19-104448City or Federal Way
Community Development Dept.
33325 8th Ave S
Federal Way, WA 99003
Ph: (253) 835-2607 Fax: (253) 835-2609
Project Name: SHAW
Project Address: 29607 2ND PL S
Project Description: Relocation of the gas meter
Mechanical
Permit #:19-104448-00-MLA
Inspection Request Line: (253) 835-3050
Parcel Number: 718300 0110
Owner
Applicant
Contractor
PHILLIP S SHAW
COREY ALEXANDERINFRASOURCE
1NFRASOURCE SERVICES LLC
29607 2ND PL S
SERVICES LLC
INFRASL87IC2 (2/22/21)
FEDERAL WAY WA 98003
13330 STONE AVE N
14103 STEWART RD
SEATTLE WA 98133
SUMNER WA 98390
Additional Permit Information
Mechanical Work Valuation? ................................. 1000 Is this an Online or O.T.C. application?.................. Yes
% — —
Mechanical
Gas Pipe Outlets
PERMIT EXPi unday, 15 a 1>I 020
Pert Ned o esday, Septe ��17, 2019
i�
I hereby certify that the above informatio is correct and th , on the above described property
and the occupancy and the use will be in accordance laws, rules and regulations of the State of
_m]1Lashington and the Qit _ ___.�construction
deral Way.
Owner or agent: 9w %r-47 U V ,—_I1_U
4P
i
MiA
Date,
THIS CARD IS TO REMAIN ON -SITE
f1W OF Construction. Ins ection Record
Federal Way INSPECTION REQUE TS: (253) 835-3050
PERMIT #: 19 104448 00 Address: 29607 2ND PL S
Project: ANNE M SHAW FEDERAL WAY WA 98003-3617
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.
Q
Mechanical Rough -in (4165)
2 Gas Piping (4125)
®
Final - Mechanical (4065)
Approved
ra Approved to relmse test
Approved
By
Date
Byy 6,� Date �3
By
Date
❑
Rough Electrical
Final Electrical
Right of Way
Approved
Approved
Approved
By
Date
By
Date
Ei}
Date