16-103014._ __
Annlicant
NICK PROVO
City of Federal Way
PO BOX 42121
Commiâ–ºnitti & Econ. Dev. Services
33325 8th Ave S
SEATAEI077RW (12/17/17)
Federal Way, WA 98003
FILE
Ph: (253) 835.2607 Fax: (253) 835 -2609
Project Name: FRED MEYER
Project Address: 33702 21ST AVE SW
Electrical
Permit #: 16- 103014 -00 -EL
Inspection Request Line: (253) 835 -3050
Parcel Number. 930100 0010
Project Description: PROVIDE AND INSTALL (1) 120V CIRCUIT FOR CORD DROP IN PRODUCE
SECTION NEAR THE FRUIT DRINK COOLER.
Owner
FRED MEYER INC
Annlicant
NICK PROVO
Contractor
SEA TAC ELECTRIC INC
PO BOX 42121
SEA TAC ELECTRIC INC
SEATAEI077RW (12/17/17)
PORTLAND OR 97242
7056 S 220TH ST
7056 S 220TH ST
KENT WA 98032
KENT WA 98032
Additional Permit Information
Electrical Work Valuation ? ........ ............................100
Is Use Educational or Institutional ? .......................No
Electrical Fixtures
Circuits - Commercial .................... 1
Is this an Online or O.T.C. application ? .................Yes
Service greater than 999 Amps? .............................No
PERMIT EXPIRES Thursday, June 22, 2017
Permit Issued on Wednesday, June 22, 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 'ty f ral Way.
Owner or agent: Date: IF
.,m e, V&
Federal Way
PERMIT #:
Project:
THIS CARD IS TO REMAIN ON -SITE -
Construction Inspection Record
INSPECTION REQUESTS: (253) 835-3050
16- 103014 -00-EL Address: 33702 21ST AVE SW
FRED MEYER INC 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.
Ground ( )
0
Ditch cover )
Temporary Power (4275)
Slab/Concrete Floor
Approved
Service (4235)
Approved
Approved
Approved to place concrete
By Date
By
Date
By
Date
El
Pool Bonding (4195)
Temporary Power (4275)
Final Electrical
Approved
Service (4235)
Right of Way
Approved
Approved
Date
Approved
By
Date
Approved
By
Date
By
Date
By
Date
0
Feeders/Sub- panels (4045)
Rough Electrical (4225)
Ceiling Cover (4020)
Approved
Approved
Approved
By
Date
By
Date
By
Date
Final - Electrical (4055)
Approved
By rA
Date
El
Rough Electrical
Approved
Final Electrical
Approved
Right of Way
Approved
By
Date
By
Date
By
Date