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23-105944Federal Way Cr4.2ro 55'l a 3oa CITY OF FEDERAL WAY Electrical Permit M BuildingPermitxom Permit Information Permit Number 23-105944-00-EL Issued Date 12/14/2023 Expiration Data 12/13/2024 Job Address 30104 19TH AVE S Fee Paid $124.14 FEDERAL WAY, 98003 Order Confirmation 1271884 Floor Related Permit # Suite Application ID 1417195 Contact Information Contact Name Provident Electric contractor PROVIDENT ELECTRIC INC Phone Number (253) 631-7750 LNI License # PROVIE1103C2 Property Owner At Redondo-Federa Woodlands Address 23975 PARK SORRENTO Phone # (253) 631-7750 CALABASAS, CA 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. 1 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 FeaerAa11�i , CITY OF FEDERAL WAY M BuildingPermit.com Electrical Permit Permit Information Permit Number 23-105944-00-EL Issued Date 12/14/2023 Expiration Dale 12/13/2024 Jon Address 30104 19TH AVE S Fee Paid $124.14 FEDERAL WAY, 98003 Order Confirmation 1271884 Floor Related Permit # suite Application ID 1417195 Inspections Inspection IVR Inspector Date Inspection IVR Inspector Date Rough Electrical 4225 Final Electrical 4055 Final- Electrical 4055 Inspection Scheduling Page 2 of 2