16-104948Iv
City of Federal Way
Community Development Dept.
33325 8th Ave S
Federal Way, WA 98003
Ph: (253) 835-2607 Fax: (253) 836-2609
Project Name: FRED MEYER
Project Address: 33702 21ST AVE SW
Electrical
Permit #:16- 104948 -00 -EL
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Inspection Request Line: (253) 835 -3050
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Parcel Number: 930100 0010
Project Description: Add (1) 120V dedicated circuit to accommodate (2) receptacles for Swing Arm Lights
Owner
Applicant
Contractor
FRED MEYER INC
NICK PROVOSEA TAC ELECTRIC INC
SEA TAC ELECTRIC INC
PO BOX 42121
7056 S 220TH ST
SEATAE1077RW (12117(17)
PORTLAND OR 97242
KENT WA 98032
7056 S 220TH ST
KENT WA 98032
Additional Permit Information
Is this an Online or O.T.C. application ? .................. Yes
a
MZ
AN
Circuits - Commercial
PERMIT EXPIRES Wednesday, 11 October, 2017
Permit Issued on Tuesday, October 11, 2016
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: 1 \ ' ®� Date:
A-L E D
ern► of VA�,
Federal Way
PERMIT #: 16104948 00
THIS CARD IS TO REMAIN ON -SITE
Construction Inspection Record
INSPECTION REQUESTS: (253) 835 -3050
Address: 33702 21ST AVE SW
Project: FRED MEYER MC . FEDERAL WAY WA 98023 -7762
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.
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UFER Ground (4295)
0
Ditch cover (4030)
0
SbWConcrete Floor (4255)
0
Approved
Approved
Approved to place concrete
By
Date
By
Date
By
Date
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Pool Bonding (4195)
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Temporary Power (4275)
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Service (4235)
0
Approved
Approved
Approved
By
Date '
By
Date
By
Date
Final - Electrical (4055)
Approved
By - Date In 11V
13
Feeders/Sub- panels (4045)
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Rough Electrical (4225)
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Ceiling Cover (4020)
0
Approved
Approved
Approved
By
Date
By
Date
By
Date
Final - Electrical (4055)
Approved
By - Date In 11V
13
Rough Electrical
0
Final Electrical
0
Right of Way
Approval
Approved
1BY
Approved
By
Date
By
Date
Date