22-103931City of Federal Way
Community Development Dept.
33325 8th Ave S
FILE
Federal Way, WA 98003
Ph: (253) B35-2607 Fax: (253) 835-2609
Project Name: GORSKI
Project Address: 30040 12TH AVE SW
Electrical
Permit #:22-103931-00-EL
Inspection Request Line: (253) 835-3050
Parcel Number: 515320 0481
Project Description: To complete work of and get final inspection of permit 20-103209. The original permit was for
"320AMP U/G SERVICE W/ (2) 200AMP DISCONNECTS. WIRED DADU."
Owner
Applicant
Contractor
BRIAN GORSKI
MERIDIAN CENTER ELECTRIC
MERIDIAN CENTER ELECTRIC INC (01)
30040 12TH AVE SW
11109 66TH AVE E
MERIDCE318SG (2/28/23)
FEDERAL WAY WA 98023
PUYALLUP WA 98373
11109 66TH AVE E
PUYALLUP WA 98373
Additional Permit Information
Is this an Online or O.T.C. application? .................. Yes
Circuits - Residential
Electrical Fixtures
PERMIT EXPIRES Wednesday, 22 February, 2023
Permit Issued on Friday, August 26, 2022
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
ON
Washington and the CiNt of Federal Way.
Owner or agent: Date:
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THIS CARD IS TO REMAIN ON -SITE
�,rroF THIS
Inspection Record
Federal Way INSPECTION REQUESTS: (253) 835-3050
PERMIT #: 22 103931 00 Address: 30040 12TH AVE SW
Project: BRIAN GORSKI FEDERAL WAY WA 98023-3408
Scheduled inspections may be failed if this card is not on -site. DO NOT LOST; 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
By
Date
By
Date
By
Date
®
Pool Bonding (4195)
0
Temporary Power (4275)
0
Service (4235)
Approved
Approved
Approved
By
Date
By
Date
By
Date
Feeders/Sub-panels (4045)
®
Rough Electrical (4225)
®
Ceiling Cover (4020)
Approved
Approved
Approved
By
Date
By
Date
By
Date
0 Final - Electrical (4055)
Approved
By Date f • p
❑
Rough Electrical
❑
Final Electrical
❑
Right of Way
Approved
Approved
Approved
By
Date
By
Date
By
Date