23-105260Federal Way CITY OF FEDERAL WAY ,
Electrical Permit MyBuildingPermit.com
Permit Information
Permit Number
23-105260-00-EL issued Date
10/24/2023
Expiration Data
10/23/2024
.lob Address
33915 1 ST WAY S Fee Paid
$177.59
FEDERAL WAY, 98003 Order Confirmation
1260803
Floor
1 Related Permit #
Suite
130 Application io
1394385
Contact Information
Contact Name
Jay Rosander
contractor
CUSTOM ELECTRICAL SERVICES LLC
Phone Number
(425) 282-4971
Property Owner
* MAPLEWOOD INVESTOR GROUP LNILicense#
CUSTOES893J2
Address
3209 S 23RD ST TACOMA, WA Pone#
(425) 282-4971
City Bus. License #
602 924 637
Property Owner Phone
Tenets Name
Frontier at Dermatology
Job Description
A (Nonresidential) (Alteration) Electrical project involving ( 1 New Circuit, Primary Building, Adding or altering 0 - 5
circuits)
New 30 amp 208 volt outlet in office area for laser printer
Conditions - Post Permit on site. Do not cover until inspected.
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. Jay Rosander
Page 1 of 2
Federal Way
CITY OF FEDERAL WAY
Electrical Permit
M BuildingPermitxom
Permit Information
Permit Number
23-105260-00-EL
Issued Dale
10124/2023
Expiration Date
10/23/2024
Job Address
33915 1 ST WAY S
Fee Paid
$177.59
FEDERAL WAY, 98003
Order Confirmation
1260803
%or
1
Related Permit #
suaa
130
Application ID
1394385
Inspections
Inspection IVR Inspector Date Inspection
IVR Inspector Date
Inspection Scheduling
Page 2of2