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23-105588Federal Way CITY OF FEDERAL WAY Electrical Permit °JSa u5 1 oar("a MyBui(dihaPermit.com Permit Information Permit Number 23-105588-00-EL issued Date 11/16/2023 Expiration late 11 /15/2024 Job Address 30215 19TH AVE S Fee Paid $124.14 FEDERAL WAY, 98003 Order Confirmation 1266143 Floor Related Permit # site Application to 1405637 Contact Information Contact Name Karen Matheney contractor WASHINGTON ENERGY SVCS CO Phone Number (206) 378-6648 I I (: LNILicense # WASHIES854NG Property Owner SSHI LLC Address 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) (New) Low Voltage Only project involving ( Single Family Dwelling, 1 Thermostat wire) HVAC 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 VA Page 1 of 2 Federal Way CITY OF FEDERAL WAY Electrical Permit MyBuildingPermitxom Permit Information Permit Number 23-105588-00-EL Issued Date 11/16/2023 Job Address 30215 19TH AVE S Expiration Dale 11 /15/2024 Fee Paid $124.14 FEDERAL WAY, 98003 Order Confirmation 1266143 Floor Related Permit S Suite Application ID 1405637 Inspections Inspection IVR Inspector Date Inspection IVR Inspector Date Rough Eledrical 4225 Rough Elec [ 4225 Final- Electrical 4055 Final- Electrical 4055 R Inspection Scheduling Page 2of2