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23-105508A Federal Way CITY OF FEDERAL WAY Electrical Permit MyBuildingPermitxom Permit Information Permit Number 23-105508-00-EL Issued Date 11/9/2023 Expiration Date 11 /812024 Job Address 508 SW 365TH ST Fee Paid $124.14 FEDERAL WAY, 98023 Order Confirmation 1264610 Floor Related Permit# Suite Application ID 1402342 Contact Information Contact Name Provident Electric Contractor PROVIDENT ELECTRIC INC Phone Number (253) 631-7750 Property Owner * ICHIJO USA CO LTD LNILicense # PROVIE1103C2 Address 1406 140TH PL NE BELLEVUE, WA Phone# (253) 631-7750 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 125 AMP TEMP POLE Conditions - Post Permit on site. Do not cover until inspected. rMA/ 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 Page 1 of 2 Federal Way CITY OF FEDERAL WAY MyBuildingPermitxom Electrical Permit Permit Information Permit Number 23-105508-00-EL Issued Date 11/9/2023 Expiration Date 11 /8/2024 Job Address 508 SW 365TH ST Fee Paid $124.14 FEDERAL WAY, 98023 Order Confirmation 1264610 Floor Related Permit# Suite Application ID 1402342 Inspections Inspection IVR Inspector Date Inspection IVR Inspector Date Rough Electrical 4225 Final Electrical 4055 Final- Electrical 4055 Inspection Scheduling Page 2 of 2