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23-105855Federal Way CITY of FEDERAL WAY Electrical Permit 6 Ft k.idi6gPermjt.com Permit Information Permit Number 23-:105855-00—EL WsLed 6ala 12/7/2023 txpinrbm DaLB 1202024 Jot Addrmw 30021 19TH AVE S Fie Paid $472.83 FEDERAL WAY, 98003 Order Confirmation 1270158 Fla" Relaiad Permit ■ suite Apaicatw l0 1413859 Contact Information Contact Home Provident Electric Contreclu PROVIDENT ELECTRIC INC Phone Number (253) 631-7750 LNILicense0 PROViE1103C2 Property owner SSHI LLC ndck�ae 11241 SLATER AVE NE KIRKLAND, fie" (253)631-7750 WA City But. License * 601 217 805 Property Omer Phone Tenant Name - Job Description A (Single Family Residential) (New) Electrical project involving { Single Family Dwelling) NEW 200 AMP SFR 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: Provident Electric/ Page 1 of 2 Federal Way CITY OF FEDERAL WAY Electrical Permit MyBui ldi ngPermi t. com Permit Information Permit Number 23-105855-00-EL IseuedDow 12/7/2023 Expirabon Dale 1218I2024 Jon Addrwsa 30021 19TH AVE S Fee Paid $472.83 FEDERAL WAY, 98003 Order CorMrmation 1270158 Floor Related Permit N S1aie Application ID 1413859 Inspections Inspection IVR Inspector Date Inspection IVR Inspector Date Rough Elechic�Bl 4225 Final- EWmical 4055 Final- EleWcal 4055 LIFER Ground 4295 Ditch cover 4030 Rough Electrical 4225 Fool Bonding 4195 FeedeWSubpanel 4045 Service 4235 Inspection Scheduling Page 2 of 2