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Federal Way Eti��RL
COMMUNITY DEVEI-OPME V: .)�ppLI CATI O N
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SITE ADDRESS
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SUITE/UT#
ASSESSOR'S TAX/PARCEL#
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NAME OF PROJECT
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(Tenant or Homeowner Name)
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❑ BUILDING ❑ PLUMBING ❑ MECHANICAL
TYPE OF PERMIT
❑ DEMOLITION
LECTRICAL ❑ ENGINEERING PREVENTION
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PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
PROPERTY OWNER
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NAME
MAILING ADDRESS, OITY, STATE, ZIP
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PRIMARY PHONE
E-MAIL
OWNER IS ALSO: E] CONTRACTOR El APPLICANT E] PROJECT CONTACT
NAME PRIMARY PHONE
MAILING ADDRESS, CITY, STATE, ZIP FAX
CONTRACTOR
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WA STATE CONTRACTOR'S LICENSE # EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE #
C>fe <Z_ -Gct,/ 1219l / � e I 9� 17- aAlly-0d `
NAME PRIMARY PHONE
APPLICANT / / eV IfJ-
G ADDRESS, CITY, STATE, ZIP FAX
PROJECT CONTACT NAME PRIMARY PHONE
(The individual to receive and ( )
respond to all correspondence MAILING ADDRESS, CITY, STATE, ZIP _ /) FAX
concerning this application) -
ALTERNATE CONTACT NAME: PRIMARY PHONE E-MAIL
f 1 _
PROJECT FINANCING
Required for projects with
value of $5,000 or more
(RCW 19.27.095)
NAME
MAILING ADDRESS, CITY, STATE, ZIP
OWNER -FINANCED
PRIMARY PHONE
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 by any person, including the undersigned, and filed against the
city, but only where such claim arises out of the reliance of the city, including its officers and employees, upon the accuracy of the
information supplied to the part this pplication.
SIGNATURE: DATE (//
PRINT NAME: /
Bulletin #100 –January 1, 2010 Page I of 4 k:\Handouts\Pennit Application
0
ELECTRICAL
RESIDENTIAL
COMMERCIAL
NEW SINGLE FAMILY RESIDENCE
NEW COMMERCIAL
Total Square Feet
1,1 Service/Feeder Additional Feeders
(including attached garage):
0- 100 amp x $132.50 _ x $ 80.50
FEES: First 1300 ft2 - $122.00;
101 - 200 amp x $164.00 x $103.50
Each additional 500 f12 - $39.00
201 - 400 amp x $307.00 x $121.00
401 - 600 amp x $358.00 x $143.50
NEW MULTIFAMILY (3 units or more)
151 Service/Feeder Additional Feeders
601 - 800 amp x $463.00 - x $196.00
0 - 200 amp _ x $132.50 x $ 39.00
801 - 1000 amp _ x $565.00 _ x $236.50
201 400 amp x $164.00 x $ 80.50
Over 1000 amp _ x $616.00 x $328.50
401 600 amp x $224.00 x $111.50
601 800 amp x $287.00 x $153.50
Over 600 volts surcharge x $103.50
Over 800 amp x $410.50 x $307.00
ALTERED SINGLE or MULTI FAMILY
ALTERED COMMERCIAL
IIt Service /Feeder Additional Feeders
151 Service/Feeder Additional Feeders
0 - 200 amp x $132.50 x $103.50
0 - 200 amp -X $101.00 x $ 39.00
201 - 600 amp x $164.00 x $ 80.50
201 - 600 amp x $307.00 x $121.00
Over 600 amp - x $246.50 x $111.50
601 - 1000 amp x $463.00 x $196.00
Over 1000 amp x $515.50 x $328.50
Added or Altered Circuits
1-4 circuits $80.50; each additional $8.00
Added or Altered Circuits
1-5 circuits $103.50: each additional $8.00
Mast or meter repair $60.50
Mast or meter repair $111.50
MANUFACTURED HOMES
PLAN REVIEW FEES
Service or feeder only _ x $ 80.50
$103.50 plus 35% of Permit Fee; Plan Review required for:
Service and feeder x $132.50
❑ New, or alteration to, service of 1,000 amps or greater
❑ Medical/Educational/Institutional Facility
Plan review for modified submittals $105.50/hour
MISCELLANEOUS
SERVICE/EQUIPMENT
LOW VOLTAGE
TEMPORARY SERVICE
Fire Alarm System
I,' Service/Feeder Additional Feeders
❑ Security Alarm System
❑ Voice/Data Cabling
0 - 60 amp _ x $ 71.00 _ x $ 32.00
❑ Other
61 - 100 amp x $ 80.50 ` x $ 39.00
Area to be served by system: '
_
101 - 200 amp x $103.50 x $ 51.00
1st 2,500 ft2-$71.00; each additional 2,500 ftp - $18.50
201 - 400 amp x $121.00 _ x $ 60.50
# of Thermostats
401 - 600 amp x $164.00 x $ 80.50
First $60.50: each additional $18.50
Over 600 amp x $184.50 _x $ 92.00
# of signs
"NOTE: an automation fee of $6.00 will be charged
First $60.50; each additional $28.50
on all permits"
Yard Pole/meter loops/pedestal x $ 80.50
Portable Generator (transfer equipment)_ x $101.00
For fixtures or fees not listed contact the Permit Center at
Ditch cover/inspection only x $121.00
253-835-2607
Bulletin #100 -January 1, 2010 Page 3 of 4 k: ffandouts\Permit Application