22-104892City of Federal Way
Community Development Dept.
Fit-1:
33325 8th Ave S
Federal Way, WA 98003
Ph: (253) 835-2607 Fax: (253) 835-2609
Project Name: ADKINS
Project Address: 2623 S 302ND ST
Project Description: Complete panel install started by others
Electrical
Permit #:22-104892-00-EL
Inspection Request Line: (253) 835-3050
Parcel Number: 798500 0240
Owner
Applicant
Contractor
PATRICIA ADKINS
MATTHEW REMICKEASY DOES IT
EASY DOES IT ELECTRIC INC
2623 S 302ND ST
ELECTRIC INC
EASYDIE044LQ (9/8/24)
FEDERAL WAY WA 98003-4264
17712 2ND ST SE
17712E 2ND ST
LAKE TAPPS WA 98391
LAKE TAPPS WA 98391
Additional Permit Information
Is this an Online or O.T.C. application? .................. Yes
Electrical Fixtures
Alt. Serv./Feeder: 0 to 200 aml 1
PERMIT EXPIRES Saturday, 22 April, 2023
Permit Issued on Monday, October 24, 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
Washington and the City of Federal Way. �S
Owner or agent: Date:
CITY OF THIS CARD IS TO REMAIN ON -SITE
Construction Inspection Record
Federal Way INSPECTION REQUESTS: (253) 835-3050
PERMIT #: 22 104892 00 Address: 2623 S 302ND ST
Project: PATRICIA ADKINS FEDERAL WAY WA 98003-4264
Scheduled inspections maybe failed if this card is not on -site. DO NOT LOSE TINS 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)
0
Ditch cover (4030)
3
Slab/Concrete Floor (4255)
Approved
Approved
Approved to place concrete
By
Date
By
Date
By
Date
Pool Bonding (4195)
0
Temporary Power (4275)
❑
Service (4235)
Approved
Approved
Approved
By
Date
By
Date
By
Date
Q
Feeders/Sub-panels (4045)
®
Rough Electrical (4225)
Q
Ceiling Cover (4020)
Approved
Approved
Approved
By
Date
By
Date
By
Date
10 Final - Electrical (4055)
Approved
ByZ��Date l�^
Rough Electrical
Final Electrical
Right of Way
Approved
Approved
Approved
By
Date
By
Date
By
Date
CITY OF '
Federal Way
RECEIVED ELEC'T'RICAL
OCT 2 4 2022 PERMIT APPLICATION
CITY OF FEDERAL, WAY
COMMUNITY DEVELOPMENT � - Q
PERMIT NUMBER - \ J
SITE ADDRESS:
SUITE/UNIT/SPACE #
PROJECT VALUATION
ASSESSOR'S TAX/PARCEL
CURRENT/PROPOSED USE
PROJECT NAME
(Tenant or Homeowner Last Name)
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PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
PROPERTY OWNER
NAME
t
PRIMARY PHONE
(2D6) 7iy-S 6
MAILING ADDRESS
2� • !
E-MAIL
CITY
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STATE
ZIP
FAX
ELECTRICAL
CONTRACTOR
NAME
PRI/MeA�RY PHONE
Er�
MAILING ADDRESS .�
I�
E-MAIL
Y
Z
aTAT,E
ZIP 39�
( l FAX S
WA STATE C CTOR'S LICENSE # EXPIRATION DATE
Z�fi�6I 1� q '71 1 •2
UBI #
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APPLICANT
NAME
R
PRIMARY PHONE
)
MAILING ADDRESS
E-MAIL
CITY STATE ZIP
NAME
/ FAX
1 )
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 apart of this application. %J� �j
SIGNATURE: DATE ((J ? d<�2
PRINT NAME: ,1 r %
PERMIT CENTER + 33325 8th Avenue South + Federal Way, WA 98003-6325
253-835-2607 + FAX 253-835-2609 + permitcenterocityoffederalway.com
ME
Bulletin #160 —April 14, 2020 Page 1 of 1 kAHandoutsTlectrical Permit Application