09-102067 '4. •
Electrical
City of Federal Way II
/�
Community Development Services Permit #: 09-102067-00-EL
P.O.Box 9716'
Federal Way,WA 98063-9718
Ph:(253)835-2607 Fax:(253)835-2609 F ILE
Inspection Request Line: (253) 835-3050
Project Name: GUDMUNDSON
Project Address: 30463 3RD AVE S Parcel Number: 232970 0120
Project Description: 15 amp circuit extension for outdoor outlets
Owner Applicant Contractor
EDITHA GUDMUNDSON GARY JESSEN ELECTRO SERVE LLC
30463 3RD AVE S ELECTRO SERVE ELECTS*922KK (5/12/10)
FEDERAL WAY WA 98003-4004 14510 NE 20TH ST 13300 SE 30TH ST SUITE 105
BELLEVUE WA 98007 BELLEVUE WA 98005
Is Use Educational or Institutional? No
c ✓/ :ky F urge 'ry ms .`t
Circuits-Residential 1
PERMIT EXPIRES Saturday, June 5, 2010.
Permit issued eu FridaY,June 5, 2009
I hereby certify that the above information is correct andthat the construction on the above described property ind
the occupancy and the use wilt be in accordance With the law rules and regulations of the State of Washington
and the City of Federal Way. , ."
Owner or agent: c� _ Date: 6 -S - 0 g
-/cov/019
_ 41/4 THIS CARD IS TO . EMAIN ON-SITE
CITY OF k ommunity Develop nt Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 09-102067-00-EL
Owner: EDITHA GUDMUNDSON
Address: 30463 3RD AVE S .
FEDERAL WAY, WA 98003-4004
This card is part of your required inspection documents. 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.
•
0 UFER Ground (4295) E Ditch cover(4030) Ei Slab/Concrete Floor(4255)
Approved Approved Approved to place concrete
By Date By Date By Date
- 0 Pool Bonding(4195) 0 Temporary Power(4275) El Service(4235)
Approved Approved Approved
By Date By Date By Date
0 Feeders/Sub-panels(4045) 0 Rough Electrical(4225) ❑ Ceiling Cover(4020)
Approved Approved Approved
By Date By Date By Date
0 Final-Electrical(4055)
Approved
By C, Date q _to—o dj
.
FILE
For inspector reference only
0 Rough Electrical 0 FINAL-Electrical
Approved Approved
By Date By Date