23-105497Federal way CITY OF FEDERAL WAY
Electrical Permit
MYB 1 g rmit.com
Permit Information
Permit Number
23-105497-00-EL Issued Date
11/8/2023
Expiration Date
11 /7/2024
Job Address
30122 19TH AVE S Fee Paid
$124.14
FEDERAL WAY, 98003 Order Confirmation
1264385
Floor
Related Permit #
Suite
Application ID
1401906
Contact Information
Contact Name
Provident Electric
Contractor
PROVIDENT ELECTRIC INC
Phone Number
(253) 631-7750
Property Owner
* SSHI LLC LNILicense #
PROVIE1103C2
Address
11241 SLATER AVE NE KIRKLAND, Phone#
(253) 631-7750
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.
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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 taw and ordinances governing this type of construction work. whether specific herein or not. By
submitttng 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
MyBuildingPermitxom
Permit Information
Permit Number
23-105497-00-EL
Issued Date
11/8/2023
Expiration Date
11 /7/2024
Job Address
30122 19TH AVE S
Fee Paid
$124.14
FEDERAL WAY, 98003
Order Confirmation
1264385
Floor
Related Permit #
Suite
Application ID
Inspections
Inspection IVR Inspector Date Inspection
IVR Inspector Date
Rough Electrical 4225
Final Electrical 4055
Final- Electrical 4055
Inspection Scheduling
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