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Home My WebLink About15-106382 Electrical City of FeWay Permit #: 15-106382-00-EL Community&Econ.n.Dev.Services 33325 8th Ave S Federal Way,WA 98003 tion{nS eC Request Ph:(253)835-2607 Fax:(253)835-2609 p Line: (253)835-3050 Project Name: LAKOTA WASTEWATER TREATMENT FACILITY Project Address: 3203 SW DASH POINT RD Parcel Number: 122103 9105 Project Description: Installation of(2)control panels, (2)branch circuits and wiring for disc thickener. • Owner Applicant Contractor LAKEHAVEN UTILITY DISTRICT HOWARD MORELAND OWNER IS CONTRACTOR PO BOX 4249 LAKEHAVEN UTILITY DISTRICT FEDERAL WAY WA 98063 3203 SW DASH POINT RD FEDERAL WAY WA 98023 • Additional Permit Information Electrical Work Valuation? 100000 Is this an Online or O.T.C.application? Yes Is Use Educational or Institutional? No Service greater than 999 Amps? No Electrical Fixtures Circuits-Commercial 2 PERMIT EXPIRES Tuesday, June 14, 2016 Permit Issued on Thursday, December 17, 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 thcity of Federal Way. Owner or agent: i% " Date: eP z�ls P/N qLF D .44414.4L: , - THIS CARD IS TO REMAIN ON-SITE . CITY C. .... ..... Construction Inspection Record Federal Way INSPECTION REQUESTS: (253)835-3050 PERMIT#: 15-106382-00-EL Address: 3203 SW DASH POINT RD Project: LAKEHAVEN UTILITY DISTRICT FEDERAL WAY, WA 98023-2340 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 r By Date By Date Date 3 - t KJ ® Pool Bonding(4195) 0 Temporary Power(4275) 0 Service(4235) ` Approved Approved Approved By Date By Date By Date t _.� . El Feeders/Sub-panels(4045) ❑ Rough Electrical(4225) TT—Ceiling Cover(4020) Approved Approved Approved By Date By Date By Date al-Electrical(4055) Approved Date _-2r'i_ ( E Rough Electrical 111Final Electrical Right of Way Approved Approved Approved By Date By Date By Date — �It,roF „ RECEIVED ELECTRICAL Federal Way DEC 17 2015 PERMIT APPLICATION CITY OF FEDERAL WAY PERMIT NUMBER / 5 _ / /) /.CD3 g SITE ADDRESS: `/73 s I ' k NSUITE/UNIT/SPACE# PROJECT VALUATIONASSESSOR'S TAX/PARCEL# CURRENT/PROPOSED USE //qq PROJECT NAME ( u * (Tenant or Homeowner Last Name) LCA. rW{i.) P 0` c.., c'aG e -ff £ C \\ •.ec s C AD A a 4 °c' \i``-tc-- e L 0 (0Gr�Pcti i PROJECT DESCRIPTION O'L'-A Ce)tA \--O l V .1/4A e C 9( Detailed description of work to be included on this permit only NAME ` �,, 1 . q PRIMARY PHONE PROPERTY OWNER `-(We '_ _�l C1-e'-'t lll \ C'L )i'S Vr•�r,st- ‘35?)7i(- Z S t b MAIi •ADDRES E-MAIL Vt 0 t%c c 4, moi. CITY STATE ZIP FAX redd-e vv1,� WA & ( ) - LNAME / �,( �Q `°� PRIMARY / � .e�.a ��evl V �`� 1R .6.(stk,\G i- t'� 1�4(-PHONE'1 b MM,LING ADD S J E-MAIL ELECTRICAL L ( K Ok [ 4 CI CONTRACTOR CITYSTAT ZIP FAX .e,A.,Q,/� .( c&% Gi& i 'T8d E,(( ) - WA STATE CONTRA OR'S LICENS� EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE# A. N // PRIMARY PHONE APPLICANT 0 Ct-)0,..\i\- �� dM 0 e ci Rs;)4O( - 6 6 MAILING ADDRESS (� g;0 CLO C S kiV 4 C-& kvh e ms E-MAIL CITY e2ak - �� STATE ZIP FAX c nvY',AV)c. I C�.JA qS)� 3 4735'3) et4-RS0 7Nvip � PROJECT CONTACT ,A(( 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 city as apart of this application. • SIGNATURE :e., DATE -1 7,---/_ PRINT NAME: CA-'-1VPODlNe\GQ6__ Bulletin#160-January 1,2013 Page 1 of 2 k:lHandouts\Electrical Permit Application