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16-105413
. i t 1 • „w 4 Electrical City ar l Way I Permit #:16-105413-00-EL Community Development Dept. 33325 8th Ave S Federal Way,WA 98003 Inspection Request Line: (253)835-3050 Ph:(253)835-2607 Fax:(253)835-2609 Project Name: BELMOR MOBILE HOME PARK SPACE 2051% Project Address: 2101 S 324TH ST Parcel Number: 162104 9037 Project Description: Relocate existing pedestal Owner Applicant Contractor BELMOR MOBILE HOME PARK LP COPPER CREEK ELECTRIC INC COPPER CREEK ELECTRIC INC 2101 S 324TH ST PO BOX 1773 COPPECE984KP(5/18/18) FEDERAL WAY WA 98003 ORTING WA 98360 PO BOX 1773 ORTING WA 98360 Additional Permit Information Is this an Online or O.T.C.application's Yes Mast or Meter Repair(Resider, 1 PERMIT EXPIRES Friday, 10 November,2017 Permit Issued on Thursday,November 10,2016 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 iW'ashingtonn and the City of Federal Way. Owner or agent: '1� A Et"N�/�r COUL1 Date: t A 04 c 9 N.(01– l L OA)LI NL`—i A 'UCH o 1V AIr�i 11■1 9 o E/N 114E Q THIS CARD IS TO REMAIN ON-SITE 40014 Federal W Construction Inspection Record INSPECTION REQUESTS:(253)835-3050 PERMIT#: 16 105413 00 Address: 2101 S 324TH ST Space 205 Project: BELMOR MOBILE HOME PARK LP FEDERAL WAY WA 98003 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. in Slab/Concrete Floor(4255) © Final-Electrical(4055) Approved to place concrete Approved By Date BY:rrS Date l—I )— k 0 Rough Electrical Final Electrical Right of Way Approved Approved Approved By Date By Date • By Date RECEIVED Nov 10 2016 ELECTRICAL CITY OF Federal Way Cm OF FEDERAL WAY PERMIT APPLICATION CDS Co�(lob' l � v PERMIT NUMBER - UITZ/UNIT�/SPACE it SITE ADDRESS: 210\ : 2L/ Si' G-r✓ PROJECT VALUATION ASSESSOR'S TAX/PARCEL A CURRENT/PROPOSED USE $ 750 c 6 ? i 0^ ( - ctt) 3 `7 PROJECT NAME q dr.J✓<,(Tenantor Homeowner Last Name) PROJECT DESCRIPTION 1,0‘,7),,tam( `Qeci `" . Detailed description of work to . be included on this permit only NAmE PRIMARY PHONE PROPERTY OWNER Qp\ (053 67g- 15517 MAILING ADDRESS E-MAIL -101 S 32L44 '' STATE ZIP t✓ Wok l>t. '2'CO3 ( ) FAX Vei c NAmE � e& c 'UM- ( ) 8 lg I MAILING ADDRESS _ ELECTRICAL ITTL � 177 Pl i ^ CONTRACTOR STATE zIr t � FAX 0rAln (30)876-LIZ32. WA STA NTRACTOR'S LICEN E S EX IRATION DATE FEDERAL WAY BUSINESS LICENSE C LIKV e /IA APPLICANT NAasE F-6,i (2. 6(Q I MAU,ING ADDRESS E-MAIL 91, C5X I-273 e , 0 � '1%15 060)204-y2.5 • PROJECT CONTACT EAME (2 53) 7 D c17 1 certyj 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 flied 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 apart of this application. . �jry■ SIGNATUREi DATE I I I 11 0 1 C J PRINT NAME: a .eef PERMIT CENTER+33325 80,Avenue South+Federal Way,WA 98003-6325 253-835-2607+FAX 253-835-2609+pennitcenterityoffederalway.com Bulletin#.160—April 14,2016 Page 1 of 1 k:U-landoutslElectrical Permit App lication