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CITY OF BUILDING DIVISION
;1 _ 33530 First Way South
\)\> R / Federal Way WA 98003
(253)661-4000
Fax(253)661-4129
ELECTRICAL PERMIT APPLICATION
ELE1 o -Q:,--18-
Job Address Z' /O/� `+� ) p�^n g .' . s I Job Site Phone q y/.. /O 3 4
Parcel No �✓ s+^"�+ Lot No �LJSubdivision Name
Owner Mail Address Phone
SILL414Pri,. S E ,.E.
Electrical Contractor Mail Address /A� Phone Z� .t,'7_7'71 I
1PaY SECtALLS i S ',ILA:, 1 7. .3 /6 �4u£ LicenstionDate CLf A/Gds r+
S'EAr'rz 6y -GU
Use of Bldg: Qi SF Res 0 Comm 0 Other 0 Multi 0 Church/School Class of Work: *New ❑Alteration 0 Addition 0 Repair
Describe Work: Z&Z.4.1 061156-E
s
ECiAZ;TY 466 inc-ki e*--14.:;"
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 ft2-$60;Each add'n 500112-$20)
MOBILE HOME/RV PARK
If service 2400 amp,plan review is req'd.Fee _Each outbuilding or garage $25 _#of service or feeders
=35%of permit fee+$50.Add'!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 $200 to 100 $65 . . . . $40
(First 2500 ft2-$35;Farb,add'n 500 fe-$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 or Feeder _0 to 200 $65
I hereby certify that I am the owner(or _0 to 200 amp $55 _201 -600 150
authorized agent)of the above named property _201 -600 amp 80 _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
Applicant's Si nature: _0 to 100 $40
4..1
_ 101 -200 50
e � Z _201 -400 60
_401 -600 80
Date: over 600 90
ELecnuc.N'p
RevIseo 8/26/97