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13-101614 • • • Electrical City of Federal v.S Permit #: 13-101614-00-EL Community&Econ.Dev.Services 33325 8th Ave S Federal way,Wit 98003 Inspection Request Line: (253)835-3050 Ph:(253)835-2607 Fax:(253)835-2609 Project Name: WINCO FOODS Project Address: 160 SW CAMPUS DR Parcel Number: 415920 0710 Project Description: Disconnecting 2 checkstands and re-installing 6 u-checkstands Owner Applicant Contractor WINCO FOODS,INC WILLIAM BIRD SEA TAC ELECTRIC INC PO BOX 5756 SEA TAC ELECTRIC INC SEATAEI077RW (12/17/13) BOISE ID 83705 7056 S 220TH ST 7056 S 220TH ST KENT WA 98166 KENT WA 98032 Addition l 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. 5 PERMIT EXPIRES Wednesday, April 15 2015 Permit Issued on Monday,April 15, 2013 I hereby certify that the above in •rmationr= ••rr- - at th Construction on the above described property and the occupancy and the use , •4- in a ,' -, +111` q la rules and regulations of the State of Washington • •`i• r' of F • -ralWay. Owner or agent / �- - Date: l jam- 13 or, - THIS CARD IS TO ON-SITE , C OF 411/1 --1 . n • Construction In ecn'on Record Federal Way INSPECTION REQ TS: (253)835-3050 PERMIT#: 13-101614-00-EL Address: 160 SW CAMPUS DR Project: WINCO FOODS, INC 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) 0 Slab/Concrete Floor(4255) Approved Approved Approved to place concrete By Date By Date By Date El Pool Bonding(4195) 0 Temporary Power(4275) E Service(4235) Approved Approved Approved By Date By Date By Date 0 Feeders/Sub-panels(4045) . ❑ Rough Electrical(4225) El Ceiling Cover(4020) Approved Approved Approved By Date By Date By Date El . Final-Electrical(4055) Approved By �1 Date 4- V7f r.3 Rough Electrical Final Electrical Right of Way Approved Approved Approved By Date By Date By Date _ • RECEIVED E, ECG � RIcAL Federal Way APR 15 2013 PERMIT APPLICATION C7 OF FEDERAL PERMIT NUMBER _ Q /CD7 / _ 1/ ..- SITE ADDRESS: SUITE/UNIT/SPACE S //U Sw C.59-7•-es PROJECT VALUATION ASSESSOR'S TAX/PARCEL t CURRENT/PROPOSED USE PROJECT NAME (Tenant or Homeowner Last Name) J v / , c_v - e x,E-c ., — ,„„ , ,--- /A/S %ALL (7 ) Pa..' ,? /7oc .-S To St 4f C4' o-.)l Jl-NIf-x . PROJECT DESCRIPTION /A., r z_ ,...z z- 7";,-/E` de'?EM, �.wz , ?E - C-4--r-r.a,-' xx •q,rvo Iry Jr , j Detailed description of work to OF /k-/ e Se. .. L -v-rf I c--07-t. -S YS rE/i-s s /2=-,eir,,41 e_,. ,,--e) be included on this permit only 7f/r 7//-:-©4r z%-7 -v- r--,to,...)■�-Z .5 C a,P f_ e, w o f- /<, NAME PRIMARY PHONE PROPERTY OWNER kAI , Al L a ( ) - MAILING ADDRESS E-MAIL / 6 O 5 C.,-,..,P 0 �s'S CITY STATE ZIP FAX o<-�.4-2_ W 4-y 4 9�t7 v 3 ( ) - NAME PRIMARY PHONE o -E X.4- c "��--&r L / /.,t G. ( 2- 7 2 - 55 53 MAILING ADDRESS E-MA L ELECTRICAL 7 0 S r,, S. 2 2_c9 "1 S ; CONTRACTOR CITY STATE ZIP FAX %If... r IA)4 q 8,032 (7-5 ) a7Z- L/// Z WA STATE CONTRACTOR'S LICENSE♦ EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE e S/.�'4 T.i-c.z sue?7 ,,2 i✓ / Z/ " / //3 NAME PFneARY PHONE APPLICANT /4/.A./ `- V^-/D3 ( -1*- `(C2G" % 6 41,--) MAILING ADDRESS E-MAIL 5.. A4-$ Afs a.. CITY STATE ZIP FAX NAME ___ PRIMARY)PRIMARY PHONE PROJECT CONTACT ... ..s/I ../ %- v s cs�t (253 ) &&7- a-3,17 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: �=Z ` i,(Z -0-7 49-- DATE Vic/2° /3 PRINT NAME: AL N E-,, .-, ,., , S Bulletin#160—January 1,2013 Page 1 of 2 k:\Handouts\Electrical Permit Application