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13-104792 RECEIVED -44.„,,,‘ OCT p ELECTRICAL c�rY of 2 8 2013 Federal Way cm'OF FEDE PERMIT APPLICATION Ibtr79c) CDS�LWAY PERMIT NUMBER 1 7 - 1 , _ O CJ/\ SITE ` SUITE/UNIT/SPACE# 1 ADDRESS: 3 3�d� Fa, X I` 1---1 w,y sem. PROJECT VALUATION ASSESSOR'S TAX/PARCEL# CURRENT/PROPOSED USE s lam - / 'Z / e - 0 CA S PROJECT NAME (Tenant or Homeowner Last Name) C3 A Icy\Ve s--L-ha L,_1— R-• r(Ltg - . 1 j6%`_U C),,,,, ►v. c„..t..,_ A --- PROJECT DESCRIPTION _._.- Detailed description of work to be included on this permit only -I NAME PRIMARY PHONE PROPERTY OWNER (L7 N t VA4e-5 -km,-"" ) I ( ) - MAILING ADDRESS E-MAIL CITY STATE ZIP FAX ^ L- wC) LDS. 1'ao3 ( ) - NAME PRIMARY PHONE ...} ., T-n►o 10 g`f c_ . (zt3) 2-2‘- Cs - MAILING ADDRESS E-MAIL ELECTRICAL -4 32-S- 54 e4411/S4 AfA CONTRACTOR CITY STATEZIP FAX .,,,,,.... L()- cPi ( ) - WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE# 41zEg 3C-4 / / NAME PRIMARY PHONE (_ t/ APPLICANT VLO/ 0.s t'�''^ (2 � ) -2--2,6 4-A MAILING ADDRESS E-MAIL 32- Sv l tie-v- .--F- _ CIT STATE ZIP p () FAX NAME 6 PRIMARY PHONE PROJECT CONTACT -..�� `� V ` 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 Iocal, 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. SIGNATU- . 7 1_ DATE I a - 2 3 - 2©1'3 '— PRINT NAME: 't Y\O-' 'k.S Bulletin#160-January 1,2013 Page 1 of 2 k:\Handouts\Electrical Permit Application • • 4 Electrical' City of ral Way Community&Econ.Dev.Services Permit . 13-104792-00-EL 33325 8th Ave S Federal Way,WA 98003 Inspection Request Line: Ph:(253)835-2607 Fax:(253)835-2609 p a (253)835-3050 Project Name: SPRUCE BUILDING SUITE 1 (FORMERLY ALLSTATE) #: Project Address: 33606 PACIFIC HWY S Suite 1 Parcel Number: 212104 9025 Project Description: Replace electrical work damaged by vehicle. Owner Applicant Contractor OH INVESTMENTS LLC GREEN TECHNOLOGY INC GREEN TECHNOLOGY INC 29326 8TH AVE S 4525 S WARNER ST APT A8 GREENTI883C7(2/27/14) FEDERAL WAY WA 98003 TACOMA WA 98409 4525 S WARNER ST APT A8 TACOMA WA 98409 Additional Permit Information Is this an Online or O.T.C.application Yes Is Use Educational or Institutional? No Service greater than 999 Amps? No Electrical Fixtures Alt.Srvc/Feeder 0 to 200 amps(C 1 Mast or Meter Repair(Commercia 1 PERMIT EXPIRES Saturday, April 26, 2014 Permit Issued on Monday, October 28, 2013 I hereby certify that the above information is correct and that the construction on the above described property and the occupancy and the use will be in accordance with the laws, rules and regulations of the State of Washington n and the City of Federal Way. Owner or age /`�[— .�,, Date:— /2 øc) . - THIS CARD IS TO MAIN ON-SITE , *CITY OF Federal Way • Construction In ection Record • INSPECTION REQUE TS: (253)835-3050 PERMIT#: 13-104792-00-EL Address: 33606 PACIFIC HWY S Suite 1 Project: OH INVESTMENTS LLC FEDERAL WAY, WA 98003-6874 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. Cl UFER Ground (4295) ❑ Ditch cover(4030) ❑ Slab/Concrete Floor(4255) Approved Approved Approved to place concrete By Date By Date By Date o Pool Bonding(4195) 0 Temporary Power(4275) El Service(4235) Approved Approved Approved By Date By Date By Date o Feeders/Sub-panels(4045) ❑ Rough Electrical(4225) 0 Ceiling Cover(4020) Approved Approved Approved By Date By ivv6 Date 1( I 4 I )3 By Date o Final-Electrical(4055) Approved <2;•—• _, Date (273747 El Rough Electrical Final Electrical Right of Way Approved Approved Approved By Date By Date By Date