22-104567t
i
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City of Federal Way
Community Development Dept.
33325 8th Ave S
Federal Way, WA 98003
Ph: (253) 835-2607 Fax: (253) 835-2609
Project Name: F C BLOXOM CO INC
Project Address: 32100 32ND AVE SW
Project Description: panel upgrade
Electrical
FILE Permit #:22-104567-00-EL
Inspection Request Line: (253) 835-3050
Parcel Number: 873190 0630
Owner
Applicant
Contractor
F C BLOXOM CO INC
AMANDA MOOREFULLER ELECTRIC INC
FULLER ELECTRIC (EL 01)
PO BOX 3737
1220 S 356TH ST SUITE A-5
FULLEE1027BK (1/12/24)
SEATTLE WA 98124
FEDERAL WAY WA 98003
37107 12TH AVE S SUITE A-5
FEDERAL WAY WA 98003
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 Wednesday, 5 April, 2023
Permit Issued on Friday, October 7, 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
Washing
ton and the City of Federal Way.
Owner or agent: 0 I I Ki F Date
rA AV
7 Yr VV /
THIS CARD IS TO REMAIN ON -SITE
CITY OF Construction Inspection Record
Federal Way INSPECTION REQUESTS: (253) 835-3050
PERMIT #: 22 104567 00 Address:
Project: F C BLOXOM CO INC
32100 32ND AVE SW
FEDERAL WAY WA 98023-2206
Scheduled inspections maybe 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.
EJ
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) El
Temporary Power (4275)
❑ 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
El
Final - Electrical (4055)
kppro�,�d
By
Date �� ���•�
❑
Rough Electrical
Final Electrical
Right of Way
Approved
Approved
Approved
By
Date
Date
By
Date