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23-105326-`— r � Federal Way CITY OF FEDERAL WAY Electrical Permit i tin permit -cam Permit Information Permit Number 23-105326-00-EL issued Date 10/30/2023 Expiration Date 10/29/2024 Job Address 412 SW 365TH ST Fee Paid $124.14 FEDERAL WAY, 98023 Order Confirmation 1261966 Floor Related Permit # Suite Application to 1396887 Contact Information Contact Name Provident Electric contracror PROVIDENT ELECTRIC INC Phone Number (253) 631-7750 Property Owner ICHIJO USA CO LTD LNILicense # PROVIE1103C2 Address 1406 140TH PL NE BELLEVUE, WA PhOf1e# (253) 631-7750 City Bus. License # 601 217 805 Property Owner Phone Tenant Name Job Description A (Single Family Residential) (New) Temporary Service project involving ( Single Family Dwelling) HOOK UP JOB SHACK OFF OF TEMP POWER POLE Conditions - Post Permit on site. Do not cover until inspected. yla)) W 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: Provident Electric Page 1 of 2 Federal Way CITY OF FEDERAL WAY My6ui ldingPermit. com Electrical Permit Permit Information Permit Number 23-105326-00-EL Issued Date 10/30/2023 Expiration Date 10/29/2024 Job Address SW 365TH ST Fee Paid $124.14 FEDERAL WAY, 98023 Order confirmation 1261966 Floor Related Permit # Suite Application ID 1396887 Inspections Inspection IVR Inspector Date Inspection IVR Inspector Date Rough Electrical 4225 Final Electrical 4055 Final- Electrical 4055 Inspection Scheduling Page 2 of 2