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CRY �_ 33530 First Way South
�n Federal Way WA 98003
\>\> �y Phone (206) 661-4000
i
ELECTRICAL PERMIT APPLICATION Q�w
oI
5-7-A),),
ELE
il 0
Job Address __-_,?3 ,),__-_,?3 ,), 7 5/!/,y _� / y / /Jay Job Site Phone
Parcel No Lot No Subdivision Name
Owner._ f_ Ml � J 5 i t Phone
SCCA /77-4 c .e>A �
Electrical Contractor Mail Address Phone '�/ —g%4
/ y
l q zl ‘0 r�fV� License No.i%�E/IGI= 06C0
15.0 e 9tgd664)� 1one
Parcel Date /// z/q6
Use of Bldg: DSF Res tt..Cornm DOther DMulti OChurch/School Class of Work: oNew \Alteration DAddition ❑Repair
Describe Work:
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
500 ft2-$20) MOBILE HOME/RV PARK
If plans are required for review, the fee is _ # of service or feeders
35% of the permit fee plus$50. Additional _Each outbuilding or garage . $25 (First service/feeder-$40; Add'n
plan review for other submissions is$60/hr. service/feeders-$25 each)
MISC EQUIPMENT/TEMP SERVICES NEW MULTI-FAMILY COMMERCIAL/INDUSTRIAL
_#of Thermostats (Includes three units or more) Amps Service or Add'n
(First thermostat-$30; Add'n thermostats- Service Feeder Feeder
$10 each) _Up to 200 amp . . $ 65 . . . $ 20 0 to 100 $ 65 . . $ 40
_#of Low voltage fire or burglar alarm _ _
201 -400 amp . . 80 40 101 - 200 80 . . . 50
(First 2500 ft2-$35; Each add'n 500 ft2-$10) _401 - 600 amp . . 110 . . . . 55 201 - 400 150 60
_# of Signs _ 601 - 800 amp . . 140 . . . . 75 _ 401 - 600 175 . . . 70
(First sign-$30; Add'n sign-$15 each) _ 801 and over . . 200 . . . 150 _ 601 - 800 225 . . . 95
_Progress inspection per hr $60 _ 801 - 1000 . . . . 275 . . . 115
_ Swimming pool, hot tub, spa . . . . 60 _ over 1000 300 . . . 160
_Temporary Pole 35 _ Over 600 volts surcharge . . . 50
_Yard Pole meter loops 40 _ Mast or meter repair 55
a Iet,eeetnc.,-foe fer cet,la ec.mit 20*
ALTERED SINGLE- OR COMMERCIAL/INDUSTRIAL
Inspections requested before 3:30 will be MULTI-FAMILY Altered Service or Feeders
made the following work day, 661-4140. (When inspected separately from the _0 to 200 $ 65-
services.) _201 - 600 150
I hereby certify that I am the owner (or Service or Feeder _ 601 - 1000 225
authorized agent) of the above named _0 to 200 amp $ 55 _over 1000 250
property or a licensed contractor(or firm's _201 - 600 amp 80 ;�# of circuits
authorized agent) and am making the _ over 600 120 (First 5 circuits-$50; Add'n
installation or alteration in compliance with _Mast or meter repair 30 circuits-$5 each)
all applicable city, county, and state laws. _#of circuits 40 Temporary Service -
(First circuit-$40; Add'n circuit- _0 to 100 $40
Appli nt's Signature: $5 each) _ 101 200 50
?� �/�i �,� =201 - 400 60
L 401 600 80
_ over 600 90
Date: f