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Home My WebLink About15-104248 • • - Tlectrical City of Federal Way . ..Community&Econ.Dev.Services Permit #: 15-104248-00-EL 33325 8th Ave S Federal Way,Fax 98003 Inspection Request Line: (253)835-3050 Pik(253)835-2607 Fax:(253)835-2609 F ILEp q Project Name: PEARSON Project Address: 29904 4TH AVE S Parcel Number: 720535 0080 Project Description: Replace like for like 125 amp. , Owner Applicant Contractor NICK PEARSON TROY EDWARDS TROY'S ELECTRIC 29904 4TH AVE S TROY'S ELECTRIC TROYSE*935JC(6/5/17) FEDERAL WAY WA 98003 2308 S"L"ST 2308 S"L"ST TACOMA WA 98405 TACOMA WA 98405 Additional Pet tit 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, February 20, 2016 Permit Issued on Monday,August 24, 2015 I hereby certify that the above information is correct and that the construction on the above described property and the occupancy and the u - will be in accordance with the laws, rules and regulations of the State of Washington and the City of Federal Way. g Owner or agent: Date: 7—d '' IS J t.eo fliitstP‘ t THIS CARD IS TO REWN ON-SITE CITY OF eZrt Construction Inspion Record ` -- Federal Way INSPECTION REQUESTS: (253)835-3050 PERMIT#: 15-104248-00-EL Address: 29904 4TH AVE S Project: NICK PEARSON FEDERAL WAY, WA 98003-3622 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) ❑ Ditch cover(4030) Slab/Concrete Floor(4255) Approved Approved Approved to place concrete By Date By Date By Date o Pool Bonding(4195) 0 Temporary Power(4275) 0 Service(4235) Approved Approved Approved By Date By Date By Date '❑ 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 psi Date srI?ifI (s I I=1 Rough ElectricalEl Final Electrical Right of Way Approved Approvedill Approved By Date By Date By Date REcEN CITY OP '' ASG 4 .05 ELECTRICAL Federal Wayof co�1-WAY PERMIT APPLICATION crrYPERMIT NUMBER (5 _ I 0 '4 q _ lir i- 3 SUITE/UNIT/SPACE# SITE ADDRESS: 2.:C/ (...1 Ur 01,-,,-o- ( PROJECT ALUATION ASSESSOR'S TAX/PARCEL# CURRENT/PROPOSED USE PRO ECT NAME S C7 (Tenant or Homeowner Last Name) e R- s of pry i' L PROJECT DESCRIPTION Detailed description of work to be included on this permit only NAME PRIMARY PHONE PROPERTY OWNER Iv c ?la_tf r ( ) - MAILIf ADDRESS E-MAIL CITY STATE ZIP FAX NAME 7 PRIMARY PHONE MAILING ADDRESS E-MAIL ELECTRICAL a C) <? S CONTRACTOR CITY STATE ZIP FAX t,, "re:� ,i ( ) - 1 F^�k I„ I WA STATE CONTRACTOR'S LICENSE## EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE# w 1/)/ 7 �%S' NAME PRIMARY PHONE APPLICANT ` 'A as I,c ( ) - MAILING ADDRESS E-MAIL CITY STATE ZIP FAX NAME PRIMARY PHONE PROJECT CONTACT �`:70-uf)-47 (Z.C3 ) 45s/- IE).7G,1,.' 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 Iaws 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 as a part of this application. SIGNATURE: DATE h I C' PRINT NAME: , S Bulletin#160—January 1,2013 Page 1 of 2 k:\Handouts\Electrical Permit Application