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23-105404Federal way CITY OF FEDERAL WAY Electrical Permit 51&'31o07Cla My Ou'i['dir7QPer mit.com Permit Information Permit Number 23-105404-00-EL Issued Date 11/2/2023 Expiration Date 11 11 /2024 Job Address 28925 13TH AVE S Fee Paid $156.24 FEDERAL WAY, 98003 Order Confirmation 1263026, Floor Related Permit # Suite Application ID 1399077 Contact Information Contact Name Stephanie Frost contractor BELRED HEATING/COOUPLMB LLC Phone Number (425) 493-5353 Properly Owner Jason M & Kristin K Hervin LNILicense # BELREHC777NP Andress 28925 13TH AVE S FEDERAL WAY, Phone# (425) 493-5353 WA city Bus. License # 604 833 538 Property Owner Phone Tenant Name Job Description A (Single Family Residential) (Addition) Electrical project involving ( Single Family Dwelling, Adding or altering 0 - 5 circuits) garage/outside 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 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 ant er the roperty to perform inspections. I understand that failure to comply with the above may result In revocation of the permit. Applicant: Stephanie Frost ´┐ŻA fZ Page 1 of 2 Federal Way CITY OF FEDERAL WAY Electrical Permit My6uildingPermitxom Permit Information Permit Number 23-105404-00-EL Issued Date 11/2/2023 Expiration Dale 11 /1 /2024 Job Address 28925 13TH AVE S Fee Paid $156.24 FEDERAL WAY, 98003 Order confirmation 1263026 Floor Related Permit # Suite .application ID 1399077 Inspections Inspection IVR Inspector Date Inspection IVR InsDeclor Date Rough Electrical 4225 Final- Electrical 4055 I i Final- Electrical 4D55 UFER Ground 4295 Ditch Cover 4030 Rough Electrical 4225 Pool Bonding 4195 Feeders/Sub-panel 4045 Service 4235 Inspection Scheduling Page 2 of 2