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C,Iro(-/� 33)30 1�trst Way South
QFederal Way WA 98003
rn Edi Phone (206) 661-4000
so 1,NteD
ELECTRICAL PERMIT APPLICATION ,
Ii0 15 "5 ELE- `
Job Add! �.'t `2;,E� I A? Fre__
-/ , 1.14),/,
co, s.c/ife Job Site Phonecj+j?7- a ay.
y
Parc.No gt) ° Lot No Subdivision Name
Owner 40 b'1 `=' f// Mail Address Phone
/ (.c/ & r y Di.SC%Oif-171 6,,t4.75 .mernie_. 6/'2 2 -5-0-zr
Electrical Contactor Mail Address Phone < " `C
��/� > License No.47.d2- G•'J ,r %3 2 tl_.,
��',L � -AN-7e
���% /"` j) .SG- Expiration Date ///c/
kIC_ 7
Use of Bldg: °SF Res)Comm DOther °Multi °Chureh/School Class of Work: °New AfAlteration ❑Addition °Repair
Describe Wor : "410 U e
In // 2 --v'4/ e-a cps i *Are ex's7-✓C dwedo , its cz)
Type of Const: e i,/577 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 i
_#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
•
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 i
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 __'2 #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 . . Ts Signatu,•: $5 each) _ 101 -200 50 i,
_201 400 60
_401 - 600 80
_over 600 90
Date: ..,
S.sl'mr l.Arr
Rtmsln 709,95