11-103380 ‘t. • - 10 0
CITY OF
Federal ELECTRICAL RECEIVED
PERMIT APPLICATION AUG xO )
**Most electrical permits may be obtained on-line at www.cityoffederalway.com** ,,
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SITE ADDRESS: t-" i , , . �\,
SUITE/UNIT/SPACE# ASSESSOR'S TAX/PARCEL - O CURRENT/PROPOSED USE
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PROJECT NAME �/ / / 6
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PROJECT DESCRIPTION 1('Lr j �� f j- 0 C k`r t \S ,1,( Sok-f--e_
Detailed description of work to 1 1
be included on this permit only l e I (_ tJ(� l CL-1°S-5 (-' ��D C� Q_
NAME PRIMARY PHONE
PROPERTY OWNER ( ) -
MAILING ADDRESS E-MAIL
CITY STATE ZIP FAX
( )
NAME PRIMARY PHONE
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MAILING ADDRESS E-MAIL
ote ELECTRICAL h4-
CONTRACTOR CITY STATE ZIP FAX
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WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE S
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NAME PRIMARY PHONE
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APPLICANT MAILING ADDRESS E-MAIL
CITY STATE ZIP FAX
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NAME PRIMARY PHONE
PROJECT CONTACT 1-1 \71` - -
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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: -\\- DATE O t k 1
4, T J
PRINT NAME: - .�--
A 1\of(rx t_
33325 8th Avenue South •Federal Way♦WA•98003-6325•253-835-2607• fax:253-835-2609•www.cityoffederalway.com
Bulletin#160-January 1,2011 Page 1 of 2 k:\Handouts\Electrical Permit Application
Electrical
City of Federal Wayri I 0
Community Development Services Permit #: 11_103380-00-EL
P.O.Box 9718
Federal-260, Fax
:(253) 718
835- Inspection Request Line: (253)835-3050
Ph:(253)835-2607 Fax:(253)835-2609 p Q
Project Name: PAWN EXCHANGE/CASH AMERICA
Project Address: 33012 PACIFIC HW Y S Parcel Number: 797880 0160
Project Description: Adding/altering(7)circuits for relocating counter,safe,gondola
•
Qwner Applicant Contractor
CLEAR BLUE SKY LLC ELMECCO ELECTRICAL INC ELMECCO ELECTRICAL INC
13525 SE 83RD ST 9632 ROOSEVELT WY NE ELMECI*101NZ(8/9/12)
NEWCASTLE,WA 98059 SEATTLE WA 98115 9632 ROOSEVELT WY NE
SEATTLE WA 98115
fnAdditional Pat �,
Is Use Educational or Institutional? No Service greater than 999 Amps? No
'` � � : Electrical Fi :_ • ,- -
Circuits-Commercial 7
PERMIT EXPIRES Saturday, August 18, 2912
Permit Issued on Flay,August 19,2011
'Att
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hereby certify thef the above ti correct and that the construction'o the above de ribedproperty and
the occupancy aril the use, = • -. ctrw nce wi - rule and regulations of the S, to of Washington
A an• the City o -•- al Way.
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Owner or agent: -�� Date:
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THIS CARD IS TO MAIN ON-SITE
CI °F - • Construction I ection Record
Federal Way INSPECTION REQUE TS: (253) 835-3050
PERMIT#: 11-103380-00-EL Address: 33012 PACIFIC HWY S
Project: CLEAR BLUE SKY LLC FEDERAL WAY, WA 98003-6410
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.
El UFER Ground (4295) El Ditch cover(4030) El Slab/Concrete Floor(4255)
Approved Approved Approved to place concrete
By Date By Date By Date
El Pool Bonding(4195) 0 Temporary Power(4275) D Service(4235)
Approved Approved Approved
By Date By Date By Date
`0 Feeders/Sub-panels(4045) El Rough Electrical(4225) 0 Ceiling Cover(4020)
Approved Approved Approved
By Date By0 otk IL 1 Date B- _19 tel.( By Date
0 Final-Electrical(4055)
Approved
By e'i Date -_a_0/,....,v
❑ Rough ElectricalEl Final Electrical Right of Way
Approved Approved Approved
By Date By Date By Date