15-100845 Feb 23 15 04:56p Wright Electric Inc. 2062462199 r,
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ELECTRICAL
CITY OF E .
Federal Way FEB 24`2015 PERMIT APPLICATION
PER-Nur NUMBER 1 c 1 0 64YRF!AL fWA
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VALUATION A9 O�'S TAX/PARCELN 3 2_ 0 - ' CURRENT/PROPOSED USE
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PROJECT NAME pspl y �
(Tenartt or Homeowner ,7,1.Name)
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PROJECT DESCRIPTION —— -- _------ ------
Detailed description of work to
be included on this permit only
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NAME �/ �..JJ N(��'�-n PRIMARY PHONE
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PROPERTY OWNER - l),/),--,> SA-'JS)•1 p Q "� 206)$q$ 756 Z_a-s • cof= w IrAlkS o23 ( ) P
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NAME PRIMARY PHONE
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MAILING ADDRESS "An' Ykrt-oO,
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CONTRACTOR STATE I ZIP FAX
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WA STATE CONTRACTOR'S LICENSE• EXPIRATION DATE FEDERAL WAY BUSINESS LIC&NEE e
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APPLICANT MAILDYG ADDRESS -
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CITY STATE I ZIPFAX
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AME PRIMARY PHONE
PROJECT CONTACT
I certify under penalty of perjury that I ant the property owner or authorized agent of the property owner. I certify that to the best 7
of my knawtedge, 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 compttance with Iona/, state, or federal laws regulating
construction or environmental laws.
I further agree to hold harmless the City of Federal Way as Co 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.
bat only where such chili arises out of the reliance of the city, inctuding its officers and employees, upon the accuracy of the
information supp 1 d to the ity a part of this application.
SIGNA 1' RE: �" I
U - -- (� DATE —
PRINT NAME: —_ b w p--3i(��T-
FtullelIn#160-January 1,2013 Page 1 of 2 k:\Handouts\Electrical Permit Application
k4111 , . El'ectrical
City of FederalPermit #: 15-100845-00-EL
Community&Econ.con.Dev.v.Services
33325 8th Ave S
Federal way,WA saoos
Ph:(253)835-2607 Fax:(253)835-2609 Inspection Request Line: (253)835-3050
Project Name: PEDERSEN '37(141�
Project Address: 29874 MARINE VIEW DR SW Parcel Number: 515320 0150
Project Description: 200 AMP SERVICE UPGRADE
Owner Applicant Contractor
ERIK PEDERSEN DAN WRIGHT WRIGHT ELECTRIC INC
SANDY PEDERSEN WRIGHT ELECTRIC INC WRIGHEI022CW(2/16/16)
29874 MARINE VIEW DR SW 11520 29TH AVE SW 11520 29TH AVE SW
FEDERAL WAY WA 98023 BURIEN WA 98146 BURIEN WA 98146
•
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
Alt.Serv./Feeder:0 to 200 amps(F 1
PERMIT EXPIRES Wednesday, August 26, 2015
Permit Issued on Friday, February 27, 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
dt
erl Way.
Owner or agent
Date:
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Inns}r,1 C4ts4 'VUtn Us4e.,
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THIS CARD IS TO MAIN ON-SITE '
CITY of 1�wM1� .: _
struction I ection Record
Federal Wa • Con •
INSPECTION REQUE TS: (253)835-3050
PERMIT#: 15-100845-00-EL Address: 29874 MARINE VIEW DR SW
Project: ERIK PEDERSEN FEDERAL WAY, WA 98023-3436
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) CI Ditch cover(4030) 0 Slab/Concrete Floor(4255)
Approved Approved Approved to place concrete
By Date By Date By Date
0 Pool Bonding(4195) ❑ Temporary Power(4275) 0 Service(4235)
Approved Approved Approved
By Date By Date By Date
0
0 Feeders/Sub-panels(4045) ❑ Rough Electrical(4225) 0 Ceiling Cover(4020)
Approved Approved Approved
By Date By Date By Date
u Final-Electrical(4055)
Approved
By WO, Date 5.1 l5' (I 5—
* ?COM;1- NM* oh Cat Pri- Tire Of t kstu a-i rw .
D Rough Electrical D Final Electrical El Right of Way
Approved Approved Approved
By Date By Date By Date