23-100310City of Federal Way
Community Development Dept.
33325 8th Ave S
Federal Way, WA 98003
Ph: (253) 835-2607 Fax: (253) 835-2609
Electrical
1 L Permit #:23-100310-00-EL
Inspection Request Line: (253) 835-3050
Project Name: LAKOTA SEWAGE TREATMENT
Project Address: 3203 SW DASH POINT RD Parcel Number: 122103 9105
Project Description: Install new level sensors in new location and moving eye wash station to permanent location
Owner
Applicant
Contractor
DAWN ZERNLAKEHAVEN WATER &
KEITH BOURQUINLAKEHAVEN WATER
OWNER
SEWER DISTRICT
& SEWER
OWNER
PO BOX 4249
3203 SW DASH POINT RD RD
FEDERAL WAY WA 98063
FEDERAL WAY WA 98023
Is this an Online or O.T.C. application?
Low Voltage - Other (Commei 1.
Additional Permit Information
Yes
Electrical Fixtures
PERMIT EXPIRES Saturday, 22 July, 2023
Permit Issued on Monday, January 23, 2023
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
N and. h q
9 f.Federal Way.
Owner or agent: Date:
rl 604-J)
-1;k
CITY OF
Federal Way
THIS CARD IS TO REMAIN ON -SITE
Construction Inspection Record
INSPECTION REQUESTS: (253) 835-3050
PERMIT #: 23 100310 00 Address: 3203 SW DASH POINT RD
Project: Dawn Zern FEDERAL WAY WA 98023-2340
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.
❑
UFER Ground (4295)
z❑
Ditch cover (4030)
❑
Slab/Concrete Floor (4255)
Approved
Approved
Approved to place concrete
By
Date
By
Date
By
Date
Pool Bonding (4195)
❑
Temporary Power (4275)
0
Service (4235)
Approved
Approved
Approved
By
Date
By
Date
By
Date
❑ Rough Electrical (4225)
0
Ceiling Cover (4020)
Feeders/Sub-panels (4045)
Approved
Approved
Approved
By
Date
By
Date
By
Date
final - Electrical (4055)
Approved
By
Date
❑
Rough Electrical
Final Electrical
Right of Way
Approved
Approved
Approved
By
Date
By
Date
By
Date