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23-105383- T I IN Federal Way CITY OF FEDERAL WAY Electrical Permit .#J I. MyBuiIdincPermit.com Permit Information Permit Number 23-105383-00-EL Issued Date 11/1/2023 Expiration Dam 10/31 /2024 Job Address 32901 1 ST AVE S Fee Paid $124.14 FEDERAL WAY, 98003 order Confirmation 1262777 Floor 1 Related Permit # Suite J Application ID 1398511 Contact Information Contact Name Jay Rosander Contractor CUSTOM ELECTRICAL SERVICES LLC Phone Number (425) 282-4971 LNIUcense# CUSTOES893J2 Properly Owner Henry & Sandra Friedman Phone# (425) 282-4971 Address 8803 SE 78TH ST MERCER ISLAND, WA City Bus. Llcense# 602 924 637 Property owner Phone Tenant Name Pho 7 Job Description A (Nonresidential) (Alteration) Electrical project involving ( Primary Building, Adding or altering 0 - 5 circuits) Retrofitting 19 existing lights to LED in dining, kitchen and rest rooms Conditions - Post Permit on site. Do not cover until inspected. Certification Statement - The applicant states: 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 applicatlgn 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 W_ ay CITY OF FEDERAL WAY Electrical Permit My6ui ldingPermit. com Permit Information Permit Number 23-105383-00-EL Issued Date 11/1/2023 'fob Address 32901 1 ST AVE S Expiration Date 10/31 /2024 FEDERAL WAY, 98003 Fee Paid $124.14 Order confirmation 1262777 Floor 1 Related Permit # Suits `I Application ID 1398511 Inspections Inspection IVR Inspector Date Inspection IVR Inspector Date Inspection Scheduling Page 2 of 2