23-105617,p..�` Federal Way CITY OF FEDERAL WAY
Electrical Permit
-7 )-a 2 &S ! aaC,
My6uildinaPermit. Darn
Permit Information
Permit Number
23-105617-00-EL Issued Date
11/20/2023
Expiration Date
11 /19/2024
Job Address
2001 S 375TH ST Fee Paid
$280.65
FEDERAL WAY, 98003 Order Confirmation
1266813
Floor
Related Permit #
Suite
Application to
1407043
Contact Information
Conrad Name
William Tibben Comracw
Go Hawk Electric
Phone Number
(253) 347-0899Ext (510) 366-5276
Property Owner
Jeffrey Grayson & Damnj Wales LNILicense #
GOHAWHE837DN
Address
2001 S 375TH ST FEDERAL WAY, Phone#
(253) 347-0899
WA city Bus, License #
604096713
Property Owner Phone
- Tenant Name
Job Description
A (Single Family Residential) (Repair or Replacement) Electrical project involving ( Single Family Dwelling, Adding or
altering 0 - 5 circuits)
Backyard
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, inciud)ng an appropriately licensed contractor. I have furnished true and
correct information. I will comply with ah 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: William Tibben
Page 1 of 2
Federal Way
.. CITY 4F FEDERAL WAY
Electrical Permit
M BuildingPermitxom
Permit Information
Permit Number
23-105617-00-EL
issued Date
11/20/2023
Expiration Date
11 /19/2024
Job Address
2001 S 375TH ST
Fee Paid
$280.65
FEDERAL WAY, 98003
Order Confirmation
1266813
Floor
Related Permit #
Suite
Application ID
1407043
Inspections
Inspection IVR Inspector Date Inspection
IVR Inspector Date
Rough Electrical 4225
Rough Ele�l 4225
Feeders/Sub-panel 4045
Final- EleeMcai 4055
Pool Bonding 4195
Service 4235
Final- Electrical 4055104 1
_ '
Inspection Scheduling
Page 2 of 2