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13-102180 Elctrial Community of Federal�W Ser,i Permit #: 13-102180-00-EL 33325 8th Ave S [-_ . Federal Way,WA 98003 wy _ Request Line: Ph:(253)835-2807 Fax:(253)835-2609 Inspection Re q ues (253)8354050 Project Name: WINCO FOODS Project Address: 160 SW CAMPUS DR Parcel Number. 415920 0710 Project Description: Adding/altering(1)circuit for new sign installation , Owner Applicant Contractor ATIN:TAX DEPARTMENT SEA-TAC ELECTRIC INC SEA-TAC ELECTRIC INC PO BOX 5756 7056 S 220TH ST SEATAEI077RW(12/17/13) BOISE,ID 83705 KENT WA 98032 7056 S 220TH ST KENT WA 98032 Additional Permit Information Is this an Online or O.T.C.application? Yes Is Use Educational or Institutional? No Service greater than 999 Amps? No Electrical Fixtures Circuits-Commercial 1 PERMIT EXPIRES Tuesday, November 12, 2013 Permit Issued on Thursday, May 16, 2013 Ili I hereby certify that the above inf 1 mation is correct and that the construction on the above described property and the occupancy and the use will ,- accordance with the laws, rules and regulations of the State of Washington and the City of F�•eral Way. Owner or agent ter!" L Date: �/6 PI A/44 ' 40 • THIS CARD IS TO MAIN ON-SITE r ► CITY OF Construction In ection Record Federal Way INSPECTION REQ TS: (253)835-3050 PERMIT#: 13-102180-00-EL Address: 160 SW CAMPUS DR Project: ATTN: TAX DEPARTMENT FEDERAL WAY, WA 98023 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. El UFER Ground (4295) "El Ditch cover(4030) "El Slab/Concrete Floor(4255) Approved Approved Approved to place concrete By Date By Date By Date El Pool Bonding(4195) 0 Temporary Power(4275) El Service(4235) Approved Approved Approved By Date By Date By Date 0 Feeders/Sub-panels(4045) ,0 Rough Electrical(4225) El Ceiling Cover(4020) ' Approved Approved Approved By Date By Date By Date Vii final-Electrical(4055) Approved. 11 •: Date OP El Rough Electrical Final Electrical Right of Way Approved Approved Approved By Date By Date By Date t ' A r EfRECTRICAL OF CM Federal Way PERMIT APRp CcAATTI�ON R��E�V�'" PERMIT NUMBER I _ 1 0 2 I ?0 _ 00 MAY 1 6 2013 SUITE/ SPACE I BITE ADDRESS: PROJECT VALUATION ASSESSOR'S TAR/PARC a CURRENT/PROPOSED USE - PROJECT NAME ( O (Tenant or Homeowner Last Name) '' C-- S r O ,i e w ::::/?.._ C. ,JNc cr ( r ) Na w S i y N )-'� l 2C9 , G Awr T T . _ PROJECT DESCRIPTION Detailed description of work to be included on this permit only NAME PRIMARY PHONE PROPERTY OWNER /1,/.l / .., t ., Lj i/ -5 ( ) - MAILING ADDRESS E-MAIL SA/ 2 ti-s 5/r z: - CITY STATE ZIP FAX Zc o 5r w ,_ x/ 4 v /`1E �' U 2 t ( ) - NAME PRIMARY PHONE _ Sk...F- --77,7-c "f- - ,-z, ci / n/ c_. (2.6 3)1 7 Z- 5-5"?...— MAILING ADDRESS E-MAIL ELECTRICAL -7,-- ---c, S. 2 - , r:r ... CONTRACTOR cITY STATE ZIP FAX Ki•..-P— �.,..E S e'n 3 '2_ ( ZS3 ) 2 7-- -1 r" Z WA STATE CONTRACTOR'S LICENSE s EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE I .S I'-47-i-Z.=07"7 r • 12 2 1 / / 3 7rcJ• c 1 - /cJ576-PrvBi.. NAME PRIMARY PHONE APPLICANT f rr.., '�.O "' S (2d G) `1 o6 - 1(o -yC MAILING ADDRESS E-MAIL 5Ar.-, f A S ( ,,,, .' h -.92 CITY STATE ZIP FAX ( ) - PROJECT CONTACT NAME PRIMARY PHONE 7D... g r/ .., ,'C- $ s L (._ (2 ) 867 - 2.3.57 I certify under penalty of perjury that I am the property owner or authorised 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.I 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 a part of this application. SIGNATURE: /-1,.._ DATE //G/,.o r 5 PRINT NAME: /4/v 4r7 ✓../p Bulletin#160-January 1,2013 Page 1 of 2 k:\Handouts\Electrical Permit Application