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THIS CARD IS TO MAIN ON-SITE
��TY�F �� ..; � �=� Construction I ection Record
Federal Way �� � :� � INSPECTION REQUE TS: (253)835-3050
PERMIT#: 09-104734-00-ME Address: 28831 14TH CT S
Owner: ROBERT G & JODI S BUTZERIN FEDERAL WAY, WA 98003-3774
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 untii 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 Date ��- I�
� Rough Electrical � Final Electrical � Ri�ht of Way
Approved Approved Approved
By Date By Date By Date