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cn o€ , • • 33530 First Way South
m r—f1 Federal'Way WA 98003
N>V IFFY Phone (206) 661-4000
ELECTRICAL PERMIT APPLICATION •
•
ELE- -
Job Address :./..)k� 0 4 t14- Go'( t \ . ,,,„_,,)7,,,,,,o �ga),Z) Job Site Phoneq + _ i 1 t
Parcel No `C( C1 s- / )c.) Lot No V Subdivision Name l� 1 t .
Owner L l �J /7l Mail Address Phone
6/1).A)l� ?iKc- c /6 —1 4 7/2"Ail cm/ lVii- 757 5--
Electrical
Electrical Contractor Mail Address Phone .-- -c6,- - -IA-40Q _
_ J License No. /�o t ,-AL,.... rt d 2
• Ai 6,U
O ' ( �/ la J�� /�� j 1 �� —1-1-404&)
��sa' J� Expiration Date
Use of Bldg: oSF Rea l oCo/(mm ❑Othl er °Multi OChhurch/School Class(ooff Wokrk:: °New °Alteration °Addition °Repair
Describe Work:
V, "15 t=;U. So A Ccp6.va 1
Type of Const: NEW RESIDENTIAL SERVICES MOBILE HOMES
Occupancy Group: `=--, ;:f_ / _Service or feeder only . . . . $40
Occupancy Load: : .gle Family _Service and feeder 65
dok
Square Feet: (First 1300 ft2-$60; Each add'n
500 ft2-$20) MOBILE HOME/RV PARK
If plans are required for review, the fee is _# of service or feeders
35% of the permit fee plus$50. Additional _Each outbuilding or garage . $25 (First service/feeder-$40; Add'n
plan review for other submissions is$60/hr. service/feeders-$25 each)
MISC EQUIPMENT/TEMP SERVICES NEW MULTI-FAMILY COMMERCIAL/INDUSTRIAL
_#of Thermostats (Includes three units or more) Amps Service or. Add'n
(First thermostat-$30;Add'n thermostats- Service Feeder Feeder
$10 each) _ Up to 200 amp . . $ 65 . . . $ 20 _0 to 100 °-'/$ 65 . . $40
•
_#of Low voltage fire or burglar alarm _201 -400 amp . . 80 . . . . 40 _ 101 -200 80 . . . 50
(First 2500 ft2-$35; Each add'n 500 ft2-$10) _ 401 - 600 amp . . 110 . . . . 55 201 -400 150 . . . 60
_## of Signs _ 601 - 800 amp . . 140 . . . . 75 _ 401 - 600 175 . . . 70
(First sign-$30; Add'n sign-$15 each) _ 801 and over . . 200 . . . 150 _ 601 - 800 225 . . . 95
_Progress inspection per hr $60 _ 801 - 1000 . . . . 275 . . . 115
_Swimming pool, hot tub, spa . . . . 60 _ over 1000 300 . . . 160
_Temporary Pole 35 _ Over 600 volts surcharge . . . 50
_Yard Pole meter loops 40 _ Mast or meter repair 55
■ Issuance fee for each permit 20 .
ALTERED SINGLE- OR COMMERCIAL/INDUSTRIAL
Inspections requested before 3:30 will be MULTI-FAMILY Altered Service or Feeders
made the following work day, 661-4140. (When inspected separately from the _ 0 to 200 $ 65
services.) _201 - 600 150
I hereby certify that I am the owner(or Service or Feeder _601 - 1000 225
authorized agent) of the above named t_0 to 200 amp $ 55 _over 1000 250
property or a licensed contractor(or firm's _ 201 - 600 amp 80 _ ## of circuits
authorized agent) and am making the _ over 600 120 (First 5 circuits-$50; Add'n
installation or alteration in compliance with _ Mast or meter repair 30 circuits-$5 each)
all applicable city, county, and state laws. # of circuits 40 Temporary Service
(First circuit-$40; Add'n circuit- _ 0 to 100 $40
Appli •. • s Si ; $5 each) - _ 101 - 200 50
_201 400 60
�04,A)
� _ 401 - 600 80
�. _over 600 90
Date: rc7 qy
i .
