20-101389City of Federal way
Community Development Dept.
33325 Sth Ave S
Federal Way, WA 98003
Ph: (253) 835-2607 Fax: (253) 835-2609
Project Name: MARCHUK
Project Address: 28728 15TH AVE S
Project Description: 1 new gas stub out
Mechanical
Permit #:20-101389-00-ME
Inspection Request Line: (253) 835-3050
Parcel Number: 720300 0235
Owner
Applicant
Contractor
LEONID MARCHUK
LEONID MARCHUK
OWNER
28728 15TH AVE S
28728 15TH AVE S
OWNER
FEDERAL WAY WA 98003
FEDERAL WAY WA 98003
Additional Permit Information
Mechanical Work Valuation? ................................. 250.00 Is this an Online or O.T.C. application?.................. No
Mechanical' t�t r'
Hot Water Tanks 1
PERMIT EXPIRES y, 23 Septcr><>< er U
Permit Issued on �!t[ ay, March 2
I hereby certify that the above informat€ orrect and that th n�ruction on the above described property
and the occupancy and the use will be accordance with t s, rules and regulations of the State of INE
ty of >= al Way.
Owner or agent: Date:
• ie
_14%�
CITY OF
Federal Way
THIS CA III) IS TO REMAIN ON -SITE
Construction Inspection Record
INSPECTION REQUESTS: (253) 835-3050
PERMIT #: 20 101389 00 Address: 28728 15TH AVE S
Project: LEONID MARCIIUK FEDERAL WAY WA 98003-3161
Scheduled inspections may be failed if this card is not on -site. DO NOT LOSS: 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.
I_ l Mechanical Rough -in (4165) ❑ Gas Piping (4125) ❑ Final - Mechanical (4065)
Approved p&eA` _W'oved to release test Approved
By Date TBy + CIA) Date y . ;� a By Date
❑
Rough Electrical
Final Electrical
Right of Way
Approved
Approved
Approved
By
Date
By
Date
By
Date