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Home My WebLink About15-104147 444k., Vc RECEIVED ELECTRICAL CITY OF Federal Way SEP 01 2015 PERMIT APPLICATION CITY OF FEDERA AY PERMIT NUMBER l 5 _ I O L/ LCD _ � L. SUITE/UNIT/SPACE# SITE ADDRESS: 2_52.)91 Lit! 1 01A woo 5 PROJECT VALUATION ASSESSOR'S TAX/PARCEL# CURRENT/PROPOSED USE $ `7 2 0 S 0 _ O b (o 0 PROJECT NAME (Tenant or Homeowner Last Name) G L 10 ,- PROJECT DESCRIPTION , ' if:-. )�`� j Detailed description of work to I , l Z__, , be included on this permit only \ J NAME PRIMARY PHONE PROPERTY OWNER £r I c.. e in ( ) - MAILING ADDRESS E-MAIL CITY STATE ZIP FAX ( ) NAME PRIMARY PHONE A' oft €�`ef-574,r'..-C 1 int ( 25 7) �a� _ 5c: MAILING • •.RESS E-MAIL ELECTRICAL 1' q 2-5- U y' 61- CT CONTRACTOR CITY STATE ZIP FAX ( ) WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE# / / NAMEy/�. PRIMARY PHONE APPLICANT ECAO\4? E 1 k / 1 Y1 C ( ) MAILING ADDRESS E-MAIL 1 k`12 5— (-V2 ( 61 5'i'- CT - CITY STATE ZIP FAX ( ) - NAME PRIMARY PHONE PROJECT CONTACT ( ) 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 an person, including the undersigned, and filed against the city, but only where such claim arises out of the reliance of the city, i hiding its officers and employees, upon the accuracy of the information supplied to the city as a part of this application. �� SIGNATURE: LA . - zi G ��/ 1 Z DATE ` .' 411 PRINT NAME: A i Bulletin#160—January 1,2013 Page 1 of 2 k:\landouts\Electrical Permit Application • RECEIVED Electrical r City &Econ. al Dev. y SEP 0 1 2015 Permit 15-104147-00-EL Community&Econ.Dev.Services 33325 8th Ave S Federal Way wA 98003 Inspection Request Line: (253) 835-3050 Ph:(253)835-2607 Fax:(253)835-2609 CITY OF FEDERAL WAY rn 0 r CDS Project Name: HANSEN Project Address: 28844 11TH AVE S Parcel Number: 720580 0060 Project Description: Wire remodel in kitchen that consist of adding(5)circuits. **REVISION-9/1/2015 Wire remodel in Kitchen,Bathroom,Bedroom and Closet that consist of adding(5)circuits*** Owner Applicant Contractor ERIC HANSEN VINCE ROSCELLI EDGEWOOD ELECTRIC INC 28844 11TH AVE S EDGEWOOD ELECTRIC INC EDGEWEI950CW(2/16/17) FEDERAL WAY WA 98003 11925 43RD ST CT E 11925 43RD STREET CT E EDGEWOOD WA 98372-2373 EDGEWOOD WA 98372 Additional Permit Information Is this an Online or O.T.C.application? Yes Is Use Educational or Institutional" No Electrical Fixtures Circuits-Residential 5 PERMIT EXPIRES Sunday, February 14, 2016 Permit Issued on Tuesday, August 18, 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 of Federal Way. Owner or agent: it , S ( t) 1.,`k, \ t`-.., Date: " \ L i 1 • • Electrical City of Federal Way ; Community&Econ.Dev.Services Permit #: 15-104147-00-E L 33325 8th Ave S Federal Way,WA 98003 Inspection Request Line: Ph:(253)835-2607 Fax:(253)835-2609' p Q (253) 835-3050 Project Name: HANSEN Project Address: 28844 11TH AVE S Parcel Number: 720580 0060 Project Description: Wire remodel in kitchen that consist of adding(5)circuits. Owner Applicant Contractor ERIC HANSEN VINCE ROSCELLI EDGEWOOD ELECTRIC INC 28844 11TH AVE S EDGEWOOD ELECTRIC INC EDGEWEI950CW(2/16/17) FEDERAL WAY WA 98003 11925 43RD ST CT E 11925 43RD STREET CT E EDGEWOOD WA 98372-2373 EDGEWOOD WA 98372 Additional Permit Information Is this an Online or O.T.C.application? Yes Is Use Educational or Institutional? No Electrical Fixtures Circuits-Residential 5 PERMIT EXPIRES Sunday, February 14, 2016 Permit Issued on Tuesday, August 18, 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 th s, rules and regulations of the State of Washington and the City o eral Way. Owner or agent: Date: • THIS CARD IS TO EMAIN ON-SITE . "Y of • Construction I ection Record i Federal•Way INSPECTION REQUE TS: (253)835-3050 PERMIT#: 15-104147-00-EL Address: 28844 11TH AVE S Project: ERIC HANSEN FEDERAL WAY, WA 98003-3705 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. El UFER Ground (4295) El Ditch cover(4030) ❑ Slab/Concrete Floor(4255) Approved Approved Approved to place concrete By Date By Date By Date ❑ Pool Bonding(4195) 0 Temporary Power(4275) * El Service(4235) Approved Approved Approved By Date By Date By Date O Feeders/Sub-panels(4045) El Rough Electrical(4225) ❑ Ceiling Cover(4020) Approved Approved Approved By Date B S Date c - - - S ByQ-� , Date z_ S .® Final-Electrical(4055) Approved - Date . �l l2- 1S- 1cc- 0 Rough Electrical111 Final Electrical El Right of Way Approved Approved Approved By Date By Date By Date