21-104272�m
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City orFcderulway Electrical
c0,n,„miily ae��loP,n�„t nest. F. _�. Permit #:21-
33325 8th Ave 5 104272-00-EL
Federal Way, WA 98003 .1
Ph: (253) 835-2607 Fax: (253) 835-2609 Inspection Request Line: (253) 835-3050
Project Name: GOLD
Project Address: 1018 S 295TH PL
Project Description: 200 amp service/ panel change Parcel Number: 515180 0080
Owner Applicant
PATRICK GOLD PATTY FULLERFULLER ELECTRIC INC COnt- �tOr
1018 S 295TH PL FULLER ELECTRIC (ELECTRICAL)
FEDERAL WAY WA 98003 1220 S 356TH ST SUITE A-5
FEDERAL WAY WA 98003 FULLEEI027BK (1/12/22)
37107 12TH AVE S SUITE A-5
FEDERAL WAY WA 98003
Additional Permit Information
Is this an Online or O.T.C. application? .................. Yes
Alt. Serv./Feeder: 0 to 200 aml ! Electrical Fixtures
PERMIT EXPIRES Wednesday, 12 October, 2022
Permit Issued on Tuesday, October 12, 2021
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
Washi on qttha iyof Federal Way.
Owner or agent:
Data:
THIS CARD IS TO REMAIN ON -SITE
CITY OF Construction Inspection Record
Federal Way INSPECTION REQUESTS: (253) 835-3050
PERMIT #: 21 104272 00 Address: 1018 S 295TH PL
Project: TESSA GOLD FEDERAL WAY WA 98003-3716
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.
0
UFER Ground (4295)
0
Ditch cover (4030)
Q
Slab/Concrete Floor (4255)
Approved
Approved
Approved to place concrete
By
Date
By
Date
By
Date
® Pool Bonding (4195)
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
10 Final - Electrical (4055)
Approved
f,< By Date /p� �p�p� -N'
Rough Electrical
Final Electrical
Right of Way
Approved
Approved
Approved
By
Date
By
Date
By
Date