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13-103695 • • • •Electrical City &Federal Way Permit #: 13-103695-00-E L CommunityEcon.Dev.Services 33325 8th Ave S FILE Federal Way,WA 98003 Ins ection Re t Line: (253)835-3050 Ph:(253)835-2607 Fax:(253)835-2609 Project Name: S 356TH ST REGIONAL STORMWATER FACILITY RETROFIT p Q \,°'1 Project Address: Parcel Number: CITY WIDE Project Description: Install 350'-2 " (empty)conduit in trench for future wiring Owner Applicant Contractor THOMPSON ELECTRICAL CONSTRUCTORS THOMPSON ELECTRICAL INC CONSTRUCTORS INC PO BOX 45260 THOMPECO08CW(2/16/14) TACOMA WA 98445 PO BOX 45260 TACOMA WA 98445 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 Low Voltage-Other(Commercial 1 PERMIT EXPIRES Monday, February 17, 2014 Permit Issued on Wednesday, August 21, 2013 I hereby certify that the above information is correct and that the construction on the above described property and the occupancy and the se will be in accordance with the laws, rules and regulations of the State of Washington an'/. e City of Federal Way. Owner or agent: ,( _� �' Date: `2'r -c:0•2CAZ 0 'HIS CARD IS TO MAIN ON-SITE ..CITY OF .� - A Construction In ection Record Federal Way INSPECTION REQUE TS: (253) 835-3050 PERMIT#: Address: Project: 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. Prior to scheduling a Framing inspection; 0 Electrical,Plumbing&Mechanical Rough-in and Fire/Draft Stop inspections must be signed-off and approved. IBC 1093.4 By ��-- Date c. 2 it -1-3 El Rough Electrical Final Electrical Right of Way Approved Approved Approved By Date By Date By Date Orn CITY OF ELECTRICAL Federal Way PERMIT APPLICATION RECEIVED PERMIT NUMBER / _ 1 0 ( t J \-.�'_ o AUG 21 2013 -~ Ia2ful�n4PALV#WAY SITE ADDRESS: ork356--a .� PaLy t � -14 w CDS PROJECT VALUATION ASSESSOR'S TAX/PARCEL# CURRENT/PROPOSED USE $ , ,Z ,o _ C y— - 1A) PROJECT NAME //� i p (Tenant or Homeowner Last Name) 36CSJ f- ASO iJ cr/S'forriaie e r d t v Aero /4S74x/`ny 3ô' -- Z;r Ce 'GaircYvfl`' 2,7 7`retre Xi PROJECT DESCRIPTION r Ca/u r e- /J1 c7 y Detailed description of work to be included on this permit only NAME PRIMARY PHONE PROPERTY OWNERe /1 o/ p,4�-�,,7 �Q e�/ (z53)g 3S- 7Oo MAILING CRESS `J E-MAIL "33 3 Z -7 CITY STATE ZIP FAX (-LP r cam( a l c� TFCo 3 ( ) NAME1 (�1 PRIMARY PHONE 1jlrn arl lsE I�ars c c � `3 St V f S (0S3153 - ©�l�g MAILING ADDRESS E-MAIL ELECTRICAL PLO ad?c Z.G. Ci y'e-t aropscGo rucfu .cvryt CONTRACTOR CITY STATE ZIP FAX r+•cti t,JA- `1'` c'4 Fs- (2_53);539 - 0/01 WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE# TNaAiP,E(' 00 FsC W 2 /2_Y //4 01-I029i,I -Cc aL NAME PRIMARY PHONE APPLICANT 0/1,E AS 4 CV Z. ( ) - MAILING ADDRESS E-MAIL CITY STATE ZIP FAX ( ) NAME PRIMARY PHONE PROJECT CONTACT 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: ? A1 DATE e?—c7?-1—2C/4i PRINT NAME: < id /1 c TA M yS ds'1 Bulletin#160-January 1,2013 Page 1 of 2 k:\Handouts\Electrical Permit Application