12-100332f' E�+ral
City af Federal Way Permit #: 12-100332-00-EL
Community & Econ. Dev. Services
33325 8th Ave S
Federal Way, WA 98003 Inspection Request Line: 253 835 -3050
Ph: (253) 835 -2607 Fax: (253) 835 -2609 p a
Project Name: DENNISON a$
Project Address: 236 S 300TH ST
Project Description: Mast meter repair
Parcel Number: 692860 0170
Owner
Applicant
Contractor
JONI K DENNISON
EASY DOES IT ELECTRIC INC
EASY DOES IT ELECTRIC INC
236 S 300TH ST
17712 2ND ST E
EASYDIE044LQ (6/18/12)
FEDERAL WAY WA 98003 -3631
LAKE TAPPS WA 98391
17712 2ND ST E
LAKE TAPPS WA 98391
Is Use Educational or Institutional ? ....................... No
+
Mast or Meter Repair (Residential/ 1
PERMIT EXPIRES Monday, July 23, 2012
Permit Issued on Wednesday, January 25, 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
an the City of Federal Way.
Owner or agent: Date: A J Z10-
- , I&
CITY 000
Federal Way
THIS CARD IS TO MAIN ON -SITE
Construction I ection Record
INSPECTION REQUE TS: (253) 835 -3050
PERMIT #: 12- 100332 -00 -EL Address: g36 S 300TH ST
Project: JONI K DENNISON FlDERAL WAY, WA 98003 -3631
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.
E]
UFER Ground (4295)'
Ditch cover (4030)
Temporary Power (4275)
Slab /Concrete Floor (4255)
Approved
By
Approved
Approved to place concrete
By
Date
By
Date
By
Date
0
Pool Bonding (4195)
Temporary Power (4275)
Service (4235)
By
Approved
By
Approved
By
Approved
By
Date
By
Date
By
Date
0
0
E]
Feeders /Sub - panels (4045)
Rough Electrical (4225)
Ceiling Cover (4020)
Approved
Approved
Approved
By
Date
By
Date
By
Date
Final - Electrical (4055)
Approved
y Date — 2 7
El
Rough Electrical
Approved
Final Electrical
Approved
Right of Way
Approved
By
Date
By
Date
By
Date
(CC)
RECEIVED
I certify under penalty of perjury that I am the property owner or authorized agent of the property owner. I certify that to the best
of my knowledge, the information submitted in support of this permit application is true and correct. 1 certify that I will comply with
all applicable City of Federal Way regulations pertaining to the work authorized by the issuance of a permit. I understand that the
issuance of this permit does not remove the owner's responsibility for compliance with local, state, or federal laws regulating
construction or environmental laws.
I further agree to hold harmless the City of Federal Way as to any claim (including costs, expenses, and attorneys' fees incurred in
the investigation and defense of such claim), which may be made by any person, including the undersigned, and filed against the city,
but only where such claim arises out of the reliance of the city, including its officers and employees, upon the accuracy of the
information supplied to the city as apart of this applicon.
SIGNATURE:
PRINT NAME:
5
i' /
33325 8" Avenue South ♦ Federal Way ♦ WA ♦ 98003 -6325 ♦ 253- 835 -2607 ♦ fax: 253- 835 -2609 ♦ www.cityoffederalway.com
Bulletin #160 — January 1, 2011 Page 1 of 2 k: \Handouts \Electrical Permit Application
JAN 2 5 2012
* *Most electrical permits may be obtained on -line at www.cityo ed§ffilf
**
SITE ADDRESS:
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BCD
SUITE /UNIT /SPACE N
ASSESSOR'S TAX /PARCEL x
NT/PROPOSED, USE
PROJECT NAME
e
(Tenant or Homeowner Last Name)
m
r-r C
PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
SIMENNINEEMM
NAME
PRIMARY PHONE
PROPERTY OWNER
X3 a.
MAILING ADDRESS
E -MAIL
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CITY
STATE
ZIP
FAX
-
NAME
PRIMARY PHONE
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MAILING ADD S
E -MAIL
ELECTRICAL
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CONTRACTOR
CITY
STATE
ZIP
FAX
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WA STATE CONTRAC O 'S LICENSE 8
EXPIRATION DATE
FEDERAL WAY BUSINESS LICENSE X
-G45 o = L. 0
06 g el IX
NAME
PRIMARY PHONE
APPLICANT
MAILING ADDRESS
E -MAIL
CITY
STATE
I ZIP
FAX
PROJECT CONTACT
NAME
PRIMARY PHONE
( _
I certify under penalty of perjury that I am the property owner or authorized agent of the property owner. I certify that to the best
of my knowledge, the information submitted in support of this permit application is true and correct. 1 certify that I will comply with
all applicable City of Federal Way regulations pertaining to the work authorized by the issuance of a permit. I understand that the
issuance of this permit does not remove the owner's responsibility for compliance with local, state, or federal laws regulating
construction or environmental laws.
I further agree to hold harmless the City of Federal Way as to any claim (including costs, expenses, and attorneys' fees incurred in
the investigation and defense of such claim), which may be made by any person, including the undersigned, and filed against the city,
but only where such claim arises out of the reliance of the city, including its officers and employees, upon the accuracy of the
information supplied to the city as apart of this applicon.
SIGNATURE:
PRINT NAME:
5
i' /
33325 8" Avenue South ♦ Federal Way ♦ WA ♦ 98003 -6325 ♦ 253- 835 -2607 ♦ fax: 253- 835 -2609 ♦ www.cityoffederalway.com
Bulletin #160 — January 1, 2011 Page 1 of 2 k: \Handouts \Electrical Permit Application