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12-103914 4- . CITY OF 1pm� — . L — f' Fes'@ice ELECTRIC A L AUG 2 3 2012 PERMIT APPLICATION r **4/e... •lectrical Iermits ma be obtained on-lire at www.ci oyederalwa . am` * enc PROPERTY INFORMpATION SITE ADDRESS: Lf 14 3. 3 "P,-E' >'-f �r ket2 I W �l,'i WA E i s. 3 dUITE/UNIT/SPACE/ AseuramOR'e TAX/PARCEL A CURL NT ••OPoem)usz PROJECT INFORIVX,�I,,TION ji__ PROJECT NAME p �J , (2�rtant or Homeowner Last Name) ► 0 VOln�a� p F r II ------ PROJECT DESCRIPTION * �, V Detailed deucription of work to '� l \ ✓ I I be Aiclttded on this permit only Q n in.)i ck 1 I i'Aceh t l ici '{'(a h S if e Y 5 i La-7.- }n PEOPLE NAME ` { PRE •Y PHONE AD PROPERTY OWNER ZO e.Y V O ►1 ` 'Y i- )9(2S� 33-56. MAfl.tNo REBS HN 5. 376, 4 .S-i ., G;'rr 6TA'IjE ZIP F'�,, PAX _ Feje✓C.1_I IA)&X w W003 ( - (>© Eket+vii L MORE (2s 2C.," -6;111 MAILING ADIMutsa ELECTRICAL 1-4_22., (l. Lex/.1 1 �, ,rtAti CONTRACTOR crrr t 3 T• i d j e o- (I zaZe led r c.c vIM STA FAlC G �Tacor>1cL w ZIP (ZS.�i26 - ?Olg. WA STATE CONTRACTOR'S LICENSE I EXPIRATION DA''E PEDERAI•WAY;UBINERS LICENSE Y 602El.CL Ici JA bei / I /4136-1i;-,101 , 3.-00_ ,L NAME PRIX • PHONE APPLICANT Go 2 Ie C- y LLC ( - MAEANO ADDRESS E-MAIL CITY 6TAT8 ZIP FAX ( - PROJECT CONTACT NAME D I ' ' PHONE O-v\ • C-V dlev Ne l vv\ f (253' Er - 14 ( 3 . l I Cert�Iunder penalty of perjury that I am the property owner or authorise l�agent of the property owner,I call t at to the best of my knowledge, the information submitted in support of this permit appllcat t1 is true and correct.I cert thin I eat I comply with all applicable City of Federal Way regulations pertaining to the work authorised by the issuance f a permit.I to den tend that the isswanm ee of this permit does not remove the owner's responsibility,for Compliance with local, ate, or Jeder 1 la•s regulating construction or environmental laws. I further agree to hold harmless the City of Federal Way as to any claim(ineluding costs, ,and ermine a'fe, incurred in the investigation and defense of such claim),which may be made by any person including the u lgnsd,and./11. ,„Inst the City but only where such claim arises out of the rtliance of the cull, including ts officers and emplayeea, upon ti • curacy of the irybrmation supplcity as apart , this application. I i i q SIGNATirRE; � DATE t7--•2. 4 I Z- PRINT NAME: 1 I 1 I 33325 8th Avenue South♦Federal Way•WA♦98003-6325♦253.835-2607♦fns;253-835-2609 r www,cityoffedernlwa .tom Bulletin#160—January 1,2011 Pane I oft I k; andouts\Elcdrical 'emit Application 1 I T00 21 Xtid TO:CT ZTOZiti;Zi80 I L " RESIDENTIAL COMMERCIAL r NEW SINGLE FAMILY RESIDENCE j NEW COMMERCIAL Total Square Feet 1'"Serv(ce (including Attached garage); 0- 100 p x$1'2.50 Feeder >ri Feeders FEES: First 1300 ft2-$122,00: 101 - 200 amp x$164.00 _� $103,50 Each additional 500 ft2-$29.00 201 400 arttp x$SU+7.00 $121.00 NEW MULTIFAMILY (3 units or mare) 401 - 600 atop X$358.00 !8143.50 i 2!t Service/Feeder Additional Feeders 601- 600 Arno x$46,3.00 _ i $196.00 0- 200 amp x $132.50 x $ 39.00 1 I ; 801- 1000 amp x$566.00 v$236.50 201 -400 amp x $164.00 x 8 90.50 Over 1000 ally x$616.00 $328.50 401 -600 amp x 8224.00 x $111.50 601 800 amp x $287.00 x $163.60 Over 600 voltii surcharge J $103.50 Over 800 amp x $410.50 x 8307.00 i � ALTERED SINGLE or MULTI FAMILY ALTERED CbMMERCILAL, l• Serutee/Feeder 1,.'Barone%!eerier 1Kddi 'nal FeederA 0- 200 amp J__x $101.00 0- 200 atop x$132.50 - x$103.50 201 -600 amp x $164.00 201- 600 a.rryp x$307.00 ,,x$121.00 Over 600 amp x $246.50 601 - 1000 any x$463.00 4 x$196.00 Over 1000 artip ,x$511.50 •1 x$328.50 Added or Altered Circuits j l 1-4 circuits$50.50;each additional$8.00 Added or Aite}-ed Cireuit5 1-5 circuits$103.50;each additio $8.00 j Mast or meter repair $60.50 Mast or meter;repair $111.50 MANUFACTURED HOMES 1 PLAN RENEW FEE1 Service or feeder only x $ 80.50 Plan Review rcyuired only for: Service and feeder x $132,50 • New,or alteration to.service of 1,000 amf(s or,, eater • Medical/Educational/InstitUtlonal Facilit}` $103.50 plus 15%of Permit Fee i (Permit Fee x 35%= I+$103,50•!plan 'eview Fee) Plan review kor modified submi�itals $1 15.50/hour J 1 .I--I MISCELLANEOUS SERVICE/EQUIPMEN'C LOW VOLTAGE TEMPORARY SERVICE Cl lure Alarm system 1,L Service/Feecler Additt�nal. eeders ❑ Security Alarm Sytitem ❑ Voice/Data Cabling 0- 60 amp x $ 71.00 l_x it 32.00 f� Other 61- 100 asap( x 8 8050 _L x ti 20.00 Area to be served by system: 1•'2.500 ft1-$71.00:each additional 2,500 fta-618.50 101 200 amp x $103. 0 x tt 51.00 201-400 amp x $121.00 4_x r. 60.50 #of Thermostats 401-600 amp i x $164.00 x .. 80.50 First$60.50;each additional$18.50 I - Over(300 amp i x $184.50 __x 92.00 FEE CALCULATIONS Yard Polo/meter loops/pedestal x$ 80.50 • Fees are determined by the cope of work a in•lr ated, Portable generator(transfer equipment) x$101.00 • A$$,001Automauon Fee will be added to f 11 pc7nits. Ditch cover/inspection only x$121.00 • For assistance in calculating fees or comp e the application form.contact the,Permit Cents r at 253.83-2607 333258th Avenue South♦Federal Way♦WA♦98003-6325•253-535-2607'♦fax:253.835.2609•awww.ciryaffedcr way'com Bulletin#160-January 1.2011 Page 2 of 2 1 k:U4andouts\Elec1 'cal crmit Application j I. ZOO 2] YVd TO:CT ZTOZ/EZ/S0