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Home My WebLink About15-100173 • • Electrical City of Econ.Federal v S Permit #: 15-100173-00-EL Communi &Econ.Dev.Services 33325 8th Ave SIF Federal Way,wA 98003 Inspection Request Line: (253)835-3050 Ph:(253)835-2607 Fax:(253)835-2609 p G Project Name: LAKEHAYEN UTILITY DISTRICT-SEATAC WATER TOWER Project Address: 1919 S 324TH ST Parcel Number: 162104 9039 Project Description: Added pole light,changed out main disconnect and 100 amp panel Owner Applicant Contractor LAKEHAVEN UTILITY DISTRICT LAKEHAVEN UTILITY DISTRICT LAKEHAVEN UTILITY DISTRICT PO BOX 4249 PO BOX 4249 PO BOX 4249 FEDERAL WAY WA 98063 FEDERAL WAY WA 98063 FEDERAL WAY WA 98063 Additional Permit Information 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 1 PERMIT EXPIRES Sunday, July 12, 2015 Permit Issued on Tuesday, January 13, 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 n e City ofF S eral Way. Owner or agent Date: i3 THIS CARD IS TO MAIN ON-SITE CITY OF111P."11 • Construction I ection Record Federal Way INSPECTION REQ TS: (253)835-3050 PERMIT#: 15-100173-00-EL Address: 1919 S 324TH ST Project: LAKEHAVEN UTILITY DISTRICT FEDERAL WAY, WA 98003 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. UFER Ground (4295) Ditch cover(4030) Slab/Concrete Floor(4255) Approved Approved Approved to place concrete By Date By Date By Date 0 Pool Bonding(4195) Temporary Power(4275) ❑ Service(4235) Approved Approved Approved By Date By Date By Date El Feeders/Sub-panels(4045) Rough Electrical(4225) Ceiling Cover(4020) Approved Approved Approved By Date By Date By Date Final-Electrical(4055) Approved By Date _ \c -CS El Rough ElectricalEl Final Electrical Right of Way Approved Approved Approved By Date By Date By Date MSD EL CTRICAL JAN 13 2015 Federal Way PERMIT APPLICATION CITY OF FEDERAL WAY PERMIT NUMBER / 5 _ / d D /DS 3 _ D o SUITE/UNIT/SPACE# SITE ADDRESS: �tik.�4C v fq r 3Ly -t"c ' PROJECT VALUATION ASSESSOR'S TAX/PARCEL# CURRENT/PROPOSED USE $ /(0) 0 / 62_ 2 ( 0V - ? 03 ? PROJECT NAME '( f - �'� (Tenant or Homeowner Last Name) ( � PROJECT DESCRIPTION60,X1 A !'/4 CO ( tint-PCs AAIB t-tAibt'�2C�a°.o u-,4 Detailed description of work to be included on this permit only /Bc tser, 015016,-,-11°"1) 2Ctix . — NVrAW aC ( /`'tdid 1)(s NAME `� .� 7)y� PRIMARY PHONE PROPERTY OWNER cl(Afe1 i / T ,c e 7e� ( ) - MAILING ADDRESS / E-MAIL 3i/4.23 / s( A-VC C Y STATE ZIP FAX etotRA-c y WA fQ o c3 ( ) - NAME PRIMARY PHONE ( ) MAILING ADD S E-MAIL ELECTRICAL CONTRACTOR CITY STATE ZIP FAX WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE# NAME PRIMARY PHONE APPLICANT neACleS o A! (253)2-29 --nc MAILING ADDRESS E-MAIL 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 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 a part of this application. O/ /3 /37 SIGNATURE: DATE PRINT NAME: e-L 6 tis nN Bulletin#160—January 1,2013 Page 1 of 2 k:\Handouts\Electrical Permit Application 3