10-105073 Electral..
City of Federal Way
Permit #: 10 105073-00-EL
Community Development Services -
P.Q.Box 9718
Federal Way,WA 98063-9718
Ph:(253)835-2607 Fax:(253)835-2609 F I Inspection Request Line: (253)835-3050
Project Name: VIRGINIA MASON CLINIC-FLR 2,RM 218
Project Address: 33501 1ST WAY S Parcel Number: 926504 0010
Project Description: ADDING/ALTERING(1)DUPLEX GFCI OUTLET
Owner Anplicant Contractor
VIRGINIA MASON CLINIC DREW MACKEY EVERGREEN POWER SYSTEMS
1100 911I AVE EVERGREEN POWER SYSTEMS,INC EVERGPS950BE(1/5/11)
SEATTLE,WA 98101-2756 3623 E MARGINAL WAY S 3623 E MARGINAL WAY S
SEATTLE WA 98134 SEATTLE WA 98134
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Is Use Educational or Institutional? No Service greater than 999 Amps? No
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Circuits-Commercial 1
PERMIT EXPIRES Wednesday, December 7, 2011
Permit Issued on Tuesday, December 7, 2010
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
and the City of Federal Way.
Owner or agent: ' ` Date: /2/ /(c%
r„..,,,evo I D113/I0
THIS CARD IS TO AIN ON-SITE `
Crrtt OF
Construction Ins ction Record
Federal Way INSPECTION REQUE TS: (253)835-3050
PERMIT#: 10-105073-00-EL Address: 33501 1ST WAY S
Project: VIRGINIA MASON CLINIC FEDERAL WAY, WA 98003-6208
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.
0 Service(4235) 0 Feeders/Sub-panels(4045) El Rough Electrical(4225)
Approved Approved Approved
By Date By Date By Date
0 Ceiling Cover(4020) ❑ Final-Electrical(4055)
Approved Approved
By Date By Date/74 , /tp
•
0 Rough ElectricalCl Final Electrical Right of Way
Approved Approved Approved
By Date By Date By Date