REVISED 3n119S •
m ,'-—" 33530 Fula Nay South
---+ Ern
►"E.FU.... • E ederalVJrwr WA 98003
Photo::(706)661-4000
IL.1C IRICAL PEUM r AIMPLICA' `YON
EtL1-C
Jots/add 4' ry w L Tit- 4 , ,r dl 06 Ph
stix o;tie�y
Pares!No 44 t f _ CI t,•; -\ . Ls.No Subdivision Name ` �I
Owner Mai Addreo. i rivet
!
-(-4:4(...,)
tttElocWoal Con:meter .ail Adis thone —IS ms-`'.1 k
ibicuau No./c)Q,iLHe LZ__Z
4 "
i , L '
3sptrarlon Late
Use or Mit OSP lax QConus cOthar ok(srW oChuratafiehooi Class er Wodrs Mew oAmurn4Son :4/addition oRopair
Describe Work.
•\ , -Tit36
A pC. ii, _
Typo of Const:_______
W RESd EI TI ►k SERVICES MO ULE IiWMEc5
Occupancy Grow F� ' _service or fader only . . . ..$40
: Occupancy Load• glo Family Service aid feeder . . . . . . . 65
Square Pees: �' (First 1300 ft°-$60; *Min
' 500 ft'-420) MOBILE 1101 E/RV PARK
1If plans are required for review, the fee is $of aerviotior feeders
35% of the permit foe plus$50. Additional _Fact;rutbuildin;or garage . $25 --(First�ico�'fecder-$40; Add'n
color plan review for submissions is$60/hr. earvice/foedera-$25 each)
•
MISC EQUIPMENT/TEMP SERVICES NEW MULTI-FAMILY s COM'i+ R,ClAL/TDDUSx'RI L
#of Thermostats ' fi,;naludes tree Unita or more) Amps Ser4co or. Add'u
(PL-st thermostat-$30;Add`n tharrnostate- Service l;wiry er
$10 each) _,Up.to 200 amp . . $65 . . . $20 0 to 100 • $65 . . $40
if of Low voltage fire or burglar alarm 201-400 amp . . 80 . . . . 40 — 101 -200 80 . . . 50
ZOO fis-$35 ;Bach add'u 500!ta-$14) _401<-600 atop . . 110 . . . . 55 201 -400 150 . . . 60
—#of Signs 601-800 amp . . 140 . . . . 75 -..401 - 600 175 . . . 70
(First sigu-$30; Add'a sign-$15 eats _801 and over . . 200 . . . 150601 -800 225 . . .
95
„Progress inspection per hr . . . . $60 . 801 - 1000 275 . . . 115
.....
Swimming pearl,hot tub,spa60 over 1000300 . . . 160
_Temporary Pole . . ' . 35 .�.Over 600 volts surcharge F 50
_Yard Pole meter loops 40 ....Mut or meter repair 55
■ Issuance fee for each permit . . . . . 20
ALTERED SINGLE-OR COMMER.C°:.11rAL/INDUSPRIAL •
inspections requested before 330 will be M'VLTI-FAM LY Arta-ed Service or kreedors
made the following work day, 661-4140.
(When inspected separately from the 0 to 200 . . . , . . . . . . . i 65
• services.) 201 -600. 150
I hereby certify that I am they owner(or Service or Peeler 601 . 1000 225
authorized agent)of the above lamed ►'.. 0 to 200 rasp . . . . . . . . . . $ 55 r over 1000 . . , . . . . . . • 250
property ora licensed coatxacto (or firm's201 -600 amp . . . . . . . . . . 80 M of circuits
authorized agent)and am nuking the ....over 600 120 —(Punt S circuits-$50;Add'n
' inatailatiora,or alteration in compliance with � Mast or meter repair . . . . . . 30 circuits-S5 each)
all applicable city,county, and state laws. I t of oirouita . . . . . . . . . . . . 40 Temporary Service
(First circuit-$40;Adrl'n circuit- —0 to 100 . . . . . . . . . . . . . $40
Apple s Si, -{ $5 each) _ 101 -200 50
201 -400 . 60
401 -600 80
i--'-�
►ate . over 600 90 RME.p. 10;Al