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Home My WebLink About15-104321 44.. CITY DP ` ELECTRICAL Federal Way PERMIT APPLICATION REC . VED PERMIT NUMBER • _ ( a 3 1 _ 0 AUG 2 5 2015 SITE ADDRESS: i CE R (CEAY PROJECT VALUATION ASSESSOR'S TAX/PARCEL It CURRENT/PROPOSED USE s 5 �1L' - PROJECT NAMEl 4 'vl A-j 6 ��g (Tenant or Homeowner Last Name) 1 i" 7y_ C_ '- PROJECT DESCRIPTION Detailed description of work to be included on this permit only NAME 7 PRIMARY PHONE PROPERTY OWNER ?c.)f/1 , -'_ i ��t4 (i'°C,)We 4/ MAILING ADDRESS / E-MAIL /l7 ;'.7."'t-% 4-i''''' `7L. 1 CITY STTE ZIP _ FAX 111 kLrk / i„./iyam 1 Je'2;4- ( ) - NAME //' !' '� PRIMARY PHONE ,�`J _ 1, L�?r'f�'r �- ( e Z )4 73° 2 41 MAILIfG ADDESS E-MAIL ELECTRICAL K�� (R= )Q );',i,_ CONTRACTOR CITY STATE ZIP FAX sEfl�t�,,`vuz. ► �r_/n/ e, ( ) WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE# 142 G NAME44A PRIMARY PHONE APPLICANT / '/` ' /-717-1-4/.4),-)v- 1 ( ) - MAILING ADDRESS E-MAIL r1 ,,. -7 CITY i STATE ZIP FAX NAME C PRIMARY PHONE PROJECT CONTACT 1f) 4'74 / rvh, (Zd.)730 -3 , '/ 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. / SIGNATURE: '+ "e-6,4_. -'1--,_ 6,4_. -'1--: ? DATE 0(2 5 /( c PRINT NAME: / > /4i7/u11Ju 01\ Bulletin#160—January 1,2013 Page 1 of 2 k:\Handouts\Electrical Permit Application 4111 Electrical Cunity&ty of Econ Federal Permit #: 15-104321-00-EL Community&Econ.Dev.Services 33325 8th Ave S Federal Way,WA 98003 Ph (253)835-2607 Fax (253)835-2609 Inspection Request Line: (253)835-3050 : : Project Name: HERITAGE CONDOMINIUMS Project Address: 117 S 340TH ST Unit H Parcel Number: 325945 0520 Project Description: Change out 100 amp panel. Owner Applicant Contractor FOREST J ANDRE#18889 M S E ELECTRIC M S E ELECTRIC 7517 GREENWOOD AVE N PO BOX 13327 MSEELE*874L8(7/2/17) SEATTLE WA DES MOINES WA 98198 PO BOX 13327 98103 DES MOINES WA 98198 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 Alt.Serv./Feeder:0 to 200 amps(D 1 PERMIT EXPIRES Tuesday, February 23, 2016 Permit Issued on Thursday, August 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 of Federal Way. Owner or agent: FIL.E Date: THIS CARD IS T MAIN ON-SITE - ``�"°F • Construction I ection Record Federal Way INSPECTION REQUE TS: (253)835-3050 PERMIT#: 15-104321-00-EL Address: 117 S 340TH ST Unit H Project: FOREST J ANDRE #18889 FEDERAL WAY, WA 98003-6618 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) El Ditch cover(4030) 0 Slab/Concrete Floor(4255) Approved Approved Approved to place concrete By Date By Date By Date . . . . . I 0 Pool Bonding(4195) 0 Temporary Power(4275) 0 Service(4235) Approved Approved Approved By Date By Date By Date , Feeders/Sub-panels(4045) 0 Rough Electrical(4225) 0 Ceiling Cover(4020) Approved Approved Approved By Date By Date By Date Final-Electrical(4055) Approved By CA.4 kk..,j Date •Ri`Q—1 El Rough ElectricalEl Final Electrical Right of Way Approved Approved Approved By Date By Date By Date