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14-101627 • t Electrical City Comm &Federal v.SServices Permit #.: 14-101627-00-EL 33325 8th Ave S Federal t 98003 Inspection Request Line: (253)835-3050 Ph:(253)835-2607 07 Faxax:(253)835-2609 Inspection J Project Name: LAKOTA SEWAGE TREATMENT Project Address: 3203 SW DASH POINT RD Parcel Number. 122103 9105 Project Description: Installation of conduit,control panel and wiring to add controls for the aeration basin air controls. Owner Applicant Contractor LAKEHAVEN UTILITY DISTRICT LAKEHAVEN UTILITY DISTRICT OWNER IS CONTRACTOR PO BOX 4249 PO BOX 4249 FEDERAL WAY WA 98063 FEDERAL WAY WA 98063 • 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, October 7, 2014 Permit Issued on Thursday,April 10, 2014 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 i acco -ante with the laws, rules and regulations of the State of Washington laid he Cii,# ederal Way. Owner or agent: WJt#11 - � Date: 41`/S 74f _........,,&, . • THIS CARD IS TO MAIN ON-SITE CITY OF Construction In ection Record FederaWay INSPECTION REQ TS: (253)835-3050 PERMIT#: 14-101627-00-EL Address: 3203 SW DASH POINT RD Project: LAKEHAVEN UTILITY DISTRICT FEDERAL WAY, WA 98023-2340 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 LIFER Ground (4295) 0 Ditch cover(4030) - 0 Slab/Concrete Floor(4255) Approved Approved Approved to place concrete By Date By Date By Date • • 0 Pool Bonding(4195) 0 Temporary Power(4275) El Service(4235) Approved Approved Approved By Date By Date By Date • 0 Feeders/Sub-panels(4045) El Rough Electrical(4225) ❑ Ceiling Cover(4020) Approved Approved Approved By Date By Date By Date El Final-Electrical(4055) Approved Date ri_30_ (el, El Rough Electrical Final Electrical Right of Way Approved Approved Approved By Date By Date By Date CITY OF APR 1 0 2014 EL CTRItAL Federal Way OF FEDERAL WAY PERMIT APPLICATION CDS PERMIT NUMBER / q — / 6 / 6 471 7 _ J r c �� 3 6"l ^ / ,,,,,,/-- ,n� SUITE/UNIT/SPACE#SITE ADDRESS: /U` ' ��'�✓ /6/" U/ 1 PROJECT VALUATION ASSESSOR'S TAX/PARCEL# ,<' CURRENT/PROPOSED USE $ 4-,s tQ ' / tea / 0 3 - ci / PROJECT NAME (Tenant or Homeowner Last Name) �' \V.Q4 l_Ok'\ V1 ,ti skv M_\‘‘ e,....tek ek am. l cx.`,` r(. _ oA S Lt r e5k,�c , .,tiV0a pcto e C& C.j 'A C PROJECT DESCRIPTION a. (-00 L lkf"0 t S VA \A e Ike tr' t C'�.1 (J Detailed des tion o work to`rIp f tc.11Ck S(<r CO-. r e9vtikietkS be included on this permit only NAME PRIMARY PHONE _ PROPERTY OWNER � `F-e c9 U k i �c��U f 5\n'G� R S3)q'46-<444 MAILING ADDRESS f n L `��y\&c e, Q s c6,9 6Skhka tTVJ� 4a& v(r,a ,c9ti CITY STATE ZIP FAX re&eV .k` (�4( C(C 2C ?3 ( ) _ NAME _._. - - �. PRIMARY PHONE -- MAILING ADDRESS E-MAIL ELECTRICAL CONTRACTOR CITY STATE ZIP FAX WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE S / / N PRIMARY PHONE_ APPLICANT 0. \;'•e.Sa 6.. RS )g4Fj- c444 MAILING ADDRESS 6% S CVS�V©wA� 8 �� � CITY STATE ZIP FAX 3c tu A I - ( ) - 1 N PRIMARY PHONE _ PROJECT CONTACT Ncax_- ,�[ r„ A 6�,\ R 94b- s-44,4 I certify under penalty of perjury that I am the property owner or authorized 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: � �i///®/ DATE' t .. - ik r PRINT NAME: 4 M Ct. VA0k,k6a Bulletin#160-January 1,2013 Page 1 of 2 k:\Handouts\Electrical Permit Application