21-101440r - w
City
Or"ed°opm'!"r� Electrical
Comrnu n i ty []eueiapmcm Dept-
"lWay25 t Ave9 =- Permit #:21-101440-00-EL
Ph: [253] 835-2607 Faxf (253) 835.2609
�y Inspection Request Line: (253) 835-3050
PI L
roject Name: MEDICAL PAVILLION AT ST FRANCIS Unit 220
Project Address. 34503 9TH AVE S
Project Description: Low voltage wiring, Network, Access control Parcel Number: 750451 0050
Owner
WSC MEDPAV LLC A licant
:SEATTLE,
00 7TH AVE SUITE 1800 LETETIA BYRDSAFARI ELECTRIC LLC Conti
WA 98101
4307 79TH AVE NW SAFARI ELECTRIC LLC
OLYMPIA WA 98502 SAFAREL882MC (7/10/22)
6536 KITSAP WAY
BREMERTON WA 98312
Additional Perr 6kformation
Is this an online or Q.T.C. application? .................. Yes •
I.a�v Voltage - Other (Commei I trical Fixtures
PEN EXPIRES Wednesday, 1
Permit Issued on Tuesday, Ap 2021022
I hereby certify that the above information is correct and e and the occupancy and the use will be in accordance
Washington and the C
Owner % 4 K I i I fie. c
;MA
7V+svrisiruct1on on the above described property
he laws, rules and regulations of the State of
Federal Way.
Date:
THIS CARD IS TO REMAIN ON -SITE
��ry°F THIS
Inspection Record
Federal Way INSPECTION REQUESTS: (253) 835-3050
PERMIT #: 21 101440 00 Address: 34503 9TH AVE S Unit 220
Project: WSC MEDPAV LLC FEDERAL WAY WA 98003
Scheduled inspections may be failed if this card is not on -site. DO NOT LOSE Tl IIS 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.
❑ Slab/Concrete Floor (4255) ❑ Rough Electrical (4225) ❑ Final - Electrical (4055)
Approved to place concrete Approved Approved
By Date By Date By Date
❑
Rough Electrical
Final Electrical
Right of Way
Approved
Approved
Approved
By
Date
By
Date
By
Date