23-105498A—Federalway CITY OF FEDERAL WAY
Electrical Permit
MyBuildingPermit. cam
Permit Information
Permit Number
23-105498-00-EL Issued Date
11/8/2023
Expiration Date
11 /7/2024
Job Address
30016 19TH AVE S Fee Paid
$124.14
FEDERAL WAY, 98003 Order Confirmation
1264386
Floor
Related Permit #
Suite
Application ID
1 1401909
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.
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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 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
M BuildingPermit.com
Permit Information
Permit Number
23-105498-00-EL
Issued Date
11/8/2023
Job Address
30016 19TH AVE S
Expiration Date
11 /7/2024
Fee Paid
$124.14
FEDERAL WAY, 98003
Order Confirmation
1264386
Floor
Related Permit #
Suite
Application ID
1401909
Inspections
Inspection IVR Inspector Date Inspection
IVR Inspector Date
Rough Electrical 4225
Final Electrical 4055
Final- Electrical 4055
Inspection Scheduling
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