20-105097City Federal Way
Applicant
Community Development Dept.
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,25 8th Ave S
33325
BLACK HILLS INC (GEN 01)
Federal Way, WA 9800;
1003 85TH AVE SE UNIT A
Ph: (253) 835-2607 Fax: (253) 835-2609
FEDERAL WAY, WA 98023
Project Name: ROBERTSON
Project Address: 31401 48TH PL SW
Project Description: REPLACE GAS FURNACE
Mechanical
Permit #:20 -105097 -00 -ME
Inspection Request Line: (253) 835-3050
Parcel Number: 211572 0100
Owner
Applicant
Contractor
AMBER L ROBERTSON
SUSAN DUNHAMBLACK HILLS INC
BLACK HILLS INC (GEN 01)
31401 48TH PL SW
1003 85TH AVE SE UNIT A
BLACKH1066JL (7/19/21)
FEDERAL WAY, WA 98023
OLYMPIA WA 98501
1003 85TH AVE SE UNIT A
OLYMPIA WA 98501-5706
Additional Permit Information
Mechanical Work Valuation? ............................ —. 4889.50 Is this an Online or O.T.C. application?.................. Yes
Furnaces
Mechanical Fixtures
PERMIT EXPIRES Saturday, 3 July, 2021
Permit Issued on Monday, January 4, 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
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f Federal Way.
Owner or agent:
�,,, Date:
THIS CARD IS TO REMAIN ON-SITE
CITY OF Construction Inspection Record
Federal Way INSPECTION REQUESTS: (253) 835-3050
PERMIT #: 20 105097 00 Address: 31401 48TH PL SW
Project: AMBER L ROBERTSON FEDERAL WAY WA 98023-2098
Scheduled inspections may be failed if this card is not on-site. DO NOT LOSE T1115 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.
Q Mechanical Rough -in (4165) l ,l Gas Piping (4125) ❑ Final - Mechanical (4065)
Approved Approved to release test Approved
By Date By Date By Date 11-1 120_
Rough Electrical Final Electrical Right of Way
Approved Approved Approved
by Date 13y Date B}. Date