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13-102492 • Electrical City &Econ.al De . y S Permit #: 13-102492-00-EL_, Community&Econ.Dev.Services 33325 8th Ave S Federal Way,WA 98003 Inspection Request Line: (253)835-3050 Ph:(253)835 2807 Fax (253)835 2609 Project Name: CENTURY LINK FTTN SITE Project Address: SW 296TH ST Parcel Number: Project Description: Installing underground raceways,ground grid,100 amp 120/240V service and 2-15 amp circuits for duplex receptacles in communications cabinet. **Work is on SW 296th St between 9th& 10th Ave SW. ** • Owner Applicant Contractor QWEST(KENT) THOMPSON ELECTRICAL CONSTRUCTORS THOMPSON ELECTRICAL 23315 66th Ave S INC CONSTRUCTORS INC PO BOX 45260 THOMPECOO8CW(2/16/14) KENT WA 98032 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 Circuits-CommerciaL 2 New Service:0- 100 amps(Comm 1 PERMIT EXPIRES Tuesday, December 3, 2013 Permit Issued on Thursday,June 6, 2013 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: G/G f/3 ` 'THIS CARD IS TO MAIN ON-SITE , cm Construction In ection Record Federal Way INSPECTION REQU TS: (253)835-3050 PERMIT#: 13-102492-00-EL Address: SW 296TH ST Project: QWEST (KENT) , 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. o Ditch cover(4030) - 0 Service(4235) El Feeders/Sub-panels(4045) Approved Approved Approved .B --\-----> —� Date 1. 6— 7_/ By n C„ , Date L—1—1 ,� By Date ❑ Rough Electrical(4225) CI Ceiling Cover(4020) El Final-Electrical(4055) Approved Approved Approved By Date By Date Bye J Date c_17_t 0 Rough ElectricalEl Final Electrical Right of Way Approved Approved Approved By Date By Date By Date • RECEIVED s E&CTRICAL CITY Of 06 2013 Federal Way PERMIT APPLICATION CITY OF FEDERAL WAY CDS PERMIT NUMBER_13 _ "Lig_ c/ - zic) 9/5` s'w GIN 5772-4 G — C- i""'o o) SUITE/UNIT/SPACE# SITE ADDRESS: 7 J , OA) �2 oc v J� �2cati OF q 2-1 Sw z. .5 0(-i PROJECT VALUATION ASSESSOR'S TAX/PARCEL# CURRENT/PROPOSED USE $ .300D.00 — PROJECT NAME (Tenant or Homeowner Last Name) CEJ")T-z) LI/O k fTnJ UN V.ne), 'o )i9 v.S� lri7U✓z)1 0, PROJECT DESCRIPTION f4/Y]P 1.2A3/2--tto cePv,cF. moo 2 - (/ac Detailed description of work to UPr,e_x GZ ' I(-f.2 /A) C41060,01/.) C C t - be included on this permit only NAME 1 PRIMARY PHONE PROPERTY OWNER 17)0411-4V6 (nu)��i/ (2S3)3 72 MAILING ADDRESS E-MAIL 2-33/5- 66.-01R✓� S, CITY STATE ZIP FAX K6/07-- WA 9CrO32- (2 3)372-- /7G NAME PRIMARY PHONE - i svn) ELEe77L/C.4 s712i)c (253).539- O 997 MAILING ADDRESS E-MAIL ELECTRICAL 90 I nx x/52-6CO iiwl , nvs-bi x c.R2,c CONTRACTOR CITY STATE ZIP FAX 7)9Ce, 79- wi9 99'4 (zb )5 9- 0/Oil WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL.WAY BUSINESS LICENSE# 77fa-nPe C 926( �Z 4/ J //y NAME PRIMARY PHONE APPLICANT sl lc 6e r•)2C4- 024WD12,( ) - MAILING ADDRESS E-MAIL CITY STATE ZIP FAX NAME ( ) PRIMARY PHONE PROJECT CONTACT .�'�` /i/i'► leg 78A) ( ) 1©6--O,ZO 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: DATE6o/ro/i3 PRINT NAME:—/ ' ..":"775/1) Bulletin#160–January 1,2013 Page 1 of 2 k:\Handouts\Electrical Permit Application