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Home My WebLink About15-101880 CITY of • EL CTRI CAL Federal Way PERMIT APATION PERMIT NUMBER s _ I, 0 7� S 0 _ GO APR 16 2015 - - (/ - - cm OF FEDERAL WAY c SIIITE�S /UNIT/SPACE# SITE ADDRESS: 3c4 A A 9'a 3 PROJECT VALUATION ASSESSOR'S TAX PAR # CURRENT/PROPOSED USE - IDZVVLA 0•W102.- PROJECT NAME L (Tenant or Homeowner Last Name) �ll 11 t (�S ,Q� (AbLL--��E'"(1J 1 1�pr /y 'R.Az-� 3�� IVCW S) G' ,Yc,[n,'�' TVCAN Pa o 1 !\ C-la 4-4-1 7- 4c) SC`.>vCt'k PROJECT DESCRIPTION ex4c r Detailed description of work to be included on this permit only NAME PRIMARY PHONE PROPERTY OWNER Si� i Ggl(ecre5 (z5-3) -Sqrj� MAILING ADDRESS E-MAIL 1 aC S 3V/11' CITY STATE ZIP FAX ( LOCA./ (.0 r4 Cx� ( Z S?) 4:7 ,U3C NAME PRIMARY PHONE J }-u(LW POvo,1102- BU.`GLY'S $ eC('Y' ae1;,(S ?c3) 2Z`6 —V-70 MAILING ADDRESS E-MAIL ELECTRICAL 0805U."V t rad CONTRACTOR CITY STATE ZIP FAX 9F37/ ( zS3).)qS -87g91 WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE# �L�11s�N �► po IU /zC� � � �� NAME PRIMARY PHONE APPLICANT :.syvLL "`� r�"` "`^c, Y i A ( ) - MAILING ADDRESS E-MAIL CITY STATE ZIP FAX ( ) NAME PRIMARY PHONE PROJECT CONTACT - - F-LA tk .v (253 )zZB _8`%70 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.uch 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: _ yam DATE �l PRINT NAME: J 5 Y-N/L ✓ Bulletin#160—January 1,2013 Page 1 of 2 k:\Handouts\Electrical Permit Application * _ w • Electrical City of Federal Way Community&Econ.Dev.Services °=•' Permit #: 1 5-1 01 880-00-E L 33325 8th Ave S Federal Way,WA 98003 Inspection Request Line: (253)835-3050 Ph:(253)835-2607 Fax:(253)835-2609 P q Project Name: DENTISTRY FOR CHILDREN Project Address: 926 S 348TH ST Bldg C Parcel Number: 114040 0030 Project Description: New sign circuit from panel to south soffit Applicant Owner Contractor GALLEGOS ENTERPRISES LLC ADVANCE BUILDERS AND TECHNOLOGIES ADVANCE BUILDERS AND 926 S 348TH ST LLC TECHNOLOGIES LLC FEDERAL WAY WA 6805 STEWART AVE E ADVAN**951PO(10/20/15) 98003 PUYALLUP WA 98371 6805 STEWART AVE E PUYALLUP WA 98371 i Additional Permit Information Is this an Online or O.T.C.application? Yes Is Use Educational or Institutional9 No Service greater than 999 Amps? No Electrical Fixtures Sign 1 PERMIT EXPIRES Tuesday, October 13, 2015 Permit Issued on Thursday, April 16, 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 agen V Date: W/-12D I S • } 1 • THIS CARD IS TO AIN ON-SITE carr of � � - Construction Inspection Record Federal Way INSPECTION REQUESTS: (253)835-3050 PERMIT#: 15-101880-00-EL Address: 926 S 348TH ST Bldg C Project: GALLEGOS ENTERPRISES LLC FEDERAL WAY, WA 98003-7051 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) 4030 cover Ditch Approved ❑ ( ) 0 Slab/Concrete Floor(4255) Approved Approved to place concrete By Date By Date By Date ❑ Pool Bonding(4195) ❑ Temporary Power(4275) Approved Approved El Service(4235) Approved By Date By Date By Date ❑ Feeders/Sub-panels(4045) Approved ❑ Rough Electrical (4225) CICeiling Cover(4020) Approved Approved By Date By Date By Date ❑ Final-Electrical(4055) Approved By Date 4:)_... tz • 0 Rough Electrical ❑ Approved Final Electrical Right of Way---, Approved Approved By Date By Date BY Date