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14-103498 zr Electrical City of FederaloWay F ILEPermit #: 14-103498-00-EL Community&Econ.Dev.Services 33325 8th Ave S Federal Way,WA 98003 Inspection Request Line: 25 Ph:(253)835-2607 Fax:(253)835-2609 p q � 3)835-3050 Project Name: GORDON Project Address: 29611 1ST AVE S Parcel Number: 062104 9093 Project Description: Replace service mast. Owner Applicant Contractor ANDREW B GORDON WATTS ELECTRIC SERVICE INC WATTS ELECTRIC SERVICE INC ANDREA GORDON PO BOX 46410 WATTSES176OK(12/9/15) 29611 1ST AVE S SEATTLE WA 98106 PO BOX 46410 FEDERAL WAY WA 98003-3640 SEATTLE WA 98106 Additional Permit Information Is this an Online or O.T.C.application? Yes Is Use Educational or Institutional? No Electrical Fixtures Mast or Meter Repair(Residential/ 1 PERMIT EXPIRES Sunday, January 11, 2015 Permit Issued on Tuesday, July 15, 2014 I hereby certify that the above information is correct and that the construction on the above described property and the occupancy and e use will be in accord with the laws, rules and regulations of the State of Washington h City of Federal Way. Owner or agent: Date: 7 / 1�/T FINALED THIS CARD IS TO MAIN ON-SITE CITY OFal' Construction In ection Record Federal Way INSPECTION REQ TS: (253)835-3050 ' PERMIT#: 14-103498-00-EL Address: 29611 1ST AVE S Project: ANDREW B GORDON FEDERAL WAY, WA 98003-3640 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) 0 Ditch cover(4030) 0 Slab/Concrete Floor(4255) Approved Approved Approved to place concrete By Date By Date By Date El Pool Bonding(4195) 'El Temporary Power(4275) El Service(4235) Approved Approved Approved By Date By Date By Viia Date -7 l IA0 ftt( ❑ Feeders/Sub-panels(4045) El Rough Electrical(4225) El Ceiling Cover(4020) Approved Approved Approved By Date By Date By Date , El Final-Electrical(4055) Approved By tt4 Date 1 i I to 1 1 L El Rough Electrical CI Final ElectricalEl Right of Way Approved Approved Approved By Date By Date By Date WIVED 16, ELS C'TRICAL CITY OF JUL 1 5 2014 Federal Way CITY OF FEDERAL WAY PERMIT APPLICATION ! CDS r PERMIT NUMBER / f _ / 0 4/ g 8 - E",L-,,. l 5 I- SUITE/UNIT/SPACE# SITE ADDRESS: 2 9 ((/ ----- 5 PROJECT VALUATION ASSESSOR'S TAX/PARCEL# � � � CURRENT/PROPOSED USE Jr 0 Y - PROJECT NAME Qj���}�/ �q�� , (Tenant or Homeowner Last Name) *' "' / 6" "` dk iC PROJECT DESCRIPTION r( e.---- 1,1 C GM-sr Detailed description of work to be included on this permit only NAME (` � II PRIMARY PHONE PROPERTY OWNER t\ 6) f O z Q tii (2) o ) ss,-- S7 2 S MAILING ADDRESS S,X E-MAIL 2Ct 2(( / ---r 5° • CIT S�T�AT(EA- ZIP o79g FAX NAME PRIMARY PHONE 6-4-rt-5 (.'t — fZ c_ (?C ) 76 7—SV INGADDRESS EMAIL ELECTRICAL 7ev - CONTRACTOR CITY STATE FAX WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE# (5/ 7(7c ' / / NAMEPRIMARY PHONE S-1-1,'-C"--- APPLICANT MAILING ADDRESS ( ) E-MAIL CITY STATE ZIP FAX ( ) - NAME PRIMARY PHONE PROJECT CONTACT ( ) 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 Iaws 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 slied to the city as a Apart oft . pplication. 4.-- SIGNATURE: ��x V DATE 3-/ i PRINT NAME: 0-11-U\-0 ( Cp r Bulletin#160—January 1,2013 Page 1 of 2 k:\Handouts\Electrical Permit Application