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14-105842 • Electrical City of Federal Way . .{/,�� Community&Econ.Dev.Services Permit #: 14-105842-00-EL 33325 8th Ave S Federal Way,wA 98003 Inspection Request Line: (253)835-3050 Ph:(253)835-2807 Fax:(253)835-2609 FILE Project Name: T-MOBILE PANTHER LAKE thsj A4 b Project Address: 33200 BLOCK OF 1ST AVE S Parcel Number: 172104 9103 Project Description: Re-feed existing 100amp service from new PSE transformer and add 25kva isolation transformer at site. Owner Applicant Contractor BARBARA CHANEY DENNIS PATTERSON EXPERT ELECTRIC TELCO PACIFIC Expert Electric EXPERE*932LG(6/7/15) 4619 S PACIFIC AVE 4619 PACIFIC AVE TACOMA WA 98408 TACOMA WA 98408 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 PERMIT EXPIRES Saturday, May 9, 2015 Permit Issued on Monday, November 10, 2014 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 t i rFed ral Way. Owner or agent: � Date: 4/ ®©�� . ,....& THIS CARD IS MAIN ON-SITE "T"OF Construction I ection Record ' Federal Way INSPECTION REQU TS: (253)835-3050 PERMIT#: 14-105842-00-EL Address: 33200 BLOCK OF 1ST AVE S Project: BARBARA CHANEY FEDERAL WAY, WA 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. O UFER Ground (4295) ❑ Ditch cover(4030) Slab/Concrete Floor(4255) Approved Approved Approved to place concrete By Dated GS Date t2 t2,\t�-I By Date O Pool Bonding(4195) • 0 Temporary Power(4275) CI Service(4235) Approved Approved Approved By Date By Date By CN..\p"."- Date t _3�. , El Feeders/Sub-panels(4045) 0 Rough Electrical(4225) ❑ Ceiling Cover(4020) Approved Approved Approved By C _ Date l 2 ...vs....\4.. By Date By Date O Final-Electrical(4055) Approved By 1A4 Date 1 1 (pt s f El Rough ElectricalEl Final Electrical Right of Way Approved Approved Approved By Date By Date By Date • %COVED • 41111/44.CITY OF . 10 2m4 ELECTRICAL m Federal Way PERMIT APPLICATION CITY OF FEDERAL V1IAf RECEIVED D PERMIT NUMBER !q - / 5— ,. - Nov Y 0 2 014 CITY OF FEDERALITEjtaIT/SPACE i SITE ADDRESS: / S. 3y3/a CDS PROJECT VALUATION ASSESSOR'S TAR/PARCEL# CURRENT/PROPOSED USE $ 7X026, L L 'l - / 0-- size. PROJECT NAME (Tenant or Homeowner Last Name) �/ 4y'C 0,�/iii is . n PROJECT DESCRIPTION ife -Apt f)4 Aft; 'y /0419Ul �, 7giear4 Detailed description of work to fi � � 0 7 A 42eR be included on this permit only / C� � a, ��/ NAME PRIMARY PHONE PROPERTY OWNER t ) - MAILING ADDRESS E-MAIL CITY STATE ZIP // FAX NAME 1)CP"t 4744` ,�z . ( 3) PRIMARYqP/60, MAILING ADDRESSE-MAIL ELECTRICAL 7E J 9 1 C-i' / R1/ -4, CONTRACTOR CITY STATE ZIP FAX fid• Wfl ? 1 4•13Y) g7/- a 1 WA STATE CONTRACTOR'S LICENSE N EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE At ,Expl= 9 e-A' 6 7 /4.5NAME 024/y/45S'y'a?-1 ] PRIMARY PHONE APPLICANT � 6/31— ILd /%O /`✓� ) MAILING ADD S E-MAIL CITY STATE ZIP FAX NAME PRIMARYPHONE PROJECT CONTACT g' Sl;'mx,®76 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. di/4. SIGNATURE; DATE //r/el"--/ PRINT NAME: e00-2 w J ( fir /Q z=3- Bulletin#160—January 1,2013 Page 1 of 2 k:'Handouts\Electrical Permit Application