15-103687City of Federll Ways
Community & Econ. Dev. Services
33325 8th Ave S
Federal Way, WA 98003
Ph: (253) 835-2607 Fax: (253) 835-2609
Project Name: RUSSELL
Project Address: 35128 19TH AVE SW
Project Description: 200 AMP NEW PANEL
A l
ectri
cal
Permit #: 15 -103687 -00 -EL
Inspection Request Line: (253) 835-3050
Parcel Number 795630 0080
OwnerAnnlicant
ROSE RUSSELL
PATTY FULLER
Contractor
FULLER ELECTRIC (ELECTRICAL)
35128 19TH AVE SW
FULLER ELECTRIC INC
FULLEEI027BK (1/12/16)
FEDERAL WAY WA 98023-6915
1220 S 356TH ST SUITE A-5
37107 12TH AVE S SUITE A-5
FEDERAL WAY WA 98003
FEDERAL WAY WA 98003
Additional Perml#Information
Is this an Online or O.T.C. application?.................Yes Is Use Educational or Institutional? ....................... No
:Electrical Fixtures
Alt. Serv./Feeder: 0 to 200 amps (F 1
PERMIT EXPIRES Saturday, January 23, 2016
Permit Issued on Monday, July 27, 2015
I hereby certify that the above information is correct and that the construction on the above described property and
the occupancy and the use will be in accordance with the laws, rules and regulations of the State of Washington
and the City o eral Way.
Owner or agent Date:
y
CITY of ,�*1
Federal Way
PERMIT #:
Project:
TMS CARD IS TO ON-SITE
Construction In Won fteco'rd
INSPECTION REQ TS: (253) 835-3050
15 -103687 -00 -EL Address: 35128 19TH AVE SW
ROSE RUSSELL FEDERAL WAY, WA 98023-6915
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.
❑ Final - Electrical (4055)
Approved
By C Date (,,,
UFER Ground (4295)Ditch
cover (40 30)
Temporary Power (4275)
Slab/Concrete Floor (4255)
1-3
Approved
By
Approved
Approved to place concrete
By
Date
By
Date
By
Date
❑ Final - Electrical (4055)
Approved
By C Date (,,,
Pool Bonding (4195)
Temporary Power (4275)
1-3
Service (4235)
By
Approved
By
Approved
By
Approved
By
Date
By
Date
By
Date ✓ 6 `
Feeders/Sub-panels (4045)
Rough Electrical (4225)
0
Ceiling Cover (4020)
Approved
Approved
Approved
By
Date
By
Date
By
Date
❑ Final - Electrical (4055)
Approved
By C Date (,,,
Rough Electrical
Approved
Final Electrical
Approved
Right of Way
Approved
By
Date
By
Date
By
Date