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23-105914Federal Way 5-) &s)� �sd CITY OF FEDERAL WAY Electrical Permit My uildingPermit.com Permit Information Permit Number 23-105914-00-EL Issued Date 12/12/2023 Expiration Dace 12/11 /2024 Job Address 30103 19TH AVE S Fee Paid $124.14 FEDERAL WAY, 98003 Order Confirmation 1271114 Floor Related Permit # Suite Application ID 1415752 Contact Information Contact Name Karen Matheney Contractor WASHINGTON ENERGY SVCS CO Phone Number (206) 378-6648 1 1 (' Properly owner "SSHI LLC LNILicense# WASHIES854NG Hearses 11241 SLATER AVE NE KIRKLAND, Phone# (206) 378-6648 WA City Bus. License # 603522032 Property Owner Phone Tenant Name Job Description A (Single Family Residential) (Repair or Replacement) Low Voltage Only project involving ( Single Family Dwelling, 1 Thermostat wire) 1ST FLOOR 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 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: Karen Matheney�r 1 Page 1 of 2 CITY OF FEDERAL WAY Federa~iway MyBuildingPermit.com Electrical Permit Permit Information Permit Number 23-105914-00-EL issued Data 12/12/2023 Expiration Dale 12/11 /2024 Job AcIldress, 30103 19TH AVE S Fee Paid $124.14 FEDERAL WAY, 98003 Order Confirmation 1271114 Floor Related Permit # Suite Application ID 1415752 Inspections Inspection IVR Inspector Date Inspection IVR Inspector Date Rough Electrical 4225 Rough Electrical 4225 Final- Electrical 4055 Final -Electrical 4055 t _ Inspection Scheduling Page 2 of 2