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12-102665 CITY OF ¢t ,ca ay ELECTRICAL JUN 12 2012 PERMIT APPLICATION . AY C1N OF FEDERp,LW COS **Most electrical permits may be obtained on-line at www.ci o ederalway.com** SITE ADDRESS: 3 a Qj b ( ,�o S v 2 '--( s d,D-p- 1-I SUITE/UNIT/SPACE# ASSESSOR'S TAX/PARCEL it CURRENT/PROPOSED USE r_ toa l o y - M 0 r 3 PROJECT NAME ., ��- t c�S ,q� , / (,-----.2(Tenant or Homeowner Last Name) -,-*T� - Nok_o u, JC. PROJECT DESCRIPTION ...AL ► ti Detailed description of work to be included on this permit only PRIMARY PHONE PROPERTY OWNER �IIMPEN11.11111111111111111 (ZS ) 92y - 5 Zexa MAILING ADD- :-S E-MAIL 3 ag o - & t ;.L— t, --1 S CITY STATE ZIP FAX .F IPO__ VO—Pr's t C to0"5 ( ) - _. ---NAME PRIMARY PHONE MAI ING ADDRESS E-MAIL ELECTRICAL \k t,. a., 5 t¢1 CONTRACTOR STATE ZIP FAX WA STATE CONTRACTOR'S LICENSE II EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE# 5.0\C N r . t. , / IP I' NAME PRIMARY PHONE - --- APPLICANT V--A.& .1/ <---1.- C t`R t L ) - MAILING ADDRESS E-MAIL CITY Ell t�- ii ZIP FAX Cil. ik `>♦ tY• I ( ) GAME PRIMARY PHONE PROJECT CONTACT ©kLL ►J V,A,, 3 ( .b& ) e - --t O 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$he undersigned,and filed against the city, but only fuhere 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. N SIGNATURE: - DATE 19"'n - I D. C' PRINT NAME: �.r) l. \ ri Y'` 33325 8t 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 Permit #: 12-102665-00-E L Community&Econ.Dev.Services 33325 8th Ave S Federal Way,WA 98003 W' Ph:(253)835-2607 Fax (253)835-2609 Inspection Request Line: (253)835-3050 Project Name: WEYERHAUSER TECHNOLOGY CENTER Project Address: 32901 WEYERHAEUSER WA)008'• Parcel Number: 162104 9013 Project Description Weyerhauser Tec t ology Center TC). This permit is for 1-3 electricians. is permit is for 12- spe ions and each spection is a 1 hour maximum. Owner Applican Contractor WEYERHAUSER MCKINS Y ELE • C MCKINSTRY ELECTRIC 32901 WEYERHAUSER WAY S PO IX 24567 MCKINE*982KG(5/10/14) FEDERAL WAY WA 98003 SEA'. E WA 981 '0 BOX 24567 S. LE WA 98124 Additi•' I Perm" nformation Is Use Educational or Insti 'ona No No es A, . "dated With This Pe 't . CONDI ONS: * This permit is this to only** ERI 'E S d. 'e • ssu • o u day, June 12, 2012 I hereby certify that the:bove i 'rma •rrect and that the construction on the above described property and the occupancy and the se ilk' • in a • •ance with the laws, rules and regulations of the State of Washington nd the City of Federal Way. Owner or agent: a 11 Date: - — 13 1 2— T lkiik THIS CARD IS T MAIN ON-SITE CITY OF • Construction In ection Record Federal Way INSPECTION REQUE TS: (253)835-3050 PERMIT#: 12-102665-00-EL Address: 32901 WEYERHAEUSER WAY S Project: WEYERHAUSER FEDERAL WAY, WA 98003 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 UFER Ground (4295) -0 Ditch cover(4030) 0 Slab/Concrete Floor(4255) Approved Approved Approved to place concrete By Date By Date By Date ,0 Pool Bonding(4195) 0 Temporary Power(4275) .0 Service(4235) Approved Approved Approved By Date By Date By Date '0 Feeders/Sub-panels(4045) 0 Rough Electrical(4225) ❑ Ceiling Cover(4020) Approved Approved Approved By Date By Date By Date ' 0 Final-Electrical(4055) Approved By Date . El Rough ElectricalEl Final Electrical Right of Way Approved Approved Approved By Date By Date By Date