23-105499A Federal Way CITY OF FEDERAL WAY
Electrical Permit
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MyBuildingPermitxom
Permit Information
Permit Number
23-105499-00-EL Issued Date
11/8/2023
Expiration Date
11 /7/2024
Job Address
30227 19TH AVE S Fee Paid
$124.14
FEDERAL WAY, 98003 Order Confirmation
1264387
Floor
Related Permit#
Suite
Application ID
1 1401910
Contact Information
Contact Name
Provident Electric Contractor
PROVIDENT ELECTRIC INC
Phone Number
(253) 631-7750
LNILicense #
PROVIE1103C2
Property Owner
* SSHI LLC
Phone#
(253) 631-7750
Address
11241 SLATER AVE NE KIRKLAND,
WA 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, 1 Temporary Service)
NEW 100 AMP TEMP POLE
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: Provident Electric
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Federal Way
CITY OF FEDERAL WAY
Electrical Permit
My6ui ldi ngPermi t. com
Permit Information
Permit Number
23-105499-00-EL
Issued Date
11/8/2023
Job Address
30227 19TH AVE S
Expiration Date
11 /7/2024
Fee Paid
$124.14
FEDERAL WAY, 98003
Order Confirmation
1264387
Floor
Related Permit#
Suite
Application ID
1401910
Inspections
Inspection IVR Inspector Date Inspection
IVR Inspector Date
Rough Electrical 4225
Final Electrical 4055 of
Final- Electrical 4055'�
Inspection Scheduling
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