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14-100847 I • ‘4,. rl./ - l002 (1� CITY OF Federal ELECTRICAL RECEIVED PERMIT APPLICATION FEB 2 4 2014 **Most electrical permits may be obtained on-line at www cityoffederalwa�Com** CITY f3 FED ER AL i OPEINFORMATION SITE DRESS: ...0 J (,j'�" L(.�a o/�'h 6/8 G�CjY SUITE/UNIT/SPACE# ASSESSOR'S TAX/PARCEL# CURRENT/PROPOSED USE ? t� > ' i2cc , pito ' '# � . PROJECT NAME /� (Tenant or Homeowner Last Name) Y r��1 et/�' 4'4 4.141 U ta S� v -� &if f'tc I'.�1 /o.s' I,>ilk,e� 14,;-,''10:1 0‹,— 4Nie. A.01-‘' PROJECT DESCRIPTION nee..e-,',1 Y;k e„,t 4 44it;.t f cJ,«. C�'1 j t'- Detailed description of work to ....-- 1.--a....,2 ,,i be included on this permit only 1"'eiri c�'I tom` c°'L` d/4e. to / �/ wjPG/K+�✓!C PEOPLE :. NAME [,��a I PRIMARY PHONE PROPERTY OWNER d z r 1 '`� � S t�'7 (Z5-3 ),-,17‘(- /1-5''/' MAILING ADDRESS '{ �y a�''` 5,2,/�,t�GCt, /yf ez! E-MAIL CITY ,i/ STAT ZIP % ( FAX e,i t6 SaTA `� l©I ( ) - NAME ��1�/,t er4/4 41d'`,i C-4" 1.),7111 PRIMARY PHONE%�.7 MAILING ADD �/ E-MAt e l ELECTRICAL C''- 6 jrrf,.I`'T�t ;y�r��jrjtsi✓r`+ � 'ri�lta .<<'�� CONTRACTOR cITY/Z;i / / _/ S yill. ZIP , o 1,1 FAX WA STATE CONTRACTOR'ASE CEN # EXPIRATION 5 XPIRATION DATE FEDERAL WAY BUSINESS LICENSE# GCM,41 -' ,0 95 .'T' /i iaa NAME PRIMARY PHONE APPLICANT /i1�`f Ji'� r1«,, ' t ( `�Z1),3/``� - 7157 MAILING ADD S E- G JC ? Sv .10,-;, /-i 1/'e�I`kc�✓.`. lrca�•�c�l CITY, t I r.I�� STATE ZIP 7 FAR C`'i9� c4 ,5 ( ) - NAME /41, ."4/ / ' PRIMARY PHONE PROJECT CONTACT �./' !Zr 7a I certify under penalty of perjury that I am the property owner or authorized agent ofe 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 ' s out of the reliance-o he city, including its officers and employees, upon the accuracy of the information supplied to;he cit part of th' ,-applic on. SIGNATURE: DATE PRINT NAME: /4!4rO# #4441 ham 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 Way (� (� Community&Econ.Dev.Services Permit #: 14-1 00847-00-EL 33325 8th Ave S Federal Way,WA 98003 Ph:(253)835-2607 Fax:(253)835-2609F I LE Inspection Request Line: (253)835-3050 Project Name: VIRGINIA MASON-GENERAL INTERNAL MEDICINE (GIM) Project Address: 33501 1ST WAY S Parcel Number: 926504 0010 Project Description: Low-voltage wiring for energy management system&thermostats. Owner Applicant Contractor VIRGINIA MASON CLINIC COMMERCIAL WIRING COMMERCIAL WIRING 1100 9TH AVE S 620 6TH ST S COMMEW*895NT(8/30/15) SEATTLE WA 98101-2756 KIRKLAND WA 98033 620 6TH ST S KIRKLAND WA 98033 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 Thermostat. 2 PERMIT EXPIRES Saturday, August 23, 2014 Permit Issued on Monday, February 24, 2014 I hereby certify that the above information is correct and that the construction on the above described property and the occupancy and th se '11 be in accord-•-- with the laws, rules and regulations of the State of Washington • he3tLogtsiiieral Way. T7`��1 17 �/ Owner oragent: Date: ., '' CITY OF �`" " Construction In ection Record . Federal Way INSPECTION REQUE TS: (253)835-3050 PERMIT#: 14-100847-00-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. E UFER Ground (4295) El Ditch cover(4030) 0 Slab/Concrete Floor(4255) Approved Approved Approved to place concrete By Date By Date By Date O Pool Bonding(4195) D Temporary Power(4275) ❑ Service(4235) Approved Approved Approved By Date By Date By Date o Feeders/Sub-panels(4045) 0 Rough Electrical(4225) El Ceiling Cover(4020) Approved Approved Approved By Date By Date By Date El Final-Electrical(4055) Approved By ,\k_,.... Date 3_`Q^t Li • ❑ Rough ElectricalEl Final Electrical Right of Way Approved Approved Approved By Date By Date By Date