23-105861,� Federal Way
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CITY OF FEDERAL WAY
Electrical Permit
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Permit Information
Permit Number
23-105861-00-EL Issued Date
12/7/2023
Expiration Date
12/6/2024
JobAddresa
30227 19TH AVE S Fee Paid
$472.83
FEDERAL WAY, 98003 Order Confirmation
1270186
Floor
Related Permit #
Suite
Application io
1413932
Contact Information
Contact Name
Provident Electric contractor
PROVIDENT ELECTRIC INC
Phone Number
(253) 631-7750
Properly 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
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 fumished true and
correct information. I will comply with all provisions of law and ordinances goveming 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
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A Federal W,4y /
CITY OF FEDERAL WAY MyBuildingPermitxom
Electrical Permit
Permit Information
Permit Number
23-105861-00-EL
Issued Data
12/7/2023
,lob Address
30227 19TH AVE S
Expiration Date
12/6/2024
FEDERAL WAY, 98003
Fee Paid
$472.83
Order confirmation
1270186
Floor
Related Permit #
Suite
Application ID
1413932
Inspections
Inspection IVR
Rough 4225
Electrical
Inspector Date Inspection
Final- Electrical
IVR I e or yLv,Da9te
4055
Final- Electrical 4055
UFER Ground 4295
Ditch Cover 4030
Rough Electrical 4225
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p v ✓
Pool Bonding 4195
FeederslSub-panel 4045
Service 4235
h
Inspection Scheduling
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