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13-103003-00Electrical City of Federal Way Community & Econ. Dev. Services 33325 8th Ave S Federal Way, WA 98003 Ph: (253) 835-2607 Fax: (253) 835.2609 Project Name: CENTURY LINK FTTN SITE Project Address: 15TH AVE S Permit #: 13-103003-00-EL Inspection Request Line: (253) 835-3050 Parcel Number: Project Description: Installing a new 100 amp service, grounding, and two 15-amp 120 V receptacle circuits. ** LOCATION OF WORK: On ROW easement to north of 28802 14th Avenue S. See attached map!** Owner Applicant Contractor CITY OF FEDERAL WAY THOMPSON ELECTRICAL CONSTRUCTORS THOMPSON ELECTRICAL 33325 8TH AVE S INC CONSTRUCTORS INC FEDERAL WAY WA 98023 PO BOX 45260 THOA PECO08CW (2/16/14) TACOMA WA 98445 PO BOX 45260 TACOMA WA 98445 Additional Permit Information Is this an Online or O.T.C. application?.................Yes Is Use Educational or Institutional?....................... No Service greater than 999 Amps? .............................No Electrical Fixtures Circuits - Commercial ------- ............. 2 New Service: 0 - 100 amps (Comm 1 PERMIT EXPIRES Saturday, January 4, 2014 Permit Issued on Monday, July 8, 2013 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 Washington and the City of Federal Way. % Owner or agent:�,� Date: THIS CARD IS TO P�F.MAIN ON -SITE Ct "°F Construction Ins �.e ection Record' Federal Wciy INSPECTION REQUESTS: (253) 835-3050 PERMIT #: 13-103003-00-EL Address: 15TH AVE S Project: CITY OF FEDERAL WAY 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. ❑ UFER Ground (4295) Ditch cover (403 Approved ❑ Approved [By Service (4235) Approved BY Date BZ� Date 7-4 �� f Date Feeders/Sub-panels (4045) Rough Electrical 4225 ❑ ❑ � ( ) ❑ Final -Electrical (4055) Approved Approved Approved BY Date By Date By Cr � f Date z� ❑ Rough Electrical ❑ Final Electrical ❑ Right of Way Approved Approved Approved BY Date By Date BY Date Vecvleo � Zp13 ELECTRICAL TY CICW Federal Way �� ozwNAY PERMIT APPLICATION of r��D % CIV COS I 1 o PERsffr � J - C C� C } tqo SITE ADDRESS: l J O ✓ �� l n Z S Xn'Z SUITEIUNIT/SPACE# PROJECT VALUATION ASSESSOR'S TAX/PARCEL # CURRENT/PROPOSED USE $ scoo, PROJECT NAME (Tenant or Homeowner Last Name) L ) =10 S i ) I ©o A 002S — �Z ) Ca' PROJECT DESCRIPTION Detailed descrptwn of work to be included on this permit only J /142 6 7 S MAIM PRDIIARY PHONE PROPERTY OWNER cza -) - hL&UdWG AMPYM F"49AQ" crry SPATE E8 1 FAX PRIDIARY PHONE �e 1 MAIIdNG ADDRESS ELECTRICAL �70 _7� L1 �ZCc O C��e+a CONTRACTOR CITY g'A Fez{ WA STATE CONTRACTOR'S LICENSE # ESPIRATION DATE FEDERAL WAY BUSINESS LICENSE # PRDYARY PHONE APPLICANT ( l ...rr,.G ADDRESS F-KAtL CITY STATE 21P FAX f l - I� PRIKART PHONE PROJECT CONTACT I certify under penalty of perjury that I am the property owner or authorized agent of the property owner. I certify that to the best of my knowledge, the information submitted in support of this permit application is true and correct. I certify that I will comply with all applicable City of Federal Way regulations pertaining to the work authorised by the issuance of a permit. I understand thrd the issuance ar this permit does not remove the owner's responsibility for compliance with local, state, or federal taus regulating construction or environmental laevs I further agree to hold harmless the City of Federal Way as to arty claim finctuding casts, expenses, and attorn ye fees incurred in the investigation and defense of such claim), which may he made by any pervor; including the undersigned, and filed agaimst the city, but only where such claim arises out of the reliance of the city, including its officers and employees, upon the accuracy of the information supplied to the city as apart of this application. v SIGNATURE: t DATE z PRINT NAME: zC -Bulletin #160 — January 1, 2013 Page 1 of 2 k:\HandoutslEtectrical'Permit Application