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FILE
Ph:ComFmedun333B25E�8thnw'ADAeewvSSooices09 Permit #: 15-103417-00-EL
Inspection Request Line: (253)835-3050
Project Name: WASHINGTON PARK
Project Address: 33801 1ST WAY S Suite 231 Parcel Number: 926504 0160
Project Description: Add(1) 120V 15A Duplex Receptacle for wall monitor
Owner Applicant Contractor
JOHN E NIEMEYER JERRY ASBJORNSEN MADSEN ELECTRIC
15 82ND DR UNIT 210 MADSEN ELECTRIC MADSEE*140P8(4/30/16)
GLADSTONE OR 97027' 3939 S ORCHARD ST S 28TH S 3939 S ORCHARD ST
TACOMA WA 98409 TACOMA WA 98466
•
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 Monday, January 18, 2016
Permit Issued on Wednesday, July 22, 2015
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 Washington
and the City of Federal Way.
Owner or agent: �' Date:
• THIS CARD IS TO IN ON-SITE
CITY OF Construction In ection Record
Federal Way INSPECTION REQUE TS: (253)835-3050
PERMIT#: 15-103417-00-EL Address: 33801 1ST WAY S Suite 231
Project: JOHN E NIEMEYER 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.
0 UFER Ground (4295) ❑ Ditch cover(4030) El Slab/Concrete Floor(4255)
Approved Approved Approved to place concrete
By Date By Date By Date
. .
0 Pool Bonding(4195) 0 Temporary Power(4275) 0 Service(4235)
Approved Approved Approved
By Date By Date By Date
❑ Feeders/Sub-panels(4045) El Rough Electrical(4225) ❑ Ceiling Cover(4020)
Approved Approved Approved
By Date By Date By Date
❑ Final-Electrical(4055)
Approved I
By 4 Date (2141 I i s--
El
El Rough Electrical Final Electrical Right of Way
Approved Approved Approved
By Date By Date By Date