20-104745City of Federal Way
Community Development Dept,
Applicant
33325 8th Ave S
F11
Federal Way, WA 98003
AMERIGAS PROPANE L P
Ph: (253) 835-2607 Fax: (253) 835-2609
879 W VALLEY HWY S
Project Name: BUI
Project Address: 30419 28TH AVE S
Mechanical
Permit #:20 -104745 -00 -ME
Inspection Request Line: (253) 835-3050
Project Description: install u/g poly gas pipe and risers to connect house to LPG system
Parcel Number: 092104 9237
Owner
Applicant
Contractor
TAM BUI
ERIC MATHSONAmerigas Propane
AMERIGAS PROPANE L P
30419 28TH AVE S
879 W VALLEY HWY S
AMERIPLO55LL (8/2/21)
FEDERAL WAY WA 98003
PACIFIC WA 98047
4261 HWY 97 A
WENATCHEE WA 98801
Mechanical Work Valuation'?,.,,._.... AddQ�0E171 Permit I�ly')'lOrf7laltlar� u�
jl7 .0 0.1.C. application? .................. Yes
N �'
�Irrh.r ir�ll ,I reti
Gas Piping
!, 1
PERMIT EXPIFft Tuesday, 1 ,Iune,.20' 1
Perm lssiledT "Thursday, Decembe 7 1020
I hereby certify that the above information is correct andthat c
Cit:nt;truction on the above described property
and the occupancy and the use will be in accordance wit th aws, rules and regulations of the State of
Washington and the y of Fleral Way.
Owner or agent: !7D N I I F Date:
��
CITY OF
Federal Allay
PERMIT #: 20 104745 00
THIS CARD IS TO REMAIN ON-SITE
Construction Inspection Record
INSPECTION REQUC TS: (253) 835-3050
Address: 30419 28TH AVE S
Project: TAM BUI FEDERAL WAY WA 98003-4801
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)
Q Gas Piping (4125)
0 Final - Mechanical (4065)
Approved
Approved to release test
Approved
Date
By t
� C.1 �
B Date
Y
B Date
Y
❑ Rough Electrical ❑ Final Electrical Right of Way
Approved Approved Approved
By Date By Date By Date