23-105860A Federal Way
9Sa G rs/ a 5) a
CITY OF FEDERAL WAY
Electrical Permit
MyBui [di ngPelrmi t. cam
Permit Information
Permit Number
23-105860-00-EL Issued Date
12/7/2023
Expiration Date
12/6/2024
Job Address
30303 19TH AVE S Fee Paid
$408.77
FEDERAL WAY, 98003 Order Confirmation
1270185
Boor
Related Permit #
suite
Application ID
1413922
Contact Information
Contact Name
Provident Electric contractor
PROVIDENT ELECTRIC INC
Phone Number
(253) 631-7750
Property Owner
" ) LNILicense #
SSHI LLC (DBA-D R HORTON
PROVIE1103C2
Address
11241 SLATER AVE NE KIRKLAND, Phone#
(253) 631-7750
WA city Bus. License #
601 217 805
Property Owner Phone
Tenant Name
Job Description
A (Single Family Residential) (New) Electrical project involving ( Single Family Dwelling)
NEW 200 AMP SFR
Conditions - Post Permit on site. Do not cover until inspected.
Certification Statement - The applicant states:
I certify that I am the owner of this property or the owner's authorized agent, Including an appropriately licensed contractor. I have furnished true and
correct information. I will comply with all provisions of law and ordinances governing this type of construction work, whether specific herein or not. By
submitting this application I give the jurisdiction permission toanler the prope to perform inspections. I understand that failure to comply with the
above may result in revocation of the permit.
Applicant: Provident Etectric
Page 1 of 2
IN Federal__Way
CITY OF FEDERAL WAY
Electrical Permit
MyBui ldingpermit. com
Permit Information
Permit Number
23-105860-00-EL
Issued Data
12/7/2023
Job Address
30303 19TH AVE S
Expiration Date
12/6/2024
Fee Paid
$408.77
FEDERAL WAY, 98003
Order confirmation
1270185
Floor
Related Permit #
Suite
Application ID
1413922
Inspections
Inspection
IVR Inspector Date Inspection
IVR Ins cto
Rough Electrical
4225 Final- Electrical
4055
�D/Jate
% ✓^
Final- Electrical
4055
UFER Ground
4295
Ditch Cover
4030 Jil - `
Rough Electrical
L
4225 erra
Pool Bonding
4195
Feeders/Sub-panel 4045
Service
4235 i•
Inspection Scheduling
Page 2 of 2