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23-105918Federal Way fir-]) I A q G1ofn CITY OF FEDERAL WAY Electrical Permit MyBu itdinoPermit. com Permit Information Permit Number 23-105918-00-EL Issued Dale 12/12/2023 Expiration Date 12/11 /2024 Job Address 502 SW 365TH ST Fee Paid $124.14 FEDERAL WAY, 98023 Order Confirmation 1271159 Floor Related Permit # Suite Application ID 1415822 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. 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 appilcation 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 M BuildingPermit.com Electrical Permit Permit Information Permit Number 23-105918-00-EL Issued Data 12/12/2023 Job Address 502 SW 365TH ST Expiration Date 12/11 /2024 Fee Paid $124.14 FEDERAL WAY, 98023 Order confirmation 1271159 Floor Related Perrnd # Suite Application ID 1415822 Inspections Inspection IVR Inspector Date Inspection IVR Inspector Rough Electrical 4225 Final Electrical 4055 Final- Electrical 4055 Inspection Scheduling Page 2 of 2