24-100702..
CITY OF FEDERAL WAY
Electrical Permit
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Permit Information
Permit Number 24-100702-00-EL
Job Address 30110 19TH AVES
FEDERAL WAY, 98003
Aoor
Su~
Contact Information
Contact Neme Provident Electric Conlmc!llr
Phone Number (253) 631-7750
Propeny Owner * SSHI LLC
LNI Lioens& #
Addrooe 11241 SLATER AVE NE KIRKLAND,
Phone#
WA c~ a ..... LioeMe #
Prq,Gtty OwMr Ptlone Tenant Name
Job Description
18SU<)(j0ate 2/15/2024
Exl)irntion Dale 2/15/2025
Foo Paid $131.25
Order Confitmation 1284835
Relat&d Pem,ij #
Application 10 1443395
PROVIDENT ELECTRIC INC
PROVIEl103C2
(253) 631-7750
601 217 805
A (Single Family Residential) (New) Temporary Service project involving ( Single Family Dwelling, 1 Temporary Service}
NEW 100 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 !his property or the owner's authorized agent, indudlng an appropriately licensed contractor. I have furnished true and
correct Information. I will comply with all provisions of law alld ordinances govemlng !his type of construction work, whether specific herein or not. By
above may resu lt In revocation o r the permit.
submitting this application I give the jurisdiction permission to ent7e property to parfom, Inspections. I understand that fallure to comply with the
Applic ant : Pro vident Electric r i/f.~
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[e~~!~! 'f:!ay CITY OF FEDERAL WAY
Electrical Permit
Permit lnfonnation
Permit Number 24-100702-00-EL
JooAddr8S3 30110 19TH AVES
FEDERAL WAY, 98003
Floor
Suite
Inspections
Inspection IVR Inspector Date Inspection
Rough Eleroical 4225
Fina! Elecirleal 4055 ~ :z ... ~~1 Final-Elec:Uical 4055
Inspection Scheduling
Go to www.MyBuildingPermit.com or call 253-835-3050.
Inspection request cut-off time for next day Inspections Is 4:00 p.m.
Page2of2
/ MyBuildingPermit. com
Issued Cate 2/15/2024
E•i:>illllion Cate 2/15/2025
Fee Paid $131.25
Order Confirmation 1284835
Rela!adP8flllij#
Awllcarion ID 1443395
IVR Inspector Date