23-1052801 aeiteral way CITY OF FEDERAL WAY
Electrical Permit
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Permit Information
Permit Number
23-105280-00-EL Issued Date
10/25/2023
Expiration Date
10/24/2024
Job Address
34503 9TH AVE S Fee Paid
$124.14
FEDERAL WAY, 98003 Order Confirmation
1261251
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2nd Related Pannit #
Suite
240 Application io
1395281
Contact Information
Contact Name
Matt Blackburn contractor
BLUE CORE POWER LLC
Phone Number
(206) 397-5600Ext (425) 870-2118
Property Owner
WSC MEDPAV LLC LNI License#
BLUECCP841 NN
Address
1700 SEVENTH AVE SEATTLE, WA Phone#
(206) 397-5600
City Bus. License #
603 622 678
Property Owner Phone
Tenant Name
Medical Pavilion
Job Description
A (Nonresidential) (Alteration) Electrical project involving ( 2 Feeder, Primary Building, Adding or altering 0 - 5 circuits)
Suite 240
Conditions - Post Permit on site. Do not cover until inspected.
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Certification Statement - The applicant states:
I certify that I am the owner of this property or the owner's authorized agent, including an appropriately licensed contractor. I have furnished true and
correct information. I will comply with all provisions of law and ordinances governing this type of construction work, whether specific herein or not. By
submitting this application I give the Jurisdiction permission to enter the property to perform Inspections. I understand that failure to comply with the
above may result in revocation of the permit.
Applicant: Matt Blackburn
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YA Federal Way
CITY OF FEDERAL WAY
Electrical Permit
MyBui ldi ngPermit. com
Permit Information
Permit Number
23-105280-00-EL
Issued Date
10/25/2023
,lob Address
34503 9TH AVE S
Expiration Date
10/24/2024
Fee Paid
$124.14
FEDERAL WAY, 98003
Order confirmation
1261251
Floor
2nd
Related Permit #
Suite
240
Application ID
1395281
Inspections
Inspection IVR Inspector Date Inspection
IVR Inspector Date
Inspection Scheduling
Page 2 of 2