23-105862Ferieral Way CITY OF FEDERAL WAY
Electrical Permit NIYSItLrir�7'Per mit.com
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Permit Information
Permit Number
23-105862-00-EL Issued Date
12/7/2023
FxpiraJon Date
12/6/2024
.lob Address
30016 19TH AVE S Fee Paid
$408.77
FEDERAL WAY, 98003 Order Confirmation
1270188
Floor
Related Permit #
Site
Apdicaltion to
1413934
Contact Information
Contact Name
Provident Electric
Contractor
PROVIDENT ELECTRIC INC
Phone Number
(253) 631-7750
Property Owner
* SSHI LLC LNILicense#
PROVIE1103C2
Address
11241 SLATER AVE NE KIRKLAND, Phone#
(253) 631-7750
WA City Bus. License #
601 217 805
Property Owner Phone
Tenard 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 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 1 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 2f )
Page 1 of 2
Federal Way
CITY OF FEDERAL WAY MBuildingPermitxom
Electrical Permit
Permit Information
Permit Number
23-105862-00-EL
Issued Date
12/7/2023
Expiration Date
12/6/2024
Job Add'
30016 19TH AVE S
Fee Paid
$408_77
FEDERAL WAY, 98003
Order Confirmation
1270188
Floor
Related Permit #
Suits
Application ID
1413934
Inspections
Inspection
IVR �[/lgspector Date.` Inspection
IVR Insp for pare
Rough Electrical
4225 sr PV Final- Electrical
4055
/
Final- ElecMcal
4055
UFER Ground
_
4295illy
Ditch Cover
g
4030
Rough Electrtcal
4225
Pool Bonding
4195
Feeders+Sub-panel 4045
Service
4235 �u1�^,7
— —
—
Inspection Scheduling
Page 2 of 2
.. Jr
^� Federal Way
Building Division
33325 Eighth Avenue South
Federal Way, WA 98053-6325'
Phone 253-835-2607 Fax 253-835-2609
CORRECTION NOTICE
ADDRESS:.IPOIC7 j9� ?FCP� ,PERMIT#:
IF YOU HAVE QUESTIONS CALL
(253) 835
w
WHEN CORRECTIONS HAVE BEEN MADE, CALL (253) 835-3050 FOR RE -INSPECTION. SEE BACK OF CARD
FOR DETAILS. NOTE: ELECTRICAL CORRECTIONS ARE REQUIRED TO BE MADE WITHIN 15 DAYS.
DATE INSPECTOR
DO NOT REMOVE THIS NOTICE
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