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CITY OF = BUILDING DIVISION
• E� 7 ,,--c� 33530 First Way South
W �/ \2 Federal Way WA 98003
(253)661-4000
Fax(253)661-4129
ELECTRICAL PERMIT APPLICATION ��,a
t ELE`T6- 4
Job Address 2,67 �' /�U f/ 8,44-7.-(
Job Site Phone 92LJ
IiI
Parcel No Lot No Subdivision Name -
r
Owner s 1 ( Mail Address Phone
r `T—J • iyip-
Electrical Con c r/ Lia„,,,,
/ i1 .F__, 424,4,..„ _ Mail Address Phone `7f., glee-I-367
�E/ h/'} ✓\4�L(yLl (r �6�. C 6 �j` � License No. ate 7, f,l.e m�
. � i.��� ✓ Expiration Date ����3,,,, f t.3_,'
Use of Bldg: SF Res 0 Comm 0 Other 0 Multi 0 Church/School Class of Work: 0 New /Alteration ,E'Addition 0 Repair
Describe Work: f / , ,,,,K,,,s_el, 1 i", �✓I,Gri ,�. -
Type of Const: NEW RESIDENTIAL SERVICES MOBILE HOMES
Occupancy Group: _Service or feeder only $40
Occupancy Load: _Single Family _Service and feeder 65
Square Feet: (First 1300 fl-$60;Each add'n 500 f?-$20)
MOBILE HOME/RV PARK
Ifservice 2400 amp,plan review is req'd.Fee _Each outbuilding or garage $25 _#of service or feeders
=35%of permit fee+$50.Add'l plan review (First service/feeder-$40;Add'n service/
for other submissions=$60/hr. feeders-$25 each)
MiSC EQUIPMENT/TEMP SERVICES NEW MULTI-FAMILY COMMERCIAL/INDUSTRIAL
(Includes three units or more)
_#of Thermostats Amps Service or Add'n
(First thermostat-$30;Add'n thermostats-$10 each) Service Feeder Feeder
. _#of Low voltage fire or burglar alarms _Up to 200 amp . . . . $65 $20 _0 to 100 $65 . . . . $40
(First 2500 ft2-$35;Each add'n 500 ft-$10) _201 -400 amp . . . . 80 40 _ 101 -200 80 50
_#of Signs _401 -600 amp . . . . 110 55 _201 -400 150 60
(First sign-$30;Add'n sign-$15 each) _601 -800 amp . . . . 140 75 _401 -600 175 70
_Progress inspection per hr $60 _801 and over 200 150 _601 -800 225 95
_Swimming pool,hot tub,spa 60 _801 - 1000 275 . . . . 115
_Temporary Pole 35 _over 1000 300 . . . . 160
—Yard Pole meter loops 40 Over 600 volts surcharge 50
—Mast or meter repair 55
ALTERED SINGLE/MULTI FAMILY COMMERCIAL/INDUSTRIAL
Inspections requested before 3:30 will be (When inspected separately from the services.)
made the following work day,661-4140. Altered Service or Feeders
Service mer,, 0 to 200 $65
I hereby certify that I am the owner(or i0 to 200 amp (C.,, $55 ; 201 -600 150
authorized agent)of the above named property _201 -600 amp 80 f_601 - 1000 225
or a licensed contractor(or firm's authorized _over 600 120 _over 1000 250
agent)and am making the installation or _Mast or meter repair 30 _#of circuits
alteration in compliance with all applicable _#of circuits 40 (First 5 circuits-$50;Add'n circuit-$5 each)
city,county,and state laws. (First circuit-$40;Add'n circuit-$5 each)
Temporary Service
Applicants Signat re: - _0 to 100 $40
/\ I \ 7, _ 101 -200 50
i _201 400 60
_401 -600 80
Date, over 600 90
ELEcnuc.n'P
REVISED 8/26/97