12-102671•. Y •
electrical
City of Federal Way Permit #: 1 2- 1 02671 -00 -EL
A
Community & Econ. Dev. Services FILE 33325 8th ve S
Federal Way, ssoo3 Inspection Request Line. (253) 835 -3050
Ph: (253) 835 -2607 Fax: (253) 835 -2609
Project Name: KUDLO
Project Address: 1816 S 296TH ST Parcel Number: 304020 0140
Project Description: Altering one circuit
Owner
Al2RIican
Contractor
AGNES KUDLO
FULLER ELECTRIC INC
FULLER ELECTRIC (ELECTRICAL)
1816 S 296TH ST
37107 12TH AVE S
FULLEEI027BK (1/12/14)
FEDERAL WAY WA 98003
FEDERAL WAY WA 98003
37107 12TH AVE S SUITE A -5
FEDERAL WAY WA 98003
Additional Permit Information
Is Use Educational or Institutional ? ....................... No
Electrical Fixtures
Alt. Serv./Feeder: 0 to 200 amps (F 1
PERMIT EXPIRES Thursday, June 12, 2014
Permit Issued on Tuesday, June 12, 2012
I hereby certify that the above information is correct and that the construction on the above described property and
the occupancy and the use will be in accordance with the laws, rules and regulations of the State of Washington
and the City of Federal Way.
Owner or agent: elml I AJ = Date:
I I�
F114ALED 4 /(4 /Iz
Cr" OF
Federal Way
PERMIT #:
THIS CARD IS TO MAIN ON -SITE
i Construction In ection Record
INSPECTION REQ TS: (253) 835 -3050
12- 102671 -00 -EL
Address: 1816 S 296TH ST
Project: AGNES KUDLO AUBURN, WA 98003 -3847
Scheduled inspections may be failed if this card is not on -site. DO NOT LOSE THIS CARD. Inspections are listed as close to sequential order as
possible (read left to right, top to bottom). Please schedule inspections as appropriate. Work must not be covered until it is approved. Check with your
inspector if you are unsure about any of the inspections or the inspection sequence. On -going inspections are logged on the back of this card.
0
Ditch cover (403)
0
Slab /Concrete Floor (4255)
Final - Electrical (4055)
Rough Electrical (4225)
Approved
By
Approved to place concrete
Approved
Approved
By
Date
By
Date
By
Date
0
Ceiling Cover (4020)
[:]
Final - Electrical (4055)
Approved
By
Date
Approved
By
By
Date
B
Dat _ %
FILE
FI
Rough Electrical
Approved
Final Electrical
Approved
Right of Way
Approved
By
Date
By
Date
By
Date