22-104883tJ
City of Federal Way
Community Development Dept.
33325 8th Ave S
Federal Way, WA 98003
Ph: (253) 835-2607 Fax: (253) 835-2609
Electrical
FILEPermit #:22-104883-00-EL
Inspection Request Line: (253) 835-3050
Project Name: AT&T-WA6876 5GNR-CBAND 2023
Project Address: 28405 MILITARY RD S
Parcel Number: 332204 9141
Project Description: add/replace antennas/radios & ancillary equipment to existing Facility.
Owner
Applicant
Contractor
LAKEHAVEN WATER & SEWER DISTRICT
BERNARD DUMYAHNMASTEC
MASTEC NETWORK SOLUTIONS INC
PO BOX 4249
NETWORK SOLUTIONS LLC
(ELECTRICAL)
FEDERAL WAY WA 98063
1351 E IRVING PARK RD 1351
MASTENS863JS (4/10/24)
ITASCA IL 60143
22263 68TH AVE S
KENT WA 98032-1914
Additional Permit Information
Is this an Online or O.T.C. application? .................. Yes
Electrical Fixtures
Low Voltage - Other (Commel 3
PERMIT EXPIRES Tuesday, 25 April, 2023
Permit Issued on Thursday, October 27, 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
intm ON'
Ed
JENSeral
Way.
Owner or agent: Date:
F��
THIS CARD IS TO REMAIN ON -SITE
CITY OF Construction Inspection Record
Federal Way INSPECTION REQUESTS: (253) 835-3050
PERMIT #: 22 104883 00 Address: 28405 MILITARY RD S
Project: LAKEHAVEN WATER & SEWER D] FEDERAL WAY WA 98003-3327
Scheduled inspections may be failed if this card is not on -site. DO NOT LOSE "rms 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)
Ditch cover (4030)
Q
Slab/Concrete Floor (4255)
Approved
Approved
Approved to place concrete
By
Date
By
Date
By
Date
it
Pool Bonding (4195)
Temporary Power (4275)
0
Service (4235)
Approved
Approved
Approved
By
Date
By
Date
By
Date
0 Feeders/Sub-panels (4045) 0 Rough Electrical (4225) El Ceiling Cover (4020)
Approved Approved Approved
By Date By Date By Date
0 Final - Electrical (4055)
Approved
By Date J, . "'4'
El
Rough Electrical
Final Electrical
Right of Way
Approved
Approved
Approved
By
Date
By
Date
By
Date