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16-105934 • Electrical City or Federal Way Permit #:16-105934-00-EL Community Devdopment 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: HOLDEN Project Address: 611 S 305TH ST Parcel Number: 104250 0110 Project Description: Replace 100 amp main panel Owner Applicant Contractor DAVID CROSSEN HI VOLTS ELECTRIC LLC HI VOLTS ELECTRIC LLC 611 S 305TH ST 2216 SW 332ND ST HIVOLVE884KN (5/15/18) FEDERAL WAY WA 980034021 FEDERAL WAY WA 98023 2216 SW 332ND ST FEDERAL WAY WA 98023 Additional Permit Information Is this an Online or O.T.C.application? Yes "ii�E z.. °�": ``>' ,:, ,„ €,.; E�- .'.f: `>., �" ,., ni' ,.� a ,� �s�.,�r`•,d .�,€tk'(I„ �.Ek �� x.€E,��, . ��€� Alt.Serv./Feeder:0 to 200 aml 1 PERMIT EXPIRES Friday, 15 December,2017 Permit Issued on Thursday,December 15,2016 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 W shington and the City of Federal Way. Owner or agent: , Date: 71,4. ka\e■_1.-Q ....,. THIS CARD IS TO REMAIN ON-SITE ern as 4�w Construction Inspection Record Federal INSPECTION REQUESTS:(253)835-3050 PERMIT#: 16 105934 00 Address: 611 S 305TH ST Project: DAVID L CROSSEN FEDERAL WAY WA 98003-4021 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 Ditch cover(4030) 1 El Service(4235) © Feeders/Sub-panels(4045) Approved Approved Approved By Date I By Date , By Date El Rough Elechrical(4225) Final-Electrical(4055) Approved Approved By Date By Date • 0 Rough Electrical 0 Final Electrical 0 Right of Way Approved Approved Approved By Date By Date By Date „„A... RECEIVED ELECTRICAL CDT OF Federal Way PERMIT APPLICATION DEC 15 2016 CITY OF FEDERAL W / / ' / CDS WAY NUMBER / `C _ / D I 3 1_f _ 0 6 • o J �� SUITE/UNIT/SPACE# SITE ADDRESS: s • ( SOS �� S PROJECT VALUATION ASSESSOR'S TAX/PARCEL# CURRENT/PROPOSED USE $ I Yoo :2 - - PROJECT NAME (Tenant or Homeowner Last Name) Re Ace doo awt p ►etaivi e/4-6( PROJECT DESCRIPTION Detailed description of work to be included on this permit only NAME PRIMARY PHONE PROPERTY OWNER k a fe WO tcLv (906 ) 3 a3- a`-1 6S/ ■MAILING ADDRESS E-MAIL CO 5 ?oS-6I,. S-(-- CITY i STATE ZIP FAX redeY mil`/ 1064. ( ) - NAME - PRIMARY PHONE [-�i V 016 eCY 1C L.L ._ (96 ) &Si--7it MAILING ADDRESS E- L ELECTRICAL a ZZr.6 sc.) -3Z n1 f- 1 hiv,t� . Y« -L-1 ), -tcrl CONTRACTOR CITY yr�I` Q�l`r` STATE ZIP 3 FAX WA CONTRACTOR'S'S LICENSE# CI-K0 TI N DATE FEDERAL WAY BUSINESS LICENSE# V0 L_/Eg$'1kktl d5/1 z /fK E PRIMARY PHONE APPLICANT Cap 45 � (2O6 )05/- ft6 LING ADDRESS E-MAIL ZZ16 Su.) 3d S+- CITY STATE ZIP FAX �e�t L�ct y' cdt/I- i r L3 ( ) - N E PRIMARY PHONE PROJECT CONTACT G dos One-l;eov. (3 ) $,5./ --7 is-6 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 supplie• the ci a part of this application. r SIGNATURE: DATE /Z(6/676 PRINT NAME: tL ✓ Z `-`=VeZC4 Bulletin#160—April 14,2016 Page 1 of 1 k:\Handouts\Electrical Permit Application