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23-105943Federal Way gizG5i t) a$a CITY OF FEDERAL WAY Electrical Permit M BuildingPermit.com Permit Information Permit Number 23-105943-00-EL Issued Date 12/14/2023 Expiration Date 12/13/2024 Job Address 30116 19TH AVE S Fee Paid $124.14 FEDERAL WAY, 98003 Order Confirmation 1271883 Floor Related Permit # Suite Application io 1417193 Contact Information Contact Name Provident Electric Contracror PROVIDENT ELECTRIC INC Phone Number (253) 631-7750 Properly Owner At Redondo-Federa Woodlands LNILicense # PROVIE1103C2 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: certify that I am the owner of this property or the owner's authorized agent, including an appropriately licensed contractor. I have fumished 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 Federa ay CITY OF FEDERAL WAY M BuildingPermit.com Electrical Permit Permit Information Permit Number 23-105943-00-EL Issued Date 12/14/2023 Expiration Date 12/13/2024 Job Address 30116 19TH AVE S Fee Paid $124.14 FEDERAL WAY, 98003 Order Confirmation 1271883 Floor Related Perri@ # Suite Application ID 1417193 Inspections Inspection IVR Inspector Date Inspection IVR Inspector Date Rough Electrical 4225 Final Electrical 4055 Final- Electrical 4055 Inspection Scheduling Page 2 of 2