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14-104156 it • • ' Ffhectrical Hof Federal Way Permit #: 14-104156-00-EL Comm urii 8,Econ.Dev.Services 33325 8th Ave Federal Way,WA 98003 Inspection Request Line: (253)835-3050 Ph:(253)835-2607 Fax (253)835-2609 p a Project Name: LAKOTA SEWAGE TREATMENT Project Address: 3203 SW DASH POINT RD Parcel Number: 122103 9105 Project Description: Wiring for replacement and addition of air handling units. Owner Applicant Contractor LAKEHAVEN UTILITY DISTRICT LAKEHAVEN UTILITY DISTRICT OWNER IS CONTRACTOR PO BOX 4249 PO BOX 4249 FEDERAL WAY WA 98063 FEDERAL WAY WA 98063 Additional Permit Information Is this an Online or O.T.C.application? Yes Is Use Educational or Institutional? No Service greater than 999 Amps? No Electrical Fixtures Alt.Srvc/Feeder 0 to 200 amps(C 1 PERMIT EXPIRES Tuesday, February 10, 2015 Permit Issued on Thursday,A !ust 14, 2014 I hereby certify that the above information is correct and - •nstruction on the above described property and the occupancy and the use will be i• :J:•rdance wi • - , rules and regulations of the State of Washington ,,didiopi, and th: deral Way. Owner or agent i/I' i Date: y/f/ r II ___. ,,rk31,4 _(_) • THIS CARD IS TO ON-SITE • CITY OF Construction In ection Record r y Federal Way INSPECTION REQ TS: (253)835-3050 PERMIT#: 14-104156-00-EL Address: 3203 SW DASH POINT RD Project: LAKEHAVEN UTILITY DISTRICT FEDERAL WAY, WA 98023-2340 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. O UFER Ground(4295) El Ditch cover(4030) _ 0 Slab/Concrete Floor(4255) Approved Approved Approved to place concrete • By Date By Date By Date . . ♦ . ♦ . o Pool Bonding(4195) 0 Temporary Power(4275) El Service(4235) Approved Approved Approved By Date By Date By Date o Feeders/Sub-panels(4045) El Rough Electrical(4225) El Ceiling Cover(4020) Approved Approved Approved 1 By Date By Date By Date El Final-Electrical(4055) Approved By Date 1 ❑ Rough Electrical Final Electrical Right of Way Approved Approved Approved By Date By Date By Date ,.. OliteCEIM • AUG 14 2014 ELECTRICAL CITY OF A Federal Way CITY of FEDERAL WAY PERMIT APPLICATION CDS PERMIT NUMBER / y _ / U ( / S4 _ • G / c ((( "`EEE=== SUITE/UNIT/SPACE# SITE ADDRESS: 3 3 S°w 04574,0i,2r> f'2 Sg..; ! G PROJECT VALUATION ASSESSOR'S TAX/PARCEL# 2 CURRENT/PROPOSED USE $ Z2--Gw, 00 ( al oZ 3� 0 - 'l ° PROJECT NAME ,� (Tenant or Homeowner Last Name) Gi'/ 40779- GGo/v9?-,t," 6�4FCi/�1C/1Z— //ale- 1....4"°6- ri PROJECT DESCRIPTION f2- eG/IG� ./A-1 Z'c)/G'/ / / Z 2v/z-i/ Detailed description of work to //V1-719—,—Z— r_,✓ 4K7-----e.9/ /tom, A e J be included on this permit only A„ Z7/ NAME PRIMARY PHONE PROPERTY OWNER Z C, (..,#TG.,/—y '0/5-772 t-G>— (2-4-3)7t - /�� MAILING ADDRESS E-MAIL /AL) e3©X t S'I CITY STATE ZIP FAX -� �-.4-y G.�- 9ft 3 (��) f'7 2-'07 NAME PRIMARY PHONE ( ) MAILING ADDRESS E-MAIL ELECTRICAL CONTRACTOR CITY STATE ZIP FAX ( ) WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE# / / NAM /7/9- �/ PRIMARY PHONE APPLICANT ' L/ c,t< �i�r3)9'9 )-1 1 MAILING ADDRESS E-MAIL ..?2<>3 $ ' /)4-57-/- ,SOT ®20 CITY STATE ZIP FAX �,7 .,/z_ X4-7 GAM- .iri-,2--3 (2 r3) .1'75 2-c?' PROJECT CONTACT N PRIMARY PHONE (7/7-1 Y .,(20e--- ( )$ 66G3 I certify under penalty of perjury that I am the property owner or authorized agent of the property owner.I certify that to the best of my knowledge,the information submitted in support of this permit application is true and correct.I certify that I will comply with all applicable City of Federal Way regulations pertaining to the work authorized by the issuance of a permit.I understand that the issuance of this permit does not remove the owner's responsibility for compliance with local, state, or federal laws regulating construction or environmental laws. I further agree to hold harmless the City of Federal Way as to any claim(including costs,expenses,and attorneys'fees incurred in the investigation and defense of such claim),which may be made b , person,including the undersigned,and filed against the city, but only where such claim arises out of the reliance of t, , including its officers and employees, upon the accuracy of the information supplied to the city as a 'art of this applica,. / SIGNATURE: /�/ ,/'. --C----------- DATE 9/y4' PRINT NAM C 2,/� .rA, i cx.c Bulletin#160—January 1,2013 Page 1 of 2 k:\Handouts\Electrical Permit Application